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

The DOI matches its Crossref record; 100 of the 100 references it cites were found in a registry or an index.

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

Open access
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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Show all 98 references

Research works printed but not linked: 17

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Metadata

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
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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