Coping with stress and by stress:: Russian men and women talking about transition, stress and health

被引:40
作者
Pietila, Ilkka [1 ]
Rytkonen, Maria [2 ]
机构
[1] Univ Tampere, Sch Publ Hlth, FIN-33101 Tampere, Finland
[2] Univ Tampere, Sch Modern Languages & Translat Studies, FIN-33101 Tampere, Finland
基金
芬兰科学院;
关键词
Russia; stress; transition; health; qualitative research; gender;
D O I
10.1016/j.socscimed.2007.09.002
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Several studies have claimed stress to be a major reason for poor public health in Russia and referred to significant social changes as a reason for the high level of perceived stress among Russians. This article aims to examine how stress and its relation to health are interpreted in the context of everyday life in Russian men's and women's interview talk with a focus on descriptions of recent social changes. The research material consists of 29 thematic interviews of men and women from St. Petersburg aged 15-81. In the analysis of contextual constructions of stress, we found that stress was used not only within a context of an individual's own life as an expression of a strained psycho-physiological state but also denoted larger societal processes and changes. In addition to individual experiences, the whole of Russian society was described as suffering from stress. Throughout the material, most interviewees, whilst outspokenly blaming stress for deteriorating physical health, met difficulties in making concrete these negative influences. Based on analysis, we interpret our interviewees' accounts of stress as a part of the cultural discourse wherein 'stress' serves as a conceptual tool in making interpretations about both the people and their social environment. Stress, as a concept, has emerged in a wide range of different institutional sites, such as the media and public health policy and has become a discursive entity of contemporary social life in Russia. We claim that it has simultaneously become an intermediary concept articulating a shared, cultural experience of the changes in Russian society and their effects oil individuals' everyday life and health. Thus, the concept of stress helps people to articulate, make sensible, and cope with the impacts of transition on their individual lives. (c) 2007 Elsevier Ltd. All rights reserved.
引用
收藏
页码:327 / 338
页数:12
相关论文
共 34 条
[1]   Health world views of post-soviet citizens [J].
Abbott, PA ;
Turmov, S ;
Wallace, C .
SOCIAL SCIENCE & MEDICINE, 2006, 62 (01) :228-238
[2]  
Alasuutari Pertti., 1995, RES CULTURE QUALITAT
[4]   Men in crisis in Russia - The role of domestic marginalization [J].
Ashwin, S ;
Lytkina, T .
GENDER & SOCIETY, 2004, 18 (02) :189-206
[5]   Socioeconomic factors, perceived control and self-reported health in Russia. A cross-sectional survey [J].
Bobak, M ;
Pikhart, H ;
Hertzman, C ;
Rose, R ;
Marmot, M .
SOCIAL SCIENCE & MEDICINE, 1998, 47 (02) :269-279
[6]   Health lifestyles in Russia [J].
Cockerham, WC .
SOCIAL SCIENCE & MEDICINE, 2000, 51 (09) :1313-1324
[7]   The social determinants of the decline of life expectancy in Russia and Eastern Europe: A lifestyle explanation [J].
Cockerham, WC .
JOURNAL OF HEALTH AND SOCIAL BEHAVIOR, 1997, 38 (02) :117-130
[8]   The response of violent mortality to economic crisis in Russia [J].
Gavrilova, NS ;
Semyonova, VG ;
Evdokushkina, GN ;
Gavrilov, LA .
POPULATION RESEARCH AND POLICY REVIEW, 2000, 19 (05) :397-419
[9]   Determinants of and inequalities in self-perceived health in Ukraine [J].
Gilmore, ABC ;
McKee, M ;
Rose, R .
SOCIAL SCIENCE & MEDICINE, 2002, 55 (12) :2177-2188
[10]   Increased psychosocial strain in Lithuanian versus Swedish men:: The LiVicordia study [J].
Kristenson, M ;
Kucinskienë, Z ;
Bergdahl, B ;
Calkauskas, H ;
Urmonas, V ;
Orth-Gomér, K .
PSYCHOSOMATIC MEDICINE, 1998, 60 (03) :277-282