부산대학교 도서관

Several policies in the United Kingdom (UK) have highlighted the multifaceted benefits to be gained from active travel (AT), and in doing so, have increasingly positioned AT as a public health issue. However, little is known about the experiences and views of public health individuals in relation to AT. Accordingly, this thesis explores the realities of AT as a public health issue, focusing on public health figurations in Greater Manchester (GM). GM was identified as an area of interest because of 'devolvement deals' in health and transport. The devolution deals afforded GM leaders with greater powers to make decisions, separate from national government. Importantly for this study, health devolution policies focused heavily on 'shifts' towards ill-health prevention, where AT was described as a key activity. The study was informed by figurational sociology in order to trace the relational processes formed and maintained across participants' figurations. Primary data consisted of 42 semi-structured interviews with people in various roles related to public health. Thematic analysis was applied to the data, generating four theoretically informed themes. Findings illustrated how various processes meant that AT work within public health figurations in GM was often more constrained than it was enabled. Constraining processes included: habitual attachments to cars and car dominated environments; enduring financial constraints; entrenched medicalised and individualistic habituses amongst figurations. These processes meant that AT programmes were regularly pushed to the peripheries of key concerns. This was strongly related to the relatively weak power of those most interested in AT to counter the stronger collective power of those who prioritised more treatment-centred work. This was exacerbated by a heavy reliance on assumptions that individuals in GM were well-placed to be 'successful' in implementing devolution. However, the more detailed elements of implementation were not deliberated until after the government's financial deal. Here the realities were found to be quite different from some early, more fantasy-laden, intentions, which contributed to stagnation for 'newer' public health issues such as AT. A further layer of complexity was that many were, to varying degrees, dependent on councillors when seeking to make AT changes, as councillors were often closest to the centre of power dynamics in local decision-making. However, there appeared to be disparity between public health aspirations for evidence-based policy making, and the political forms of decision making that councillors had become accustomed to. In particular, councillors often placed greater importance on communication with local residents. Decisions on AT were therefore often the outcomes of blends between evidence, political and financial thinking, and various ideologies, often leading to partial stasis for AT within public health figurations.