Interviews were held with nine peripatetic professionals—district nurses, health visitors and social workers—working in New Deal for Communities (NDC) urban areas in the English West Midlands. They spoke of health in the community in three distinct ways: health as individual and family lifestyle; the local environment and health; and `life is a struggle for some'. Those who emphasized the individual and family lifestyle approach expressed frustration in their professional role. The two alternative discourses, while recognizing the influence of social determinants of health, were problematic in different ways, reflecting the lack of a clear alternative to the individual and family lifestyle model for public health professions.
Acheson, D. (1998). Independent inquiry into inequalities in health report. London: The Stationery Office .
2.
Blaxter, M. (1997). Whose fault is it? People's own conceptions of the reasons for health inequalities. Social Science and Medicine , 44, 747—756.
3.
Campbell, C., & Gillies, P. (2001). Conceptualizing `social capital' for health promotion in small local communities: A micro-qualitative study. Journal of Community & Applied Social Psychology, 11, 329—346.
4.
Department of Environment, Transport and the Regions (DETR). (1999). NDC phase one proposal guidance for applicants. London: Cabinet Office .
5.
Flick, U., Fischer, C., Schwartz, F.W., & Walter, U. (2002). Social representations of health held by health professionals: The case of general practitioners and home-care nurses. Social Science Information, 41, 581—602.
6.
Freitas, M. (1998). Models of practice in community in Brazil: Possibilities for the psychology—community relationship. Journal of Community Psychology, 26, 261—268.
7.
Frohlich, K.L., Corin, E., & Potvin, L. (2001). A theoretical proposal for the relationship between context and disease. Sociology of Health and Illness, 23, 776—797.
8.
Lewis, J. (1991). The public's health: Philosophy and practice in Britain in the twentieth century. In E. Fee & R. M. Acheson (Eds.), A history of education public health: Health that mocks the doctors' rules (pp. 195—229). Oxford: Oxford University Press.
9.
Macintyre, S., Ellaway, A., & Cummins, S. (2002). Place effects on health: How can we conceptualise, operationalise and measure them?Social Science and Medicine , 55, 125—139.
10.
Macintyre, S., McKay, L., & Ellaway, A. (2005). Are rich people or poor people more likely to be ill? Lay perceptions, by social class and neighbourhood, of inequalities of health. Social Science and Medicine, 4, 313—317.
11.
Marks, D.F. (2002). Freedom, responsibility and power: Contrasting approaches to health psychology. Journal of Health Psychology , 7, 5—19.
12.
Marmot, M.G., Bosman, H., Hemingway, H., Brunner, E., & Stansfeld, S. (1997). Contribution of job control and other risk factors to social variations in coronary heart disease incidence. The Lancet, 350, 235—239.
13.
McMillan, D.W., & Chavis, D.M. (1986). Sense of community: A definition and theory. Journal of Community Psychology, 14, 6—23.
14.
Murray, M., & Campbell, C. (2003). Living in a material world: Reflecting on some assumptions of health psychology. Journal of Health Psychology , 8, 231—236.
15.
Neighbourhood Renewal Unit (NRU). (2002). NDC annual review 2000—1. London: Office of the Deputy Prime Minister.
16.
Nelson, G., Pancer, S.M., Hayward, K., & Kelly, R. (2004). Partnerships and participation of community residents in health promotion and prevention: Experiences of the Highfield Community Enrichment Project (Better Beginnings, Better Futures). Journal of Health Psychology, 9, 213—227.
17.
Oakes, J.M. (2004). The (mis)estimation of neighbourhood effects: Causal inference for a practicable social epidemiology. Social Science and Medicine, 58, 1929—1952.
18.
Orford, J., & Dalton, S. (2005). A four year follow-up of close family members of Birmingham untreated heavy drinkers. Addiction Research and Theory, 13, 155—170.
19.
Orford, J., Natera, G., Copello, A., Atkinson, C., Mora, J., Velleman, R. et al. (2005 ). Coping with alcohol and drug problems: The experiences of family members in three contrasting cultures. London: Brunner-Routledge.
20.
Parry, J., Laburn-Peart, K., Orford, J., & Dalton, S. (2004). Mechanisms by which area-based regeneration programmes might impact on community health: A case study of the New Deal for Communities initiative. Journal of the Royal Institute of Public Health , 118, 497—505.
21.
Parry, J., Mathers, J., Laburn-Peart, K., Orford, J., & Dalton, S. (2007). Improving health in deprived Communities: What can residents teach us?Critical Public Health17 (2), 123—136.
22.
Pickett, K.E., & Pearl, M. (2001). Multilevel analyses of neighbourhood socioeconomic context and health outcomes: A critical review. Journal of EpidemiologyCommunity Health, 55, 111—122.
23.
Popay, J., Thomas, C., Williams, G., Bennett, S., Gatrell, A., & Bostock, L. (2003). A proper place to live: Health inequalities, agency and the normative dimensions of space. Social Science and Medicine, 57, 55—69.
24.
Prilleltensky, I., & Prilleltensky, O. (2003). Towards a critical health psychology practice. Journal of Health Psychology, 8, 197—210.
25.
Rappaport, J. (1987). Terms of empowerment, exemplars of prevention: Towards theory for community psychology. American Journal of Community Psychology, 15, 121—148.
26.
Ross, C.E. (2000). Neighbourhood disadvantage and adult depression . Journal of Health and Social Behavior, 41, 177—187.
27.
Smail, D. (1998). A clinical psychology perspective: A review of Unhealthy societies by R. G. Wilkinson. Journal of Community and Applied Social Psychology, 8, 169—170.
28.
Strauss A., & Corbin, J. (1990). Basics of qualitative research: Grounded theory procedures and techniques. Newbury Park, CA: Sage Publications.
29.
Townsend, P., & Davidson, N. (1982). Inequalities in health care: The Black Report . Harmondsworth: Penguin.
30.
Travers, K.D. (1997). Reducing inequities through participatory research and community empowerment. Health Education and Behavior, 24, 344—356.
31.
Webb, S., & Webb, B. (1901). The state and the doctor. London: Longman.
32.
Weich, S., Twigg, L., Holt, G., Lewis, G., & Jones, K. (2003). Contextual risk factors for the common mental disorders in Britain: A multilevel investigation of the effects of place. Journal of Epidemiological Community Health, 57, 616—621.
33.
Wilkinson, R.G. (1996). Unhealthy societies: The afflictions of inequality . London: Routledge.
34.
Wilkinson, R.G. (1998). Unhealthy societies: Replies to reviewers. Journal of Community and Applied Social Psychology, 8, 233—237.
