Hashimoto Hideki, Fukuhara Shunichi
Department of Hygiene and Public Health, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi, Tokyo 173-8605, Japan.
Patient Educ Couns. 2004 Nov;55(2):236-40. doi: 10.1016/j.pec.2003.09.010.
Previous studies reported inconsistent relationship between the preference for information and that for decisional autonomy in medical encounters. We hypothesized that the relationship may be dependent on people's attribution beliefs on health. To test the hypothesis, demographically representative sample of Japanese population over the age of 18 (N = 3395) were invited into self-administered questionnaire survey. Preferences for information and decisional autonomy were measured by a translated version of autonomy preference index. Health attribution was measured by a scale modified from multi-dimensional health locus of control scales. After adjusting for socio-economic status, multivariable linear regression analysis revealed that information preference was positively associated with decisional preference among individuals who believed their health is less dependent on influential others. However, the reversed relationship was observed in case of individuals with attribution to others. The results suggested that individuals may use medical information for different purposes according to the types of health-related attribution beliefs.
以往的研究报告了在医疗问诊中信息偏好与决策自主性偏好之间的关系并不一致。我们假设这种关系可能取决于人们对健康的归因信念。为了验证这一假设，我们邀请了具有人口统计学代表性的18岁以上日本人群样本（N = 3395）参与自填式问卷调查。信息偏好和决策自主性通过自主性偏好指数的翻译版本进行测量。健康归因通过对多维健康控制点量表进行修改后的量表进行测量。在调整了社会经济地位后，多变量线性回归分析显示，在那些认为自己的健康较少依赖于有影响力的他人的个体中，信息偏好与决策偏好呈正相关。然而，在归因于他人的个体中则观察到相反的关系。结果表明，个体可能会根据与健康相关的归因信念类型将医疗信息用于不同目的。
