Department of Preventive Medicine and Public Health, University of Kansas School of Medicine-Wichita, 1010 N. Kansas, Wichita, KS 67214, USA.
J Community Health. 2010 Feb;35(1):10-7. doi: 10.1007/s10900-009-9197-x.
Physical activity (PA) and poor fruit/vegetable intake are contributors of health disparities among African Americans (AA). In order to design effective interventions to address these behaviors, it is essential to assess where individuals are in terms of their attitudes and decisions. The aim of this study was to use the Stages of Change Model to assess AA's attitudes and decisions regarding pertinent health behaviors and provide suggestions about how to address them. A survey was administered to 242 low-income, medically underserved adults (47% AA, 27% White, and 26% "Others"). The majority was in the SOC's: "contemplation" stage for PA (they were considering PA); "maintenance" stage for vegetable intake (they had consumed > or =3 vegetable servings daily for > or =6 months); and in the "contemplation" stage for fruit intake (those grouped as "Others" were significantly more likely to be in the "maintenance" stage). Although education and awareness are important, this study has implications for interventions with greater emphasis on creating environments or providing resources to promote or support behavioral change.
身体活动（PA）和水果/蔬菜摄入量不足是非洲裔美国人（AA）健康差距的原因之一。为了设计有效的干预措施来解决这些行为，评估个人在态度和决策方面的情况至关重要。本研究旨在使用阶段变化模型来评估 AA 对相关健康行为的态度和决策，并就如何解决这些问题提出建议。对 242 名低收入、医疗服务不足的成年人（47%为 AA，27%为白人，26%为“其他”）进行了一项调查。大多数人处于 PA 的“考虑”阶段（他们正在考虑 PA）；蔬菜摄入量的“维持”阶段（他们已经连续 6 个月每天食用超过 3 份蔬菜）；水果摄入量的“考虑”阶段（“其他”组的人更有可能处于“维持”阶段）。尽管教育和意识很重要，但这项研究对干预措施具有重要意义，更加强调创造环境或提供资源以促进或支持行为改变。
