Evidence map›Paper›PMID 31033428›Full record

ArticleInternational journal of qualitative studies on health and well-being2019

"To be healthy to me is to be free": how discourses of freedom are used to construct healthiness among young South African adults.

Michelle De Jong, Anthony Collins, Simóne Plüg

Open access · goldAbstract read
In one paragraph

Article in International journal of qualitative studies on health and well-being, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.2field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Diversity, preventive work and education-matters of health and well-being in firefighter discourse.International journal of qualitative studies on health and well-being · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 2 countries.

Michelle De Jonga School of Public Health, Faculty of Community and Health Sciences , University of the Western Cape , Bellville , South Africa.ORCID http://orcid.org/0000-0001-5170-8285
Anthony Collinsc Department of Social Inquiry , La Trobe University , Melbourne , Australia.
Simóne Plüge International Centre for Non-Violence , Durban University of Technology , Durban , South Africa.
Durban University of Technology · ZALa Trobe University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHealthiness is constructed, in Western culture, as a moral ideal or supervalue. This paper will interrogate the assumption that health and the pursuit of healthiness is always and unquestionably positive, by exploring how discourses of health and freedom interact to reinforce the current inequalities and detract from social transformation.

methodTwenty young South African adults were interviewed about their understandings and experiences of health. These discussions were analysed using Foucauldian discourse analysis.

resultsParticipants constructed healthiness as facilitating the experience of freedom, while at the same time being dependent on a personal orientation towards freedom (as opposed to merely submitting to dominant health authorities). Freedom discourses also played a role in connecting health to neoliberal discourses idealizing economic productivity and hard work. Participants were able to construct a self that is active, productive, valuable, hopeful, and self-assured when talking about health using discourses of freedom. However, these discourses also functioned to moralise and idealise healthiness, which contributed to blaming poor health on its sufferers.

conclusionHealth/freedom discourses can further reinforce the neoliberal value of individual responsibility by constructing self-improvement and self-work as the solution to ill-health, thereby contributing to victim-blaming and weakening support for public health interventions.

Indexed as

Attitude to HealthHealthHealth BehaviorHealth StatusLife StylePersonal AutonomySocial ValuesAdolescentAdultComprehensionEmotionsFemaleFreedomHumansMaleMoral Obligationsdiscourse analysisFreedomhealthneoliberalismsocial constructionismwork

Identifiers

PMID31033428
PMCPMC6493219
OpenAlexW2943067777

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.