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Social Cohesion in Health: A Concept Analysis
Hailey N Miller1, Clifton P Thornton, Tamar Rodney
1School of Nursing, Johns Hopkins University, Baltimore, Maryland (Drs Miller, Rodney, and Allen and Mr Thornton); and Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland (Dr Thorpe). Dr Miller is now at Duke University School of Nursing, Durham, North Carolina.
Abstract:
The concept of social cohesion has been indicated to be a critical social determinant of health in recent literature. Inconsistencies surrounding the conceptualization and operationalization have made utilizing these findings to inform health intervention and policy difficult. The objective of this article is to provide a theoretical clarification of the concept "social cohesion," as it relates to health behaviors and outcomes by using the Rodgers' evolutionary method for concept analyses. This article uncovers the critical attributes, antecedents, and consequences of social cohesion and provides reflection on future use of social cohesion in health literature.
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