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男同性恋者和双性恋男性的健康态度相关因素。

Correlates of health attitudes among homosexual and bisexual men.

作者信息

Gust Deborah A, Shinde Sanjyot, Pals Sherri L, Hardnett Felicia, Chen Robert T, Sanchez Travis

机构信息

Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.

出版信息

J Epidemiol Glob Health. 2013 Mar;3(1):31-9. doi: 10.1016/j.jegh.2012.12.006. Epub 2013 Feb 8.

Abstract

There is increased emphasis on physician attention to the overall health and wellness of homosexual and bisexual men, though little is known about the health-related attitudes of these groups. This study determined factors associated with the health attitudes of homosexual and bisexual men and identified preferred sources of health information. For this study, the 2008 ConsumerStyles panel survey was used to create three health attitude scales and to determine factors associated with each scale. The three scales were labeled: (1) health motivation; (2) relationship with health care provider; and (3) self-perception of health literacy. In addition to other factors, higher scores for health motivation and relationship with health care provider were associated with black compared with white men. In contrast, lower scores for self-perception of health literacy were associated with black compared with white men. For information on an unfamiliar health condition, most homosexual and bisexual men chose the Internet. Black homosexual and bisexual men reported being motivated to be healthy and working well with their health care provider to manage their health. However, their perception of their own health literacy [corrected] was low compared with the white men. Attempts to improve health literacy through Internet sites may be helpful in improving health attitudes and reducing negative health outcomes.

摘要

尽管对同性恋和双性恋男性与健康相关的态度了解甚少,但目前越来越强调医生要关注这些男性的整体健康状况。本研究确定了与同性恋和双性恋男性健康态度相关的因素,并找出了他们偏爱的健康信息来源。在本研究中,2008年消费者风格小组调查被用于创建三个健康态度量表,并确定与每个量表相关的因素。这三个量表分别为:(1)健康动机;(2)与医疗服务提供者的关系;(3)健康素养自我认知。除其他因素外,与白人男性相比,黑人在健康动机以及与医疗服务提供者关系方面得分更高。相比之下,与白人男性相比,黑人在健康素养自我认知方面得分更低。对于不熟悉的健康状况信息,大多数同性恋和双性恋男性选择互联网。黑人同性恋和双性恋男性表示有保持健康的动机,并与医疗服务提供者密切合作来管理自己的健康。然而,与白人男性相比,他们对自身健康素养的认知较低。通过网站提高健康素养的尝试可能有助于改善健康态度并减少负面健康结果。

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