{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T18:27:43Z","timestamp":1771957663034,"version":"3.50.1"},"reference-count":46,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,2,26]],"date-time":"2021-02-26T00:00:00Z","timestamp":1614297600000},"content-version":"vor","delay-in-days":25,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100011417","name":"United Kingdom Clinical Research Collaboration","doi-asserted-by":"publisher","award":["MR\/KO232331\/1"],"award-info":[{"award-number":["MR\/KO232331\/1"]}],"id":[{"id":"10.13039\/100011417","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000274","name":"British Heart Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000274","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000289","name":"Cancer Research UK","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000289","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000269","name":"Economic and Social Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000269","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Sociology Health &amp; Illness"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Health risk behaviours such as tobacco smoking, excessive alcohol consumption, drug use, unhealthy diet and unprotected sexual intercourse contribute to the global burden of non\u2010communicable diseases and are often initiated in adolescence. An individualistic focus on \u2018health risk behaviours\u2019 has resulted in behaviour change strategies that are potentially ineffective and increase inequalities. We conducted a grounded theory study of 25 young adults to increase the limited qualitative evidence base surrounding young people, health risk behaviours and socioeconomic inequalities. We found that health risk behaviours were perceived as class markers, manifesting as class stigma, leading some participants from lower socioeconomic backgrounds to employ strategies to avoid such behaviours. Peers and family were core constructs for understanding the relationship between health risk behaviours and socioeconomic life trajectories. However, individualism and choice were consistently expressed as the overriding narrative for understanding health risk behaviour and socioeconomic position during the transition to adulthood. The use of \u2018<jats:italic>personal responsibility<\/jats:italic>\u2019 discourse by young adults, we argue, highlights the need for a public health focus on achieving structural changes as opposed to individualised approaches to avoid reinforcing neoliberal ideologies that serve to marginalise and maintain social inequalities.<\/jats:p>","DOI":"10.1111\/1467-9566.13240","type":"journal-article","created":{"date-parts":[[2021,2,26]],"date-time":"2021-02-26T15:45:02Z","timestamp":1614354302000},"page":"528-544","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Understanding adolescent health risk behaviour and socioeconomic position: A grounded theory study of UK young adults"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3936-072X","authenticated-orcid":false,"given":"Laura","family":"Tinner","sequence":"first","affiliation":[{"name":"Population Health Sciences Bristol Medical School University of Bristol Bristol UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8014-7480","authenticated-orcid":false,"given":"Deborah","family":"Caldwell","sequence":"additional","affiliation":[{"name":"Population Health Sciences Bristol Medical School University of Bristol Bristol UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9864-459X","authenticated-orcid":false,"given":"Matthew","family":"Hickman","sequence":"additional","affiliation":[{"name":"Population Health Sciences Bristol Medical School University of Bristol Bristol UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1099-9319","authenticated-orcid":false,"given":"Rona","family":"Campbell","sequence":"additional","affiliation":[{"name":"Population Health Sciences Bristol Medical School University of Bristol Bristol UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,2,26]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(96)00192-X"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2004.01.018"},{"key":"e_1_2_10_4_1","volume-title":"Distinction: A Social Critique of the Judgement of Taste","author":"Bourdieu P.","year":"1984"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dys064"},{"key":"e_1_2_10_6_1","volume-title":"Social Capital: Critical perpectives","author":"Campbell C.","year":"2001"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2020.106157"},{"key":"e_1_2_10_8_1","volume-title":"Rethinking Methods in Psychology","author":"Charmaz K.","year":"1996"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.12140"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2007.11.024"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/her\/8.4.505"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dys066"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.12126"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1017\/S004727941100033X"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-016-0255-4"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2009.02.009"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/10371656.2017.1331815"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckw220"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)32279-7"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/0309132509348533"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-9566.2010.01285.x"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech.53.4.211"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1080\/07418820100094981"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-954X.2005.00560.x"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.2190\/16AY-E2GC-DFLD-51X2"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.12467"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(96)00183-9"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1332\/030557316X14534640177927"},{"key":"e_1_2_10_29_1","volume-title":"Fair Society, Healthy Lives: The Marmot Review","author":"Marmot M.","year":"2010"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.313.7066.1177"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0168-8510(98)00004-9"},{"key":"e_1_2_10_32_1","unstructured":"Morris S.(2017)Understanding the place and meaning of physical activity in the lives of young people: An ethnographic study with two youth centres in a low\u2010income urban area of Northern England. Doctoral Thesis Durham University."},{"key":"e_1_2_10_33_1","volume-title":"The Death of Class","author":"Pakulski J.","year":"1996"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(98)00257-3"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech.2004.028795"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.13019"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60072-5"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.5153\/sro.738"},{"key":"e_1_2_10_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2004.08.070"},{"key":"e_1_2_10_40_1","volume-title":"Basics of Qualitative Research Techniques","author":"Strauss A.","year":"1998"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.13039"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-4762.2007.00768.x"},{"key":"e_1_2_10_43_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-018-6042-0"},{"key":"e_1_2_10_44_1","volume-title":"Health Foundation Working Paper","author":"Viner R.","year":"2018"},{"key":"e_1_2_10_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(96)00188-8"},{"key":"e_1_2_10_46_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2007.109637"},{"key":"e_1_2_10_47_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780203850718"}],"container-title":["Sociology of Health &amp; Illness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1467-9566.13240","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1467-9566.13240","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1467-9566.13240","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,2]],"date-time":"2023-09-02T05:36:59Z","timestamp":1693633019000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1467-9566.13240"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2]]},"references-count":46,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,2]]}},"alternative-id":["10.1111\/1467-9566.13240"],"URL":"https:\/\/doi.org\/10.1111\/1467-9566.13240","archive":["Portico"],"relation":{},"ISSN":["0141-9889","1467-9566"],"issn-type":[{"value":"0141-9889","type":"print"},{"value":"1467-9566","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2]]},"assertion":[{"value":"2020-07-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-12-14","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-02-26","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}