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Patients‐in‐waiting or chronically healthy individuals? People with elevated cholesterol talk about risk

Risk adopts an ambiguous position between health and illness/disease and is culturally salient in various health‐related everyday practices. Previous research on risk experience has mostly focused on the illness/disease side of this risk ambiguity. Persons at risk have typically been defined as pati...

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Detalles Bibliográficos
Autor principal: Jauho, Mikko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6850290/
https://www.ncbi.nlm.nih.gov/pubmed/30671995
http://dx.doi.org/10.1111/1467-9566.12866
Descripción
Sumario:Risk adopts an ambiguous position between health and illness/disease and is culturally salient in various health‐related everyday practices. Previous research on risk experience has mostly focused on the illness/disease side of this risk ambiguity. Persons at risk have typically been defined as patients (of some kind) and their condition as a form of proto‐illness. To allow for the cultural proliferation of health risk and to account for the health side of risk ambiguity, I chose to focus on elevated cholesterol, a condition both intensely medicalised and connected to the everyday practice of eating, among participants (n = 14) recruited from a consumer panel and approached not as patients, but as individuals concerned about their cholesterol. Utilising the biographical disruption framework developed by Bury, I show how the risk experience of my participants differed from the chronic illness experience. Instead of patients‐in‐waiting suffering from a proto‐illness, they presented themselves as ‘chronically healthy individuals’ (Varul 2010), actively trying to avoid becoming patients through a responsible regimen of personal health care. The results call for a more nuanced approach to the risk experience, which accounts for both sides of the risk ambiguity.