Cree Robyn A, Lynch John, Au Margaret G, Myers Melanie F
College of Medicine, University of Cincinnati, Cincinnati, OH, USA.
J Genet Couns. 2009 Dec;18(6):534-50. doi: 10.1007/s10897-009-9236-x. Epub 2009 Oct 8.
Family health history (FHH) is a valuable health promotion tool that can be used to assess disease risk and make lifestyle and screening recommendations. However, few FHH resources exist for medically underserved populations such as the urban Appalachian community in Cincinnati Ohio. Women of Appalachian heritage with less than a college education who did and did not participate in a prior FHH education session were interviewed by phone in a semi-structured format. Interviewees were asked to discuss their understanding of FHH and the role FHH played in seeking (or not seeking) medical care. Analysis of their discussion identified four overarching themes as well as a model identifying conditions that facilitated or impeded the choice to seek medical care based on FHH. Findings from this study may be used to develop targeted FHH educational interventions in the urban Appalachian and other communities.
家族健康史（FHH）是一种宝贵的健康促进工具，可用于评估疾病风险并提出生活方式和筛查建议。然而，对于医疗服务不足的人群，如俄亥俄州辛辛那提市的阿巴拉契亚城市社区，几乎没有家族健康史相关资源。对具有阿巴拉契亚血统、未接受过大学教育且参加和未参加过之前家族健康史教育课程的女性进行了半结构化电话访谈。受访者被要求讨论她们对家族健康史的理解以及家族健康史在寻求（或不寻求）医疗护理中所起的作用。对她们讨论内容的分析确定了四个总体主题以及一个模型，该模型确定了基于家族健康史促进或阻碍寻求医疗护理选择的条件。本研究结果可用于在城市阿巴拉契亚社区和其他社区开展有针对性的家族健康史教育干预措施。
