Hulbert LaShonda, Mensa-Wilmot Yvonne, Rutledge Stephanie, Owens-Gary Michelle, Skeete Renée, Cannon Michael J
Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Hwy NE, Mailstop 107-3, Atlanta, GA 30341 (
Division of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, Georgia.
Prev Chronic Dis. 2025 Jan 9;22:E04. doi: 10.5888/pcd22.240268.
Men in racial and ethnic minority groups are less likely than non-Hispanic White men to participate in programs designed to improve health, despite having a higher prevalence of type 2 diabetes. We sought to understand 1) the interests and preferences of racial and ethnic minority men, with or at risk for type 2 diabetes, in programs designed to improve health and 2) factors that influence participation and health practices.
We designed a 43-question web-based survey on facilitators and barriers to participation in a healthy living program. The survey was administered from August 27, 2019, through September 3, 2019. Our analytic sample consisted of 1,506 men at risk for or diagnosed with type 2 diabetes in racial and ethnic minority groups. We conducted descriptive and regression analyses of survey data.
Most men (59%) were interested in participating in a healthy living program and/or program elements such as incentives (67%), male-specific health topics (57%), and the inclusion of family (63%). Flexibility was important, since "exercising when it is convenient for me" was the most frequently selected facilitator of physical activity and "the hours were inconvenient" was identified as a challenge in previous programs. Men in this survey were significantly more likely to be interested in participating in a health improvement program for several reasons, including if they were physically active 150 minutes or more per week (vs not) (adjusted odds ratio [AOR] = 2.2; 95% CI, 1.6-3.0) and had previously been in a healthy living program (vs not) (AOR = 1.5; 95% CI, 1.1-2.1).
Our findings can be useful for recruiting and retaining racial and ethnic minority men with or at risk for type 2 diabetes in programs designed to improve health and ultimately reduce disparities in the prevalence of diabetes.
尽管2型糖尿病患病率较高，但与非西班牙裔白人男性相比，少数族裔男性参与旨在改善健康的项目的可能性较小。我们试图了解：1）患有2型糖尿病或有患2型糖尿病风险的少数族裔男性对旨在改善健康的项目的兴趣和偏好；2）影响参与和健康行为的因素。
我们设计了一项基于网络的43个问题的调查，内容涉及参与健康生活项目的促进因素和障碍。该调查于2019年8月27日至2019年9月3日进行。我们的分析样本包括1506名少数族裔中患有2型糖尿病或有患2型糖尿病风险的男性。我们对调查数据进行了描述性和回归分析。
大多数男性（59%）有兴趣参与健康生活项目和/或项目元素，如激励措施（67%）、男性特定健康主题（57%）以及纳入家庭（63%）。灵活性很重要，因为“在方便的时候锻炼”是体育活动最常被选择的促进因素，而“时间不方便”被认为是以往项目中的一个挑战。本次调查中的男性更有可能出于多种原因对参与健康改善项目感兴趣，包括他们每周进行150分钟或更长时间的体育活动（与不活动相比）（调整后的优势比[AOR]=2.2；95%置信区间，1.6 - 3.0）以及之前参加过健康生活项目（与未参加相比）（AOR = 1.5；95%置信区间，1.1 - 2.1）。
我们的研究结果有助于在旨在改善健康并最终减少糖尿病患病率差异的项目中招募和留住患有2型糖尿病或有患2型糖尿病风险的少数族裔男性。
