Jacob Rebekah, Arnold Lauren D, Hunleth Jean, Greiner K Allen, James Aimee S
Washington University in Saint Louis, School of Medicine, Division of Public Health Sciences, St Louis, MO, USA.
Saint Louis University, College of Public Health & Social Justice, Department of Epidemiology, Kansas City, KS, USA.
Am J Health Behav. 2014 Mar;38(2):297-306. doi: 10.5993/AJHB.38.2.15.
To adapt a daily hassles measure for a low-income population and assess the relationship between hassles and health seeking behavior.
The mixed methods approach used cognitive interviews (N = 23) to inform an adapted measure of daily hassles. The adapted scale was then tested via surveys (N = 144) in community health centers; multivariate logistic regression models were used to assess relationships among variables.
Hassle concerning having enough money for emergencies (76.5%) and worrying about personal health (68.8%) were among the most common. Increased health-related hassles were associated with an increased likelihood to delay needed care.
Findings suggest daily hassles are unique among low-income populations and should be considered in health behavior interventions.
调整一种针对低收入人群的日常困扰测量方法，并评估困扰与寻求医疗行为之间的关系。
混合方法采用认知访谈（N = 23）来完善一种调整后的日常困扰测量方法。然后通过社区卫生中心的调查（N = 144）对调整后的量表进行测试；使用多变量逻辑回归模型评估变量之间的关系。
关于有足够的钱应对紧急情况的困扰（76.5%）和担心个人健康的困扰（68.8%）是最常见的。与健康相关的困扰增加与推迟所需护理的可能性增加有关。
研究结果表明，日常困扰在低收入人群中具有独特性，在健康行为干预中应予以考虑。
