Centers for Behavioral and Preventive Medicine, The Miriam Hospital and W Alpert Medical School of Brown University, Providence, RI;
Int J Womens Health. 2011;3:257-63. doi: 10.2147/IJWH.S23246. Epub 2011 Aug 11.
This study examined the relationship of psychosocial factors to health-promoting behaviors in sisters of breast cancer patients. One hundred and twenty sisters of breast cancer patients completed questionnaires assessing response efficacy of mammography screenings, physical activity, and fruit and vegetable consumption on decreasing breast cancer risk, breast cancer worry, involvement in their sister's cancer care, mammography screenings, physical activity, and fruit and vegetable consumption. Results indicate that greater perceived effectiveness for mammograms was associated with a 67% increase in odds of yearly mammograms. Greater involvement in the patient's care was associated with a 7% decrease in odds of yearly mammograms. Greater perceived effectiveness for physical activity was significantly related to greater physical activity. There was a trend for greater perceived effectiveness for fruits and vegetables to be associated with consuming more fruits and vegetables. Breast cancer worry was not significantly associated with the outcomes. While perceived effectiveness for a specific health behavior in reducing breast cancer risk was consistently related to engaging in that health behavior, women reported significantly lower perceived effectiveness for physical activity and fruits and vegetables than for mammograms. Making women aware of the health benefits of these behaviors may be important in promoting changes.
本研究探讨了社会心理因素与乳腺癌患者姐妹的健康促进行为之间的关系。120 名乳腺癌患者的姐妹完成了问卷评估,评估了乳房 X 光筛查、身体活动和水果及蔬菜摄入对降低乳腺癌风险、乳腺癌担忧、参与姐妹癌症护理、乳房 X 光筛查、身体活动和水果及蔬菜摄入的反应效果。结果表明,对乳房 X 光筛查效果的感知越高,每年进行乳房 X 光筛查的几率就会增加 67%。更多地参与患者的护理与每年进行乳房 X 光筛查的几率降低 7%相关。对身体活动效果的感知越高,身体活动量就越大。对水果和蔬菜效果的感知越高,与摄入更多水果和蔬菜的趋势呈正相关。乳腺癌担忧与结果没有显著关联。虽然对降低乳腺癌风险的特定健康行为的感知效果与参与该健康行为始终相关,但女性报告对身体活动和水果及蔬菜的感知效果明显低于对乳房 X 光筛查的感知效果。让女性意识到这些行为的健康益处可能对促进改变很重要。