Cited by 131Cultural Competency in Health CareMigration, Identity, and HealthIndigenous Health, Education, and Rights

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Cultural Determinants of Help Seeking: A Model for Research and Practice

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Arnault, Denise Saint·2009·Research and theory for nursing practice

DOI 10.1891/1541-6577.23.4.259PMC PMC2796597

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Abstract

Increasing access to and use of health promotion strategies and health care services for diverse cultural groups is a national priority. While theories about the structural determinants of help seeking have received empirical testing, studies about cultural determinants have been primarily descriptive, making theoretical and empirical analysis difficult. This article synthesizes concepts and research by the author and others from diverse disciplines to develop the midrange theoretical model called the Cultural Determinants of Help Seeking (CDHS). The multidimensional construct of culture, which defines the iterative dimensions of ideology, political economy, practice, and the body, is outlined. The notion of cultural models of wellness and illness as cognitive guides for perception, emotion and behavior as well as the synthesized concept of idioms of wellness and distress are introduced. Next, the CDHS theory proposes that sign and symptom perception, the interpretation of their meaning, and the dynamics of the social distribution of resources are all shaped by cultural models. Then the CDHS model is applied to practice using research with Asians. Finally, implications for research and practice are discussed.

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Authors: Arnault, D. S.
Affiliations: Michigan State University (US)
Corresponding author: Arnault, Denise Saint
ORCID: Arnault, Denise Saint
Venue: Research and theory for nursing practice
Publisher: Springer Publishing Company
Published: 2009-11
Volume: 23
Issue: 4
Pages: 259-278
ISSN: 0889-7182 (ISSN-L)
1541-6577
1945-7286
DOI: 10.1891/1541-6577.23.4.259
PMC: PMC2796597
OpenAlex: W1980818956
Cited by: 131
References: 98
Citations by year: 2026: 8 · 2025: 15 · 2024: 12 · 2023: 6 · 2022: 7 · 2021: 15 · 2020: 14 · 2019: 6 · 2018: 8 · 2017: 9 · 2016: 9 · 2015: 6 · 2014: 4 · 2013: 1 · 2012: 3
FWCI: 10.78
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Research and theory for nursing practice (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Mental Health (R01MH071307, MH071307)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Cultural Competency in Health Care
Social Sciences › Sociology and Political Science › Migration, Identity, and Health
Social Sciences › Health › Indigenous Health, Education, and Rights
Keywords: help-seeking, cultural factors, health promotion, Asian Americans, health care access, cultural diversity
MeSH terms: Cultural Characteristics, Humans, Models, Theoretical, Patient Acceptance of Health Care

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Cultural Determinants of Help Seeking: A Model for Research and Practice

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