Manderson, Lenore and Naemiratch, Bhensri (2010) From Jollibee to BeeBee: “Lifestyle” and Chronic Illness in Southeast Asia. Asia-Pacific Journal of Public Health, 22 (3). 117S-124S. ISSN 1010-5395 (print) 1941-2479 (online)

Abstract

Throughout Southeast Asia, the number of people living with chronic conditions and degenerative disease has increased proportionately and absolutely. Public health interventions and effective medical treatment and surgeries have increased life expectancy. Concurrently, social and economic conditions have led to the rapid escalation of lifelong illnesses, characterized as “lifestyle” conditions. Drawing on ethnographic and survey research conducted in Southeast Asia, the authors illustrate the multiple factors contributing to people’s health. Changes in food production; the organization, nature, and conditions of work; living conditions; and other factors affecting contemporary living increase vulnerability to noncommunicable diseases. These factors are largely beyond the control of most people. Efforts to reduce chronic illnesses predominantly focus on individual interventions, overlooking the lack of individual capacity to address the structural and institutional factors that compromise people’s health.

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