Highlights
Intent:
To understand theories commonly used in health promotion research and practice, their application, and their standing in contemporary health promotion.
Task requirements:
Read the case study of (Emin). This case study described many behaviours that lead or potentially will lead to ill-health for Emin. (you will find the case study & theories of behaviour change below the requirements)
Summarise the case study briefly.
Pick one of the behaviours described in the case study and analyse it in detail (The case study describes a lot of health-related behaviours Emin undertakes such as engaging in sex work, missing school, etc. You are expected to pick one (!) of these behaviours and analyse the behaviour in the context of the case study. Break the issue down in its components, discuss them, show how they interrelate with each other and with other issues described. Use all information you have from the case study).
Apply theories of behaviour change to the identified behaviour which might explain why this behaviour is exercised. (In the final step contextualise it with theories we have discussed in the subject. Again, there is no specified number of theories you should use. This depends on the issue you pick, the complexity of the theories you use and how well they fit. Using just one or two theories for an in-depth analysis is better than using five theories without depth. This is about demonstrating a good understanding of the theories we discuss, your ability to pick an appropriate theory and apply this to a real-world example)
Emin's story:
Emin immigrated to Germany when he was 12 years old together with his parents. His parents were 28 years old at the time they migrated to Germany. The family is of Bulgarian-Turkish origin, an ethnic minority that experiences frequent, systematic discrimination and marginalisation within the Bulgarian society. Neither of the parents completed high-school or undertook professional training; both had various jobs on a casual basis in Bulgaria before migrating to Germany and it turned out to be difficult to secure employment in Germany for the parents considering their educational background and difficulties speaking the German language. Being long-term unemployed, the financial situation of the family was often critical.
Emin visited a German school, quickly learned the language and initially enjoyed this new environment. However, he soon experienced severe bullying mostly based on the family's socio-economic background. He reacted by displaying frequent aggressive behaviours resulting in regular expulsions from his school. At age 14 Emin skipped school on most days and started to drink alcohol on a daily basis with marginally housed young people in a central park. He felt accepted here and the other youth did not care about his socio-economic or cultural background.
Very soon Emin came out as bisexual to his parents. The relationship between Emin and his parents deteriorated as they did not accept his sexual orientation. Emin subsequently became marginally housed (living with different friends and on the street) as he didn't want to live with his parents anymore. At age 15 he started to smoke cannabis on an almost daily basis as well as other substances including injecting substance use. This resulted in severe financial problems and Emin started to steal regularly to be able to pay for substances. Just prior to his 16th birthday Emin engaged in sex work for the first time; later frequently without condoms in order to attract higher payments. A few months later Emin was tested positive for HIV, hepatitis B, and syphilis.
In one of our sessions Emin was quite clear:
He knew about the potential consequences of alcohol and other substances
He knew about the impact of not going to school
He knew about the danger involved in sex work as a minor
He knew about HIV/AIDS and other STIs and that not using a condom increases the risk
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