School of Nursing, Johns Hopkins University, Baltimore, Maryland (Drs Miller, Rodney, and Allen and Mr Thornton); and Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland (Dr Thorpe). Dr Miller is now at Duke University School of Nursing, Durham, North Carolina.
ANS Adv Nurs Sci. 2020 Oct/Dec;43(4):375-390. doi: 10.1097/ANS.0000000000000327.
The concept of social cohesion has been indicated to be a critical social determinant of health in recent literature. Inconsistencies surrounding the conceptualization and operationalization have made utilizing these findings to inform health intervention and policy difficult. The objective of this article is to provide a theoretical clarification of the concept "social cohesion," as it relates to health behaviors and outcomes by using the Rodgers' evolutionary method for concept analyses. This article uncovers the critical attributes, antecedents, and consequences of social cohesion and provides reflection on future use of social cohesion in health literature.
近年来的文献表明，社会凝聚力是健康的一个重要社会决定因素。由于概念化和操作化方面存在不一致，因此利用这些发现来为健康干预和政策提供信息变得困难。本文的目的是使用罗杰斯的进化方法进行概念分析，为与健康行为和结果相关的“社会凝聚力”这一概念提供理论澄清。本文揭示了社会凝聚力的关键属性、前因和后果，并对未来在健康文献中使用社会凝聚力进行了反思。
