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Public expressions of trust and distrust in governmental dietary advice in Sweden
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
Institute of Social and Cultural Anthropology, School of Anthropology and Museum Ethnography, 51/53 Banbury Road, Oxford, OX2 6PE.
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
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2019 (English)In: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 29, no 8, p. 1161-1173Article in journal (Refereed) Published
Abstract [en]

We examine public trust and distrust in governmental food and nutrition authorities, through analyzing 727 letters sent electronically to the Swedish National Food Agency by lay people. Using thematic analysis, four themes were developed, defining public expressions of trust and distrust in official dietary advice. Trust was expressed as (a) seeking to confirm and clarify dietary advice, or (b) seeking official arbitration between competing dietary advice. Distrust was expressed as (c) questioning and scrutinizing dietary advice, or (d) protesting and resisting dietary advice. Notably, expressions of distrust employed discursive practices that both mirrored authoritative discourses and subverted official advice, by appealing to scientific language and 'alternative' evidence. All letters positioned the agency as the ultimate authority on healthy eating; notwithstanding whether the agency’s advice was to be followed or resisted. Thus, the letters revealed how the same authoritative discourses can simultaneously be a site of public trust and distrust.

Place, publisher, year, edition, pages
2019. Vol. 29, no 8, p. 1161-1173
National Category
Sociology Social Sciences Interdisciplinary Other Health Sciences
Research subject
Food, Nutrition and Dietetics
Identifiers
URN: urn:nbn:se:uu:diva-371985DOI: 10.1177/1049732318825153ISI: 000471163000007PubMedID: 30741093OAI: oai:DiVA.org:uu-371985DiVA, id: diva2:1275080
Available from: 2019-01-04 Created: 2019-01-04 Last updated: 2019-10-13Bibliographically approved
In thesis
1. Negotiating healthy eating: Lay, stakeholder and government constructions of official dietary guidance in Sweden
Open this publication in new window or tab >>Negotiating healthy eating: Lay, stakeholder and government constructions of official dietary guidance in Sweden
2019 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

This thesis approaches dietary guidance as socio-culturally produced and comprised in a specific historical context. The work is premised on the position that ideas and understandings of healthy eating are discursively constructed, and that we form our understandings of the world, ourselves and others through discourse. The theoretical approach builds on the Foucauldian notion of governing, which includes how the state governs people through strategic techniques and individuals’ self-governing in relation to discursive norms related to official institutions. The four studies included in the thesis therefore explore how healthy eating and official dietary guidance are negotiated and constructed from stakeholder, lay and policy perspectives. Paper I takes a stakeholder perspective on “appropriate” national dietary advice by exploring 40 written responses to updated official dietary guidelines. Paper II and III focus on lay people’s discourses on dietary guidance and healthy eating by examining their written correspondences (727 and 60 digital messages, respectively) with the Swedish Food Agency. Paper IV examines how the Swedish Food Agency’s official dietary guidelines frame the interplay of public health concerns and environmental concerns in making food choices.

The findings demonstrate the dominance of a nutrient-centered and scientific discourse in communication (arguments, statements, instructions and questions) related to official dietary guidance in the Swedish context, even among non-professionals (in stakeholder responses, lay messages and the official dietary guidelines). In lay people´s communication with the Swedish Food Agency, both resistance to and internalization of official dietary advice are expressed within this dominating discourse. Resistance is additionally expressed through emotional language and by referring to alternative authorities, including personal experiences. The nutrient-centered and scientific discourse builds on the basic assumption of individual responsibility for health and the taken-for-granted nature of the primacy of physical health. Environmental perspectives come secondary to nutrition, which is demonstrated by their subordinate status in the official dietary guidelines and limited presence in lay people´s correspondences. Most socio-cultural, emotional and structural aspects on eating are made invisible by these discourses, in which food figures as scientifically quantifiable or functional in relation to physical health. However, in the official dietary guidelines from 2015, an additional discourse of cultivating certain tastes as a key to a sustainable diet constructs an ‘ideal eater’ with ‘middle-class’ aspirations.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2019. p. 83
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Social Sciences, ISSN 1652-9030 ; 173
Keywords
dietary guidance, official dietary guidelines, healthy eating discourse, holistic dietary advice, reductionism
National Category
Social Sciences Interdisciplinary Sociology (excluding Social Work, Social Psychology and Social Anthropology)
Research subject
Food, Nutrition and Dietetics
Identifiers
urn:nbn:se:uu:diva-395048 (URN)978-91-513-0777-0 (ISBN)
Public defence
2019-11-29, A1:111a, Biomedicinskt centrum, Husargatan 3 (Ingång A11), Uppsala, 13:15 (Swedish)
Opponent
Supervisors
Available from: 2019-11-08 Created: 2019-10-13 Last updated: 2019-11-08

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Bergman, KarolinPersson Osowski, ChristineLövestam, ElinNowicka, Paulina

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