Mansour A A
College of Nursing, University of Saskatchewan, Saskatoon.
J Community Health. 1994 Jun;19(3):165-79. doi: 10.1007/BF02260377.
Health for all by the year 2000 is a goal for many professionals. Health promotion is a key strategy for attaining that goal. An essential step in the process is defining the term health. A review of literature reveals that the public was not consulted regarding their definition of the term, although it is their health that everyone is trying to promote. The aim of this study was to find out how lay people in Saskatoon define health, and investigate the effects of several independent variables on their conceptualizations. One hundred residents participated in the study. The mail and telephone survey method was used to collect the data. Chi-square tests, Mann-Whitney and Kruskal-Wallis were used to analyze the data. The results of the study show that the respondents preferred functional and wellness definitions of health. They disagreed though that health is wellness despite the presence of disease, which is contrary to the expectations of many health professionals. They, moreover, disagreed with economical and religious definitions of health. Several independent variables were tested for their influence on the respondents' conceptualization. Sex seems to have a major impact on one's definition of health, and the value one places on the different aspects of life determines how one defines health. It is recommended that health professionals always assess their clients' definition of health prior to prescribing interventions. Health is not a commodity, but a basic right of human beings; and if community involvement is to become a reality, it should start with a public definition of the term "Health."
到2000年实现全民健康是许多专业人士的目标。健康促进是实现该目标的关键策略。这一过程中的一个重要步骤是界定“健康”一词。文献综述表明,尽管大家努力促进的是公众的健康,但在界定“健康”一词时却未征求公众的意见。本研究的目的是了解萨斯卡通市的普通民众如何界定健康,并调查几个自变量对其概念化的影响。100名居民参与了这项研究。采用邮寄和电话调查方法收集数据。使用卡方检验、曼-惠特尼检验和克鲁斯卡尔-沃利斯检验分析数据。研究结果表明,受访者更喜欢从功能和健康状态方面来界定健康。不过,他们不同意健康就是尽管患病但仍处于健康状态的观点,这与许多健康专业人士的预期相反。此外,他们也不同意从经济和宗教方面来界定健康。对几个自变量对受访者概念化的影响进行了测试。性别似乎对一个人的健康定义有重大影响,而一个人对生活不同方面所赋予的价值决定了其对健康的定义方式。建议健康专业人士在开出处方干预措施之前,始终评估其客户对健康的定义。健康不是一种商品,而是人类的一项基本权利;如果社区参与要成为现实,就应该从对“健康”一词的公开定义开始。