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Applying the concept of culture to reduce health disparities through health behavior research

机译:运用文化概念通过健康行为研究减少健康差异

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摘要

Culture is often cited as an underlying cause of the undue burden of disease borne by communities of color along the entire life cycle. However, culture is rarely defined or appropriately measured. Scientifically, culture is a complex, integrated, and dynamic conceptual framework that is incongruent with the way it is operationalized in health behavior theories: as a unidimensional, static, and immutable character element of a homogeneous population group. This paper lays out this contradiction and proposes a more scientifically grounded approach to the use of culture. The premise is that if the concept of culture were better operationalized, results from studies of diverse population groups would produce findings that are more scientifically valid and relevant to the community. Practitioners could then use these findings to develop more effective strategies to reduce health disparities and improve the health of all population groups. Six steps are proposed to increase our ability to achieve greater clarity on what culture is and to identify how it impacts health behavior and ultimately health outcomes, enabling researchers to build a stronger science of cultural diversity.
机译:在整个生命周期中,文化经常被认为是有色人种所承担的不适当疾病负担的根本原因。但是,很少对文化进行定义或适当的衡量。从科学上讲,文化是一个复杂的,集成的,动态的概念框架,与健康行为理论中的操作方式不一致:文化是同质人口群体的一维,静态和不变的特征元素。本文阐述了这一矛盾,并提出了一种更科学的文化使用方法。前提是,如果文化概念得到更好的实施,对不同人群的研究结果将得出更加科学有效且与社区相关的发现。然后,从业人员可以利用这些发现来制定更有效的策略,以减少健康差异并改善所有人群的健康状况。提出了六个步骤来增强我们的能力,以使人们更清楚地了解什么是文化,并确定其如何影响健康行为并最终影响健康结果,从而使研究人员能够建立更强大的文化多样性科学。

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