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基于健康行动过程方法模型的山西大学生膳食行为改善阶段特征研究

[Research on the stage characteristics of Shanxi college students' dietary behavior improvement based on the Health Action Process Approach model].

作者信息

Zhang Chichen, Zheng Xiao, Zhao Huining, Su Chunhui, Xue Yaqing

机构信息

School of Manangment, Shanxi Medical University, Taiyuan 030001, China.

出版信息

Wei Sheng Yan Jiu. 2018 Jul;47(4):588-627.

Abstract

OBJECTIVE

To analyze the stage characteristics in the dietary behavior improvement of college students and explore the role of social cognitive variables in the dietary behavior change based on the Health Action Process Approach.

METHODS

Selfmade college students' eating behavior scales, college students' dietary rating scales and social cognitive scales were used to investigate their eating behavior, dietary stages, and eating intentions. A cluster random sampling was employed to select 2100 college students in 8 colleges and universities in Shanxi Province from April to November 2015, a total of 1933 valid questionnaires were retrieved. The respondents were grade one to four undergraduates, of whom 613 were boys and 1320 were girls.

RESULTS

Cross-sectional survey result showed that the dietary behavior of college students in Shanxi Province was 118. 17 ± 15. 27. In the social cognitive variables, positive expectancy( t =-3. 98, P <0. 001) and behavioral intentions( t =-4. 03, P < 0. 001) had significant difference in gender, where girls were higher than boys. Self-efficacy, risk perception, outcome expectancy, action planning and dietary behavior all showed significant difference among preintenders, intenders and actors( P < 0. 01).

CONCLUSION

The action stage of dietary behavior improvement had the most students and there were different social cognitive variables at different dietary behavior stages. Researchers should implement targed health management for students at different dietary behavior stages to make their dietary behavior more reasonablely and scientifically.

摘要

目的

基于健康行动过程方法,分析大学生饮食行为改善的阶段特征,探讨社会认知变量在饮食行为改变中的作用。

方法

采用自制的大学生饮食行为量表、大学生饮食评分量表和社会认知量表,对其饮食行为、饮食阶段和饮食意图进行调查。2015年4月至11月,采用整群随机抽样法选取山西省8所高校的2100名大学生,共回收有效问卷1933份。调查对象为本科一至四年级学生,其中男生613名,女生1320名。

结果

横断面调查结果显示,山西省大学生饮食行为得分为118. 17±15. 27。在社会认知变量中,积极期望(t=-3. 98,P<0. 001)和行为意图(t=-4. 03,P<0. 001)在性别上存在显著差异,女生高于男生。自我效能感、风险感知、结果期望、行动计划和饮食行为在未打算者、打算者和行动者之间均存在显著差异(P<0. 01)。

结论

饮食行为改善的行动阶段学生最多,不同饮食行为阶段存在不同的社会认知变量。研究者应针对不同饮食行为阶段的学生实施有针对性的健康管理,使他们的饮食行为更加合理、科学。

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