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Related Experiment Videos

Self care: Japan and the U.S. compared.

M R Haug1, H Akiyama, G Tryban

  • 1Center on Aging and Health, Case Western Reserve University, Cleveland, OH 44106.

Social Science & Medicine (1982)
|January 1, 1991
PubMed
Summary

Older adults in Japan and the U.S. exhibit different self-care behaviors for common symptoms. Cultural factors significantly influence health beliefs and healthcare utilization among these populations.

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Area of Science:

  • Gerontology
  • Cross-cultural Health Studies
  • Health Behavior Research

Background:

  • Older adults' experiences with symptoms and self-care vary globally.
  • Cultural and healthcare system differences impact health decisions.
  • The Health Belief Model provides a framework for understanding health behaviors.

Purpose of the Study:

  • To compare symptom experience and self-care behaviors in older adults between Japan and the U.S.
  • To explore the influence of cultural background and health insurance systems on self-care decisions.
  • To examine the role of perceived susceptibility and belief in physician care efficacy.

Main Methods:

  • Comparative study of older adults in Japan (N=900) and the U.S. (N=728).
  • Data collected from participants in three communities of varying sizes.

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  • Utilized a modified Health Belief Model to analyze explanatory concepts.

    • Main Results:

    • Self-rated health was similar, indicating comparable low perceived susceptibility to illness.
    • Japanese respondents reported fewer symptoms and a higher likelihood of using self-care, even for serious issues.
    • Despite fewer reported physician errors, Japanese individuals showed a lower preference for physician care compared to U.S. respondents.

    Conclusions:

    • Cultural differences significantly shape self-care behaviors and healthcare-seeking patterns in older adults.
    • Factors like health behaviors, chronic conditions, and desire for autonomy interact with cultural contexts.
    • Understanding these cultural nuances is crucial for developing effective health interventions for aging populations.