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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.
ANS. Advances in Nursing Science
|September 21, 2020
Summary
Social cohesion, a key social determinant of health, lacks clear definition. This study clarifies its attributes, origins, and effects to improve health interventions and policy.
Area of Science:
- Public Health
- Sociology
- Health Policy
Background:
- Social cohesion is recognized as a crucial social determinant of health.
- Current literature shows inconsistencies in defining and measuring social cohesion.
- These inconsistencies hinder the application of findings in health interventions and policy.
Purpose of the Study:
- To theoretically clarify the concept of social cohesion.
- To examine the relationship between social cohesion, health behaviors, and health outcomes.
- To provide a foundation for future research and application in public health.
Main Methods:
- Utilized Rodgers' evolutionary method for concept analysis.
- Identified critical attributes, antecedents, and consequences of social cohesion.
- Synthesized existing literature on social cohesion and health.
Main Results:
- Defined social cohesion through its core attributes, precursors, and outcomes.
- Highlighted the multifaceted nature of social cohesion's impact on health.
- Established a clearer conceptual framework for social cohesion in health research.
Conclusions:
- A precise understanding of social cohesion is vital for effective health strategies.
- Further research should focus on consistent operationalization for policy and intervention.
- This clarified concept can guide future public health initiatives and research.
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