Lauver D
School of Nursing, University of Wisconsin-Madison.
Res Nurs Health. 1994 Dec;17(6):421-31. doi: 10.1002/nur.4770170605.
Based on a theory of care seeking, the influences of psychosocial variables (anxiety, utility beliefs, norm, and habit) and facilitators (e.g., an identified practitioner) on care-seeking behavior with a breast cancer symptom were examined. Also, the influences of variables not identified by the theory (e.g., optimism and race) on care-seeking behavior were examined. Participants were Caucasian (n = 64) and African-American women (n = 71) with breast symptoms. Care seeking was measured by the days between symptom detection and contact with the health system. Habit was associated with promptness, utility beliefs were associated with delay, and anxiety interacted with having an identified practitioner to explain care seeking. Optimism and having a friend with a breast symptom also were associated with promptness. Race had neither direct nor interactive effects on care seeking.
基于一种就医行为理论,研究了心理社会变量(焦虑、效用信念、规范和习惯)以及促进因素(如确定的从业者)对出现乳腺癌症状时就医行为的影响。此外,还研究了该理论未确定的变量(如乐观主义和种族)对就医行为的影响。参与者为有乳房症状的白人女性(n = 64)和非裔美国女性(n = 71)。就医行为通过症状发现与联系医疗系统之间的天数来衡量。习惯与及时性相关,效用信念与延迟相关,焦虑与有确定的从业者相互作用以解释就医行为。乐观主义以及有患乳房症状的朋友也与及时性相关。种族对就医行为既无直接影响也无交互作用。