Vickers R R, Conway T L, Hervig L K
Operational Performance Department, Naval Health Research Center, San Diego, California 92186-5122.
Prev Med. 1990 Jul;19(4):377-401. doi: 10.1016/0091-7435(90)90037-k.
Health behaviors are known to be multidimensional, but the precise number of dimensions involved and their behavioral content have not been clearly established. Using convergence of factor analyses of 40 health behaviors across two samples as the criterion for identifying both the number and content of health behavior dimensions, the present study showed that individual differences in health behavior can be conceptualized in terms of a hierarchical model. At the most general level, health behaviors formed two broad categories or dimensions, preventive behavior and risk taking behavior. Preventive behavior included two empirically distinct subsets of behaviors, wellness maintenance behaviors and accident control behaviors. Risk taking behavior included subsets comprised of traffic-related risk taking and risk taking through exposure to hazardous substances. This hierarchical model is consistent with important theoretical distinctions in health behavior research, can accommodate the findings of prior studies, and should provide a useful framework for formulating research questions regarding antecedents and consequences of individual differences in health behaviors. Brief scales are proposed for use as reference measures in future studies of health behaviors.
健康行为已知具有多维度性,但其中涉及的具体维度数量及其行为内容尚未明确确定。本研究以对两个样本中40种健康行为的因素分析的收敛性作为确定健康行为维度数量和内容的标准,结果表明,健康行为的个体差异可以用层次模型来概念化。在最一般的层面上,健康行为形成了两大类或维度,即预防行为和冒险行为。预防行为包括两个在经验上不同的行为子集,即健康维护行为和事故控制行为。冒险行为包括与交通相关的冒险行为和通过接触有害物质而进行的冒险行为等子集。这种层次模型与健康行为研究中的重要理论区分相一致,能够容纳先前研究的结果,并且应该为提出关于健康行为个体差异的前因和后果的研究问题提供一个有用的框架。建议使用简短量表作为未来健康行为研究中的参考测量工具。