Search results

Self-tracking is becoming a prominent and ubiquitous feature in contemporary practices of health and wellness management. Over the last few years, we have witnessed a rapid development in digital tracking devices, apps and platforms, together with the emergence of health movements such as the Quantified Self. As the world is becoming increasingly ruled by metrics and data, we are becoming ever more reliant on technologies of tracking and measurement to manage and evaluate various spheres of our lives including work, leisure, performance, and health. This chapter begins with a brief outline of some of the key theoretical approaches that have been informing the scholarly debates on the rise of self-tracking. The chapter then moves on to discuss at length the findings of an international survey study conducted by the author with users of self-tracking technologies to discuss the ways in which they perceive and experience these practices, and the various rationales behind their adoption of self-tracking in the first place. The chapter also addresses participants’ attitudes towards issues of privacy and data sharing and protection which seem to be dominated by a lack of concern regarding the use and sharing of self-tracking data with third parties. Some of the overarching sentiments vis-à-vis these issues can be roughly categorised according to feelings of ‘trust’ towards companies and how they handle data, a sense of ‘resignation’ in the face of what is perceived as an all-encompassing and ubiquitous data use, feelings of ‘self-insignificance’ which translates into the belief that one’s data is of no value to others, and the familiar expression of ‘the innocent have nothing to hide’. Overall, this chapter highlights the benefits and risks of self-tracking practices as experienced and articulated by the participants, while providing a critical reflection on the rise of personal metrics and the culture of measurement and quantification.

Purpose: As biomedicine grants technology and quantification privileged roles in our cultural constructions of health, media and technology play an increasingly important role in mediating our everyday experiences of our bodies and may contribute to the reproduction of gendered norms.

Design: This study draws from a broad variety of disciplines to contextualize and interpret contemporary trends in self-quantification, focusing on metrics for health and fitness. I will also draw from psychology and feminist scholarship on objectification and body-surveillance.

Findings: I interpret body-tracking tools as biomedical technologies of self-surveillance that facilitate and encourage control of human bodies, while solidifying demands for standardization around neoliberal values of enhancement and optimization. I also argue that body-tracking devices reinforce and normalize the scrutiny of human bodies in ways that may reproduce and advance longstanding gender disparities in detriment of women.

Implications: A responsible conceptualization, design, implementation, and usage of health-tracking technologies requires us to recognize and better understand how technologies with widely touted benefits also have the potential to reinforce and extend inequalities, alter subjective experiences and produce damaging outcomes, especially among certain groups. I conclude by proposing some alternatives for devising technologies or encouraging practices that are sensitive to these differences and acknowledge the validity of alternative values.

This chapter provides a historical contextualisation of health tracking and public health communication from the post-World War Two development of the welfare state, through the birth of neoliberalism, until today’s individualising practices of digital health tracking and quantification of bodies. Through an examination of these three phases of public health quantification of bodies, encompassing the socio-economic, cultural and political shifts since 1948, combined with the development and wide adoption of digital health and self-quantifying technologies, this chapter traces the changing landscape and the dramatic implications this has had for shifting who is responsible for maintaining ‘good’ health. This chapter illustrates how neoliberal free market principles have reigned over UK public health discourse for many decades, seeing health as no longer binary to illness, but as a practice of individual self-quantification and self-care. In turn, the chapter explores how the quantification and health tracking of bodies has become a dominant discourse in public health promotion, as well as individual citizenship and patient practices. This discourse still exists pervasively as we move into the digital society of the 2020s, through the Covid-19 pandemic and beyond; with public health strategies internationally promoting the use of digital health tools in our everyday, further positioning citizens as entrepreneurial subjects, adopting extensive technological measures in an attempt to measure and ‘optimise’ health, normalising the everyday quantification of bodies.