a Huntsman Cancer Institute , University of Utah.
Health Commun. 2018 Aug;33(8):927-938. doi: 10.1080/10410236.2017.1322480. Epub 2017 May 25.
This study investigates the effects of cultural norms on family health history (FHH) communication in the American, Chinese, and Korean cultures. More particularly, this study focuses on perceived family boundaries, subjective norms, stigma beliefs, and privacy boundaries, including age and gender, that affect people's FHH communication. For data analyses, hierarchical multiple regression and logistic regression methods were employed. The results indicate that participants' subjective norms, stigma beliefs, and perceived family/privacy boundaries were positively associated with current FHH communication. Age- and gender-related privacy boundaries were negatively related to perceived privacy boundaries, however. Finally, the results show that gendered cultural identities have three-way interaction effects on two associations: (1) between perceived family boundaries and perceived privacy boundaries and (2) between perceived privacy boundaries and current FHH communication. The findings have meaningful implications for future cross-cultural studies on the roles of family systems, subjective norms, and stigma beliefs in FHH communication.
本研究考察了文化规范对美中韩三国家庭健康史（FHH）交流的影响。更具体地说，本研究关注的是感知家庭界限、主观规范、污名信念和隐私界限，包括年龄和性别，这些因素影响着人们的 FHH 交流。在数据分析中，采用了层次多重回归和逻辑回归方法。结果表明，参与者的主观规范、污名信念和感知家庭/隐私界限与当前的 FHH 交流呈正相关。然而，与年龄和性别相关的隐私界限与感知隐私界限呈负相关。最后，结果表明，性别文化认同对两个关联有三向交互作用：（1）感知家庭界限和感知隐私界限之间，（2）感知隐私界限和当前 FHH 交流之间。这些发现对未来关于家庭系统、主观规范和污名信念在 FHH 交流中的作用的跨文化研究具有重要意义。
