Handbook of Health Behavior Research I: Personal and Social DeterminantsDavid S. Gochman The primary objective of this Handbook is to provide statements about health behaviour research as a basic body of knowledge moving into the 21st century. It is expected that the Handbook will remain in use and current through 2005, at least. The Handbook presents a broad and representative selection of mid-1990s health behaviour findings and concepts in a single work. While texts and books of readings are available in related areas, such as health psychology, medical anthropology, medical sociology, behavioural health, behavioural risk factors, and changing health behaviours, none of these works was intended to address basic research-generated knowledge of health behaviour, and none was intended to transcend individual disciplines. Accordingly, none of these works presents a broad and representative spectrum of basic health behaviour research reflecting multidisciplinary activities. One work with a title identical to this one but for one word, the Handbook of Health Behaviour Change (Shumaker et al., 1990), deals almost exclusively with applications. This Handbook thus presents the reader with the "state of the art" in health behaviour research, something not found elsewhere. |
Contents
Health Behavior Research Definitions and Diversity | 3 |
Preventive and Protective Behavior Illness Behavior and Sick Role Behavior | 4 |
A WorkinProgress Taxonomy | 6 |
What Health Behavior Research Is Not | 7 |
HEALTH DISEASE ILLNESS AND SICKNESS | 8 |
Lay versus Professional or Scientific Definitions | 9 |
Pluralism of Definitions within a Discipline | 10 |
Diversity of Focal Phenomena | 11 |
Promising Concepts and Directions | 216 |
Measurement Issues | 217 |
The Family as a Social Unit | 218 |
SUMMARY | 219 |
Maternal Influences on Childrens Health Behavior | 223 |
MECHANISMS INVOLVED IN MATERNAL SOCIALIZATION OF CHILD HEALTH | 224 |
A Pathway between Maternal Beliefs and Behavior | 226 |
Modeling and Reinforcement | 227 |
CONCEPTUAL MODELS | 12 |
Sociocultural Perspectives | 15 |
CONSENSUS AND CONFUSION | 16 |
SUMMARY | 18 |
Historical and Cultural Foundations of Health Behavior A Comparative Approach | 21 |
EVOLUTIONARY PERSPECTIVE ON SICKNESS AND HEALING | 22 |
Medical Concepts | 23 |
MEDICAL EVOLUTIONARY ASSUMPTIONS AND PRINCIPLES | 24 |
CONCEPTUALIZING THE EVOLUTION OF MEDICAL SYSTEMS | 25 |
Nature of Healmemes | 26 |
Connection of the Medical with the Social | 27 |
Levels of Selection of Healmemes | 28 |
Feedback in the Medical Evolutionary Process | 29 |
FamilyLevel Societies | 30 |
VillageLevel Societies | 31 |
States and Civilizations | 32 |
Modern Industrial Societies | 33 |
Postindustrial Societies | 34 |
SUMMARY AND CONCLUSIONS | 36 |
RESEARCH ISSUES AND IMPLICATIONS | 37 |
REFERENCES | 39 |
PERSONAL DETERMINANTS | 41 |
Cognitive Representations of Health and Illness | 51 |
COGNITIVE REPRESENTATIONS OF GOOD HEALTH | 52 |
Empirical Validation of the World Health Organization Definition | 53 |
What Does It Mean to Be Healthy? | 55 |
Implications | 57 |
COGNITIVE REPRESENTATIONS OF ILLNESS | 58 |
Commonsense Representations of Illness | 59 |
Supporting Evidence | 60 |
A SelfRegulatory Model of Illness Behavior | 61 |
CrossCultural Variations | 62 |
Implications | 63 |
FUTURE RESEARCH DIRECTIONS | 65 |
REFERENCES | 67 |
The Health Belief Model and Health Behavior | 71 |
ORIGINS OF THE HEALTH BELIEF MODEL | 72 |
COMPONENTS OF THE HEALTH BELIEF MODEL | 73 |
EVIDENCE FOR AND AGAINST THE HEALTH BELIEF MODEL | 75 |
FACTOR ANALYSES AND DEFINITIONS | 76 |
APPLICATIONS OF THE HEALTH BELIEF MODEL | 83 |
Addictive Behaviors Perceived Threat | 86 |
RECOMMENDATIONS TO RESEARCHERS AND JOURNAL REVIEWERS | 88 |
REFERENCES | 89 |
Beliefs about Control and Health Behaviors | 93 |
Some Properties of the Internality Construct | 94 |
A PersonEnvironment Fit Approach to Control Beliefs | 95 |
Control Beliefs and Social Relationships | 96 |
CONTROL BELIEFS AND HEALTH BEHAVIORS | 97 |
Locus of Control Interactions with Social Support Processes | 99 |
PHYSICAL HEALTHMENTAL HEALTH RELATIONSHIPS | 100 |
Project Design | 101 |
Results | 102 |
Discussion | 106 |
Critique and Implications | 107 |
REFERENCES | 108 |
Protection Motivation Theory | 113 |
STRUCTURE AND PROCESSES OF PROTECTION MOTIVATION THEORY | 114 |
REVIEW OF RESEARCH ON PROTECTION MOTIVATION THEORY | 118 |
IMPLICATIONS OF THE ELABORATION LIKELIHOOD MODEL AND THE HEURISTICSYSTEMATIC MODEL FOR PROTECTION MOTIVA... | 124 |
EXTENSIONS OF PROTECTION MOTIVATION THEORY | 127 |
IMPORTANT RESEARCH QUESTIONS | 128 |
REFERENCES | 129 |
Behavioral Intentions in Theories of Health Behavior | 133 |
Theory of Planned Behavior | 135 |
SIMILARITIES AMONG HEALTH BEHAVIORS | 136 |
RESEARCH ON EXERCISE BEHAVIOR | 138 |
Measurement Issues | 140 |
Protection Motivation Theory | 141 |
Stages of Change Models | 142 |
TOWARD AN INTEGRATED MODEL | 143 |
From Reasoned Action to Habit | 146 |
A PEEK INTO PANDORAS BOX | 148 |
CONCLUSION | 149 |
Health Services Utilization Models | 153 |
ANDERSENS BEHAVIORAL MODEL | 154 |
ANDERSEN AND NEWMAN UTILIZATION FRAMEWORK | 156 |
ADAY AND ANDERSEN ACCESS FRAMEWORK | 158 |
EMPIRICAL APPLICATIONS OF THE MODEL | 161 |
Other Investigators | 162 |
RESEARCH AND METHODOLOGICAL ISSUES | 163 |
Dependent Variables | 164 |
REFERENCES | 170 |
FAMILY DETERMINANTS | 173 |
Families and Health Actions | 179 |
Social Cognitive Theory | 180 |
Emergent Characteristics of the Family | 182 |
FAMILY INFLUENCES ON DIET AND NUTRITION | 183 |
Familial Concordance for Diet | 184 |
FOOD PURCHASE AND AVAILABILITY | 186 |
DEVELOPMENTAL PHASES | 191 |
Toddlers 12 Years of Age | 192 |
Preschoolers 35 Years of Age | 193 |
ElementarySchool Years | 195 |
Adolescence | 196 |
Adulthood | 198 |
Family and Obesity | 199 |
RESEARCH AND METHODOLOGICAL ISSUES | 200 |
Family Health Cognitions | 207 |
Beliefs about Conditions and Interventions | 208 |
Parental Role Dimensions | 210 |
Summary | 212 |
FAMILY DETERMINANTS OF CHILDRENS HEALTH COGNITIONS | 213 |
Summary | 215 |
ESTABLISHING A HEALTHPROMOTING CHILDREARING ENVIRONMENT | 228 |
Mothers Socioeconomlc Status | 229 |
Mothers Impact on Childrens Emotional Climate | 230 |
Mothers Health | 231 |
Mothers Supervision of Children | 232 |
MOTHERS ESTABLISHMENT TRAINING AND ENFORCEMENT OF CHILD HEALTH BEHAVIOR | 234 |
Sexuality Training | 235 |
METHODOLOGICAL AND RESEARCH ISSUES | 236 |
SOCIAL DETERMINANTS | 241 |
Lifestyles Social Class Demographic Characteristics and Health Behavior | 253 |
DEFINING HEALTH LIFESTYLES | 254 |
HEALTH LIFESTYLE AS A NORMATIVE BEHAVIOR | 256 |
BOURDLEU | 257 |
THE SPREAD OF HEALTH LIFESTYLES | 260 |
THE LATE MODERNPOSTMODERN CONTEXT | 261 |
DEMOGRAPHIC CHARACTERISTICS | 262 |
MAJOR RESEARCH AND METHODOLOGICAL ISSUES | 263 |
SUMMARY | 264 |
Social Attachments Group Structures and Health Behavior | 267 |
GROUP TIES AND HEALTH BEHAVIOR | 268 |
Relatives and Friends | 270 |
Religious and Social Participation | 272 |
PAROCHIAL STRUCTURES AND MEDICAL ORIENTATIONS | 274 |
Parochial Structures In New York City | 275 |
A Sociocultural Explanation | 276 |
New Immigrants and Medical Resistance | 277 |
Hispanics and Modern Medicine | 278 |
LAY CONSULTATIONS AND ADVICE ON MEDICAL ISSUES | 280 |
RESEARCH ISSUES | 281 |
Sociocultural Contexts | 282 |
Data Collection Strategies | 283 |
SUMMARY AND CONCLUSIONS | 284 |
REFERENCES | 285 |
Sick Role Concepts and Health Behavior | 289 |
Sick Role Behavioral Expectations | 290 |
CONCEPT A DECADE OF CRITICAL COMMENTARY | 291 |
Reformulating and Extending the Parsonian Model | 293 |
Transformation of Medical Sociology into Health Sociology | 294 |
The New Sick Role Concept and Lay Health Beliefs and Behavior | 295 |
IS THERE A FUTURE FOR SICK ROLE RESEARCH? | 298 |
REFERENCES | 300 |
Changing Gender Roles and Gender Differences in Health Behavior | 303 |
Methodological Cautions | 304 |
SMOKING | 305 |
Effects of Gender Differences in Risk Taking and Health Concerns | 307 |
Other Effects of Gender Roles | 308 |
Effects of Sex Differences In Biology | 309 |
Summary | 310 |
Effects of Gender Differences in Risk Taking and Health Concerns | 311 |
Effects of Sex Differences in Biology | 313 |
OTHER HEALTH BEHAVIORS | 314 |
Exercise | 316 |
Dieting and Eating Disorders | 317 |
Physician Visits | 319 |
CONCLUSIONS | 321 |
Other Effects of Gender Roles | 322 |
Multiple Psychosocial and Biological Influences | 323 |
QUESTIONS FOR FUTURE RESEARCH | 324 |
INSTITUTIONAL AND CULTURAL DETERMINANTS | 329 |
WorkRelated Determinants of Health Behavior | 337 |
Work | 339 |
Job Conditions | 340 |
Psychosocial and Organizational Environment | 342 |
Social Relations of Employment | 343 |
Summary | 345 |
Political Stance | 346 |
Gender Issues | 347 |
Summary | 348 |
Leaving It Up to the Workers | 349 |
But What Can You Do? | 351 |
CONCLUSION | 353 |
REFERENCES | 354 |
Cultural Determinants of Health Behavior | 359 |
CULTURE THEORY | 360 |
A MODEL | 362 |
PROBLEM DEFINITION | 364 |
NEGOTIATING SICKNESS AND SHIFTS IN ROLE BEHAVIOR | 366 |
LAY CONSULTATION AND REFERRAL | 367 |
TREATMENT CHOICE | 370 |
PROVIDERPATIENT INTERACTION AND TREATMENT OUTCOME | 371 |
RESEARCH AND METHODOLOGICAL ISSUES | 373 |
CONCLUSION | 375 |
REFERENCES | 376 |
INTEGRATION | 379 |
Personal and Social Determinants of Health Behavior An Integration | 381 |
MAJOR CONCEPTUAL MODELS | 382 |
SELECTED HEALTH BEHAVIORS | 383 |
Care Seeking | 385 |
Preventive Protective and Safety Behaviors | 386 |
Risk Behaviors | 387 |
Responses to Illness Adherence and Sick Role | 388 |
Lifestyle Behaviors | 389 |
COMMON THEMES | 390 |
Methodological Issues | 392 |
Professional versus Phenomenologlcal Perspectives | 393 |
Role of Affect | 395 |
FUTURE RESEARCH DIRECTIONS | 396 |
Content Areas | 397 |
SUMMARY | 399 |
A Glossary for Health Behavior Research | 401 |
Contents of Volumes IIV | 417 |
Index to Volumes IIV | 423 |
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Common terms and phrases
action Aday adults alcohol analysis Andersen assessment associated attitudes Baranowski Chapter child children's health cial Clinical Cockerham components concept coping cultural determinants disease eating disorders effects ences ethnic exercise factors framework gender differences gender roles Gochman havior healmemes health and illness Health and Social health behavior research health belief model health cognitions health lifestyles health problems Health Psychology health status Hispanics important individual influence intentions interaction issues Journal of Health locus of control Maddux males measures medical sociology ment mothers norms obesity outcomes parents patients perceived perceptions perspective physical physician predict predictors preventive protection motivation theory relationships reported response risk Rogers Science and Medicine self-efficacy sick role sickness and healing smoking Social Behavior social networks Social Psychology Social Science social support society specific structure symptoms threat tion tive transtheoretical model variables Waldron Wallston women York