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孕期是否为美国拉美裔准父亲戒烟的可教时刻?一项试点研究。

Is pregnancy a teachable moment for smoking cessation among US Latino expectant fathers? A pilot study.

机构信息

Department of Community and Family Medicine, Duke University Medical Center, 2424 Erwin Road, Suite 602, Durham, NC 27705, USA.

出版信息

Ethn Health. 2010;15(1):47-59. doi: 10.1080/13557850903398293.

Abstract

OBJECTIVE

Pregnancy may be a time when US Latino expectant fathers consider quitting smoking. A 'teachable moment' is theorized to increase motivation to change a behavior through increased risk perceptions, emotional responses, and changes in self-image.

DESIGN

We recruited 30 Spanish-speaking expectant fathers through their pregnant partners. We assessed expectant fathers' diet, exercise, and smoking and teachable moment constructs (risk perceptions, emotional responses, and self-image).We also tested correlations between teachable moment constructs and motivation to change behaviors.

RESULTS

Latino expectant fathers had high-risk perceptions that their smoking harmed the pregnancy (M=4.4, SD=0.5 on five-point scale) and strong emotional responses about their smoking during pregnancy (M=3.9, SD=1.1). They also felt it was their role to make the pregnancy healthy (M=4.4, SD=0.8). They felt less strongly that their diet and exercise affected the pregnancy. The teachable moment constructs for smoking were strongly correlated with motivation to quit smoking; the same was not true for diet and exercise.

CONCLUSIONS

Latino expectant fathers seem aware that their smoking could harm the pregnancy but seem less concerned about the effect of their diet and exercise on the pregnancy. Pregnancy may be a time to help Latino expectant fathers quit smoking.

摘要

目的

怀孕可能是美国拉丁裔准父亲考虑戒烟的时候。理论上,“可教时刻”通过增加对风险的认知、情绪反应和自我形象的改变,增加改变行为的动机。

设计

我们通过孕妇伴侣招募了 30 名讲西班牙语的准父亲。我们评估了准父亲的饮食、运动和吸烟情况以及可教时刻的结构(风险认知、情绪反应和自我形象)。我们还测试了可教时刻结构与改变行为的动机之间的相关性。

结果

拉丁裔准父亲对吸烟危害怀孕的风险认知较高(五分制中得分为 4.4,标准差为 0.5),对怀孕期间吸烟的情绪反应强烈(三分制中得分为 3.9,标准差为 1.1)。他们还认为让怀孕健康是他们的责任(四分制中得分为 4.4,标准差为 0.8)。他们觉得自己的饮食和运动对怀孕的影响较小。吸烟的可教时刻结构与戒烟的动机强烈相关;而饮食和运动则不然。

结论

拉丁裔准父亲似乎意识到吸烟可能会伤害怀孕,但似乎不太关心他们的饮食和运动对怀孕的影响。怀孕可能是帮助拉丁裔准父亲戒烟的好时机。

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