Hyman D J, Paradis G, Flora J A
Baylor College of Medicine, Ben Taub General Hospital, Houston, Texas 77030.
Am J Health Promot. 1992 Nov-Dec;7(2):137-41. doi: 10.4278/0890-1171-7.2.137.
The purpose of this study is to determine if worksite cholesterol screening reaches only those who are already aware of their cholesterol and interested in lifestyle modification.
A voluntary worksite cholesterol screening was conducted followed by a survey of a random sample of nonparticipants.
A large university worksite was the setting for this study.
Out of 9,137 university employees, 1,583 attended the voluntary screening, and a random sample of nonparticipants was obtained (n = 154), of which 87% (n = 138) responded.
Subjects completed a questionnaire on health behaviors, perceived risk, self-efficacy for diet change, and attention to media messages. A capillary blood cholesterol level was also taken.
Nonparticipants were more likely to be male (64% versus 39%) and smokers (17% versus 9%), more likely to exercise, to have had a prior cholesterol measurement (64% versus 49%), and to "know" their cholesterol value (56% versus 26%). The two groups were otherwise similar. Over half (51%) of the participants were receiving their first cholesterol measurement. These subjects were younger, less educated, had less perceived risk, were less attentive to media messages, and more likely to be from a minority group than those individuals who had prior measurements.
These findings suggest that worksite cholesterol screening does not only reach those already aware of their cholesterols, but also can reach some persons not previously screened or concerned.
本研究的目的是确定工作场所胆固醇筛查是否仅针对那些已经知晓自己胆固醇情况并对生活方式改变感兴趣的人。
进行了一项自愿的工作场所胆固醇筛查，随后对未参与者的随机样本进行了调查。
一所大型大学的工作场所是本研究的地点。
在9137名大学员工中，1583人参加了自愿筛查，并获得了未参与者的随机样本（n = 154），其中87%（n = 138）做出了回应。
受试者完成了一份关于健康行为、感知风险、饮食改变的自我效能以及对媒体信息关注度的问卷。还采集了毛细血管血胆固醇水平。
未参与者更有可能是男性（64%对39%）和吸烟者（17%对9%），更有可能进行锻炼，之前进行过胆固醇测量（64%对49%），并且“知道”自己的胆固醇值（56%对26%）。两组在其他方面相似。超过一半（51%）的参与者是首次进行胆固醇测量。与那些之前进行过测量的人相比，这些受试者更年轻、受教育程度更低、感知风险更小、对媒体信息关注度更低，并且更有可能来自少数群体。
这些发现表明，工作场所胆固醇筛查不仅能覆盖那些已经知晓自己胆固醇情况的人，还能覆盖一些之前未接受过筛查或未关注过的人。
