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健康行为理论和高血压管理:黑人,白人和美洲印第安人和阿拉斯加原住民患者之间的比较

Charleen J Gust¹, Angela D Bryan¹, Edward P Havranek^2,3

¹Department of Psychology and Neuroscience, University of Colorado Boulder, Boulder, CO, USA.

Race and social problems

|February 7, 2024

概括

高血压控制因种族而异,少数群体的患病率较低. 这项研究使用计划行为理论和目标导向行为的模型来探索影响跨种族群体血压控制的心理因素.

科学领域:

健康行为科学科学
心理学心理学心理学
公共卫生公共卫生

背景情况:

高血压不成比例地影响美国的种族和少数民族.
与白人美国人相比,在少数群体中观察到较低的高血压控制率.
有限的研究已经探索了诸如计划行为理论 (TPB) 和目标导向行为模型 (MGB) 等理论框架,以了解这些种族差异.

研究的目的:

检查影响美国印第安人/阿拉斯加原住民,黑人/非裔美国人和白人种族群体高血压患者血压控制的心理过程.
应用TPB,加上MGB,了解高血压控制中的种族差异.
在不同种族群体中识别调解血压控制意图的心理因素.

主要方法:

该研究涉及来自三个种族群体的高血压患者:美国印第安人/阿拉斯加本土人,黑人/非洲裔美国人和白人.
参与者完成了验证的措施,评估过去的努力,态度,规范,感知行为控制,意图和与血压控制相关的预期情绪.
用确认因素分析和跨组路径分析来分析数据.

主要成果:

对血压控制意图的理论构造和媒介的测量显示了种族群体之间的相似性.
在种族群体中,从过去的努力到意图的认知和情感先例的途径中观察到显著的差异.
心理过程,特别是过去行为对意图的影响,在种族群体中各不相同.

结论:

心理因素,特别是过去行为对意图的影响,在高血压控制中的种族差异中发挥着作用.
这些发现凸显了在高血压控制的干预中需要考虑种族特定的心理路径的必要性.
这项研究有助于了解高血压控制中的种族差异稀缺文献,并为未来的干预策略提供信息.

关键词:

预期的情绪预期的情绪在高血压的高血压.种族种族种族种族计划行为理论计划行为理论

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