ABSTRACT

Public policies to prevent non-communicable diseases (NCDs) by promoting health lifestyles began in Chile in the 1990 s, yet NCDs are still highly prevalent. We draw on the theoretical approaches of the Latin American Collective Health (LACH) and critical medical anthropology (CAM) to elucidate why these polices have not had the desired effects. Women with low socioeconomic status and participating in the Choose Healthy Living Program identified obstacles to healthy living and the subjective tensions resulting from the healthy lifestyles ethic. Their experiences demonstrate how lifestyles emerge from the intersection of agency and structure, so it cannot result from individual action alone.

摘要

通过促进健康生活方式来预防非传染性疾病 (NCD) 的公共政策始于 1990 年代智利，但非传染性疾病仍然非常普遍。我们利用拉丁美洲集体健康 (LACH) 和关键医学人类学 (CAM) 的理论方法来阐明为什么这些政策没有产生预期的效果。社会经济地位低且参与“选择健康生活”计划的女性发现了健康生活的障碍以及健康生活方式伦理导致的主观紧张。他们的经历展示了生活方式是如何从机构和结构的交叉点中产生的，因此它不能仅由个人行为产生。