Walker L R, Glanz K
Graduate Program in Health and Medical Services Administration, Widener University, Chester, PA 19013.
Am J Prev Med. 1986 May-Jun;2(3):169-78.
To explore the psychosocial determinants of breast self-examination (BSE) among women, we studied a stratified random sample of 264 women students, faculty, and staff in a university community. The dependent variable of the study was self-reported frequency of BSE, and predictors included measures of general health predispositions, variables of the Health Belief Model, the impact of a woman's social network, a set of secondary non-health-related barriers and benefits, and the woman's evaluation of her personal health care system. Analysis of the data showed strong relationships between most of the predictor variables and BSE. Regression analysis showed that variables measuring a woman's recent experience in the health care system were stronger predictors of BSE practice than intrapersonal "health belief" variables. However, the independent variables included in the regression accounted for almost 35 percent of the total variance in BSE practice.
为探究女性进行乳房自我检查(BSE)的社会心理决定因素,我们对某大学社区的264名女学生、教职员工进行了分层随机抽样研究。该研究的因变量是自我报告的BSE频率,预测因素包括一般健康倾向指标、健康信念模型变量、女性社交网络的影响、一系列与健康无关的次要障碍和益处,以及女性对其个人医疗保健系统的评价。数据分析表明,大多数预测变量与BSE之间存在密切关系。回归分析显示,衡量女性近期在医疗保健系统中经历的变量比个人“健康信念”变量更能预测BSE行为。然而,回归中纳入的自变量仅占BSE行为总方差的近35%。