Risk, resistance and the neoliberal agenda: young people, health and well-being in the UK, Canada and Australia

被引:36
作者
Brown, Sally [1 ]
Shoveller, Jeannie [2 ]
Chabot, Cathy [2 ]
LaMontagne, Anthony D. [3 ]
机构
[1] Univ Durham, Sch Med & Hlth, Thornaby On Tees, England
[2] Univ British Columbia, Sch Populat & Publ Hlth, Vancouver, BC V5Z 1M9, Canada
[3] Univ Melbourne, Melbourne Sch Populat & Global Hlth, McCaughey VicHlth Ctr Community Wellbeing, Melbourne, Vic 3010, Australia
关键词
risk; health policy; neoliberal shifts; young people's health; structural disadvantage; social inequities; WOMENS ACCOUNTS; SMOKING; EXPERIENCES; CONSTRUCTION; PERSPECTIVES; GOVERNMENT; ALCOHOL; SMOKER;
D O I
10.1080/13698575.2013.796346
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
In this article we describe how concepts of risk are both generated by and used to reinforce a neoliberal agenda in relation to the health and well-being of young people. We examine how risk may be used as a tool to advance ideals such as rational choice and individual responsibility, and how this can further disadvantage young people living within the contexts of structural disadvantage (such as geographic areas of long-term unemployment; communities that experience racial discrimination). We also identify the ways in which risk is applied in uneven ways within structurally disadvantaged contexts. To suggest a way forward, we articulate a set of principles and strategies that offer up a means of resisting neoliberal imperatives and suggest how these might play out at the micro-, meso- and macro-levels. To do this, we discuss examples from the UK, Canadian and Australian contexts to illustrate how young people resist being labelled as risky, and how it is possible to engage in health equity-enhancing actions, despite seemingly deterministic forces. The cases we describe reveal some of the vulnerabilities (and hence opportunities) within the seemingly impenetrable world view and powers of neoliberals, and point towards the potential to formulate an agenda of resistance and new directions for young people's health promotion.
引用
收藏
页码:333 / 346
页数:14
相关论文
共 71 条
[1]   Capitals and capabilities: Linking structure and agency to reduce health inequalities [J].
Abel, Thomas ;
Frohlich, Katherine L. .
SOCIAL SCIENCE & MEDICINE, 2012, 74 (02) :236-244
[2]  
Aggleton P, 2013, STRUCTURAL APPROACHE, P76
[3]   Ambivalence and uncertainty: experiences of and attitudes towards addiction and smoking cessation in the mid-to-late teens [J].
Amos, A ;
Wiltshire, S ;
Haw, S ;
McNeill, A .
HEALTH EDUCATION RESEARCH, 2006, 21 (02) :181-191
[4]  
[Anonymous], 2004, A BOAL
[5]  
[Anonymous], 1992, RISK SOC NEW MODERNI
[6]  
[Anonymous], 2011, BBC News
[7]  
[Anonymous], 2011, GUARDIAN
[8]  
[Anonymous], AM J IND MED, DOI DOI 10.1002/AJIM.22126
[9]  
[Anonymous], 2006, BBC News
[10]  
[Anonymous], 1999, TEENAGE PREGNANCY