糖尿病信仰,感知风险和健康行为:来自里士满压力和糖分研究的嵌入式混合方法分析
Katherine Khosrovaneh1, Viktoryia A Kalesnikava1,2, Briana Mezuk3,2
1Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, Michigan, USA.
BMJ open
|February 5, 2025
概括
感知到的风险和健康信念并不能驱动风险成年人的糖尿病预防行为. 家庭病史与风险感知有关,这表明它可以用于宣传活动.
科学领域:
- 公共卫生 公共卫生
- 行为科学 行为科学
- 糖尿病研究 糖尿病研究
背景情况:
- 糖尿病预防计划经常假设风险意识激励行为改变,但感知风险的作用是有争议的.
- 了解影响预防行为的因素对于有效的2型糖尿病风险降低策略至关重要.
研究的目的:
- 调查糖尿病风险,健康信念和高风险成年人的预防行为之间的关联.
- 探索影响参与糖尿病预防的心理社会因素和资源.
主要方法:
- 对125名患有2型糖尿病风险较高的成年人进行横截面混合方法研究.
- 评估糖尿病信仰 (多维健康控制位置),预防行为 (自我报告) 和感知风险 (概率尺度).
- 使用后勤/Poisson回归用于定量分析和内容分析用于定性主题.
主要成果:
- 感知到的糖尿病风险很低 (中位数为35%),之前参与预防计划的参与有限.
- 在健康信念,感知风险和参与预防性行为之间没有发现显著的关联.
- 糖尿病家族史与感知风险有很强的相关性,而感知风险与预防性行为有很强的相关性.
结论:
- 风险感知和健康信念不是风险人群预防行为的主要驱动因素.
- 家庭病史信息可以增强糖尿病宣传活动.
- 糖尿病预防计划需要解决超越健康信念的更广泛障碍,以促进行为改变.
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