Inhabitants' and professionals' social representations of health determinants in a disadvantaged urban area in France: a qualitative analysis.

Détails

Ressource 1Télécharger: BIB_29A033CC50A8.P001.pdf (607.07 [Ko])
Etat: Public
Version: Final published version
ID Serval
serval:BIB_29A033CC50A8
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Inhabitants' and professionals' social representations of health determinants in a disadvantaged urban area in France: a qualitative analysis.
Périodique
Revue d'epidemiologie et de sante publique
Auteur(s)
Gilles I., Bejaoui B., Courvoisier N., Clémence A.
ISSN
0398-7620 (Print)
ISSN-L
0398-7620
Statut éditorial
Publié
Date de publication
02/2014
Peer-reviewed
Oui
Volume
62
Numéro
1
Pages
5-14
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Résumé
Access to care in French disadvantaged urban areas remains an issue despite the implementation of local healthcare structures. To understand this contradiction, we investigated social representations held by inhabitants of such areas, as well as those of social and healthcare professionals, regarding events or behaviours that can impact low-income individuals' health.
In the context of a health diagnosis, 288 inhabitants living in five disadvantaged districts of Aix-les-Bains, as well as 28 professionals working in these districts, completed an open-ended questionnaire. The two groups of respondents were asked to describe what could have an impact on health status from the inhabitants' point of view. The textual responses were analyzed using the Alceste method.
We observed a number of differences in the way the inhabitants and professionals represented determinants of health in disadvantaged urban areas: the former proposed a representation mixing personal responsibility with physiological, social, familial, and professional aspects, whereas the latter associated health issues with marginalization (financial, drug, or alcohol problems) and personal responsibility. Both inhabitants and professionals mentioned control over events and lifestyle as determinants of health.
The results are discussed regarding the consequences of these different representations on the beneficiary - healthcare-provider relationship in terms of communication and trust.

Mots-clé
Adolescent, Adult, Aged, Aged, 80 and over, Female, France/epidemiology, Health Personnel/statistics & numerical data, Health Services Accessibility/statistics & numerical data, Humans, Male, Medical Staff/statistics & numerical data, Medical Staff/supply & distribution, Middle Aged, Social Determinants of Health/statistics & numerical data, Urban Population/statistics & numerical data, Vulnerable Populations/statistics & numerical data, Young Adult, Bas revenus, Déterminants de santé, Health determinants, Low-income population, Professional-patient communication, Relation professionnels–patients, Représentation sociale, Social perception
Pubmed
Web of science
Open Access
Oui
Création de la notice
27/11/2014 16:54
Dernière modification de la notice
05/05/2020 6:26
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