• Akiko Kamimura, Rebecca Higham, Samin Panahi, Edward Lee, and Jeanie Ashby.
• From the Department of Sociology, University of Utah, and Maliheh Free Clinic, Salt Lake City.
• South. Med. J. 2020 Aug 1; 113 (8): 407-412.

ObjectivesThe purpose of this study was to examine the association between social norms and self-management ability among uninsured low-income primary care patients.MethodsData were collected from adult patients at a free clinic using a self-administered survey from August to December 2018.ResultsHigher 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.ConclusionsThe 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.

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