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Public health in the making: Dietary innovators and their on-the-job sociology

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  • Cupit, Caroline

Abstract

Diet is understood to be one of the most important influences on public health and chronic disease, and is particularly implicated in the so-called ‘obesity epidemic’. Yet interventions aiming to improve the population's dietary habits have failed to translate into widespread health improvements. Simultaneously, the knowledge landscape has become increasingly contentious, with fat activism challenging dominant approaches to how obesity is framed and addressed. This paper is based on 24 ethnographic interviews, and explores the work of health practitioners promoting therapeutic carbohydrate restriction (‘low-carb’ diets) for people with metabolic health conditions. Drawing on Michel Callon's study of technological innovation, I show practitioners engaging in ‘on-the-job sociology’—situated sociological work to justify, and forge a space for, innovative dietary intervention. These innovators employ physiological explanations of hormones, satiety (or hunger), and pleasure (or shame), supported with personal experience, to emphasise material connections between particular eating habits and the sustainability of dietary improvement in everyday life. They resist fat activist influence on healthcare practice (that has resulted in practitioners avoiding conversations about diet, fatness and health), as well as the more extensively critiqued practices of health promotion. Deflecting blame/shame from individuals, innovators spotlight the role of the food industry in undermining public understandings of food and physiology, and dietary improvement that is achievable and sustainable. Through on-the-job sociology, innovators forge a space to engage patients in collaborative dietary experimentation and improvement. This study highlights the importance of on-the-job sociology in the contemporary knowledge landscape, providing new insights about public health in the making.

Suggested Citation

  • Cupit, Caroline, 2022. "Public health in the making: Dietary innovators and their on-the-job sociology," Social Science & Medicine, Elsevier, vol. 305(C).
    • Handle: RePEc:eee:socmed:v:305:y:2022:i:c:s0277953622003070
    DOI: 10.1016/j.socscimed.2022.115001
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    References listed on IDEAS

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    1. Blackburn, Maxine & Stathi, Afroditi, 2019. "Moral discourse in general practitioners’ accounts of obesity communication," Social Science & Medicine, Elsevier, vol. 230(C), pages 166-173.
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    4. Rodney, Alexandra, 2018. "Pathogenic or health-promoting? How food is framed in healthy living media for women," Social Science & Medicine, Elsevier, vol. 213(C), pages 37-44.
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    1. Luo, Xiaoyi & Pu, Haixia & Wang, Shaobin & Zhong, Dijun & Liu, Feng & Li, Zhen, 2024. "Influence of Internet use on Chinese residents’ health: The mediating role of health knowledge," Technology in Society, Elsevier, vol. 76(C).

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