Desmond S M, Price J H, Lock R S, Smith D, Stewart P W
Dept. of Health Education, University of Maryland, College Park 20742.
J Sch Health. 1990 May;60(5):220-6. doi: 10.1111/j.1746-1561.1990.tb05919.x.
The modified Harvard Step Test and a 70-item questionnaire based on the Health Belief Model (HBM) were given to 257 high school students, 154 blacks, and 93 whites. Mean age of students was 16.0 years (SD = 1.1) for whites and 15.8 years (SD = 1.1) for blacks. Though more blacks than whites were in poor physical condition (51% females and 27% males vs. 35% females and 16% males, respectively), the difference was not statistically significant. A high level of concurrence existed between individuals in good physical condition and those who stated they regularly exercised, but this agreement was more pronounced among white students (73% vs. 62% for black students). White students were significantly more knowledgeable than black students on the exercise knowledge subscale. No significant differences existed between black and white students on any other HBM subscales. When subscale scores for those in good versus poor physical condition were compared, significant differences were found on all subscales except the perceived benefits subscale. Analysis of individual questionnaire items which best predicted whether one was in poor or good physical condition found four items accounted for 38% of variance in black students, and seven items accounted for 52% of variance in white students.
对257名高中生(其中154名黑人学生和93名白人学生)进行了改良的哈佛台阶试验以及一份基于健康信念模型(HBM)的包含70个条目的问卷。白人学生的平均年龄为16.0岁(标准差=1.1),黑人学生的平均年龄为15.8岁(标准差=1.1)。尽管身体状况较差的黑人学生比白人学生更多(分别为51%的女生和27%的男生,而白人女生为35%,男生为16%),但差异无统计学意义。身体状况良好的个体与表示经常锻炼的个体之间存在高度一致性,但这种一致性在白人学生中更为明显(73%,而黑人学生为62%)。在运动知识分量表上,白人学生比黑人学生的知识水平显著更高。在健康信念模型的任何其他分量表上,黑人学生和白人学生之间均无显著差异。当比较身体状况良好与较差的学生的分量表得分时,除了感知益处分量表外,在所有分量表上均发现了显著差异。对最能预测一个人身体状况是差还是好的单个问卷项目进行分析发现,有4个项目解释了黑人学生38%的方差变异,7个项目解释了白人学生52%的方差变异。