Duffy M E
School of Nursing, Boston College, Chestnut Hill, Massachusetts 02167, USA.
Health Care Women Int. 1997 Mar-Apr;18(2):149-63. doi: 10.1080/07399339709516270.
This study based on the revised Pender Health Promotion Model (HPM) was conducted to determine the extent to which selected demographic modifying factors, health locus of control, self-efficacy, and current health status explained engaging in six health promotion practices in a sample of 397 employed Mexican American women aged 19 to 70 years who lived and worked in the Rio Grande Valley of Texas. Self-administered test packets contained measures of demographic characteristics, health locus of control, self-efficacy, health status, and the six health promotion practices. Canonical correlational analysis demonstrated two significant canonical variate pairs explaining 88% of variance in the dependent set, the subscale mean scores of the Health-Promoting Lifestyle Profile. Age; education; self-efficacy; internal and powerful others health locus of control; and prior, current, and future health status made statistically significant contributions. However, the demographic variables made only a minimal contribution, confirming the recent conclusions of researchers that the HPM as currently configured provides an inadequate explanation of the modifying factors' role in health promotion activity. Study results make an important addition to the understanding of how lifestyle factors contribute to Mexican American women's health and well-being.
本研究基于修订后的彭德健康促进模型（HPM）开展，旨在确定在397名年龄在19至70岁之间、生活和工作在得克萨斯州里奥格兰德河谷的在职墨西哥裔美国女性样本中，选定的人口统计学调节因素、健康控制点、自我效能感和当前健康状况对参与六种健康促进行为的解释程度。自我管理的测试包包含人口统计学特征、健康控制点、自我效能感、健康状况以及六种健康促进行为的测量指标。典型相关分析表明，有两对显著的典型变量对，解释了因变量集（健康促进生活方式概况量表的子量表平均得分）中88%的方差。年龄、教育程度、自我效能感、内控和有势力他人的健康控制点以及过去、当前和未来的健康状况都做出了具有统计学意义的贡献。然而，人口统计学变量的贡献微乎其微，这证实了研究人员最近的结论，即目前构建的HPM对调节因素在健康促进活动中的作用解释不足。研究结果为理解生活方式因素如何影响墨西哥裔美国女性的健康和幸福做出了重要补充。
