Choice or chance: further evidence on ideas of illness and responsibility for health

Soc Sci Med. 1985;20(10):981-91. doi: 10.1016/0277-9536(85)90254-0.


A study of 204 Welsh mothers using well validated research methods has demonstrated that better understanding of the antecedents to health behaviours contributes to a reorientation of stereotyped ideas about working class health beliefs and behaviour. Fatalism and an orientation to life-style choices for health are not necessarily contradictory concepts and this has important implications for those who are involved in education for health. The development of a Salience of Lifestyle Index (SLI) is described and studied in relation to concepts of blame for illness, education, house tenure, religious commitment, employment, health behaviours and social background.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Attitude to Health*
  • Disease / etiology
  • Disease / psychology
  • Female
  • Health
  • Humans
  • Life Style
  • Preventive Medicine
  • Socioeconomic Factors
  • Wales