Center for Community-Based Healthcare Research and Education (CoHRE), Head Office for Research and Academic Information, Shimane University, Izumo City, Shimane, Japan.
Physical Education and Medicine Research Center UNNAN, Unnan City, Shimane, Japan.
Inquiry. 2024 Jan-Dec;61:469580241282776. doi: 10.1177/00469580241282776.
The application of social marketing to public health activities has recently garnered attention. This study aimed to identify high-priority segments for salt reduction interventions using the TARPARE model in a rural Japanese city. This cross-sectional study used convenient sampling. Scored indicators of the TARPARE model were used, and data was collected from 1874 adults to establish the priority order of target segments for promoting salt reduction. The model considers the total number of individuals (T), at-risk persons (AR), persuasibility (P), accessibility (A), resources required (R), and equity (E). For T, the salt content was evaluated using spot urine, and the salt check sheet was scored for each segment according to sex and age in the city's population. AR was the individuals who were overweight. P was determined by the behavior modification stage of salt reduction, unknown recommended salt reduction goals, and lack of knowledge in at least one aspect of salt reduction. A and R were characterized by communication with family or friends and family support, respectively. E was considered an education up to high school. The average aggregated score was 19.9 (standard deviation = 14.0), with higher scores in segments that consistently subjectively restrict salt intake but have a high objective salt intake. The highest priority was given to women in their 60s (49.3 points) and 70s (54.4 points). This study identified high-priority populations for salt reduction in a rural city in Japan. Our priority segments offer guidance for efficient and targeted interventions for salt reduction initiatives.
社会营销在公共卫生活动中的应用最近引起了关注。本研究旨在使用 TARPARE 模型在日本农村城市确定减少盐摄入量干预的高优先级人群。这项横断面研究使用了便利抽样法。使用 TARPARE 模型的评分指标，从 1874 名成年人中收集数据，以确定促进减少盐摄入量的目标人群的优先级顺序。该模型考虑了总人口 (T)、高危人群 (AR)、可说服性 (P)、可及性 (A)、所需资源 (R) 和公平性 (E)。对于 T，使用点尿评估盐含量，并根据城市人口的性别和年龄为每个细分市场的盐检查表评分。AR 是超重的个体。P 通过减少盐摄入量的行为改变阶段、未知的推荐盐减少目标以及在至少一个盐减少方面缺乏知识来确定。A 和 R 分别由与家人或朋友的沟通和家庭支持来描述。E 被认为是接受过高中教育。平均综合得分为 19.9（标准差=14.0），在持续主观限制盐摄入量但客观盐摄入量较高的细分市场中得分较高。优先级最高的是 60 多岁（49.3 分）和 70 多岁（54.4 分）的女性。本研究确定了日本农村城市减少盐摄入量的高优先级人群。我们的优先细分市场为减少盐摄入量的干预措施提供了高效和有针对性的指导。
