کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
7329700 1476007 2016 11 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
The Index of Vulnerability: An anthropological method linking social-ecological systems to mental and physical health outcomes
ترجمه فارسی عنوان
شاخص آسیب پذیری: یک روش انسان شناسی است که سیستم های اجتماعی-اکولوژیکی را به نتایج سلامت روحی و روانی مرتبط می کند
کلمات کلیدی
آمازون، مردم شناسی، رویکرد بیولوژیکی انتقادی، آسیب پذیری، سلامتی، ابوجهن،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی سیاست های بهداشت و سلامت عمومی
چکیده انگلیسی
Researchers need measures of vulnerability that are grounded in explicit theoretical and conceptual frameworks, that are sensitive to local contexts, and that are easy to collect. This paper presents the Index of Vulnerability (IoV), a quantitative yet anthropologically-informed method connecting social-ecological systems to mental and physical health outcomes. The IoV combines measures of five life domains; food insecurity, water insecurity, access to healthcare, social support, and social status. Scores on this index increase for each life domain where the individual falls into a “high risk” category. Thus, individuals with the highest IoV scores are those who are at risk across multiple life domains. This approach makes the IoV malleable to local contexts, as scholars can choose which measure of each life domain is most appropriate for their study population. An anthropological study conducted among 225 Awajún adults living in the Peruvian Amazon from March to November of 2013 showed that men with higher IoV scores had significantly lower summary fat skinfolds, lower triglyceride levels, and a greater probability of reporting moderate to severe somatic symptoms and poor perceived health. Awajún women with higher IoV scores had significantly elevated perceived stress levels and a greater probability of reporting poor perceived health and moderate to severe somatic and depressive symptoms. Importantly, comparing the IoV to its constituent parts shows that it predicts a wider range of mental and physical health outcomes than any of the life domains alone. The IoV is presented here in relation to the broader political-economic and cultural context of the Awajún, forwarding a critical biocultural approach within anthropology, and demonstrating the IoV's utility for other scholars and practitioners.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Social Science & Medicine - Volume 162, August 2016, Pages 68-78
نویسندگان
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