Heath J M, Lucic K S, Hollifield D, Kues J R
Department of Family Medicine, State University of New York Health Science Center, Syracuse.
J Community Health. 1991 Aug;16(4):197-203. doi: 10.1007/BF01324387.
The motivations and health beliefs of adults who participate in community-based health promotion were studied through a survey of 303 adults attending five community health fairs. Subjects were predominately female (69.9%), over age 60 (66.8%), and had at least yearly contact with a family physician (85.3%). Obtaining laboratory testing services was the sole reason for attendance for 47% of participants, was thought to be of much greater importance than health educational materials also offered at the health fair, and identified as providing a sense of control over personal health care. Receiving their own normal test results was perceived as assuring a "healthy" future for 86% of participants and few used these results to support erroneous health beliefs. A theme of "positive health feedback", identified through factor analysis of survey responses, may prove useful for family physicians to incorporate into more directed and useful health promotion efforts for enhanced patient participation and satisfaction.
通过对参加五个社区健康集市的303名成年人进行调查，研究了参与社区健康促进活动的成年人的动机和健康观念。受试者主要为女性（69.9%），年龄在60岁以上（66.8%），并且至少每年与家庭医生联系一次（85.3%）。47%的参与者参加的唯一原因是获得实验室检测服务，他们认为这比健康集市上提供的健康教育材料重要得多，并认为这能让人对个人医疗保健有一种掌控感。86%的参与者认为收到自己正常的检测结果能确保有一个“健康”的未来，很少有人用这些结果来支持错误的健康观念。通过对调查回复进行因子分析确定的“积极健康反馈”主题，可能对家庭医生有用，有助于他们将其纳入更有针对性、更有效的健康促进工作中，以提高患者的参与度和满意度。
