Hernandez J T, Smith F J
Department of Psychiatry, University of North Carolina School of Medicine, Chapel Hill 27514-7160.
J Natl Med Assoc. 1991 Jan;83(1):17-21.
Most health professionals understand the importance of targeting behaviors, not groups, for disease prevention. Yet with regard to acquired immune deficiency syndrome (AIDS) education programming, target groups have been defined by salient demographic traits, including race, in part due to incomplete knowledge about risk behaviors in various groups. As a result, community and school-based education programs have suffered some mistrust and resentment. This article reports the findings of original research on attitude and behavioral differences between and within racial groups for a college student sample, in response to AIDS education programming. Differences in baseline attitudes and behaviors showed that AIDS-related risk cannot be primarily associated with minority group status. Implications on refinement of targeting strategies are discussed.
大多数卫生专业人员都明白针对行为而非群体进行疾病预防的重要性。然而,在获得性免疫缺陷综合征(艾滋病)教育项目方面,目标群体是由显著的人口统计学特征(包括种族)来界定的,部分原因是对不同群体的风险行为了解不全面。结果,社区和学校层面的教育项目遭遇了一些不信任和不满。本文报告了一项针对大学生样本的原创性研究结果,该研究探讨了不同种族群体之间以及群体内部在态度和行为上的差异,以回应艾滋病教育项目。基线态度和行为上的差异表明,与艾滋病相关的风险不能主要与少数群体身份联系起来。文中还讨论了对优化目标策略的启示。