Lewis C J, Sims L S, Shannon B
Nutrition Program, Pennsylvania State University, University Park 16802.
J Am Diet Assoc. 1989 Feb;89(2):194-202.
Nutrition intervention programs are not always successful. In some cases, an insufficient understanding of the interrelationships among factors influencing health behaviors may be responsible for the failures. This study used social cognitive theory, a framework for studying behaviors, to structure the relationships between measurable factors important to the frequency of health-oriented food consumption. We developed a model that incorporated factors for social environment, reinforcement, commitment, behavior modeling, knowledge, and attitude relative to the frequency of consumption of four beverages (whole milk, low-fat/skin milk, regular soda, and diet soda). Four-hundred fifty-seven middle-aged adults (mean age, 47 years; 58% female) and 709 college students (mean age, 21 years; 50% female) responded to a written questionnaire designed as a self-report on frequency of consumption and measures for 10 social cognitive variables. For all four beverages, the model explained 35% or more of the variance in frequency of consumption, thus confirming its predictive power. We used the statistical approach known as path analysis to examine the relationships within the model. The analysis demonstrated that factors influencing the consumption varied between the two age groups (e.g., nutrition knowledge was related to attitude in adult soda-drinking models but not in student soda-drinking models) and between forms of the beverages (e.g., for student models, nutrition knowledge was related to taste enjoyment for low-fat/skim milk but not for whole milk).(ABSTRACT TRUNCATED AT 250 WORDS)
营养干预项目并非总是成功的。在某些情况下,对影响健康行为的因素之间的相互关系理解不足可能是导致失败的原因。本研究运用社会认知理论(一种研究行为的框架)来构建对以健康为导向的食品消费频率至关重要的可测量因素之间的关系。我们开发了一个模型,该模型纳入了与四种饮料(全脂牛奶、低脂/脱脂牛奶、普通汽水和无糖汽水)消费频率相关的社会环境、强化、承诺、行为建模、知识和态度等因素。457名中年成年人(平均年龄47岁;58%为女性)和709名大学生(平均年龄21岁;50%为女性)回答了一份书面问卷,该问卷旨在自我报告消费频率以及10个社会认知变量的测量值。对于所有四种饮料,该模型解释了消费频率中35%或更多的方差,从而证实了其预测能力。我们使用称为路径分析的统计方法来检验模型中的关系。分析表明,影响消费的因素在两个年龄组之间(例如,营养知识在成人汽水饮用模型中与态度相关,但在学生汽水饮用模型中则不然)以及饮料类型之间(例如,对于学生模型,营养知识与低脂/脱脂牛奶的口感享受相关,但与全脂牛奶无关)存在差异。(摘要截选至250字)