Understanding life-style and food use: contributions from the social sciences.

The contribution of social sciences to the study of life-style and food use in Britain is illustrated by drawing on recent evidence of purchasing patterns, reports of the organisation of meals, snacks, eating out and images of the origins of food. Work discussed underlines a considerable degree of empirical complexity, demonstrates that the supply side as well as demand should be taken into account, and illustrates the manner in which even supposedly highly voluntaristic spheres of consumption activity may none the less be circumscribed. The article is prefaced by briefly contrasting the approach to 'life-style' adopted by market researchers, public health professionals and social theorists. It concludes with the proposal that in order to understand the complexity surrounding human food use, we may be advised to consider ensuring that the descriptive and conceptual tools being used can capture that complexity.

Community representatives: representing the "community"?

This paper takes as its starting point the apparent disjunction between the assumptions of the self-evidence of the meaning of community in major international declarations and strategies which promote community participation and the observation that meanings of "community" are a subject of extensive debate in literatures of social analysis and to some extent health. Given that the word's meaning is not agreed, those working to promote "community participation" in health are forced to adjudicate on competing meanings in order to operationalise the notion. This raises questions about how this is done and what are the implications of particular choices for what may be achieved by the participating "community". This paper presents the findings of an empirical study which examined the manner in which ideas of "community" are operationalised by people engaged in encouraging community participation in health promotion in the context of the selection of members for health for all steering groups in healthy cities projects in the United Kingdom. It argues that the demands of the role of the "community representative" are such that particular interpretations of "community" achieve ascendance. The paper explores the consequences of the interpretation of "community" as part of the "voluntary sector" and argues that this may compromise one of the stated desired outcomes of community participation i.e. extending democracy in health decision-making.

Meanings of community.

Community participation in health promotion is one of the central tenets of the WHO's Health For All strategy. Throughout the United Kingdom, 'Health For All' projects have been established and efforts dedicated to the pursuit of community participation in health promotion. Despite this zeal, the deceptively simple notion of 'community' is one of the most contested in the social sciences. Taking this as its point of departure, this paper reviews the meanings of 'community' in social sciences and health literatures. Based on empirical data, it then explores meanings of 'community' for people who are involved in generating community participation in health promotion in the context of four U.K. Health For All projects. A wide variety of different meanings are found; what they share in common is that they are each constructed by people who regard themselves as 'non-members' of these 'communities' and that the views of the putative 'members' are not taken into account in their construction. This substantially differs from meanings of community constructed by their 'members', as represented by Anthony Cohen, where community members' perceptions of sharing are central to the delineation of boundaries. This paper argues that there is a fundamental difference between the construction of communities by 'members' and 'non-members'. In the former case notions are sharing are integral to the construction, in the latter case they are assumed. In the final part of the paper we examine informants daily experiences of operationalising the 'communities' which they construct and argue that commonly their assumptions of sharing prove unfounded. We conclude by arguing that recognition of the differences in the construction of communities by members and non-members is essential, not least because it demands a fundamental rethinking of the notion of community participation in health.

Sudden infant death syndrome: links with infant care practices.

OBJECTIVES: To investigate infant care practices in a small ethnic minority population within Britain that might suggest possible factors contributing to the low incidence of the sudden infant death syndrome in Asian populations. DESIGN: Ethnographic interviewing, a qualitative comparative method drawn from social anthropology. SETTING: Central Cardiff. SUBJECTS: Non-random sample of 60 mothers of Bangladeshi or Welsh ethnic origin and working or middle class occupational status, who had infants under one year old. None of the families interviewed had experienced a sudden infant death. RESULTS: Broad cultural contrasts emerged as a series of themes from the interview data: living patterns, family networks, sleeping patterns, and concepts of time and dependence. CONCLUSION: Bangladeshi infants were cared for in a consistently rich sensory environment; Welsh infants, in contrast, were more likely to experience alternating periods of high and low sensory input. Long periods of lone quiet sleep may be one factor that contributes to a higher rate of sudden deaths in white than in Asian infants.