Emerging Ideas Relevant to the Salutogenic Model of Health

Mittelmark, Maurice B.; Bull, Torill; Bouwman, L.I.

doi:10.1007/978-3-319-04600-6_6

Cited by 32 publications

(32 citation statements)

References 36 publications

(28 reference statements)

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“…If the partner’s role is not acknowledged, they may be less likely to play a part in making sense of a diagnosis or comprehending treatment plans. By contrast, experiences of validation draw on salutary factors in cancer care, most notably the desired outcomes of ‘reassurance of worth’ (as an LGB person with cancer), providing opportunities for ‘nurturing’ and laying the foundations for a ‘reliable alliance’ with their carer in promoting recovery and quality of life [25]. There were, however, several instances where partners were validated by health professionals and the relationship was quietly accepted or openly acknowledged.…”

Section: Resultsmentioning

confidence: 99%

Disclosure in lesbian, gay and bisexual cancer care: towards a salutogenic healthcare environment

2019

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Background The literature on sexual orientation disclosure is arguably one of the most developed in the field of lesbian, gay and bisexual (LGB) people in healthcare in English speaking countries however, relatively little research has been conducted into disclosure in cancer care. Studies have been mainly undertaken in primary care where distinct circumstances pertain and where the benefits of disclosure include obtaining appropriate health information, treatment advice and avoiding misdiagnosis. Methods We conducted an in-depth qualitative study primarily recruiting patients through oncology care in hospital settings and through LGB community cancer support groups. Data were gathered through semi-structured interviews with 30 LGB patients with different cancer types. Results Data were analysed using thematic analysis and interpreted and interrogated through salutogenesis theory which offers a useful lens through which to consider the health promoting effects of sexual orientation disclosure in cancer care. We present three themes as part of the analysis: Authenticity as a driver for disclosure in cancer care, Partners as a (potential) salutogenic resource and Creating safe, healing environments conducive to disclosure. The findings are reported and discussed in relation to three inter-related concepts from current salutogenesis theorising including a sense of coherence, generalised resistance resources and healing environments which can facilitate sexual orientation disclosure. Conclusion Our findings enable a more nuanced approach to understanding disclosure in this context. This study contributes to the literature through its articulation of the salutogenic potential of disclosure (if responded to appropriately) for LGB patients as individuals, in relationship to their partners or carers and the role of creating a visible healing-oriented optimal environment to promote quality of life and recovery. Electronic supplementary material The online version of this article (10.1186/s12885-019-5895-7) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Disclosure in lesbian, gay and bisexual cancer care: towards a salutogenic healthcare environment

2019

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“…The salutogenic approach highlights the importance of promoting health assets and the active role of people in creating health. Given that health arises from the interplay between people and their context, it must be considered that people have a critical role in bringing about change [ 9 ]. According to Morgan and Ziglio [ 10 ], these health assets represent any factor or resource that enhances the ability of individuals, communities, and populations to maintain and sustain health and well-being and to help to reduce health inequalities.…”

Section: Introductionmentioning

confidence: 99%

Different Responses to Stress, Health Practices, and Self-Care during COVID-19 Lockdown: A Stratified Analysis

Bermejo‐Martins

Luis

Sarrionandia

et al. 2021

IJERPH

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The aim of the present cross-sectional study was to analyze the differential impact of the first COVID-19 lockdown (3 April 2020) on stress, health practices, and self-care activities across different Hispanic countries, age range, and gender groups. One thousand and eighty-two participants from Spain, Chile, Colombia, and Ecuador took part in this study. Irrespective of the country, and controlling for income level, young people, especially females, suffered a greater level of stress, perceived the situation as more severe, showed less adherence to health guidelines, and reported lower levels of health consciousness, in comparison to their male peers and older groups. However, in the case of self-care, it seems that older and female groups are generally more involved in self-care activities and adopt more healthy daily routines. These results are mostly similar between Colombia, Ecuador, and Spain. However, Chile showed some different tendencies, as males reported higher levels of healthy daily routines and better adherence to health guidelines compared to females and people over the age of 60. Differences between countries, genders, and age ranges should be considered in order to improve health recommendations and adherence to guidelines. Moreover, developing community action and intersectoral strategies with a gender-based approach could help to reduce health inequalities and increase the success of people ́s adherence to health guidelines and self-care-promoting interventions. Future studies should be addressed to explore the possible causations of such differences in more cultural-distant samples and at later stages of the current outbreak.

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“…Persons with NCCDs account for ≥70% of all deaths worldwide (Centeno and Arias-Casais, 2019;World Health Organization, 2019b). Palliative care (PC) is essential to quality living as well as to quality death for persons with NCCDs, and the concepts and services related to its provision are part of the integrative care approach to health care that includes health promotion even in the presence of established disease (Mittelmark et al, 2017). The WHO definition of PC puts emphasis on enhancing quality of life (QOL) for patients and their families through the prevention/relief of suffering by means of early identification, comprehensive assessment and treatment of pain and other physical, psychosocial and spiritual suffering.…”

Section: Introductionmentioning

confidence: 99%

Rethinking palliative care in a public health context: addressing the needs of persons with non-communicable chronic diseases

Tziraki

Grimes

Ventura

et al. 2020

Prim Health Care Res Dev

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Non-communicable chronic diseases (NCCDs) are the main cause of morbidity and mortality globally. Demographic aging has resulted in older populations with more complex healthcare needs. This necessitates a multilevel rethinking of healthcare policies, health education and community support systems with digitalization of technologies playing a central role. The European Innovation Partnership on Active and Healthy Aging (A3) working group focuses on well-being for older adults, with an emphasis on quality of life and healthy aging. A subgroup of A3, including multidisciplinary stakeholders in health care across Europe, focuses on the palliative care (PC) model as a paradigm to be modified to meet the needs of older persons with NCCDs. This development paper delineates the key parameters we identified as critical in creating a public health model of PC directed to the needs of persons with NCCDs. This paradigm shift should affect horizontal components of public health models. Furthermore, our model includes vertical components often neglected, such as nutrition, resilience, well-being and leisure activities. The main enablers identified are information and communication technologies, education and training programs, communities of compassion, twinning activities, promoting research and increasing awareness amongst policymakers. We also identified key ‘bottlenecks’: inequity of access, insufficient research, inadequate development of advance care planning and a lack of co-creation of relevant technologies and shared decision-making. Rethinking PC within a public health context must focus on developing policies, training and technologies to enhance person-centered quality life for those with NCCD, while ensuring that they and those important to them experience death with dignity.

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Emerging Ideas Relevant to the Salutogenic Model of Health

Cited by 32 publications

References 36 publications

Disclosure in lesbian, gay and bisexual cancer care: towards a salutogenic healthcare environment

Disclosure in lesbian, gay and bisexual cancer care: towards a salutogenic healthcare environment

Different Responses to Stress, Health Practices, and Self-Care during COVID-19 Lockdown: A Stratified Analysis

Rethinking palliative care in a public health context: addressing the needs of persons with non-communicable chronic diseases

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