Fleming T L, Green J L, Martin J C, Wicks M N
Veterans Administration Medical Center, Memphis, Tennessee, USA.
J Community Health Nurs. 2000 Spring;17(1):49-60. doi: 10.1207/S15327655JCHN1701_05.
African American children are at risk for high rates of morbidity and mortality associated with cardiovascular (CV) disease as they become adults, yet little is known about the effectiveness of CV risk-reduction interventions in African American children. This study explored the effectiveness of a concentrated CV health promotion educational program on health-related attitudes of 76 African American children enrolled in a mid-southern school system. The Children's Cardiovascular Health Promotion Attitude Scale was used to examine differences in attitude prior to and 2 weeks following a focused health education intervention. Results demonstrate that children have preconceived attitudes regarding practice of health behaviors and that these attitudes are modifiable with age and developmental level specific educational interventions. Findings indicate the need for health care providers to assume more active roles in reducing the risk of future CV disease and death in African Americans through health promotion education of individuals who influence the development of children's attitudes.
非裔美国儿童成年后罹患与心血管疾病相关的高发病率和高死亡率风险，但对于降低非裔美国儿童心血管疾病风险干预措施的有效性却知之甚少。本研究探讨了一项集中的心血管健康促进教育计划对中南部学校系统中76名非裔美国儿童健康相关态度的有效性。采用儿童心血管健康促进态度量表来检查在集中健康教育干预之前和之后2周的态度差异。结果表明，儿童对健康行为的实践有先入为主的态度，并且这些态度可通过针对年龄和发育水平的特定教育干预来改变。研究结果表明，医疗保健提供者需要通过对影响儿童态度形成的个体进行健康促进教育，在降低非裔美国人未来心血管疾病和死亡风险方面发挥更积极的作用。
