Voils Corrine I, Oddone Eugene Z, Weinfurt Kevin P, Friedman Joëlle Y, Bright Cedric M, Schulman Kevin A, Bosworth Hayden B
Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, 508 Fulton St., Durham, NC 27705, USA.
J Natl Med Assoc. 2006 Jan;98(1):36-42.
An understanding of racial differences in risk-related affect may help explain racial differences in health behaviors and outcomes and provide additional opportunities for intervention. In phone interviews with a random community sample of 197 whites, 155 blacks and 163 Latinos, we assessed concern that respondents' health would be hurt by their diet, an inability to exercise, an inability to follow a doctor's recommendations and disease. A multivariate analysis of variance with follow-up profile analysis revealed that whites were less concerned than blacks and Latinos about an inability to follow their doctors' recommendations (ps < 0.01). There were no racial differences in the other health concern variables. Interventions to inform blacks and Latinos about their health risks must strike a balance between creating enough health concern to encourage health behavior but not so much that it interferes with health-promoting behaviors.
了解与风险相关的情感方面的种族差异，可能有助于解释健康行为和结果方面的种族差异，并提供更多的干预机会。在对197名白人、155名黑人和163名拉丁裔的随机社区样本进行电话访谈时，我们评估了受访者对以下方面的担忧：饮食会损害他们的健康、无法锻炼、无法遵循医生的建议以及患病。一项进行了后续轮廓分析的多变量方差分析显示，白人比黑人和拉丁裔对无法遵循医生的建议的担忧更少（p值<0.01）。在其他健康担忧变量方面不存在种族差异。针对黑人和拉丁裔的健康风险进行告知的干预措施，必须在引起足够的健康担忧以鼓励健康行为，但又不至于过多干扰促进健康行为之间找到平衡。
