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Responsibility, prudence and health promotion.

R C H Brown1, H Maslen1, J Savulescu1

  • 1Oxford Uehiro Centre for Practical Ethics, University of Oxford, Oxford, UK.

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|July 15, 2018
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Summary

Public health promotion often emphasizes individual responsibility for healthy lifestyles. This article critiques that approach, suggesting prudence—acting in self-interest—as a better framework for health policy.

Keywords:
prudence and health promotionresponsibility

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Area of Science:

  • Public Health
  • Health Promotion
  • Behavioral Science

Background:

  • Public health promotion frequently emphasizes individual responsibility for adopting healthy lifestyles.
  • This approach is common in efforts to combat non-communicable diseases by modifying behavior and reducing risk factors.

Purpose of the Study:

  • To critically examine the concept of responsibility in public health promotion.
  • To explore alternative framings for encouraging healthy behaviors, moving beyond a sole focus on individual responsibility.

Main Methods:

  • Philosophical analysis of responsibility concepts.
  • Examination of how responsibility is integrated into UK health promotion policies.
  • Development of an alternative framework based on prudence.

Main Results:

  • The article argues that certain applications of individual responsibility in health promotion are inappropriate.
  • An alternative approach is proposed, centering on prudence (acting in one's interests) as a basis for individuals taking responsibility for their health.
  • Shifting focus from individual responsibility to facilitating prudence can justify environmental changes supporting healthy behaviors.

Conclusions:

  • Rethinking the underlying assumptions about responsibility in health promotion is crucial.
  • Facilitating prudence may offer a more effective and appropriate strategy than solely emphasizing individual responsibility.
  • Policy implications include prioritizing environmental modifications that support healthy choices over purely educational interventions.