Hunt Mary K, Stoddard Anne M, Kaphingst Kimberly A, Sorensen Glorian
Dana-Farber Cancer Institute, Center for Community-Based Research, Boston, Massachusetts, USA.
Am J Health Promot. 2007 Sep-Oct;22(1):33-7. doi: 10.4278/0890-1171-22.1.33.
To examine worker characteristics explicated in our social-contextual intervention model that might be associated with participation in a cancer prevention intervention. These characteristics included sociodemographic variables, mediating mechanisms, and modifying conditions.
Randomized, controlled study in 24 small multiethnic manufacturing worksites. Analyses were conducted on an embedded cohort of 456 employees in the intervention condition, incorporating the clustering of respondents in worksites using generalized linear mixed modeling methods. The intervention was based on an inclusive, comprehensive social-contextual model targeting fruit, vegetable, and red meat consumption, multivitamin use, and physical activity.
Gender (p = .02) and self-efficacy (p < .01) were associated with participation. There were no differences in participation by race/ethnicity or occupational status. We observed no associations between participation of individual workers in intervention activities and health behavior change.
The intervention attracted workers across racial/ethnic and occupational groups. The combination of a comprehensive intervention with wide diffusion of program messages may have been more powerful in influencing participation and behavior change than characteristics of individual employees.
研究我们的社会背景干预模型中所阐述的、可能与参与癌症预防干预相关的工人特征。这些特征包括社会人口统计学变量、中介机制和调节条件。
在24个小型多民族制造工作场所进行随机对照研究。对干预组中456名员工的嵌入式队列进行分析，采用广义线性混合建模方法纳入工作场所中受访者的聚类情况。干预基于一个包容性的、全面的社会背景模型，目标是水果、蔬菜和红肉消费、多种维生素使用以及身体活动。
性别（p = .02）和自我效能感（p < .01）与参与度相关。不同种族/民族或职业地位的参与度没有差异。我们未观察到个体工人参与干预活动与健康行为改变之间存在关联。
该干预吸引了不同种族/民族和职业群体的工人。综合干预与项目信息广泛传播相结合，在影响参与度和行为改变方面可能比个体员工的特征更具影响力。
