Hart Alton, Smith Wally R, Tademy Raymond H, McClish Donna K, McCreary Micah
Division of Quality Health Care, Department of Internal Medicine, Virginia Commonwealth University, PO Box 980306, Richmond, VA 23298-0306, USA.
J Natl Med Assoc. 2009 Jul;101(7):684-9. doi: 10.1016/s0027-9684(15)30977-9.
To examine general health decision-making roles among African American men ages 40 to 70 recruited in barbershops in the Richmond, Virginia, metropolitan area.
We adapted the 1-item Control Preference scale to study the associations between health decision-making role preferences and demographic variables. Forty African-American men were recruited from barbershops to complete a self-administered survey. After performing descriptive statistics, we dichotomized our outcome into active vs nonactive (collaborative or passive) decision makers. Data were then analyzed using chi2, Wilcoxon-Mann-Whitney rank sum, and multiple logistic regression.
Fifteen subjects responded that they engaged in active decision making, 20 in collaborative, and 5 in passive decision making. Almost all (86.7%) active decision makers were home owners, vs 41.7% of nonactive decision makers. Among active decision makers, 46.7% had incomes of more than $70000, vs 12.5% of nonactive decision makers. The active group reported health status that was good to excellent, while 20.8% of those in the nonactive group reported poor/fair health.
African American male barbershop clients preferred an active or collaborative health decision-making role with their physician, rather than a passive role. The relationship among home ownership, income, and decision style may best be understood by considering the historical and cultural influences on gender role socialization among African American males. More comprehensive assessment of decision styles is necessary to better understand health decision making among African American male patients.
研究在弗吉尼亚州里士满市区理发店招募的40至70岁非裔美国男性的一般健康决策角色。
我们采用单项控制偏好量表来研究健康决策角色偏好与人口统计学变量之间的关联。从理发店招募了40名非裔美国男性来完成一份自填式调查问卷。在进行描述性统计后，我们将结果分为积极型与非积极型（协作型或被动型）决策者。然后使用卡方检验、威尔科克森 - 曼 - 惠特尼秩和检验以及多元逻辑回归分析数据。
15名受试者表示他们参与积极决策，20名参与协作决策，5名参与被动决策。几乎所有（86.7%）积极决策者是房主，而非积极决策者中这一比例为41.7%。在积极决策者中，46.7%的人收入超过70000美元，而非积极决策者中这一比例为12.5%。积极组报告的健康状况良好至极佳，而非积极组中有20.8%的人报告健康状况较差/一般。
非裔美国男性理发店顾客更倾向于与医生采取积极或协作的健康决策角色，而非被动角色。考虑到历史和文化对非裔美国男性性别角色社会化的影响，可能最好地理解房屋所有权、收入和决策方式之间的关系。有必要对决策方式进行更全面的评估，以更好地理解非裔美国男性患者的健康决策。
