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ISBN-10: 2950951821

ISBN-13: 9782950951823

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Instead, however, the settings approach was intended to directly address the aspects of settings that influence health outcomes and behaviours (health-promoting settings) (Masuda et al. 2010). The tendency in practice towards health promotion in settings has to date set limitations in our ability to analyse and intervene on the structures and opportunities of areas using this approach. The Social Environment Many social epidemiological researchers conceive of the neighbourhood urban environment in terms of two categories: social and physical environments.

Many studies have also investigated how geographical remoteness or distance to hospitals affects mortality (Turrell et al. 2006; Chaix et al. g. healthcare centres and public hospitals) in neighbourhoods affected CVD incidence (Kawakami et al. 2011). The second pathway refers to how neighbourhood of residence may affect health behaviours such as alcohol consumption, smoking, diet and physical activity, which are closely linked with disease and mortality. This is by far the best-studied pathway.

Since Weber, French sociologist Pierre Bourdieu has further developed this notion of lifestyle by arguing that ‘choices’ are an expression of habitus that itself is a dynamic, evolving inculcation of structuring structures (or ‘chances’, to use Weber’s term) (Bourdieu 1980). The habitus, according to Bourdieu, is produced by the objective conditions of existence combined with positions in the social structure, and it generates practices and tastes that together result in a lifestyle. While there is an element of choice with regard to one’s lifestyle, people are seen to be predisposed by their habitus towards a certain choice of lifestyle.

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