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Titolo:
Staying healthy: the salience and meaning of health maintenance behaviors among rural older adults in North Carolina
Autore:
Arcury, TA; Quandt, SA; Bell, RA;
Indirizzi:
Wake Forest Univ, Sch Med, Dept Family & Community Med, Winston Salem, NC 27157 USA Wake Forest Univ Winston Salem NC USA 27157 , Winston Salem, NC 27157 USA Wake Forest Univ, Sch Med, Dept Publ Hlth Sci, Winston Salem, NC 27157 USAWake Forest Univ Winston Salem NC USA 27157 , Winston Salem, NC 27157 USA
Titolo Testata:
SOCIAL SCIENCE & MEDICINE
fascicolo: 11, volume: 53, anno: 2001,
pagine: 1541 - 1556
SICI:
0277-9536(200112)53:11<1541:SHTSAM>2.0.ZU;2-T
Fonte:
ISI
Lingua:
ENG
Soggetto:
SELF-MANAGEMENT; QUALITATIVE METHODS; ARTHRITIS RESEARCH; HEART-DISEASE; LATE-LIFE; COMMUNITY; RELIGION; CARE; PERSPECTIVES; SPIRITUALITY;
Keywords:
aging; health behavior; health maintenance; minority health; rural health; qualitative methods; USA;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
65
Recensione:
Indirizzi per estratti:
Indirizzo: Arcury, TA Wake Forest Univ, Sch Med, Dept Family & Community Med, Med CtrBlvd, Winston Salem, NC 27157 USA Wake Forest Univ Med Ctr Blvd Winston Salem NC USA 27157 57 USA
Citazione:
T.A. Arcury et al., "Staying healthy: the salience and meaning of health maintenance behaviors among rural older adults in North Carolina", SOCIAL SC M, 53(11), 2001, pp. 1541-1556

Abstract

Beliefs about what constitutes health promoting behaviors vary by culture and class, and knowing how an older adult interprets a specific health behavior can improve health education and medical compliance. Ethnomedical approaches have investigated how people define disease and the therapies used to return to a state of health. However, little research has addressed how individuals define health, or the behaviors they use to maintain health. We analyze the behaviors elders state are needed to stay healthy, and their meanings for these behaviors. Narratives collected through in-depth interviews with 145 male and female rural North Carolina residents aged 70 and older, including African Americans, Native Americans and European Americans are analyzed using systematic text analysis. The participants' narratives include seven salient health maintenance domains: (1) Eating Right, (2) DrinkingWater, (3) "Taking" Exercise, (4) Staying Busy, (5) Being with People, (6)Trusting in God and Participating in Church, and (7) Taking Care of Yourself. Several of these domains are multi-dimensional in the meanings the elders ascribe to them. There is also overlap in the content of some of the domains; they are not discrete in the minds of the elders and a specific health behavior can reflect more than one domain. Four themes cross-cut the domains: "balance and moderation", "the holistic view of health", "social integration", and "personal responsibility". Elders in these rural communities hold a definition of health that overlaps with, but is not synonymous with abiomedical model. These elders' concept of health seamlessly integrates physical, mental, spiritual, and social aspects of health, reflecting how health is embedded in the everyday experience of these elders. Staying healthyis maintaining the ability to function in a community. These results indicate that providers cannot assume that older patients will share their interpretation of general health promotion advice. (C) 2001 Elsevier Science Ltd. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/04/20 alle ore 19:42:45