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Concepts of health and illness: Different constructs or variations on a theme?
Abstract
Although health and illness concepts are thought to be important mediators of health and illness behaviors, little work has been done examining health concepts, and no research has examined the two conceptual structures simultaneously. This study examined concepts of health and illness in 218 adolescents between the ages of 11 and 18 years. Results were consistent with the hypothesis that concepts of health and illness are not opposite ends of a single health dimension, but reflect different and overlapping constructs. The degree of overlap varied as a function of age, with health concepts showing less emphasis on "the absence of illness" with greater maturity. The results suggest that models of health behavior that focus on illness avoidance neglect many components of health salient to lay persons.
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Lay people's perspective on health and illness should not be viewed as constructs on opposite ends of a single continuum, but rather as two distinct but overlapping constructs.
“Overall, lay people’s perspective on health and illness should not be viewed as constructs on opposite ends of a single continuum, but rather as two distinct but overlapping constructs (22).”
From Concepts and definitions of health and health-related values in the knowledge landscapes of the digital society (2017) · cites this paper as [22]
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Svalastog, A. L., Donev, D., Jahren Kristoffersen, N., & Gajović, S. (2017) · Croatian Medical Journal · doi:10.3325/cmj.2017.58.431 · Cited by 225
Metadata
- Authors
- Millstein, S. G., & Irwin, C. E.
- Affiliations
- University of California, San Francisco (US)
- Venue
- Health Psychology
- Published
- 1987
- Volume
- 6
- Issue
- 6
- Pages
- 515-524
- ISSN
- 0278-6133 (ISSN-L)
- 1930-7810
- OpenAlex
- W2044250795
- Cited by
- 64
- References
- 0
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 1 · 2021: 1 · 2020: 1 · 2018: 1 · 2017: 2 · 2014: 4 · 2013: 2 · 2012: 3
- FWCI
- 9.48
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- William T. Grant Foundation
- U.S. Public Health Service (MCJ 000978)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health, psychology, and well-being
- Health Sciences › Health Professions › General Health Professions › Health and Wellbeing Research
- Social Sciences › Arts and Humanities › History and Philosophy of Science › Medicine, History, and Philosophy
- Keywords
- concept of health, illness beliefs, adolescents, health behavior, health dimensions, age differences
- MeSH terms
- Adolescent, Psychology, Adolescent, Attitude to Health, Concept Formation, Female, Humans, Male, Psychological Tests, Sick Role
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