Dressler W W, Mata A, Chavez A, Viteri F E
Soc Sci Med. 1987;24(8):679-87. doi: 10.1016/0277-9536(87)90311-x.
The relationship between changes in individual behavior and arterial blood pressure was studied in a town in central Mexico. Two models relating modern behaviors and blood pressure were examined. The first, or 'accretion model' suggests that any adoption of modern behaviors results in stress and deleterious health change. The second, or 'discrepancy model', suggests that the adoption of modern behaviors is problematic only when the individual has limited access to economic resources. Empirical support for both models was found, but the best predictor of blood pressure was a single index of modern lifestyle, including acquisition of material culture and engaging in cosmopolitan behaviors. The effect of modern lifestyle on blood pressure was independent of the effects of age, sex, sodium intake, and body mass index. Overall the results are consistent with a model in which degree of community modernization, especially as it influences social class structure, is a boundary condition determining the relationship between the adoption of modern behaviors and health status.
在墨西哥中部的一个城镇，研究了个体行为变化与动脉血压之间的关系。考察了两种将现代行为与血压联系起来的模型。第一种，即“累积模型”，表明任何现代行为的采纳都会导致压力和有害的健康变化。第二种，即“差异模型”，表明只有当个体获得经济资源的机会有限时，采纳现代行为才会有问题。两种模型都得到了实证支持，但血压的最佳预测指标是一个现代生活方式的单一指数，包括物质文化的获取和参与国际化行为。现代生活方式对血压的影响独立于年龄、性别、钠摄入量和体重指数的影响。总体而言，研究结果与这样一种模型一致，即社区现代化程度，尤其是其对社会阶级结构的影响，是决定现代行为采纳与健康状况之间关系的一个边界条件。
