Along a similar vein...
More recently, an approach that may be described as Approach 31/2 is seen where there is recognition that material living conditions may shape the presence of risk behaviours, the focus of Approach 3 – what Nettleton describes as the Holy Trinity of Risk of poor diet, lack of exercise, and tobacco use -- but there is no recognition that material living and working conditions have a direct link to chronic disease through pathways of material deprivation and psychosocial stress nor is their explicit concern with modifying adverse living conditions through public policy action. One example of such an approach is seen in a recent edited volume where the presence of four key behavioural risk factors, diet, tobacco use, physical activity, and alcohol use is placed within a sophisticated political economy perspective withy no mention of the direct effects upon chronic disease incidence and management of material deprivation and the stresses associated with such deprivation (Stuckler & Siegel, 2011). Instead the presence of these risk factors is seen as the prime cause of the major chronic diseases of cardiovascular disease, cancer, chronic respiratory disease, and diabetes around the globe with an extensive political economy analysis directed solely to explaining the prevalence these behavioural risk factors.
Stuckler, D., & Siegel, K. (Eds.). (2011). Sick Societies: Responding to the Global Challenge of Chronoic Disease. New York: Oxford University Press.
In preparation, The Social Determinants of Non-Communicable Diseases: A Political Perspective
Dennis Raphael
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