Houle Janie, Meunier Sophie, Coulombe Simon, Mercerat Coralie, Gaboury Isabelle, Tremblay Gilles, de Montigny Francine, Cloutier Lyne, Roy Bernard, Auger Nathalie, Lavoie Brigitte
1 Department of psychology, Université du Québec à Montréal, Montreal, QC, Canada.
2 CRIUSMM, Montreal, QC, Canada.
Am J Mens Health. 2017 Sep;11(5):1569-1579. doi: 10.1177/1557988317711605. Epub 2017 Jul 2.
Men are generally thought to be less inclined to take care of their health. To date, most studies about men's health have focused on deficits in self-care and difficulties in dealing with this sphere of their life. The present study reframes this perspective, using a salutogenic strengths-based approach and seeking to identify variables that influence men to take care of their health, rather than neglect it. This study focuses on the association between peer positive social control and men's health behaviors, while controlling for other important individual and social determinants (sociodemographic characteristics, health self-efficacy, home neighborhood, spousal positive social control, and the restrictive emotionality norm). In a mixed-method study, 669 men answered a self-reported questionnaire, and interviews were conducted with a maximum variation sample of 31 men. Quantitative results indicated that, even after controlling for sociodemographic variables and other important factors, peer positive social control was significantly associated with the six health behaviors measured in the study (health responsibility, nutrition, physical activity, interpersonal relations, stress management, and spirituality). Interview results revealed that peer positive social control influenced men's health behaviors through three different mechanisms: shared activity, being inspired, and serving as a positive role model for others. In summary, friends and coworkers could play a significant role in promoting various health behaviors among adult men in their daily life. Encouraging men to socialize and discuss health, and capitalizing on healthy men as role models appear to be effective ways to influence health behavior adoption among this specific population.
人们普遍认为男性不太倾向于关注自身健康。迄今为止，大多数关于男性健康的研究都集中在自我保健方面的不足以及处理生活中这一领域问题时的困难。本研究采用基于健康生成优势的方法重新构建了这一视角，并试图找出影响男性关注自身健康而非忽视健康的变量。本研究关注同伴积极社会控制与男性健康行为之间的关联，同时控制其他重要的个人和社会决定因素（社会人口学特征、健康自我效能感、家庭邻里、配偶积极社会控制以及限制性情感规范）。在一项混合方法研究中，669名男性回答了一份自我报告问卷，并对31名男性的最大差异样本进行了访谈。定量结果表明，即使在控制了社会人口学变量和其他重要因素之后，同伴积极社会控制与研究中测量的六种健康行为（健康责任、营养、体育活动、人际关系、压力管理和精神层面）仍显著相关。访谈结果显示，同伴积极社会控制通过三种不同机制影响男性的健康行为：共同活动、受到启发以及成为他人的积极榜样。总之，朋友和同事在促进成年男性日常生活中的各种健康行为方面可能发挥重要作用。鼓励男性社交并讨论健康问题，以及利用健康男性作为榜样似乎是影响这一特定人群采取健康行为的有效方式。
