Center for Mental Health Outcomes Research, Central Arkansas Veterans Healthcare System, North Little Rock, AR 72114, United States; South Central Mental Illness Research, Education and Clinical Center, Central Arkansas Veterans Healthcare System, North Little Rock, AR 72114, United States; Division of Health Services Research, Department of Psychiatry, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR 72205, United States.
Department of Communication Studies, San Francisco State University, San Francisco, CA 94132, United States; San Francisco Veterans Affairs Health Care System, San Francisco, CA 94121, United States.
Health Place. 2017 Sep;47:63-70. doi: 10.1016/j.healthplace.2017.07.001. Epub 2017 Jul 26.
Most chronic illness management occurs outside clinics and hospitals, in the everyday lives of individuals. We use data from semi-structured interviews with 37 veterans from Southeastern Louisiana and Northern California to illustrate how "health work" for mental health concerns are shaped by place. Using health work as an orienting concept for analysis, we discerned variation between the two study sites in how Veterans used interacting with the natural environment, cultivating time alone, and religious practice to manage their mental health and well-being. Through these findings, we advocate for a situated notion of health work that is mindful of how health-related behaviors are shaped by place and the attributes that constitute place.
大多数慢性病管理都发生在诊所和医院之外，发生在个人的日常生活中。我们使用了来自路易斯安那州东南部和北加利福尼亚州的 37 名退伍军人的半结构化访谈数据，来说明心理健康问题的“健康工作”是如何受到地点影响的。通过使用健康工作作为分析的导向概念，我们发现两个研究地点之间存在差异，退伍军人通过与自然环境互动、培养独处时间和宗教实践来管理他们的心理健康和幸福。通过这些发现，我们倡导一种情境化的健康工作概念，即注意到与健康相关的行为是如何受到地点和构成地点的属性影响的。
