Contesting lifestyle risk and gendering coronary candidacy: lay epidemiology of heart disease in Finland in the 1970s
Abstract This study addresses two issues currently under critical discussion in the epidemiology of cardiovascular diseases ( CVD ), the relative neglect of women and the individualised nature of key risk factors. It focuses on the North Karelia project ( NKP ), a community programme aimed at corona...
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crwiley:10.1111/1467-9566.12542 2024-06-02T08:09:46+00:00 Contesting lifestyle risk and gendering coronary candidacy: lay epidemiology of heart disease in Finland in the 1970s Jauho, Mikko Suomen Akatemia 2017 http://dx.doi.org/10.1111/1467-9566.12542 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2F1467-9566.12542 https://onlinelibrary.wiley.com/doi/pdf/10.1111/1467-9566.12542 https://onlinelibrary.wiley.com/doi/full-xml/10.1111/1467-9566.12542 en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor Sociology of Health & Illness volume 39, issue 7, page 1005-1018 ISSN 0141-9889 1467-9566 journal-article 2017 crwiley https://doi.org/10.1111/1467-9566.12542 2024-05-03T11:47:22Z Abstract This study addresses two issues currently under critical discussion in the epidemiology of cardiovascular diseases ( CVD ), the relative neglect of women and the individualised nature of key risk factors. It focuses on the North Karelia project ( NKP ), a community programme aimed at coronary heart disease ( CHD ) prevention in a predominantly rural Finnish region in the early 1970s, that is, during a period when the epidemiological understanding of CVD still was relatively new and actively promoted. Adopting the notions of lay epidemiology and coronary candidacy, culturally mediated explanatory models lay people use to assess who is likely to develop heart disease and why, the study shows that locals targeted by the project critically engaged with both of these bias. Based on the rich materials resulting from project activities the study shows, first, how many locals subsumed the individualised and lifestyle‐based approach to CHD prevention promoted by NKP under a more general framework emphasising the health effects of ongoing structural changes in the area, and second, how women constructed themselves as viable coronary candidates. The case supports the position in the current discussions on lay expertise that wants to integrate lay experiences more firmly into epidemiological studies and public health. Article in Journal/Newspaper karelia* Wiley Online Library Sociology of Health & Illness 39 7 1005 1018 |
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Wiley Online Library |
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English |
description |
Abstract This study addresses two issues currently under critical discussion in the epidemiology of cardiovascular diseases ( CVD ), the relative neglect of women and the individualised nature of key risk factors. It focuses on the North Karelia project ( NKP ), a community programme aimed at coronary heart disease ( CHD ) prevention in a predominantly rural Finnish region in the early 1970s, that is, during a period when the epidemiological understanding of CVD still was relatively new and actively promoted. Adopting the notions of lay epidemiology and coronary candidacy, culturally mediated explanatory models lay people use to assess who is likely to develop heart disease and why, the study shows that locals targeted by the project critically engaged with both of these bias. Based on the rich materials resulting from project activities the study shows, first, how many locals subsumed the individualised and lifestyle‐based approach to CHD prevention promoted by NKP under a more general framework emphasising the health effects of ongoing structural changes in the area, and second, how women constructed themselves as viable coronary candidates. The case supports the position in the current discussions on lay expertise that wants to integrate lay experiences more firmly into epidemiological studies and public health. |
author2 |
Suomen Akatemia |
format |
Article in Journal/Newspaper |
author |
Jauho, Mikko |
spellingShingle |
Jauho, Mikko Contesting lifestyle risk and gendering coronary candidacy: lay epidemiology of heart disease in Finland in the 1970s |
author_facet |
Jauho, Mikko |
author_sort |
Jauho, Mikko |
title |
Contesting lifestyle risk and gendering coronary candidacy: lay epidemiology of heart disease in Finland in the 1970s |
title_short |
Contesting lifestyle risk and gendering coronary candidacy: lay epidemiology of heart disease in Finland in the 1970s |
title_full |
Contesting lifestyle risk and gendering coronary candidacy: lay epidemiology of heart disease in Finland in the 1970s |
title_fullStr |
Contesting lifestyle risk and gendering coronary candidacy: lay epidemiology of heart disease in Finland in the 1970s |
title_full_unstemmed |
Contesting lifestyle risk and gendering coronary candidacy: lay epidemiology of heart disease in Finland in the 1970s |
title_sort |
contesting lifestyle risk and gendering coronary candidacy: lay epidemiology of heart disease in finland in the 1970s |
publisher |
Wiley |
publishDate |
2017 |
url |
http://dx.doi.org/10.1111/1467-9566.12542 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2F1467-9566.12542 https://onlinelibrary.wiley.com/doi/pdf/10.1111/1467-9566.12542 https://onlinelibrary.wiley.com/doi/full-xml/10.1111/1467-9566.12542 |
genre |
karelia* |
genre_facet |
karelia* |
op_source |
Sociology of Health & Illness volume 39, issue 7, page 1005-1018 ISSN 0141-9889 1467-9566 |
op_rights |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
op_doi |
https://doi.org/10.1111/1467-9566.12542 |
container_title |
Sociology of Health & Illness |
container_volume |
39 |
container_issue |
7 |
container_start_page |
1005 |
op_container_end_page |
1018 |
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1800755538783371264 |