National Institutes of Health, National Human Genome Research Institute, Social and Behavioral Research Branch, Bethesda, MD, USA.
J Immigr Minor Health. 2012 Aug;14(4):596-601. doi: 10.1007/s10903-011-9522-1.
An understanding of health beliefs is key to creating culturally appropriate health services for Hispanic populations in the US. In this study we explore age-based variations in causal beliefs for heart disease and diabetes among Mexican origin adults in Houston, TX. This cross-sectional study included 497 adults of Mexican origin. Participants were asked to indicate the importance of biomedically defined and folk illness-related risk factors as causes for heart disease and diabetes. Biomedical risk factors were ranked highest as causes of diabetes and heart disease among all participants. Folk illness-related factors were ranked below biomedical factors as causes of heart disease among all age groups. Susto was ranked above the median as a risk factor for diabetes among older participants. Age-related differences in causal beliefs may have implications for designing culturally appropriate health services, such as tailored diabetes interventions for older Mexican origin adults.
了解健康信念对于为美国西班牙裔人群提供文化上适宜的健康服务至关重要。本研究旨在探讨德克萨斯州休斯顿市墨西哥裔成年人中与心脏病和糖尿病相关的因果信念在年龄上的差异。本横断面研究纳入了 497 名墨西哥裔成年人。参与者被要求指出生物医学定义的和与民间疾病相关的风险因素作为心脏病和糖尿病病因的重要性。在所有参与者中,生物医学风险因素被列为糖尿病和心脏病的最重要病因。在所有年龄组中,民间疾病相关因素被列为心脏病病因的生物医学因素之下。在老年参与者中,“恐惧”被列为糖尿病的风险因素,其排名高于中位数。因果信念的年龄相关差异可能对设计文化上适宜的健康服务具有重要意义,例如为老年墨西哥裔成年人量身定制的糖尿病干预措施。