Social Norms and Self-Management Ability among Uninsured Primary Care Patients

South Med J. 2020 Aug;113(8):407-412. doi: 10.14423/SMJ.0000000000001128.

Abstract

Objectives: The purpose of this study was to examine the association between social norms and self-management ability among uninsured low-income primary care patients.

Methods: Data were collected from adult patients at a free clinic using a self-administered survey from August to December 2018.

Results: Higher levels of social norms to exercise were associated with higher levels of all aspects of self-management ability. Lower levels of social norms to use substances were associated with higher levels of all aspects of self-management ability, except for variety in self-management. Better health was associated with higher levels of investment behavior of self-management ability.

Conclusions: The findings of this study suggest the association between social norms and self-management ability and its impact on health among low-income, uninsured primary care patients. Self-management ability is important for maintaining health. Providing intervention programs on self-management skills should focus on not only individual behaviors but also social norms that affect their health behaviors.

MeSH terms

  • Adult
  • Female
  • Health Status
  • Humans
  • Male
  • Medically Uninsured / psychology
  • Medically Uninsured / statistics & numerical data*
  • Middle Aged
  • Poverty / psychology
  • Poverty / statistics & numerical data
  • Primary Health Care / statistics & numerical data*
  • Self-Management / psychology
  • Self-Management / statistics & numerical data*
  • Social Norms*
  • Socioeconomic Factors
  • Surveys and Questionnaires