Fabrega H
Br J Prev Soc Med. 1977 Dec;31(4):213-9. doi: 10.1136/jech.31.4.213.
This is the initial report of a longitudinal study conducted in a developing, culturally heterogeneous society. The study compares figures of frequency and length of perceived illness, subjective reports of biological and behavioural symptoms, and use of medical facilities in response to episodes of illness by female heads of households from two highly distinctive social-ethnic groups. Despite differences in socioeconomic status and cultural beliefs about disease and treatment, both groups showed roughly comparable rates of perceived illness, but certain differences were noted. The more prosperous Western group termed ladinos, showed they had had more illness which had also lasted longer, as well as higher levels of symptoms. The medical actions of the two groups in response to these episodes of illness differed. The significance of these results is discussed with respect to the multiplicity of factors which influence health status and judgements of perceived illness.
这是在一个发展中、文化多元的社会中进行的一项纵向研究的初步报告。该研究比较了来自两个截然不同社会族群的女性户主对疾病的感知频率和时长数据、生物和行为症状的主观报告，以及针对疾病发作时使用医疗设施的情况。尽管在社会经济地位以及对疾病和治疗的文化观念上存在差异，但两组的疾病感知率大致相当，但也发现了一些差异。较为富裕的西方群体，即拉迪诺人，表示他们患的病更多，病程也更长，症状水平也更高。两组针对这些疾病发作采取的医疗行动有所不同。结合影响健康状况和疾病感知判断的多种因素，对这些结果的意义进行了讨论。
