Department of Population Health, New York University.
Solid Research Group, LLC.
Health Psychol. 2018 Dec;37(12):1092-1101. doi: 10.1037/hea0000687. Epub 2018 Oct 11.
To describe behavioral and genetic beliefs about developing hypertension (HTN) by sociodemographic factors and self-reported HTN status, and among those with a history of HTN, evaluate associations between HTN-related causal beliefs and behavior change attempts.
Data from the 2014 Health Information National Trends Survey were evaluated. HTN causal beliefs questions included (a) "How much do you think health behaviors like diet, exercise, and smoking determine whether or not a person will develop high blood pressure/HTN?"; and (b) "How much do you think genetics, that is characteristics passed from one generation to the next, determine whether or not a person will develop high blood pressure/HTN?" Multivariate logistic regressions evaluated associations between HTN causal beliefs and behavior change attempts including diet, exercise, and weight management.
Approximately 1,602 out of 3,555 respondents with nonmissing data (33% weighted) reported ever having HTN. In logistic regression models, results show that the more strongly people believed in the impact of behavior on developing HTN, the higher their odds for behavior change attempts. Beliefs about genetic causes of HTN were not associated with behavior change attempts. Women had higher odds of attempts to increase fruit and vegetable intake, reduce soda intake, and lose weight compared to men. Blacks and Hispanics were significantly more likely than Whites to report attempts to lose weight.
Beliefs about behavioral causes of HTN, but not genetic, were associated with behavior change attempts. Health messages that incorporate behavioral beliefs and sociodemographic factors may enhance future prohealth behavior changes. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
通过社会人口因素和自我报告的高血压（HTN）状况描述关于发生高血压的行为和遗传信念，并在有高血压病史的人群中，评估与高血压相关的因果信念与行为改变尝试之间的关系。
评估了 2014 年健康信息国家趋势调查的数据。高血压因果信念问题包括：（a）“您认为饮食、运动和吸烟等健康行为在多大程度上决定一个人是否会患上高血压/HTN？”；（b）“您认为遗传因素，即从一代传递到下一代的特征，在多大程度上决定一个人是否会患上高血压/HTN？”多元逻辑回归评估了高血压因果信念与饮食、运动和体重管理等行为改变尝试之间的关系。
在有非缺失数据的 3555 名受访者中，约有 1602 名（加权 33%）报告曾患有高血压。在逻辑回归模型中，结果表明，人们对行为对发生高血压的影响的信念越强，他们进行行为改变尝试的可能性就越高。对高血压遗传原因的信念与行为改变尝试无关。与男性相比，女性增加水果和蔬菜摄入量、减少苏打水摄入量和减肥的尝试几率更高。与白人相比，黑人西班牙裔更有可能报告减肥的尝试。
对高血压行为原因的信念，而不是遗传原因的信念，与行为改变尝试有关。结合行为信念和社会人口因素的健康信息可能会增强未来促进健康行为的改变。（PsycINFO 数据库记录（c）2018 APA，保留所有权利）。
