Parker Lauren J, Hunte Haslyn, Ohmit Anita, Thorpe Roland J
1 Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
2 West Virginia University, Morgantown, WV, USA.
Health Promot Pract. 2017 Jan;18(1):119-126. doi: 10.1177/1524839916664488. Epub 2016 Aug 22.
Black men are less likely to seek routine health care examinations or preventative care compared with their racial/ethnic and gender counterparts. Because of Black men's limited engagement with the health system, Black men's preference to receive health information is unclear. Guided by a revised version of the Andersen Healthcare Utilization Model, the aim of the study is to examine factors associated with Black men's preference for informal or formal health information. Findings from the study demonstrate that financial barriers to care (odds ratio [OR] = 0.65, 95% confidence interval [CI] = 0.43-0.98) and higher income (OR = 2.44, 95% CI = 1.49-4.00) were most predictive of using a formal source for health information. Furthermore, age (OR = 1.02, 95% CI = 1.01-1.03) and having a college education (OR = 0.44, 95% CI = 0.26-0.76) were associated with using a formal place for health information. Interestingly, health care discrimination was not associated with preferred source or place for health information. Results from the study suggest that predisposing and enabling factors are most salient to the use of formal sources of health information among Black men.
与其他种族/族裔和性别的男性相比,黑人男性寻求常规医疗检查或预防性护理的可能性较小。由于黑人男性与医疗系统的接触有限,他们对获取健康信息的偏好尚不清楚。本研究以修订版的安德森医疗保健利用模型为指导,旨在探讨与黑人男性对非正式或正式健康信息偏好相关的因素。该研究的结果表明,医疗护理的经济障碍(优势比[OR]=0.65,95%置信区间[CI]=0.43 - 0.98)和较高收入(OR = 2.44,95% CI = 1.49 - 4.00)最能预测使用正式渠道获取健康信息。此外,年龄(OR = 1.02,95% CI = 1.01 - 1.03)和拥有大学学历(OR = 0.44,95% CI = 0.26 - 0.76)与使用正式场所获取健康信息有关。有趣的是,医疗保健歧视与健康信息的首选来源或场所无关。该研究结果表明,在黑人男性中,易患因素和促成因素对于使用正式健康信息来源最为显著。