Duncan C, Jones K, Moon G
Department of Geography, University of Portsmouth, England.
Soc Sci Med. 1996 Mar;42(6):817-30. doi: 10.1016/0277-9536(95)00181-6.
Recent attempts to place individual health-related behaviour in context have been judged largely unsuccessful. This paper examines how this situation might be improved and is especially concerned with the role of quantitative methodologies. It is argued that, whilst recent developments in social theory help provide important theoretical guidelines, they can only be implemented with difficulty in empirical health-related behaviour research if traditional quantitative methodologies are used. It is suggested that the best way to implement social theory within a quantitative framework is to apply the newly developed technique of multilevel modelling. This paper offers an overview of the multilevel approach and outlines its significance for health-related behaviour research. In addition, it details a number of ways in which the multilevel framework can be extended so as to achieve further improvements in the conceptualization of health-related behaviour. To illustrate the value of the technique, the paper finishes by considering one of these extensions in detail and applying it to data recording smoking behaviour in the United Kingdom.
近期将个体健康相关行为置于具体情境中的尝试在很大程度上被判定为不成功。本文探讨了如何改善这种情况，尤其关注定量方法的作用。有人认为，虽然社会理论的最新发展有助于提供重要的理论指导，但如果使用传统的定量方法，在与健康相关的实证行为研究中很难实施这些理论。建议在定量框架内实施社会理论的最佳方法是应用新开发的多层次建模技术。本文概述了多层次方法，并概述了其对健康相关行为研究的意义。此外，详细介绍了多层次框架可以扩展的多种方式，以便在健康相关行为的概念化方面取得进一步改进。为了说明该技术的价值，本文最后详细考虑了其中一种扩展，并将其应用于记录英国吸烟行为的数据。
