Friedman L C, Webb J A, Bruce S, Weinberg A D, Cooper H P
Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX 77030, USA.
Am J Prev Med. 1995 Jan-Feb;11(1):59-65.
This longitudinal study examined predictors of (1) skin cancer prevention and early detection intentions and (2) compliance with recommendation for medical follow-up for suspicious skin lesions. Subjects were 324 hospital employees who were at increased risk for skin cancer and who participated in a worksite skin cancer screening program. Based on behavioral self-regulation theory and the Health Belief Model, multivariate analyses showed that optimism, perceived risk, reasons for doing skin self-examination (SSE), and SSE frequency prior to screening were the best predictors of intentions to engage in future health promotion behaviors (i.e., monthly SSE, regular sunscreen use, and participation in a skin cancer screening program the following year). Although our results also showed that optimism, reasons for doing SSE, and SSE frequency were the best predictors of compliance with medical follow-up, these three variables accounted for only a small amount of the variance in compliance with recommended follow-up care.
（1）皮肤癌预防和早期检测意图；（2）对可疑皮肤病变进行医学随访建议的依从性。研究对象为324名医院员工，他们患皮肤癌的风险较高，且参与了工作场所皮肤癌筛查项目。基于行为自我调节理论和健康信念模型，多变量分析表明，乐观情绪、感知风险、进行皮肤自我检查（SSE）的原因以及筛查前的SSE频率是未来参与健康促进行为（即每月进行SSE、定期使用防晒霜以及次年参与皮肤癌筛查项目）意图的最佳预测因素。尽管我们的研究结果还表明，乐观情绪、进行SSE的原因以及SSE频率是医学随访依从性的最佳预测因素，但这三个变量仅占推荐随访护理依从性方差的一小部分。
