Eriksson Monica, Lindström Bengt
Folkhälsan Research Centre, Health Promotion Programme, PO Box 63, FIN-00250 Helsinki, Finland.
J Epidemiol Community Health. 2006 May;60(5):376-81. doi: 10.1136/jech.2005.041616.
The aim of this paper is to synthesise empirical findings on the salutogenic concept sense of coherence (SOC) and examine its capacity to explain health and its dimensions.
The study is descriptive and analytical with a systematic integration of the contemporary knowledge base on the salutogenic research published 1992-2003. The review includes 458 scientific publications and 13 doctoral theses.
Worldwide, based on postgraduate scientific publications in eight authorised databases, doctoral theses, and available books.
SOC is strongly related to perceived health, especially mental health. The stronger the SOC the better the perceived health in general, at least for those with an initial high SOC. This relation is manifested in study populations regardless of age, sex, ethnicity, nationality, and study design. SOC seems to have a main, moderating or mediating role in the explanation of health. Furthermore, the SOC seems to be able to predict health. SOC is an important contributor for the development and maintenance of people's health but does not alone explain the overall health.
SOC seems to be a health promoting resource, which strengthens resilience and develops a positive subjective state of health. Salutogenesis is a valuable approach for health promotion and would be worth to implement in practice much more than to date.
本文旨在综合关于健康生成概念即连贯感（SOC）的实证研究结果，并考察其解释健康及其维度的能力。
本研究具有描述性和分析性，系统整合了1992 - 2003年发表的关于健康生成研究的当代知识库。该综述涵盖458篇科学出版物和13篇博士论文。
基于八个权威数据库中的研究生科学出版物、博士论文及现有书籍，范围覆盖全球。
连贯感与感知到的健康状况密切相关，尤其是心理健康。连贯感越强，总体上感知到的健康状况越好，至少对于那些初始连贯感较高的人是这样。这种关系在不同年龄、性别、种族、国籍和研究设计的研究人群中均有体现。连贯感在健康状况的解释中似乎起到主要、调节或中介作用。此外，连贯感似乎能够预测健康。连贯感是人们健康发展和维持的重要因素，但并不能单独解释整体健康状况。
连贯感似乎是一种促进健康的资源，它增强恢复力并形成积极的健康主观状态。健康生成是一种有价值的健康促进方法，在实践中比迄今为止更值得实施。
