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Thai views of wellness: Sabaay, smoking and Buddhist health promotion
著者 Paknawin-Mock, Jeremiah (著)
出版年月日2001.05
ページ446
出版者ProQuest Dissertations Publishing
出版サイト https://about.proquest.com/en/dissertations/
出版地Ann Arbor, MI, US [安娜堡, 密西根州, 美國]
資料の種類博碩士論文=Thesis and Dissertation
言語英文=English
学位博士
学校University of California, San Francisco
学部・学科名The Department of Anthropology, History and Social Medicine,doctoral in Medical anthropology
指導教官 Kiefer, Christie W.
卒業年2000
ノートProQuest Dissertations and Theses
キーワードThai; Wellness; Sabaay; Smoking; Buddhist; Health promotion
抄録Thais have experienced rapid economic growth, sociocultural change, and environmental degradation. Facing increasing trends in “habit-borne” diseases of modernity, Thailand has begun to shift from a curative health model toward health promotion which seeks to improve people's well-being. Few studies have ever explored what well-being means to ordinary people. This dissertation seeks to answer the questions: What makes working-class Thais feel sabaay (feel good and feel well), and does their sense of sabaay influence their health-related habits?

This study: (1) describes the dimensions of sabaay; (2) identifies its importance for good health; (3) uncovers differences between subgroups and commonality in values, feelings and health awareness; (4) explains differences between nonsmokers and smokers; and (5) proposes a culturally meaningful approach to health promotion.

To investigate these questions, I conducted anthropological observations and interviews periodically from 1990–1996 and during the 1997–98 socioeconomic crisis. Rice farmers in the Central region and Bangkok workers were selected using a two-stage sampling method for a total sample of 96 participants. I developed an “insight group method” tailored to Thai patterns of group behavior. This method generated qualitative and quantitative data used to analyze sabaay and health habits.

The participants valued feeling sabaay and good health as among the most important aspects of life. Some Thais had begun to realize that “the good life” of materialistic consumerism caused anxiety and diminished health. Feeling sabaay differed by age, gender, location and education. Participants said that their feelings and desires had stronger influences on their habits than did raw knowledge. Smokers did what felt good (sabaay) even when they had health knowledge to the contrary. Their sense of sabaay reflected images of material wealth and modernity projected through the mass media. Nonsmokers' feelings of sabaay and health awareness more closely reflected Buddhist values and teachings.

These findings suggest that working-class Thai nonsmokers derive a protective health benefit from adhering more closely to a Buddhist path of living well through the cultivation of healthful habits. Buddhism explains the roots of habits, suggesting that Buddhist health promotion could guide Thais toward beneficial habits based on a more healthful sense of sabaay.
ISBN9780493039817
ヒット数1261
作成日2005.09.23
更新日期2022.03.25



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