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女性冠心病预防行为的预测:健康信念模型的检验

Prediction of coronary heart disease preventive behaviors in women: a test of the health belief model.

作者信息

Ali Nagia S

机构信息

Ball State University, School of Nursing, Muncie, IN 47306, USA.

出版信息

Women Health. 2002;35(1):83-96. doi: 10.1300/J013v35n01_06.

Abstract

Coronary heart disease (CHD) risk increases with age, and this increase is more dramatic in women than men. The incidence of CHD is lower in premenopausal women compared with men. After menopause, the risk of mortality from CHD increases in women. The purpose of this study was to test predictors of CHD preventive behaviors using an adapted form of the Health Belief Model (HBM) in a sample of 178 women. The predictor variables were perceptions of susceptibility to CHD, perceptions of seriousness of CHD, general health motivation, social support, and knowledge of risk factors of CHD. Regression results revealed that susceptibility to CHD, seriousness of CHD, knowledge of risk factors of CHD, and general health motivation together explained 76% of the variance of CHD behaviors. Implications for future research and for improving education about consistent adoption of CHD preventive behaviors are discussed.

摘要

冠心病(CHD)风险随年龄增长而增加,且这种增加在女性中比男性更为显著。绝经前女性的冠心病发病率低于男性。绝经后,女性因冠心病死亡的风险增加。本研究的目的是在178名女性样本中,使用健康信念模型(HBM)的一种改编形式来测试冠心病预防行为的预测因素。预测变量包括对冠心病易感性的认知、对冠心病严重性的认知、一般健康动机、社会支持以及冠心病风险因素的知识。回归结果显示,冠心病易感性、冠心病严重性、冠心病风险因素的知识以及一般健康动机共同解释了冠心病行为变异的76%。讨论了对未来研究以及改善关于持续采用冠心病预防行为的教育的意义。

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