Titre :
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Patients'perceptions of their heart attack and recovery : The influence of epidemiological "evidence" and personal experience. (1998)
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Auteurs :
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R. WILES
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Type de document :
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Article
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Dans :
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Social science and medicine (vol. 46, n° 11, 1998)
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Pagination :
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1477-1486
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Langues:
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Anglais
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Mots-clés :
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Cardiopathie
;
Condition vie
;
Comportement
;
Risque
;
Homme
;
Prévention santé
;
Royaume Uni
;
Europe
;
Appareil circulatoire [pathologie]
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Résumé :
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[BDSP. Notice produite par INIST wR0x19eM. Diffusion soumise à autorisation]. Secondary prevention of heart disease is widely viewed as likely to be more successful and cost effective than primary prevention. However, people's willingness to adopt lifestyle change is a complex issue in which people's perceptions of disease causation and risk as well as a range of socio-economic factors are important. This paper reports on a qualitative study of people following heart attack which examines their understandings of heart attack and the salience that lifestyle advice has in the light of these understandings. In-depth, qualitative interviews were conducted with 25 people recovering from heart attack. Each person was interviewed twice : at around two weeks and five months following their heart attack. The study found that information about recovery provided by health professionals was based on a simplified version of epidemiological evidence. This information played a central role in people's understandings about the nature of heart attack and their future risk in the early weeks following heart attack. However, as interviewees came to terms with the shock of the event, they tended to lose their trust in "official" accounts of cause and recovery and evidence from lay epidemiology that contradicted official accounts tended to emerge. (...)
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