Willingness of Mexican-American Adults to Share Family Health History with Healthcare Providers
Willingness of Mexican-American Adults to Share Family Health History with Healthcare Providers
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DOI：
10.1016/j.amepre.2011.02.013
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发表时间：
2011-06-01
影响因子：
5.5
通讯作者：
Wilkinson, Anna V.
中科院分区：
文献类型：
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作者：
Koehly, Laura M.;Ashida, Sato;Wilkinson, Anna V.
背景：收集家庭健康史(FHH)信息与医疗保健提供者分享是健康风险评估的一个重要方面。目的：检验FHH告知的风险反馈内容与愿意与医疗保健提供者分享信息之间的关系。方法：收集2008年6月至2009年7月居住在161个家庭的475名墨西哥裔成年人的数据。参与者在收到FHH通知的风险反馈3个月后完成调查。家庭被随机分配到反馈条件下，在反馈条件下，家庭成员收到以下一种或多种：FHH谱系、个性化风险评估(PRA)和量身定制的行为建议。Logistic回归模型使用带有可交换协方差的广义估计方程进行拟合，以解释内部响应的聚集和对家庭反馈条件的随机分配。分析于2010年5月完成。结果：接受个性化风险评估的参与者比只接受系谱评估的参与者更愿意与提供者分享他们的反馈(OR=2.25，p=0.02)。接受量身定制的行为建议并没有显著增加与提供者分享反馈的意愿(OR=0.79，p=0.48)。结论：在FHH评估中提供PRA似乎激励参与者考虑与医疗保健提供者分享他们的FHH。(Am J Prev Med 2011；40(6)：633-636)，由Elsevier Inc.代表美国预防医学杂志出版
Background: Collecting family health history (FHH) information to share with healthcare providers is an important aspect of health-risk assessment.Purpose: To examine associations between the content of FHH-informed risk feedback and willingness to share the information with a healthcare provider.Methods: Data were collected between June 2008 and July 2009 from 475 Mexican-origin adults residing in 161 households. Participants completed surveys 3 months after receiving FHH-informed risk feedback. Households were randomly assigned to feedback conditions in which household members received one or more of the following: an FHH pedigree, personalized risk assessments (PRAs), and tailored behavioral recommendations. Logistic regression models were fitted using generalized estimating equations, with exchangeable covariances, to account for the clustering of responses within and the random assignment of feedback condition to household. Analyses were completed in May 2010.Results: Participants who received personalized risk assessments were more willing to share their feedback with a provider than those who received a pedigree only (OR=2.25, p=0.02). The receipt of tailored behavioral recommendations did not significantly increase willingness to share feedback with a provider (OR=0.79, p=0.48).Conclusions: The provision of PRAs in FHH assessments appears to motivate participants to consider sharing their FHH with a healthcare provider. (Am J Prev Med 2011;40(6):633-636) Published by Elsevier Inc. on behalf of American Journal of Preventive Medicine