Health Promotion Research Branch, Behavioral Research Program, Division of Cancer Control and Prevention, National Cancer Institute, 6130 Executive Blvd., Rockville, MD 20852-7335, USA.
J Health Commun. 2010;15 Suppl 3(0 3):60-77. doi: 10.1080/10810730.2010.522694.
This national study examines differences between racial/ethnic groups on awareness of physical activity and reduced cancer risk and explores correlates of awareness including trust, demographic, and health characteristics within racial/ethnic groups. The 2007 Health Information and National Trends Survey (HINTS) provided data for this study. After exclusions, 6,809 adults were included in analyses. Awareness of physical activity in reduced cancer risk was the main outcome. Logistic regression models tested relationships. Non-Hispanic Blacks had a 0.71 (0.54,0.93) lower odds of being aware of physical activity in reduced cancer risk than non-Hispanic Whites. Current attempts to lose weight were associated with greater odds for awareness among non-Hispanic Blacks and Hispanics (p < .01). Among non-Hispanic Blacks, trust in traditional and Internet media was associated with greater odds of awareness (p < .01). This study is the first national study to examine racial/ethnic disparities in awareness of physical activity and cancer risk. Comparisons between racial/ethnic groups found Black-White disparities in awareness. Variables associated with awareness within racial/ethnic groups identify potential subgroups to whom communication efforts to promote awareness may be targeted.
这项全国性研究考察了不同种族/族裔群体在认识到身体活动与降低癌症风险方面的差异,并探讨了在不同种族/族裔群体中,包括信任、人口统计学和健康特征在内的意识相关因素。2007 年健康信息和国家趋势调查(HINTS)为本研究提供了数据。排除后,有 6809 名成年人纳入分析。身体活动降低癌症风险的意识是主要结果。逻辑回归模型检验了关系。与非西班牙裔白人相比,非西班牙裔黑人对身体活动降低癌症风险的认识的可能性低 0.71(0.54,0.93)。目前减肥的尝试与非西班牙裔黑人和西班牙裔人更高的认识可能性有关(p<0.01)。在非西班牙裔黑人中,对传统和互联网媒体的信任与更高的认识可能性相关(p<0.01)。这项研究是首次考察身体活动和癌症风险意识方面的种族/族裔差异的全国性研究。不同种族/族裔群体之间的比较发现了黑人和白人之间意识上的差距。在不同种族/族裔群体中与意识相关的变量确定了潜在的亚组,可针对这些亚组开展宣传意识的沟通工作。