Capitalizing on change: Habitus transformation and cancer mitigation in the field of firefighting

While cancer remains the leading cause of occupational death among firefighters, cancer mitigation efforts are not always successful. This study examines how health practices become durable behavioral changes within the professional field of California firefighters. Drawing on 48 in-depth interviews, we examine how health uptake has been successful in a field where resistance would be expected based on the entrenched tradition and masculine culture. Integrating Bourdieu's framework with Fundamental Cause Theory, we show that cultural, symbolic, and social capital must be reconfigured concurrently to transform the entrenched habitus and enhance cancer mitigation. Specifically, acquiring new knowledge on cancer risks, reclassifying clean gear as a new symbol of professionalism, and solidifying the new knowledge and symbol through cohesive social networks can facilitate habitus transformation and produce sustained behavioral changes in cancer mitigation. Our research enriches both theoretical perspectives and extends medical sociology's understanding of how to overcome sociocultural barriers to pro-health actions.