Health BehaviorHEALTH BEHAVIOR AS BASIC RESEARCH Health behavior is not a traditional discipline, but a newly emerging interdisciplinary field. It is still in the process of establishing its identity. Few institutional or organizational structures, i. e. , departments and programs, reflect it, and few books and journals are directed at it. The primary objective of this book is thus to identify and establish health behavior as an important area of basic research, worthy of being studied in its own right. As a basic research area, health behavior transcends commitment to a particular behavior, a specific illness or health problem, or a single set of determinants. One way of achieving this objective is to look at health behavior as an outcome of a range of personal and social determinants, rather than as a set of risk factors or as targets for intervention strategies directed at behavioral change. The book is thus organized pri marily in terms of the size of the determinants of concern, rather than in terms of specific health behaviors, or specific health problems or conditions. With the first part of the book establishing working defmitions of health behavior and health behavior research as basic frameworks, the second part moves from smaller to larger systems, informing the reader about basic research that demonstrates how health behavior is determined by personal, family, social, institutional, and cultural factors. These distinctions reflect some arbitrar iness: the family, organizations, and institutions, for example, are social units. |
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Contents
Plural Perspectives | 3 |
Consensus and Confusion | 13 |
Cognitive Determinants | 21 |
The Health Belief Model and Predictions of Health Actions | 27 |
Threatening Health Communications | 35 |
Beliefs about Control and Health Behavior | 43 |
The Development and Stability of Health Locus of Control Beliefs | 55 |
Personal Characteristics and LifeStyle | 65 |
Institutional Determinants | 209 |
Organizational Influences on Patient Health Behaviors | 215 |
Effect of New Organizational Forms | 223 |
The Design of Physical Environments and Health Behavior | 231 |
Human Needs and the Physical Environment | 233 |
Conclusion | 239 |
Cultural Factors in SickRole Expectations | 249 |
Future Sick Role Research | 257 |
LifeStyle and Health Behavior | 71 |
Changing LifeStyles and Health Behavior | 79 |
Pathways to Health Behavior | 87 |
Disadvantages of Path Analysis | 93 |
Summary | 100 |
Family Determinants of Health Behaviors | 107 |
Summary and Conclusions | 118 |
Social Structure and Networks | 125 |
Social Group Characteristics and Health Behavior | 131 |
Problems and Implications | 144 |
Social Supports Social Networks and Health Status | 150 |
Future Directions | 157 |
Social Roles | 163 |
The SickRole Concept | 169 |
Future Research Possibilities | 176 |
SickRole Legitimization | 181 |
Implications for Health Care Delivery and the Social System | 188 |
Smoking | 194 |
Accidents | 200 |
Symptoms and CareSeeking | 264 |
Health Maintenance Behavior | 272 |
HEALTH BEHAVIOR AND THE CARE DELIVERY SYSTEM | 281 |
Reciprocity in the Medical Encounter | 293 |
Future Directions | 302 |
Importance and Demonstration | 311 |
Power Compliance and Control | 319 |
Power Authority and Health Behavior | 325 |
Factors in Patient Power | 327 |
Limitations of Behavioral Strategies | 344 |
Health Behavior Research and the Training | 363 |
References | 376 |
Health Education | 381 |
Conclusion | 394 |
Chronic Illness and Adult Modes of Learning | 401 |
Present and Future | 409 |
Issues of Identity | 412 |
Summary | 421 |
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Page 422 - Social work practice in the health field. New York: National Association of Social Workers, 1961. Berkman, B., & Rehr, H. The "sick-role" cycle and the timing of social work intervention.