Williams Jaelrbreiret L, Sharma Manoj, Mendy Vincent L, Leggett Sophia, Akil Luma, Perkins Samuel
Department of Behavioral & Environmental Health, School of Public Health, Jackson State University, Jackson MS, USA.
Department of Epidemiology and Biostatistics, School of Public Health, Jackson State University, Jackson MS, USA.
Health Promot Perspect. 2020 Jul 12;10(3):200-206. doi: 10.34172/hpp.2020.33. eCollection 2020.
African American men have poorer health outcomes compared to their white counterparts despite medical advancements and early detection of diseases. The purpose of this study was to determine to what extent the constructs of the multi theory model (MTM) explain the intention for initiation and sustenance of the consumption of fruits and vegetables among African American adult men in Mississippi. Using a cross-sectional design a valid and reliable paper survey was administered during November and December of 2019. The target population for the study consisted of African American adult men (18 or older) that had not consumed recommended levels of fruits and vegetables within 24 hours of taking the questionnaire. A convenience quota sample of African American men from select barbershops in Jackson, Mississippi, were asked to complete the 40-item questionnaire on preventive health screening behavior (n=134). The mean total number of fruits and vegetables consumed by participants within 24hours of the taking the survey was 1.63 (SD =1.47). The mean intention to initiate consuming 5or more cups of fruits and vegetables per day score was 2.13 (SD=1.17) as measured on a 5-point scale (0-4). Behavioral confidence (β = 0.495, P<0.0001), and changes in physical environment(β = 0.230, P<0.0001) accounted for 40.8% of the variance in predicting the intention to initiate behavioral change regarding the daily consumption of fruits and vegetables. Practice for change (β = 0.462, P<0.001) and emotional transformation (β = 0.215, P<0.0001) accounted for 37.5% of the variance in the intention to sustain fruits and vegetables consumption behavior. Based on data found in the study, MTM appears to predict the intention to initiate and sustain fruit and vegetable intake of African American men. Further research studies of suitable interventions to target African American men are needed.
尽管医学不断进步且疾病能早期发现，但非裔美国男性的健康状况仍比白人男性差。本研究的目的是确定多理论模型（MTM）的各个构成要素在多大程度上能解释密西西比州非裔美国成年男性开始食用和持续食用水果及蔬菜的意愿。采用横断面设计，在2019年11月和12月进行了一项有效且可靠的纸质调查。该研究的目标人群为在填写问卷前24小时内未摄入推荐量水果和蔬菜的非裔美国成年男性（18岁及以上）。从密西西比州杰克逊市选定的理发店中抽取了一个方便配额样本，邀请非裔美国男性完成一份关于预防性健康筛查行为的40项问卷（n = 134）。参与者在接受调查前24小时内食用的水果和蔬菜的平均总数为1.63（标准差 = 1.47）。以5分制（0 - 4分）衡量，每天开始食用5杯或更多水果和蔬菜的平均意愿得分为2.13（标准差 = 1.17）。行为信心（β = 0.495，P < 0.0001）和物理环境变化（β = 0.230，P < 0.0001）在预测每日食用水果和蔬菜行为改变意愿的方差中占40.8%。改变实践（β = 0.462，P < 0.001）和情感转变（β = 0.215，P < 0.0001）在维持水果和蔬菜消费行为意愿的方差中占37.5%。根据该研究中的数据，MTM似乎能预测非裔美国男性开始和持续摄入水果及蔬菜的意愿。需要针对非裔美国男性开展进一步的合适干预措施的研究。
