Análisis del modelo salutogénico en España: aplicación en salud pública e implicaciones para el modelo de activos en salud

Abstract

This article seeks to provide an in depth review about one of the most revolutionary and influential methods used in understanding the variables and processes that explain human health. Based on a new vision in the analysis of the consequences of the Nazi Holocaust, a doctor-sociologist--Aaron Antonovsky--managed to influence medicine and behavioral science by facilitating the keys for the optimal development of public health today. Despite the fact that this theory began appearing in the 1970s in the 20th century, its real development and expansion have been seen in recent years. In fact, in Spain, there is little scientific literature that analyses the theoretic keys of the model in depth. This work seek to cover this gap; to achieve this objective, it first presents how the construct of salutogenesis arose, the social-cultural context that promoted it, as well as the importance public health acquires today. This is the aim of this work, which analyses the theoretical bases of the salutogenesis model, with specific emphasis on its background and precursors, as well as its inception, development and current expansion.

Influence of the Sense of Coherence, the Doctor–Patient Relationship, Optimism and Non-Haematological Adverse Reactions on Health-Related Quality of Life in Patients with Breast Cancer

“…On the other hand, the multivariate relationship model carried out in this study highlights the complex network of relationships between the different constructs analysed in order to explain the impact they have on the quality of life. This study corroborates, together with the results of other research [39], the direct involvement of the sense of coherence on the quality of life, and also adds the number of adverse reactions as a new construct (that had been unproven till now). This implies practically the same impact on the quality of life of these patients but in reverse.…”

La influencia de la personalidad en la percepción de los cuidados sobre la salud de los jóvenes españoles

“…Comportamientos como fumar, beber alcohol de forma excesiva, abusar de las drogas, realizar conductas de riesgo sexual, conducir de manera temeraria o comer de forma no saludable son los mayores riesgos de enfermedad, incapacidad y/o muerte que se dan en las sociedades occidentales. El enfoque de salud-enfermedad ha evolucionado desde el modelo tradicional patogénico hacia un modelo salutogénico, en el cual la salud se encuentra en constante construcción (Rivera de los Santos, Ramos, Moreno & Hernán, 2011).…”

Physical activity prescription by primary care nurses using health assets: Study design of a randomized controlled trial in patients with cardiovascular risk factors

“…This paradigm is focused on problem‐solving and the ability to use the resources available (Lindström & Eriksson, ), thus determining indicators of both the patients themselves and the social context that improves health (Antonovsky, ). Furthermore, this paradigm identifies Resistance General Resources such as biological, material and psychosocial factors that make people perceive their life as coherent, structured and understandable in an easier way (Rivera de los Santos, Ramos Valverde, Moreno Rodríguez, & Hernán García, ). They help people to move towards a healthy status due, at least in part, to one of the strengths of the salutogenic model, which is its practical applicability.…”

“…Furthermore, the salutogenic model is a good approach to be applied in policy and public health programmes development. In this sense, using this paradigm it is possible to change and revitalize health promotion towards action models based on health assets (Craig, Bauman, & Reger‐Nash, ; Rivera de los Santos et al., ). Nowadays, public health research suggests the use of a socio‐ecological approach for improving adherence to PA (Thompson et al., ).…”

“…| 2193 in policy and public health programmes development. In this sense, using this paradigm it is possible to change and revitalize health promotion towards action models based on health assets (Craig, Bauman, & Reger-Nash, 2010;Rivera de los Santos et al, 2011).…”