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首页> 外文期刊>World Journal of Preventive Medicine >The Social Dimensions of Health and Illness in the Sri Lankan Tamil Diaspora- Implications for Mental Health Service Delivery
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The Social Dimensions of Health and Illness in the Sri Lankan Tamil Diaspora- Implications for Mental Health Service Delivery

机译：斯里兰卡泰米尔侨民中健康与疾病的社会影响-对心理健康服务的提供

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Immigrant communities are often not well served when it comes to mental health services. A fundamental reason for this may lie in differing cultural concepts of what it means to be healthy. The aim of this paper is to capture how Sri Lankan Tamils with a diagnosis of depression, newly arrived to Toronto, Canada, conceptualize health, and to determine whether this conceptualization is shared by care providers who provide service to this community. The data are derived from a qualitative study based on interviews with 16 Sri Lankan Tamil immigrants who self-report being diagnosed with depression and 8 service providers who work with the community. Findings show that the Sri Lankan Tamil community emphasizes social functioning as the hallmark of health. Study participants see depression as linked to a breakdown in social functioning. The community also holds an integrated notion of health, one that encompasses physical, mental and social components. Responses show little evidence for a belief in the role of the supernatural in causing mental illness. Medication is seen as part and parcel of ill health; it is sought during overt illness but its preventive action is not well understood. Service providers do not fully understand the community’s notions of health and illness. It can be surmised that the social dimensions of health and illness are fundamental to this community. Being well means being able to fulfil one’s social role. This suggests that the provision of social support services, vocational services for instance, needs to be a key component of mental health services. Acculturation into concepts of preventive health including the role of medication in maintaining health and preventing relapse is also important.
机译：在精神卫生服务方面，移民社区往往得不到很好的服务。造成这种情况的根本原因可能在于不同的文化概念对健康的含义。本文的目的是捕获新近来到加拿大多伦多的患有抑郁症的斯里兰卡泰米尔人如何对健康进行概念化，并确定为社区提供服务的护理提供者是否共享这种概念化。数据来自定性研究，该研究是基于对16名自称患有抑郁症的斯里兰卡泰米尔移民和8名与社区合作的服务提供者的采访而得出的。调查结果表明，斯里兰卡的泰米尔人社区强调社会功能是健康的标志。研究参与者认为抑郁症与社会功能崩溃有关。社区还拥有一个综合的健康概念，其中涵盖了身体，心理和社会各方面。回答几乎没有证据表明相信超自然者会导致精神疾病。药物被视为健康不良的一部分;在明显的疾病中寻求它，但其预防作用尚不完全清楚。服务提供商并不完全了解社区的健康和疾病概念。可以推测，健康和疾病的社会层面是这个社区的基础。健康意味着能够履行自己的社会角色。这表明提供社会支持服务，例如职业服务，需要成为精神卫生服务的关键组成部分。适应预防性健康的概念，包括药物在维持健康和预防复发中的作用也很重要。

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