Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
J Immigr Minor Health. 2010 Oct;12(5):691-8. doi: 10.1007/s10903-009-9302-3.
Recent studies revealed a negative association between acculturation and sun-safe behaviors, possibly mediated by education level, health status, and social networks. We sought to elucidate this relationship by exploring the moderating effects of gender and health insurance on each mediated path. We used data from 496 Latino respondents to the 2005 Health Information National Trends Survey. Acculturation, assessed by a four-item index, was the primary predictor; use of sunscreen and protective clothing were the primary outcomes, assessed by frequency scales. Moderated mediation was tested with an established causal moderation method. The mediated association between acculturation, education level and sunscreen use might be stronger among women than men (P < 0.08). We found no evidence of moderated mediation for use of protective clothing. The findings suggest ways of refining the theoretical and empirical rationale for sun safety research and interventions with Latinos. Studies should replicate these models with longitudinal data.
最近的研究表明，文化适应与防晒行为之间呈负相关，这种关系可能是由受教育程度、健康状况和社交网络等因素介导的。我们试图通过探讨性别和健康保险对每条中介路径的调节作用来阐明这种关系。我们使用了 2005 年国家健康信息趋势调查中 496 名拉丁裔受访者的数据。文化适应程度由一个四项指标来评估，是主要的预测指标；防晒霜和防护服的使用频率是主要的结果指标。采用已建立的因果调节方法来检验中介调节作用。文化适应与教育程度和防晒霜使用之间的中介关系在女性中可能比男性更强（P < 0.08）。我们没有发现调节中介作用的证据来解释防护服的使用。研究结果为拉丁裔人群的防晒研究和干预提供了理论和实证依据。研究应该使用纵向数据来复制这些模型。
