Cultural consonance and arterial blood pressure in urban Brazil

Dressler, William W.; Balieiro, Mauro C.; Ribeiro, Renata Perfeito; Santos, José Ernesto dos

doi:10.1016/j.socscimed.2004.12.013

Cited by 82 publications

(63 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although literature has focused more on acute and mental health consequences of exposure to conflict and displacement, 33 those who survive may experience long-term effects that similarly threaten their health and lives, Displacement results in socio-cultural, psychosocial, and physiological stressors. 32,34 These stressors can set in motion a series of physiological changes that have been clearly linked to hypertension [35][36][37][38] as well as other chronic health risks.…”

Section: Discussionmentioning

confidence: 99%

Local Actors’ Frames of the Role of Living Conditions in Shaping Hypertension Risk and Disparities in a Colombian Municipality

2016

View full text Add to dashboard Cite

Conditions in the social and physical environment influence population health and risk for CVD, including hypertension. These environmental conditions are influenced by the decisions of public officials, community leaders, and service providers. Examining the frames that local decision makers bring to understanding hypertension can provide important insights into the decisions that they make about strategies for addressing this problem in their jurisdiction. The goal of this study was to examine the frames that local decision makers in Quibdó, Colombia, bring to understanding hypertension risk, and in particular, whether and how they use frames that encompass associations between living conditions and hypertension risk. Data for this qualitative study were collected using a stratified sampling strategy. Semi-structured interviews were conducted in 2012 with 13 local decision makers and analyzed using a framework approach. Participants linked the structural conditions experienced in Quibdó, including displacement, limited economic opportunities, and the infrastructure of the city, to hypertension risk through multiple pathways, including behavioral risk factors for hypertension and physiologic responses to stress. They described the social patterning of these factors across socioeconomic, racial/ethnic, and gender hierarchies. Although several conditions associated with hypertension risk are widely distributed in the city's population, social processes of marginalization and stratification create additional disadvantages for those on the lower rungs of the social hierarchy.

show abstract

Section: Discussionmentioning

confidence: 99%

Local Actors’ Frames of the Role of Living Conditions in Shaping Hypertension Risk and Disparities in a Colombian Municipality

2016

View full text Add to dashboard Cite

show abstract

“…21 Three investigators familiar with the focus groups carried out the focus group analysis using a grounded theory approach to explore items raised in the CDA, 22 to confi rm the factor items produced by the CDA, and to fi ll in the meaning and relationships of items in this domain. The grounded theory approach involves development of theories about what is occurring in the data as they are collected.…”

Section: Focus Group Interviewsmentioning

confidence: 99%

'Breaking It Down': Patient-Clinician Communication and Prenatal Care Among African American Women of Low and Higher Literacy

Bennett

Switzer²,

Aguirre³

et al. 2006

The Annals of Family Medicine

125

View full text Add to dashboard Cite

PURPOSE Low literacy has been associated with poor medical adherence, but its role in maternal care utilization has not been explored. METHODSWe undertook a concurrent mixed methods study among 202 African American women of low (≤6th grade) and higher literacy receiving Medicaid. Poor use of prenatal care was defi ned by (1) starting care after the fi rst trimester and (2) inadequate care utilization according to the Adequacy of Prenatal Care Utilization Index (APNCU). Participant-derived themes regarding prenatal care and care utilization were identifi ed and explored through individual interviews (free listing and cultural consensus analysis; n = 40), and 4 confi rmatory focus groups stratifi ed by literacy.RESULTS Thirty-three women (16%) had low-literacy levels, 120 (61%) women started prenatal care after the fi rst trimester, and 101 (50%) had inadequate utilization of prenatal care. Neither measure varied by literacy (P >.05). Cultural consensus analysis identifi ed a single prenatal care factor that was comprised of 9 items, shared by women of low and higher literacy (eigenvalue 0.881, SD 0.058). Focus groups confi rmed these items among participants from both literacy groups. Communication with clinicians was a central theme linking all of the factor items. Effective communication, exemplifi ed by "breaking it down," was described as encouraging, whereas ineffective communication discouraged use of care.CONCLUSION Women who had both low-and higher-literacy skills had high rates of poor prenatal care utilization and reported that communication with clinicians infl uenced their use of prenatal care. Improving the clarity of communication by breaking down information into simple parts should be a priority for prenatal clinicians. INTRODUCTIOND espite efforts to improve utilization of maternal health services, vulnerable populations are more likely to enter prenatal care late or receive no care.1 In 2002 African American women were 3 times as likely as white women to have no prenatal care.2 Although increasing the utilization of prenatal care alone will not eliminate the wide disparities in maternal-child health outcomes experienced by African American women, reducing obstacles to prenatal care that may contribute to improved utilization of postpartum and pediatric care is an important goal of the US health system. [3][4][5][6][7][8] Low literacy has been proposed as a possible mediator of health dis- parities, in part through its effects on health care utilization, yet we are not aware of any research that has explored the role of low literacy as an obstacle to utilization of prenatal care.9 What is known is that women with less than a high school education, a risk factor for low literacy, are less likely to initiate early prenatal care. 1,10,11 Literacy is also a critical skill needed for health literacy, which involves both health care navigation and health decision-making skills.9 Studies that identify obstacles to care faced by women of low literacy are needed to guide interventions to improve ...

show abstract

“…Also, we have found that individuals who are culturally consonant in one domain tend to be consonant in other domains, resulting in a generalized cultural consonance. Higher cultural consonance is associated with lower psychological distress (Balieiro, et al, 2011;Dressler, et al, 2002;Dressler, et al, 2007aDressler, et al, , 2007b; lower arterial blood pressure (Dressler & Santos, 2000;Dressler, Balieiro & Santos, 1998;Dressler, Balieiro, Ribeiro, & Santos, 2005); and, lower body mass index (Santos, Oths, & Dressler, 2001;Dressler, Oths, Ribeiro, Balieiro, & Santos, 2008;Dressler, Oths, Balieiro, Ribeiro, & Santos, 2012). These associations can be observed both for cultural consonance in specifi c cultural domains, and for generalized cultural consonance.…”

Section: Cultural Consonancementioning

confidence: 98%

Cultural Consonance, Religion and Psychological Distress in an Urban Community

Dressler

Dengah

Balieiro

et al. 2013

Paidéia (Ribeirão Preto)

Self Cite

View full text Add to dashboard Cite

Cultural consonance is the degree to which individuals approximate prototypes encoded in cultural models. Low cultural consonance is associated with higher psychological distress. Religion may moderate the association between cultural consonance and psychological distress. Brazil, with substantial variation in religion, is an important society for the examination of this hypothesis. Research was conducted in Ribeirão Preto, Brazil, using a mixed-methods design. Measures of cultural consonance were derived using ethnographic methods and then applied in a survey of 271 individuals drawn from four distinct social strata. Low cultural consonance was associated with higher psychological distress in multiple regression analysis (B = -.430, p < .001). Members of Pentecostal Protestant churches reported lower psychological distress independently of the effect of cultural consonance (B = -.409, p < .05). There was no buffering effect of religion. Implications of these results for the study of religion and health are discussed. Keywords: culture, religion, psychological stress Consonância Cultural, Religião e Sofrimento Psicológico em uma Comunidade UrbanaResumo: Consonância cultural é o grau em que os indivíduos se aproximam dos protótipos codifi cados nos modelos culturais. Consonância cultural baixa é associada a sofrimento psicológico. A religião pode moderar a associação entre consonância cultural e sofrimento psicológico. O Brasil apresenta uma diversidade religiosa, sendo, portanto, uma sociedade importante para examinar esta hipótese. Este estudo, realizado em Ribeirão Preto, Brasil, utilizou delineamento de métodos mistos. As medidas de consonância cultural foram derivadas de métodos etnográfi cos e aplicadas em um estudo de levantamento realizado com 271 participantes, selecionados de quatro estratos socias. Consonância cultural baixa mostrou-se associada a sofrimento psicológico alto em análise de regressão múltipla (B = -0,430, p < 0,001). Membros de igrejas protestantes pentecostais relataram menor sofrimento psicológico independente dos efeitos da consonância cultural (B = -0,409, p < 0,05). A religião não moderou o efeito da consonância. São discutidas as implicações desses resultados para o estudo da relação entre religião e saúde.Palavras-chave: cultura, religião, stress psicológico La Consonancia Cultural, la Religión, y los Trastornos Psicológicos en una Comunidad UrbanaResumen: Consonancia cultural es el grado en que individuos se acercan a prototipos codifi cados en modelos culturales. Consonancia cultural baja está asociada con alto nivel de trastornos psicológicos. La religión puede moderar la relación entre consonancia cultural y trastornos psicológicos. Brasil, con variación religiosa considerable, es una sociedad importante para examinar esta hipótesis. La investigación fue realizada en Ribeirão Preto, Brasil, utilizando un diseño de métodos mixtos. Medidas de consonancia cultural se obtuvieron utilizando métodos etnográfi cos y luego se aplican en una encuesta de 271 personas procedent...

show abstract

Cultural consonance and arterial blood pressure in urban Brazil

Cited by 82 publications

References 27 publications

Local Actors’ Frames of the Role of Living Conditions in Shaping Hypertension Risk and Disparities in a Colombian Municipality

Local Actors’ Frames of the Role of Living Conditions in Shaping Hypertension Risk and Disparities in a Colombian Municipality

'Breaking It Down': Patient-Clinician Communication and Prenatal Care Among African American Women of Low and Higher Literacy

Cultural Consonance, Religion and Psychological Distress in an Urban Community

Contact Info

Product

Resources

About