TABLE 1.

Comparison of Constructs and Concepts from Medical Anthropology and the Cultural Determinants of Help Seeking Model

Field of study/constructs	MA questions/concepts	CDHS conceptsa
Ideationb–f  Ideals, values, meanings  What is important, preferred, good, right, normal  The world, our place within it	How do beliefs/values about health and concepts about the body influence health behavior? Health-related beliefs, meanings, causal models, values, use of symbols of vocabulary, schemas	Perception, labeling of symptoms Beliefs: cause, course, cure, manageability Social significance or consequence of illness Beliefs about functioning Perceived need
Politics/economicsg–i  Organization of social structures  Acquistion, distribution of wealth, resources  Patterns of consumption, exchange  Material culture, technology, infrastructre  Policy  Institutional, social control	How do ideologies shape service delivery, service use, inequities and disparities, and power within the health care system? Medical or nursing education that systematically leads to inequity, discriminatory or biased practices, the evolution and justification of dominant and action, models of health care, how systems of power are upheld, perceived discrimination, stigma, and social regulation of resources and exchange	Availability and use of social and professional services Social exchange rules
Practicej–q  Body: nexus of practical engagements with world  Tradition upholds, emobdies, enforces practices  Tradition, dress, gender relations, childrearing, socialization, etiquette, communication, foods and nutrition	How are health-related actions guided by interpretation? How do symbols function in healing diagnosis and rituals? How are system-level variables (e.g., race, class, gender, power) “performed” and embodied? Idioms of distress, health communication practices and preferences, self-disclosure, illness and health maintenance practices, and help seeking behaviors	Help seeking actions Communication of distress within the exchange rules Embodiment of distress Health-related actions, traditions and practices

Note. CDHS = cultural determinants of help seeking; MA = medical anthropology.

^aOriginal and revised.

^bD’Andrade (1992).

^cDes Chene (1996).

^dGeertz (2016).

^eLutz (2011).

^fTurner, Abercrombie, & Hill (2015).

^gGodelier (1974).

^hHarris et al. (1966).

ⁱSinger & Baer (1995).

^jBerger & Luckmann (1995).

^kBourdieu (1990, 2012).

^lDirks, Eley, & Ortner (1994).

^mFoucault (1977).

ⁿGodderd (1997, 2009).

^oGood & Delvecchio-Good (1993).

^pHahn & Inhorn (2009).

^qLindenbaum & Lock (1993).