Household collectives: resituating health promotion and
physical activity
Julie Bønnelycke
1
, Catharina Thiel Sandholdt
2
and
Astrid Pernille Jespersen
3
1
Steno Diabetes Center Copenhagen and Copenhagen Center for Health Research in the
Humanities, University of Copenhagen, Copenhagen, Denmark
2
Experimentarium and Department of Science Education, University of Copenhagen,
Copenhagen, Denmark
3
Copenhagen Center for Health Research in the Humanities, Saxo Institute, University of
Copenhagen, Copenhagen, Denmark
Abstract In this article, we situate the practices of health and physical activity in household
collectives, and conceptualise everyday health ‘behaviour’ and lifestyle as
complex, collective practices. Based on an ethnographic study on everyday family
life and health practices, we provide a framework for understanding the household
as a collective, where the household collective may take precedence over
individual preferences, and individual behaviour has collective implications. We
describe the household as a node for practices, gathered by the activities that draw
together and align actors in collective practices of everyday life. In the everyday
efforts of the households to live up to ideals and balance conflicting practices,
healthy living is about more than simple, individual choices about whether to
follow health recommendations or not. It is also dependent on pragmatic
negotiations, the distribution of roles and tasks and conflicts between ideals and
what is feasible in the everyday management and maintaining of the household.
We suggest that engaging with these collectives could serve as a useful point of
departure for health promotion activities, situating health promotion in the here
and now of collectives, tinkering with their specific constellations, values and
identities in the entangledness of multiple household practices.
Keywords: collective, ethnography, family, health promotion, household, practice theory
Introduction: a practice-based, collective approach to health promotion
In recent years, the most prevalent methods for public health communication and the preven-
tion of non-communicable (‘lifestyle’) diseases on a policy level have focused on the individ-
ual, and relied on motivation and information as foundations for change (Halkier et al. 2011,
Hargreaves 2011, Lindsay 2010, Walls et al. 2011). Social scientists have criticised this
approach for ultimately turning poor health into a matter of individual blame(Cohn 2014, Net-
tleton and Green 2014, Henwood et al. 2011, Horrocks and Johnson 2014, Jespersen et al.
2013). Furthermore, the individual-focused approach neglects the social dynamics of the
© 2018 Foundation for the Sociology of Health & Illness
Published by John Wiley & Sons Ltd., 9600 Garsington Road, Oxford OX4 2DQ, UK and 350 Main Street, Malden, MA 02148, USA
Sociology of Health & Illness Vol. xx No. xx 2018 ISSN 0141-9889, pp. 1–16
doi: 10.1111/1467-9566.12832