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首页> 外文学位 >Rediscovering the communication engine of neighborhood effects: How the interaction of residents and community institutions impacts health literacy and how it can be leveraged to improve health care access.
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Rediscovering the communication engine of neighborhood effects: How the interaction of residents and community institutions impacts health literacy and how it can be leveraged to improve health care access.

机译：重新发现邻里效应的沟通引擎：居民与社区机构之间的互动如何影响健康素养，以及如何利用它来改善医疗保健水平。

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摘要

While the impetus for research that will help us understand what it is about the places we live in that matters when it comes to our health seems to be growing exponentially in the public health literature, our knowledge about the social mechanisms through which place or context-related effects manifest is still limited. The cross-pollination of public health research on the social determinants of health, on one hand, and, on the other, sociological investigation into the influences of various social processes on different facets of human life and behavior has been fruitful. However, important gaps remain unaddressed.;The primary objectives of this dissertation are to re-introduce communication as an elementary social process through which individuals and communities organize their lives, and to develop a communication-based model of neighborhood health effects that can be applied by researchers, communication campaign professionals, and policy-makers to improve health care access and health literacy in diverse ethnic communities.;Employing a multi-methodological and multi-level analytical framework, the author also addresses the question of how institutional resources available in a residential community operate as mechanisms of neighborhood effects, and investigates ways through which to gauge their impact as neighborhood actors in building health literacy and improving health care access.;The theoretical framework guiding this project extends prior research on communication infrastructure theory and neighborhood effects theoretical models developed in sociology.;The findings of the study indicate that the extent to which individuals are connected to other neighbors, local and ethnically-targeted media, as well as community-based organizations, is a critical factor in predicting prevention-oriented health literacy. Institutional community actors can amplify the positive effects of being part of such a neighborhood-wide storytelling network, even in circumstances where their independent influence may be small or negligible. The significance of the interaction effect between residents and institutional level actors is even larger in the case of predicting health care access. However, as the results indicate in this case, the influence of an integrated neighborhood storytelling network (STN) may be strongly and negatively affected by environmental factors. As an information resource, the storytelling network may be influenced by troubling developments in the community and breaking news, such as the closure of a medical facility. This type of 'bad stories' can impact residents' perceptions of vulnerability and capacity to deal with health problems. The more connected to the STN residents are, the more susceptible they are to these negative effects.
机译：虽然研究的动力可以帮助我们了解生活中所涉及的地方的实质，但在公共卫生文献中似乎正成倍增长，但我们对地方或环境所通过的社会机制的知识却不断增长。相关作用表现仍然有限。一方面，公共卫生研究对健康的社会决定因素的交叉授粉；另一方面，对各种社会过程对人类生活和行为的不同方面的影响的社会学研究取得了丰硕的成果。然而，重要的差距仍未解决。本论文的主要目的是重新引入交流作为个人和社区组织生活的基本社会过程，并开发一种可以应用的基于交流的邻里健康效应模型。由研究人员，传播运动专业人士和政策制定者共同努力，以改善不同种族社区的医疗保健获取和健康素养。利用多方法论和多层次的分析框架，作者还探讨了如何在一个机构中利用机构资源的问题。居住社区作为邻里效应的机制运行，并研究如何评估其作为邻里行为者在建立健康素养和改善医疗服务方面的影响。；指导该项目的理论框架扩展了对通信基础设施理论和邻里效应理论模型的先前研究于s开发社会学；该研究的结果表明，个人与其他邻居，当地和族裔针对性媒体以及社区组织的联系程度是预测以预防为主的健康素养的关键因素。机构社区参与者即使在其独立影响很小或可以忽略的情况下，也可以扩大成为这样一个社区范围的故事网络的积极影响。在预测卫生保健可及性的情况下，居民与机构层面参与者之间的互动效应的意义甚至更大。但是，如结果所示，在这种情况下，环境因素可能会对集成邻居叙事网络（STN）产生强烈和负面影响。作为一种信息资源，讲故事网络可能会受到社区发展令人不快和突发新闻（例如医疗机构关闭）的影响。这种“坏故事”会影响居民对脆弱性和应对健康问题能力的看法。与STN居民的联系越多，他们越容易受到这些负面影响。

著录项

  • 作者

    Matsaganis, Matthew D.;

  • 作者单位

    University of Southern California.;

  • 授予单位 University of Southern California.;
  • 学科 Health Sciences Public Health.;Sociology General.;Sociology Organizational.
  • 学位 Ph.D.
  • 年度 2008
  • 页码 276 p.
  • 总页数 276
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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