The Power of Clan: The Influence of Human Relationships on Heart Disease

כריכה קדמית
Transaction Publishers, 1993 - 171 עמודים

Medical sociologists have long recognized the importance of community and family structure in the health of individuals. However, the past quarter century in America has seen an increasing emphasis on individualism and materialism that has effectively diminished the cohesiveness and emotional support provided by these basic social units. The Power of Clan examines the health effects of social change in a largely Italian-American town over a twenty-five-year period and provides substantial evidence of the protective effect of family bonds and shared social values against coronary heart disease and sudden death.

The unique feature of the Roseto, Pennsylvania community was its remarkably low death rate from heart attacks, this in spite of the fact that such risk factors as smoking, lack of exercise, high fat and cholesterol diet were found to be just as prevalent in Roseto as in four nearby control towns. Roseto's traditional, family-oriented social structure, however, differed vastly from that of neighboring towns where materialistic values were predominant and where the individual, rather than the family, was considered to be the unit of society.

At the beginning of their study in the early 1960s, the authors noted indications of imminent social change toward a more Americanized system of values and behavior. Interviews with younger inhabitants revealed much respect for old-world traditions but not as much enthusiasm for living by them. The study's prediction that the abandonment of selfless, communal standards would undermine Rosetans relative immunity to heart disease was borne out as death rates from heart attack climbed to levels comparable to those of the control towns by 1975. The Power of Clan is the product of twenty-five years of continuous observation. The findings of its original study have been carefully examined and its predictions largely confirmed. It is a landmark volume in the longitudinal study of health in an advanced industrial society. It also constitutes a large step forward in the cooperation of medical and sociological researchers.

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עמודים נבחרים

תוכן

The Medical Significance of the Social Environment
Rosetos History Turmoil Cohesion and Adaptation
11
A Medical Study of Neighboring Communities with Contrasting Social Patterns
23
Strategy of Inquiry Subjects Methods and Hypothesis Testing
47
Mortality in Roseto and Adjacent Bangor 19351985
59
Changing Prevalence of Myocardial Infarction 19621985
77
Predictive Significance of Various Clinical and Behavioral Measures
95
Social Change 19631988
109
Coda
125
Appendix
133
References
149
Index of Proper Names
157
Subject Index
161
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מונחים וביטויים נפוצים

קטעים בולטים

עמוד 117 - It must be so in order not to be destroyed, dissolved or disintegrated by the colossal forces, often adverse, which surround it. By an apparent contradiction it maintains its stability only if it is excitable and capable of modifying itself according to external stimuli and adjusting its response to the stimulation. In a sense it is stable because it is modifiable - the slight instability is the necessary condition for the true...
עמוד 113 - In the end, more than they wanted freedom, they wanted security. They wanted a comfortable life and they lost it all — security, comfort, and freedom. When the Athenians finally wanted not to give to society but for society to give to them, when the freedom they wished for most was freedom from responsibility, then Athens ceased to be free.
עמוד 140 - Pekkanen J, Linn S, Heiss G, et al. Ten-year mortality from cardiovascular disease in relation to cholesterol level among men with and without preexisting cardiovascular disease.
עמוד 46 - During the first five years of our study it was difficult to distinguish, on the basis of dress or behavior, the wealthy from the impecunious in Roseto. Living arrangements (houses and cars) were simple and strikingly similar. Despite the affluence of many, there was no atmosphere of "keeping up with the Joneses" in Roseto, no "putting on the dog.
עמוד 8 - War II Italy they know with the preFrench-Revolution Italy which Goethe saw. (Speaking for myself, I am amazed at their similarity. Is there any other country in Europe where the character of the people seems to have been so little affected by political and technological change...
עמוד 79 - The data obtained over a span of twenty years in the Italian-American community of Roseto, when compared with those of neighboring communities, strongly suggest that cultural characteristics — the qualities of a social organization — affect in some way individual susceptibility to myocardial infarction and sudden death. The implication is that an emotionally supportive social environment is protective and that, by contrast, the absence of family and community support and the lack of a well-defined...
עמוד 139 - Jr. (1974). Antecedents of cardiovascular disease in six Solomon Island societies. Circulation 49, 1132-1146 6 Cruiz-Coke, R., Etcheverry, R., and Nagel, R.
עמוד 46 - The local priest emphasized that when preoccupation with earning money exceeded the unmarked boundary it became a basis for social rejection, irrespective of the standing of the person outside the community. Similarly, a lack of concern for community needs, especially by those who would spend their money on frivolous pleasures, constituted grounds for social exclusion. Rosetan culture thus provided a set of checks and balances to ensure that neither success nor failure got out of hand.
עמוד 1 - There can be hope only for a society which acts as one big family, and not as many separate ones.
עמוד 142 - QT interval prolongation as predictor of sudden death in patients with myocardial infarction. Circulation 1978;57 (6) :1074-7.

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