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癌症预防背景下健康意识预测因素中的种族/族裔差异。

Race/Ethnic Variations in Predictors of Health Consciousness Within the Cancer Prevention Context.

作者信息

Nevarez Lucinda, Hovick Shelly R, Enard Kimberly R, Lloyd Stacy M, Kahlor Lee Ann

机构信息

College for Health, Community & Policy, Department of Social Work, The University of Texas at San Antonio, San Antonio, TX, USA.

School of Communication, 2647The Ohio State University, Columbus, OH, USA.

出版信息

Am J Health Promot. 2020 Sep;34(7):740-746. doi: 10.1177/0890117120904000. Epub 2020 Feb 10.

Abstract

PURPOSE

Although the literature establishes a link between health consciousness (HC) and prevention behavior, less explored are the individual, social, and health characteristics that are associated with increased HC. Similarly, underexamined is the influence of race and ethnicity on the relationship of these characteristics to higher levels of HC.

DESIGN

This cross-sectional study aims to identify and assess the relative importance of factors associated with higher levels of HC, highlighting the role of race and ethnicity.

PARTICIPANTS

Participants came from a national research panel survey (N = 1007).

MEASURES

Participants completed a 4-item scale capturing key concepts of HC as well as questionnaires capturing demographic profiles, social support, social networking activities, and health status.

ANALYSIS

A stepwise multiple regression was used to identify significant predictors of HC.

RESULTS

Female and more educated participants report higher levels of HC. African American and Hispanic participants report higher levels of HC compared to white participants. Findings indicate social support, social network participation, education, cancer survivorship, and health status were positively associated with higher HC for the collective sample. However, results revealed variations in factors associated with higher HC when stratified by race/ethnicity.

CONCLUSION

Findings suggest that interventions aiming to motivate cancer prevention behaviors within at-risk communities may find more success by incorporating factors that are aligned with increased HC among culturally diverse populations.

摘要

目的

尽管文献证实了健康意识(HC)与预防行为之间的联系,但对于与HC增强相关的个人、社会和健康特征的探索较少。同样,种族和民族对这些特征与更高水平的HC之间关系的影响也未得到充分研究。

设计

这项横断面研究旨在识别和评估与更高水平的HC相关因素的相对重要性,突出种族和民族的作用。

参与者

参与者来自一项全国性研究小组调查(N = 1007)。

测量方法

参与者完成了一个包含4个条目的量表,用于捕捉HC的关键概念,以及用于获取人口统计学特征、社会支持、社交网络活动和健康状况的问卷。

分析

采用逐步多元回归来确定HC的显著预测因素。

结果

女性和受教育程度较高的参与者报告的HC水平较高。与白人参与者相比,非裔美国人和西班牙裔参与者报告的HC水平较高。研究结果表明,社会支持、社交网络参与、教育、癌症幸存者身份和健康状况与总体样本中较高的HC呈正相关。然而,按种族/民族分层时,结果显示与较高HC相关的因素存在差异。

结论

研究结果表明,旨在激励高危社区癌症预防行为的干预措施,通过纳入与不同文化人群中HC增强相一致的因素,可能会取得更大成功。

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