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The Challenging Marriage of Two Thorny Concepts

Published online by Cambridge University Press:  20 January 2017

Liana Giorgi*
Affiliation:

Abstract

The terms lifestyle and risk are so commonplace today that we tend to take their meaning (and social history) for granted. This is unfortunate, since neither of them is either value-free or unequivocal. Linking them – in an abstract sense as well as with regard to policy – is therefore bound to raise multiple questions regarding the definition of boundaries. If we recognise that lifestyle is not a matter of individual agency alone but also a question of structure and, similarly, if risk assessment is not just determining objects or incidences of risk but also about establishing the societal and environmental contexts within which specific negative outcomes are more likely to happen, then we are confronted with the challenge of how to approach the subject of lifestyle risk without falling prey to the temptation to impose normative expectations This paper takes issue with some of the ideas advanced in the article by Planzer and Alemanno published in EJRR 4/2010 “Lifestyle Risks: Conceptualization of an Emerging Category of Research” by considering the framing of the concept of lifestyle risk. The emergence of this concept is symptomatic of a general trend from both the right and the left of the political spectrum to re-emphasise individual responsibility for social welfare – what Planzer and Alemanno refer to as “financial solidarity”. Yet the best way to effect such financial solidarity, and more specifically to balance individual and state responsibility, is neither obvious nor uncontested. Accordingly, the notion of “lifestyle risk” is likely to become a battleground for determining the scope of state intervention, where one of the principal questions will be what gets classified as “lifestyle risk” and what does not, and how this changes over time.

Type
Reports
Copyright
Copyright © Cambridge University Press 2012

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References

1 Emile Durkheim, Le Suicide – Étude de Sociologie (1897), available on the Internet at <http://classiques.uqac.ca/classiques/Durkheim_emile/suicide/suicide.html> (last accessed on 16 January 2012).

2 Adler, Alfred, The Individual Psychology (New York: Harper Torchbooks 1956)Google ScholarPubMed.

3 These are the well adjusted, who try to solve problems in ways that are useful to themselves and others; those who strive for demonstrating superiority; those who expect others to solve their problems; and lastly those who avoid taking any decisions.

4 These are the terms used by the German political philosophers Niklas Luhmann and Jürgen Habermas.

5 Giorgi, Liana, “Converging Technologies – What Future? The Views of the Science and Policy Communities”, 22(4) Innovation; The European Journal of Social Science Research (2009)CrossRefGoogle Scholar.

6 Appiah, Kwame Anthony, The Ethics of Identity (Princeton: Princeton University Press 2005)Google Scholar; Dworkin, Ronald, Is Democracy Possible Here? Principles for a New Political Debate (Princeton: Princeton University Press, 2006)Google Scholar.

7 Dworkin, Ronald, Justice for Hedgehogs (Cambridge MA: Belknap Press of Harvard University Press, 2011)Google Scholar.

8 See Planzer, Simon and Alemanno, Alberto, “Lifestyle Risks: Conceptualizing an Emerging Category of Research”, 1 European Journal of Risk Regulation (2010), pp. 335337 CrossRefGoogle Scholar.

9 Source: CARE Road Safety Evolution in EU, July 2010. CARE is the EU road accident database operated by the European Commission Directorate General for Mobility and Transport. It is worth pointing out that there has been a cumulative decline of 36% in the number of fatalities since 2001. See <http://ec.europa.eu/transport/road_safety/specialist/statistics/> (last accessed on 16 January 2012).

10 The major exception in this regard is Germany, which has no legal speed limits on freeways but rather a recommendation for a 130 km/h maximum. Road fatalities in Germany are comparable to those in neighbouring countries. The highest number of road fatalities can be observed in South and East European countries.

11 Khot, Umesh N., Khot, Monica B., Bajzer, Christopher T., et al., “Prevalence of Conventional Risk Factors in Patients with Coronary Heart Disease”, 290(7) The Journal of the American Medical Association (2003), pp. 898904 CrossRefGoogle Scholar.

12 See, among others, Paul Contoyannis and Andrew M. Jones, “Socio-economic Status, Health and Lifestyle”, Discussion Paper in Economics No. 2001/19 (2001), The University of York; Jefferis, Barbara, Graham, Hilary, Manor, Orly et al., “Cigarette Consumption and Socio-Economic Circumstances in Adolescence as Predictors of Adult Smoking”, 98 Addiction (2003), pp. 17651772 CrossRefGoogle ScholarPubMed; Laaksonen, Mikko, Rahkonen, Ossi, Karvonen, Sakari et al., “Socio-Economic Status and Smoking: Analysing Inequalities with Multiple Indicators”, 15(3) European Journal of Public Health (2004), pp. 262269 CrossRefGoogle Scholar.

13 Interestingly, socio-economic factors tend to receive little attention from the WHO, which measures only healthcare expenditure (total and per capita) and number of healthcare personnel. The only socio-economic variables considered are urban/rural residence and the adult literacy rate. See WHO (2010), World Health Statistics 2010, WHO. Most contemporary research on health equity focuses on race and culture. Exceptions are Wilkinson, Richard G., Unhealthy Societies: The Affliction of Inequality (London: Routledge, 1998)Google Scholar and Budrys, Grace, Unequal Health: How Inequality Contributes to Health or Illness (Oxford: Rowman and Littlefield, 2003)Google Scholar.

14 See <http://www.nacoa.org> (last accessed on 16 January 2012).

15 Available on the Internet at <http://ec.europa.eu/health/opinions2/en/electromagnetic-fields/index.htm#5> (last accessed on 16 January 2012).

16 See also the blog of Alberto Alemanno of March 18, 2011, “Do Menthol Cigarettes Pose Greater Risks?”, available on the Internet at <http://www.albertoalemanno.eu/articles/do-menthol-cigarettes-pose-greater-risks> (last accessed on 16 January 2012).

17 Pre-implantation genetic diagnosis is currently available in the UK, Belgium, Czech Republic, Greece and Spain, but only on a private basis. Quality standards are set by Directive 23 on human tissues and cells of 2004 (2004/23/EC). See also Joint Research Centre, Pre-implantation Genetic Diagnosis in Europe, Seville, IPTS (2007).

18 See <http://ohsr.od.nih.gov/guidelines/nuremberg.html> on the Nuremberg Code (last accessed on 16 January 2012).

19 See Bostrom, Nick and Ord, Toby, “The Reversal Test: Eliminating Status Quo Bias in Applied Ethics”, 116 Ethics (2006), pp. 656679 CrossRefGoogle Scholar.

20 See Giorgi, Liana, Verma, Vijay, Till, Matthias et al., Income, Poverty and Social Exclusion in the European Union, Second European Report (Luxembourg: Eurostat, 2003)Google Scholar.

21 Currently, Eurostat sets the at-risk-of-poverty threshold as 60% of the national median income per adult equivalent