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健康信念模型为设计针对大学生的体重管理干预措施提供了机会。

Health Belief Model Offers Opportunities for Designing Weight Management Interventions for College Students.

机构信息

Department of Nutrition and Health Care Management, Appalachian State University, Boone, NC.

Department of Nutrition and Health Care Management, Appalachian State University, Boone, NC.

出版信息

J Nutr Educ Behav. 2018 May;50(5):485-493. doi: 10.1016/j.jneb.2017.09.010. Epub 2017 Oct 31.

DOI:10.1016/j.jneb.2017.09.010
PMID:29097024
Abstract

OBJECTIVE

Identify weight-related beliefs of college students and test the predictive power of the Health Belief Model for body mass index (BMI).

DESIGN

Cross-sectional online survey with beliefs measured on 5-point scales.

SETTING

University in North Carolina.

PARTICIPANTS

Undergraduates (n = 516; 91.9%), females (n = 399; 71.3%), white non-Hispanic students (n = 507; 86.2%), and 20.3% of overweight or obese status.

VARIABLES MEASURED

Perceived severity, susceptibility, barriers, benefits, and internal and external cues to action.

ANALYSIS

One-way ANOVA and regression. Significance was P < .05.

RESULTS

Strongest beliefs concerned benefits of healthy eating and physical activity (mean, 4.1 ± 0.7); weakest beliefs concerned barriers to adopting such behaviors (mean, 2.6 ± 0.9). The regression model was statistically significant (P < .001) and explained 17% of variance in BMI (multivariate coefficient = 0.177). Perceived severity, susceptibility, external cues, barriers, and benefits predicted BMI.

CONCLUSIONS AND IMPLICATIONS

Several beliefs were identified that could serve as the basis for weight-related interventions addressing specific concerns, needs, and goals of college students.

摘要

目的

确定大学生的体重相关信念,并检验健康信念模型对体重指数(BMI)的预测能力。

设计

采用横断面在线调查,使用 5 点量表测量信念。

地点

北卡罗来纳州的一所大学。

参与者

本科生(n=516;91.9%),女性(n=399;71.3%),白人非西班牙裔学生(n=507;86.2%),超重或肥胖的占 20.3%。

变量测量

感知严重程度、易感性、障碍、益处,以及行动的内部和外部线索。

分析

单因素方差分析和回归。显著性水平为 P<0.05。

结果

最强烈的信念是关于健康饮食和体育活动的益处(平均值为 4.1±0.7);最薄弱的信念是关于采取这些行为的障碍(平均值为 2.6±0.9)。回归模型具有统计学意义(P<0.001),并解释了 BMI 变异的 17%(多元系数=0.177)。感知严重程度、易感性、外部线索、障碍和益处都预测了 BMI。

结论和意义

确定了一些信念,可以作为针对大学生特定关注、需求和目标的体重相关干预的基础。

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