scholarly journals Cultural Determinants of Help Seeking: A Model for Research and Practice

2009 ◽  
Vol 23 (4) ◽  
pp. 259-278 ◽  
Author(s):  
Denise Saint Arnault
Keyword(s):  
Help Seeking ◽  
Health Care Services ◽  
Cultural Models ◽  
The Body ◽  
Structural Determinants ◽  
Research And Practice ◽  
Care Services ◽  
National Priority ◽  
Cultural Determinants ◽  
Distribution Of Resources

Increasing access to and use of health promotion strategies and health care services for diverse cultural groups is a national priority. While theories about the structural determinants of help seeking have received empirical testing, studies about cultural determinants have been primarily descriptive, making theoretical and empirical analysis difficult. This article synthesizes concepts and research by the author and others from diverse disciplines to develop the midrange theoretical model called the Cultural Determinants of Help Seeking (CDHS). The multidimensional construct of culture, which defines the iterative dimensions of ideology, political economy, practice, and the body, is outlined. The notion of cultural models of wellness and illness as cognitive guides for perception, emotion and behavior as well as the synthesized concept of idioms of wellness and distress are introduced. Next, the CDHS theory proposes that sign and symptom perception, the interpretation of their meaning, and the dynamics of the social distribution of resources are all shaped by cultural models. Then the CDHS model is applied to practice using research with Asians. Finally, implications for research and practice are discussed.

Current Trends in Treatment Research and Practice

2018 ◽  
pp. 110-142
Author(s):  
Alan E. Kazdin
Keyword(s):  
Health Care Services ◽  
New Technologies ◽  
Psychosocial Interventions ◽  
Psychosocial Treatment ◽  
Evidence Based ◽  
Physical And Mental Health ◽  
Research And Practice ◽  
Care Services ◽  
Current Trends ◽  
Treatment Research

This chapter discusses current trends in psychosocial treatment research and clinical practice. The chapter highlights four active areas in which intervention research and practice are changing: efforts to disseminate evidence-based psychosocial interventions, to integrate physical and mental health care services, to develop treatments (transtreatments) that can be used to treat multiple disorders, and to exploit the range of new technologies available (e.g., Internet, apps) as a way of providing interventions. These areas of research are among those most relevant to the goals of this book, namely, providing interventions in ways that can reduce the burdens of mental illness.

scholarly journals ‘We are not blaming anyone, but if we don't know about amenities, we cannot seek them out’: black and minority older people's views on the quality of local health and personal social services in England

2008 ◽  
Vol 29 (1) ◽  
pp. 93-113 ◽  
Author(s):  
JILL MANTHORPE ◽  
STEVE ILIFFE ◽  
JO MORIARTY ◽  
MICHELLE CORNES ◽  
ROGER CLOUGH ◽  
...  
Keyword(s):  
Older People ◽  
Social Services ◽  
Health Care Services ◽  
The Body ◽  
Local Health ◽  
Individual Interviews ◽  
Care Services ◽  
National Service Framework ◽  
Nominal Groups ◽  
Minority Ethnic

ABSTRACTImproving access to culturally-appropriate services and enhancing responses to the needs of older people from black and minority ethnic backgrounds were among the aims of theNational Service Framework for Older People(NSFOP) that was introduced in England in 2001. Progress in meeting the aims of the NSFOP was evaluated by a mid-term independent review led by the Healthcare Commission, the body responsible for regulating health-care services in England. This paper reports the consultation with older people that underpinned the evaluation. It focuses on the views and experiences of older people from black and minority ethnic (BME) groups and of the staff that work in BME voluntary organisations. A rapid appraisal approach was used in 10 purposively selected local councils, and plural methods were used, including public listening events, nominal groups and individual interviews. In total 1,839 older people participated in the consultations and 1,280 (70%) completed a monitoring form. Some 30 per cent defined themselves as of a minority ethnic background. The concerns were more about the low recognition of culturally-specific and language needs than for the development of services exclusively for BME older people.

Tribal Leadership and Care Services: “Overcoming These Divisions That Keep Us Apart”

2020 ◽  
Vol 45 (3) ◽  
pp. 165-174
Author(s):  
Jean E Balestrery ◽  
Hannah Going ◽  
Ruby Pacheco
Keyword(s):  
Health Disparities ◽  
Alaska Native ◽  
The United States ◽  
Community Practice ◽  
Structural Determinants ◽  
Care Services ◽  
Structural Forces ◽  
National Priority ◽  
Colonial Legacies

Abstract American Indian and Alaska Native (AI/AN) Peoples are among groups continuing to experience health disparities. Eliminating health disparities, a national priority in the United States, requires addressing structural forces, also known as structural determinants of health. This case study examines linkages between health disparities, structural forces, and colonial trauma relevant to care services and AN Peoples in Alaska. It centers on an Inupiaq Elder with leadership experience in AN tribal care services. Guided by a conceptual lens based on division–unification processes, this study yields the following findings as represented by five in vivo themes: severing of relationship, aftereffects of colonization, striking alliances, overcoming these divisions that keep people apart, and growing together in relationship. Colonial legacies continue to linger and have a multidimensional impact on AI/AN communities, including tribal care services. Healing from colonial trauma requires collective effort among AI/AN Peoples and people from the wider community. Practice implications emphasize trauma-informed approaches to promote reconciliation and a larger collective commitment to reconciliation in a global reality of increasing interdependence.

scholarly journals Use of health care services in seasonal affective disorder

2002 ◽  
Vol 180 (5) ◽  
pp. 449-454 ◽  
Author(s):  
John M. Eagles ◽  
Fiona L. Howie ◽  
Isobel M. Cameron ◽  
Samantha M. Wileman ◽  
Jane E. Andrew ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Affective Disorder ◽  
Help Seeking ◽  
Health Care Services ◽  
Seasonal Affective Disorder ◽  
Care Services ◽  
Help Seeking Behaviour ◽  
And Gender ◽  
Use Of Health Care

BackgroundLittle is known about the presentation and management of seasonal affective disorder (SAD) in primary care.AimsTo determine the use of health care services by people suffering from SAD.MethodFollowing a screening of patients consulting in primary care, 123 were identified as suffering from SAD. Each was age— and gender-matched with two primary care consulters with minimal seasonal morbidity yielding 246 non-seasonal controls. From primary care records, health care usage over a 5-year period was established.ResultsPatients with SAD consulted in primary care significantly more often than controls and presented with a wider variety of symptoms. They received more prescriptions, under went more investigations and had more referrals to secondary care.ConclusionsPatients with SAD are heavy users of health care services. This may reflect the condition itself, its comorbidity or factors related to the personality or help-seeking behaviour of sufferers.

scholarly journals Health Literacy: Addressing Well-Being: A Review

2020 ◽  
Vol 4 (5) ◽  
pp. 105-112
Author(s):  
Faisal Noor Ahmad ◽  
Ravishankar TL ◽  
Amit Tirth ◽  
Parmieka Rawat
Keyword(s):  
Health Literacy ◽  
Health Outcomes ◽  
Health Care Services ◽  
Scientific Evidence ◽  
Well Being ◽  
The Body ◽  
Limited Health Literacy ◽  
Treatment Regimens ◽  
Care Services ◽  
Causes Of Disease

Literacy forms an important input in overall development of individual enabling them to comprehend their social, political and cultural environment better and respond to it. Health literacy requires knowledge of health topics. People with limited health literacy often lack knowledge or have misinformation about the body as well as the nature and causes of disease. Without this knowledge, they may not understand the relationship between lifestyle factors such as diet and exercise and various health outcomes. Health literacy plays a key role on the overall health and wellbeing and is now recognized as a determinant of health and has been made a priority of public health agendas, as there is existence of clear scientific evidence regarding its association with health outcomes such as use of health care services, hospitalizations, mortality rates, and adherence to treatment regimens. Therefore, responsive health system that eliminates barriers to clear communication and provides usable and actionable health information and services is important to uplift the current situation.

Talk to Me, Not at Me: An Ethnographic Study on Health-Related Help-Seeking Behavior Among Socially Marginalized Danish Men

2019 ◽  
Vol 30 (4) ◽  
pp. 598-609 ◽  
Author(s):  
Annette Pedersen ◽  
Helle Haslund-Thomsen ◽  
Tine Curtis ◽  
Mette Grønkjær
Keyword(s):  
Health Care ◽  
Help Seeking ◽  
Health Care Services ◽  
Ethnographic Study ◽  
Public Parks ◽  
Help Seeking Behavior ◽  
Care Services ◽  
Seeking Behavior ◽  
Health Related ◽  
Municipal Health

Research shows that men tend to have delayed health-related help-seeking behavior. In this ethnographic study, we explored influential factors related to health-related help-seeking behavior among socially marginalized men who seem not to benefit from existing municipal health care services in a large Danish municipality. The study included 200 hours of participant observations and 25 ethnographic interviews with men between 45 and 65 years of age in their own homes and in public parks among their peers. In this study, we found that the men had several complex and interacting social- and health-related conditions, which seemed to affect their health-related help-seeking behavior. We conclude that collaborative initiatives between the outreach team who occasionally visits bench sites in the public parks and the municipal health care services in the local areas could lay the groundwork for encouraging men’s health-related help-seeking behavior and aid men in supporting each other.

scholarly journals How Do Health, Care Services Consumption and Lifestyle Factors Affect the Choice of Health Insurance Plans in Switzerland?

Risks ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 41
Author(s):  
Veronika Kalouguina ◽  
Joël Wagner
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Care Services ◽  
Lifestyle Factors ◽  
The Body ◽  
Equation Modeling ◽  
Insurance Plan ◽  
Health Care Consumption ◽  
Care Services ◽  
Swiss Health

In compulsory health insurance in Switzerland, policyholders can choose two main features, the level of deductible and the type of plan. Deductibles can be chosen among six levels, which range from CHF 300 to 2500. While the coverage and benefits are identical, insurers offer several plans where policyholders must first call a medical hotline, consult their family doctor, or visit a doctor from a defined network. The main benefit of higher deductibles and insurance plans with limitations is lower premiums. The insureds’ decisions to opt for a specific cover depend on observed and unobserved characteristics. The aim of this research is to understand the correlation between insurance plan choices and lifestyle through the state of health and medical care consumption in the setting of Swiss mandatory health insurance. To do so, we account for individual health and medical health care consumption as unobserved variables employing structural equation modeling. Our empirical analysis is based on data from the Swiss Health Survey wherein lifestyle factors like the body mass index, diet, physical activity, and commuting mode are available. From the 9301 recorded observations, we find a positive relationship between having a “healthy” lifestyle, a low consumption of doctors’ services, and choosing a high deductible, as well as an insurance plan with restrictions. Conversely, higher health care services’ usage triggers the choice of lower deductibles and standard insurance plans.

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