Beyond Choice: Challenging Individualism in Public Health Narratives

Mark Robinson, Mark Chenery, James Smith

Research output: Contribution to journalComment/debate

Abstract

Framing health as a matter of individual choice overlooks the systemic forces that shape people's lives. To improve population health and reduce health and social inequities, we must move beyond ‘lifestyle’ narratives and embrace more accurate, values-based messaging rooted in the social and structural determinants of health.
Two important public health articles have recently been published in Australia, each drawing renewed attention to the question: what shapes our health? One, published in The Conversation [1], summarised findings from a study in Nature Medicine [2] that used data from the UK Biobank to examine associations between a broad range of exposures—genetic, behavioural and socioeconomic—and biological ageing and premature mortality. The take-home message in the article's title, however, was striking in its simplicity:

How long will you live? New evidence says it's much more about your choices than your genes.
Original languageEnglish
Article numbere70125
Number of pages5
JournalHealth Promotion Journal of Australia
Volume37
Issue number1
DOIs
Publication statusPublished - Jan 2026

Keywords

  • framing
  • health behaviour
  • health communication
  • health policy
  • public health
  • social determinants of health
  • values-based messaging

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