Dennis- There has not been a "sole reliance...risk:" in the Population
Health field for the past 20 years. You have been somewhat unfair to the
people in the "lifestyle" field who have been incorporating the
"lifestyle" needs of our populations within a " social determinants"
model. Public Health is a perfect example. Your own research which they
supported was conceived within a social determinants paradigm. My own
research and the research of other lifestyle and health promotion people
like Lawrence W. Green (Community and Population Health, McGraw, 1999)
is all based on the interaction between lifestyle programs and the
'"structural" social determinants that is the foundation of every
society. I'm sure that your work  and the work of other researchers is
all intended to be "inclusive" and that means understanding that to
ignore either the "lifestyle" of populations or their "structural"
realities is to commit a serious injustice to the people we work with.
Keep up your good work but also try to be more "inclusive" and to be
fair to the "lifestyle" work of all those community groups building
their lifestyle work on a solid "social determinants" model. We need to
come together not be divided by inappropriate and out-of-date
ideological rhetoric.
Cheers,
Joseph Levy
Professor

Dennis Raphael wrote:

>This thoughtful analysis of lifestyle carried out for Health Canada
>places the concept within current analyses of community action
>and social policy change.  It clearly exposes the folly of sole reliance
>on the "holy trinity of risk" (Nettleton, 1995) of diet, tobacco, and exercise.
>
>http://www.hc-sc.gc.ca/hppb/phdd/docs/healthy/
>
>Healthy Lifestyle: Strengthening the Effectiveness of Lifestyle
>Approaches to Improve Health
>
>prepared by Renee Lyons, Ph.D.and Lynn Langille, M.A. for
>Health Canada, Population and Public Health Branch On Behalf
>of The Atlantic Health Promotion Research Centre Dalhousie
>University and The Canadian Consortium of Health Promotion
>Research Centres April, 2000
>
>
>dr
>
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