‘Why worry about something you can’t control?’ Negotiated risk, longevity and health behaviours

While we know about lay attitudes towards death and dying, we understand little about the ways people estimate their overall personal risk of life-limiting disease and/or death. This study contributes to the limited literature on lay longevity reckonings, with a particular focus on how these reckoni...

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Published inHealth (London, England : 1997) Vol. 21; no. 3; pp. 259 - 277
Main Authors Llewellyn, Rebecca, Cunningham, Wayne, Jaye, Chrystal, Young, Jessica, Egan, Richard, Radue, Peter
Format Journal Article
LanguageEnglish
Published London, England Sage Publications, Ltd 01.05.2017
SAGE Publications
Sage Publications Ltd
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Abstract While we know about lay attitudes towards death and dying, we understand little about the ways people estimate their overall personal risk of life-limiting disease and/or death. This study contributes to the limited literature on lay longevity reckonings, with a particular focus on how these reckonings may influence health behaviours. Semi-structured interviews were held with 21 young older adults (54–65 years), addressing the core questions of ‘What do you think you will die from, and how long do you expect to live?’ Participants indicated their longevity estimation was guided by three key frameworks: family history, environment and lifestyle factors and lived experience. The reckoning process was also moderated by assumptions about loci of control and self-efficacy and the information available to participants. A tripartite model of death risk assessment is proposed, extending the idea of ‘negotiated risk’ beyond the scope of family history where it has received most attention. We argue that by drawing on the three risk-assessment frameworks, determining patients’ predisposition for external/internal attributions of control and perceptions of self-efficacy, clinicians will be better equipped to understand – and thus guide – patients’ reckonings of longevity and health behaviours that are influenced by it.
AbstractList While we know about lay attitudes towards death and dying, we understand little about the ways people estimate their overall personal risk of life-limiting disease and/or death. This study contributes to the limited literature on lay longevity reckonings, with a particular focus on how these reckonings may influence health behaviours. Semi-structured interviews were held with 21 young older adults (54–65 years), addressing the core questions of ‘What do you think you will die from, and how long do you expect to live?’ Participants indicated their longevity estimation was guided by three key frameworks: family history, environment and lifestyle factors and lived experience. The reckoning process was also moderated by assumptions about loci of control and self-efficacy and the information available to participants. A tripartite model of death risk assessment is proposed, extending the idea of ‘negotiated risk’ beyond the scope of family history where it has received most attention. We argue that by drawing on the three risk-assessment frameworks, determining patients’ predisposition for external/internal attributions of control and perceptions of self-efficacy, clinicians will be better equipped to understand – and thus guide – patients’ reckonings of longevity and health behaviours that are influenced by it.
Author Jaye, Chrystal
Radue, Peter
Egan, Richard
Cunningham, Wayne
Llewellyn, Rebecca
Young, Jessica
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health
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dying and bereavement
death
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Snippet While we know about lay attitudes towards death and dying, we understand little about the ways people estimate their overall personal risk of life-limiting...
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StartPage 259
SubjectTerms Aged
Aging - psychology
Attitude to Death
Death & dying
Death attitudes
Family Health
Female
Health Behavior
Humans
Interviews as Topic
Life Style
Lifestyles
Longevity
Male
Middle Aged
New Zealand
Older people
Patients
Qualitative Research
Risk Assessment
Risk-Taking
Self-efficacy
Young adults
Title ‘Why worry about something you can’t control?’ Negotiated risk, longevity and health behaviours
URI https://www.jstor.org/stable/26652388
https://journals.sagepub.com/doi/full/10.1177/1363459317695869
https://www.ncbi.nlm.nih.gov/pubmed/28521650
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https://search.proquest.com/docview/1900839675
Volume 21
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