Concepciones culturales del concepto bienestar de personas con enfermedades crónicas y profesionales de la salud

Abstract

Objetive: To analyze the cultural conceptions of the welfare concept by people with chronic disease and the health professionals with the purpose of identifying coincidences and discrepancies that could help or block the health promotion process and health care. Materials and Methods: An anthropological cultural study was carried out with 40 people suffering chronic disease and 51 health professionals from Guadalajara (Mexico) selected through purposeful sampling. Free-listing and pile sorts techniques were used. Consensual analysis, hierarchical clustering, and multidimensional scales were applied. Results: There was higher consensus in the conceptualization of the term welfare from people with chronic disease than from the health professionals. The coincidences between people with chronical disease and health care professionals included a comprehensive view and the components of the concept: having a job, money, health, calm and happiness. However, for people with chronic disease, welfare is related to their personal health care and the discipline it implies as well as family life and friends, plus the support of God. While for the health professionals the construct is associated with comfort, confidence, stability, security, harmony, love besides a positive attitude. Conclusion: There are more discrepancies tan coincidences in the cultural conceptualization of the welfare construct in a sample of peole with chronical disease and health professionals. It is important for both actors to know the other point of view in order to generate more successful health promotion and care programs as well as disease prevention.

Keywords:

Bienestar

enfermedad crónica

antropología cultural

personal de salud

promoción de la salud

Welfare

chronic disease

cultural anthropology

health professionals

health promotion

Bem estar

doença crônica

antropologia cultural

pessoal de saúde

promoção da saúde

References

1. Pan American Health Organization. Non-communicable disease project & health information and analysis project & sustainable development and environment area: Non-communicable diseases in the Americas: Basic indicators 2011 [Internet]. Washington DC, USA, 2011. [acceso 4 de noviembre de 2014]. Disponible en: http://www.paho.org/hq/index.php?option=com_docman&task=cat_view&gid=4270&Itemid=270&lang=es

2. Pan American Health Organization. Strategy for the prevention and control of non-communicable diseases. Document prepared after the Regional Consultation. 28th Pan American Sanitary Conference 64th Session of the Regional Committee [Internet]. Washington, DC, USA; September 2012. [acceso 4 de noviembre de 2014]; 17-21. Disponible en: http://www.paho.org/hq/index.php?option=com_docman&task=doc_view&gid=21345&Itemid

3. Statham J, Chase E. Childhood Wellbeing: A brief overview. London, Childhood Wellbeing Research Centre. Briefing Paper 1, August 2010.

4. Dodge R, Daly A, Huyton J, Sanders L. The challenge of defining wellbeing. International Journal of Wellbeing. 2012; 2(3): 222-235.

5. La Placa V, McNaught A, Knight A. Discourse on wellbeing in research and practice. International Journal of Wellbeing. 2013; 3(1): 116-125.

6. Busseri A, Sadava SW. A Review of the Tripartite Structure of Subjective Well-Being: Implications for Conceptualization, Operationalization, Analysis, and Synthesis. Pers Soc Psychol Rev. 2011; 15: 290. Originally published online, 3 December 2010; 15(3): 290-314.

7. Wollny I, Apps J, Henricson C. Can government measure family wellbeing? A literature review. Research & Policy for the real world. London: Family & Parenting Institute; 2010.

8. Atkinson S. Moves to measure wellbeing must support a social model of health. British medical journal. 2011; 343(7832): 7323.

9. Eriksson U, Asplund K, Sellström E. Growing up in rural community - children's experiences of social capital from perspectives of wellbeing. Rural and Remote Health [Internet] 2010. [acceso 24 de marzo de 2015]; 10: 1322. Disponible en: http://www.rrh.org.au/articles/showarticlenew.asp?ArticleID=1322

10. Marrero RJ, Carballeira M. El papel del optimismo y del apoyo social en el bienestar subjetivo. Salud Mental. 2010; 33: 39-46.

11. Muñoz C. Bienestar subjetivo y actividad social con sentido histórico en adultos mayores. Hacia la Promoción de la Salud. 2013; 18(2): 13-26.

12. Graham JR, Shier ML. Social work practitioners and subjective well-being: Personal factors that contribute to high levels of subjective well-being. International Social Work. 2010; 53: 757. Originally published online, International Social Work. 2010; 53(6): 757-772.

13. Shier ML, Graham JR. Work-related factors that impact social work practitioners' subjective well-being: Well-being in the workplace. Journal of Social Work. 2011; 11: 402. Originally published online, Journal of Social Work. 2010; 11(4): 402-421.

14. Hruschka DJ, Maupin JN. Competence, Agreement, and Luck: Testing Whether Some People Agree More with a Cultural Truth than Do Others. Field Methods. 2013; 25: 107. Originally published online 19 September 2012.

15. Dressler W, Balieiro MC, Dos Santos JE. Finding Culture Change in the Second Factor: Stability and Change in Cultural Consensus and Residual Agreement. Field Methods, published online 14 August 2014.

16. Reyes-García V. The relevance of traditional knowledge systems for ethnopharmacological research: theoretical and methodological contributions. Journal of Ethnobiology and Ethnomedicine [Internet] 2010. [acceso 24 de marzo de 2015]; 6: 32. Disponible en: http://www.ethnobiomed.com/content/6/1/32

17. Suri H. Purposeful Sampling in Qualitative Research Synthesis. Qualitative Research Journal. 2011; 11(2): 63-75.

18. Torres-López TM, Reynaldos C, Lozano A, Munguía J. Concepciones culturales del VIH/Sida de adolescentes de Bolivia, Chile y México. Revista de Saúde Pública. 2010; 44 (5): 820-9.

19. Aguilera-Guzmán RS, Mondragón L, Medina-Mora ME. Consideraciones éticas en intervenciones comunitarias: la pertinencia del consentimiento informado. Salud Mental. 2008; 31: 129-138.

20. Gibbs G. El análisis de datos cualitativos en Investigación cualitativa. Madrid: Ediciones Morata; 2012.

21. Weller S. Questions Cultural Consensus Theory: Applications and Frequently Asked. Field Methods. 2007; 19: 339-368.

22. Torres-López, TM, Guerrero J, Salazar JG. Dimensiones conceptuales del dengue que favoreces o limitan su prevención. Revista Panamericana de Salud Pública. 2012; 31(3): 197-203.

23. Torres-López TM, Matsui JO, Aranda C. Dimensiones culturales del concepto de influenza humana en estudiantes y docentes de ciencias de la salud que favorecen o dificultan su prevención. Desacatos. 2012; 39: 45-56.

24. Dengah F. How religious status shapes psychological well-being: Cultural consonance as a measure of subcultural status among Brazilian Pentecostals. Social Science & Medicine. 2014; 114: 18-25.

25. Weller SC, Baer RD, García de Alba J, Salcedo AL. Explanatory models of diabetes in the U.S. and Mexico: The patient provider gap and cultural competence. Social Science & Medicine. 2012; 75: 1088-1096.

26. Bustamante E. La comunicación interna y la promoción de la salud. Estudio de caso en Madrid Salud. Hacia la promoción de la Salud. 2013; 18(2): 79-95.

27. Flick U. La gestión de la calidad en Investigación cualitativa. Madrid: Ediciones Morata; 2014.