The cultural construction of social support in Brazil: Associations with health outcomes
The cultural construction of social support in Brazil: Associations with health outcomes
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DOI：
10.1023/a:1005394416255
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发表时间：
1997-09-01
影响因子：
1.7
通讯作者：
DosSantos, JE
中科院分区：
文献类型：
--
作者：
Dressler, WW;Balieiro, MC;DosSantos, JE
近年来，社会支持和健康结果的关联受到了相当大的关注，但社会支持的文化层面尚未得到广泛的研究，本文使用在巴西城市收集的数据，我们目前的研究结果表明，那些报告获得社会支持更接近理想的获得社会支持的文化模式的人，血压更低，抑郁症状和较低水平的感知压力。社会支持的文化模式是通过结合参与观察、半结构化访谈和文化共识建模的系统民族志技术得出的。然后，这些结果被用来制定一个衡量个人的近似模型的社会支持在四个不同的社区在城市（n = 250）的调查。我们把这种近似于社会支持的理想文化模式称为社会支持中的“文化和谐”。健康结果与社会支持中的文化一致性的关联独立于社会支持报告中的个体差异和标准协变量。在血压和感知压力的情况下，它独立于饮食和其他社会经济和心理社会变量。与抑郁症状的关联并不独立于其他社会心理变量。这些结果的影响进行了讨论相对于疾病分布的文化层面的研究。
The association of social support and health outcomes has received considerable attention in recent years, but the cultural dimension of social support has not been extensively investigated, In this paper, using data collected in a Brazilian city, we present results indicating that those individuals whose reported access to social support more closely approximates an ideal cultural model of access to social support have lower blood pressure and report fewer depressive symptoms and lower levels of perceived stress. The cultural model of social support is derived using a combination of participant observation, semi-structured interviews, and the systematic ethnographic technique of cultural consensus modelling. These results are then used to develop a measure of an individual's approximation to that model of social support in a survey of four diverse neighborhoods in the city (n = 250). We call this approximation to the ideal cultural model of social support ''cultural consonance'' in social support. The association of health outcomes with cultural consonance in social support is independent of individual differences in the reporting of social support, and of standard covariates. In the case of blood pressure and perceived stress, it is independent of diet, and other socioeconomic and psychosocial variables. The association with depressive symptoms is not independent of other psychosocial variables. The implications of these results are discussed with respect to research on cultural dimensions of the distribution of disease.