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首页> 外文学位 >The meaning of health: Differences between cohorts and between users of biomedicine and complementary/alternative medicine.
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The meaning of health: Differences between cohorts and between users of biomedicine and complementary/alternative medicine.

机译：健康的含义：不同人群之间以及生物医学和补充/替代医学使用者之间的差异。

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摘要

The purpose of this study is to examine the meaning of health among Americans. Three groups are identified: those who use Complementary and Alternative Medicine (CAM) as an important method of treating illness or maintaining health, those who are intermediate users of CAM, and those who use primarily Biomedicine (care delivered by medical doctors). Along with examining differences in the understanding of health between CAM, Intermediate and Biomedicine users, the study also examines the extent to which cohort membership in the Boom and Silent generations may be reflected in the construct “health” and its associated dimensions. This qualitative study uses the life course perspective and agency-structure theory, to understand the construction of health and how it differs between cohorts and between the health care use groups.; A screening survey was used to identify potential respondents and to classify them into appropriate categories. Qualitative data was collected from 31 semi-structured interviews with persons who had used a biomedical or a CAM practitioner in the 12 months before the interview. Data were analyzed using the grounded theory approach.; The study identified eight dimensions of health widely held by respondents: Body, Mind, Autonomy, Mind-Body Interaction, “Silver Blaze” (the absence of disease), Relationships, Religion, and Homoeostasis. Five dimensions are further subdivided into important subdimensions or aspects. The cultural or cognitive domain of health is found to be broader and more uniformly held than previous studies have suggested.; The study demonstrates that both individual agency and social structure strongly influence the various meanings of health. Some dimensions are more strongly related to agency or to structure, but all demonstrate the intertwining relationship of agency and structure. While life course theory suggests that different generations construct meaning in different ways, this study finds remarkable similarities between Silent and Boom generation constructions of health. The similar health-related events to which both cohorts have been exposed are reviewed along with changes in mass media. It is suggested that the similarity in meanings of health between cohorts and medical use groups reflects the society-wide distribution of health concepts. This distribution is held to be like the distribution of social values. The various lay dimensions of health are proposed as a significant means of joining professional and political health policy discussions to the experiences and meanings of the lay public.
机译：这项研究的目的是检验美国人中健康的含义。确定了三类人群：使用补充和替代医学（CAM）作为治疗疾病或维持健康的重要方法的人群，使用CAM的中级人群以及主要使用生物医学（医生提供的护理）的人群。除了研究CAM，中级和生物医学使用者之间对健康的理解上的差异外，该研究还研究了Boom和Silent世代中的同龄人成员在结构“健康”及其相关维度中的体现程度。这项定性研究使用生命历程的视角和代理结构理论来了解健康的构造及其在不同人群之间以及在医疗保健使用人群之间的差异。筛选调查用于识别潜在的响应者并将其分类为适当的类别。定性数据是从31次半结构化访谈中收集的，这些访谈在访谈前的12个月中曾使用过生物医学或CAM从业人员。使用扎根理论方法分析数据。该研究确定了被调查者广泛认为的健康的八个方面：身体，头脑，自主权，身心互动，“银色火焰”（无疾病），人际关系，宗教信仰和同治。五个维度可进一步细分为重要的子维度或方面。发现健康的文化或认知领域比以前的研究所建议的更为广泛和统一。该研究表明，个体代理和社会结构都强烈影响健康的各种含义。一些维度与代理机构或结构更紧密相关，但所有维度都显示了代理机构与结构之间的相互联系。虽然生命历程理论表明，不同的世代以不同的方式来构造意义，但这项研究发现，沉默和繁荣的健康世代结构之间有着惊人的相似之处。回顾了两个队列所暴露的与健康相关的类似事件以及大众媒体的变化。建议队列和医疗使用人群之间健康含义的相似性反映了健康概念在全社会的分布。认为这种分布类似于社会价值的分布。提出了健康的各种外在维度，作为将专业和政治健康政策讨论与外行公众经验和意义相结合的重要手段。

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  • 作者

    Cochran, Roger Arthur.;

  • 作者单位

    Georgia State University.;

  • 授予单位 Georgia State University.;
  • 学科 Sociology General.; Gerontology.
  • 学位 Ph.D.
  • 年度 2002
  • 页码 328 p.
  • 总页数 328
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 社会学;老年病学;
  • 关键词

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