Abstract:
:Elevated arterial blood pressure varies substantially in relation to social and cultural variables. Early work on acculturation, socioeconomic status, and blood pressure documented this variation, which could not be explained entirely by conventional factors such as diet, physical activity, or access to medical care. These findings stimulated the development of a model of stress and disease. The stress model emphasizes social and psychological factors that are perceived by individuals to be stressful, as well as factors that help individuals to respond to those stressors. Conventional stress models are, however, problematic because the primary emphasis is on individual perception, with little consideration of the social and cultural context in which stress occurs. This paper describes a complementary model of social and cultural influences on disease risk, placing greater emphasis on how individuals are able to approximate, in their own behaviors, shared cultural models of life, referred to as "cultural consonance". Findings from research in Brazil indicate that the higher an individual's cultural consonance, the lower his or her blood pressure. These results indicate the importance of linking different levels of analysis - the cultural, the individual, and the biological - to understand disease risk.
journal_name
Cad Saude Publicajournal_title
Cadernos de saude publicaauthors
Dressler WW,Santos JEdoi
10.1590/s0102-311x2000000200002keywords:
subject
Has Abstractpub_date
2000-04-01 00:00:00pages
303-15issue
2eissn
0102-311Xissn
1678-4464pii
S0102-311X2000000200002journal_volume
16pub_type
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