The family heart dietary intervention program: community response and characteristics of joining and nonjoining families.

The family heart dietary intervention program: community response and characteristics of joining and nonjoining families.
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家庭心脏饮食干预计划:社区反应以及加入和非加入家庭的特征。

DOI:
10.1016/0091-7435(84)90084-7
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发表时间:
1984
影响因子:
5.1
通讯作者:
Matarazzo,JD
Matarazzo,JD
中科院分区:
医学2区
文献类型:
--
作者:
Hollis,JF;Sexton,G;Connor,SL;Calvin,L;Pereira,C;Matarazzo,JD

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从俄勒冈州波特兰市的一个指定社区中随机抽取了501个符合条件的家庭,并有机会参加一项为期5年的干预计划,旨在促进低脂肪和低胆固醇的饮食模式,以降低患冠心病的风险。参与包括临床、饮食和心理指标的三项基线评估,定期随访测量,以及由心理学家和营养学家领导的每月小组会议。先前的家庭健康调查可以比较来自加入家庭和非加入家庭的应答者在报告的健康状况、健康信念、健康控制点、健康和营养知识以及人口特征方面的情况。在所有受邀家庭中,近一半(47%)同意加入这一长期营养干预计划,并完成了必要的基线评估。区分参加和不参加的因素普遍不符合预防健康行为的健康信念模型。在对疾病的易感性、家族健康史和家族中血浆胆固醇水平升高的报告方面,参加运动的人与不参加运动的人相似。然而,有高血压成员的家庭不太可能加入这种心脏病预防计划。积极的预测因素包括更高的职业地位、更多的心脏病知识、更多的内部健康控制点,以及相信几乎没有什么障碍可以阻止采用更健康的低脂饮食模式。这些发现表明,社区对最佳营养有广泛的兴趣,它们也为公众采取预防保健行动的动机提供了建议。
A random sample of 501 eligible families was selected from a designated neighborhood in Portland, Oregon, and given the opportunity to join a 5-year intervention program promoting a low-fat and low-cholesterol eating pattern designed to reduce risk for coronary heart disease. Participation entailed three baseline assessments of clinical, dietary, and psychological indices, periodic follow-up measurements, and monthly small group meetings led by psychologists and nutritionists. A prior home health survey allowed comparisons of respondents from joining and nonjoining families in terms of reported health status, health beliefs, health locus of control, knowledge about health and nutrition, and demographic characteristics. Almost half (47%) of all invited families agreed to join this long-term nutrition intervention program and completed the necessary baseline assessments. Factors discriminating joiners and nonjoiners were not generally consistent with the health belief model of preventive health behavior. Joiners were similar to nonjoiners in terms of perceived susceptibility to disease, family health histories, and reports of elevated plasma cholesterol levels in the family. However, families with hypertensive members were less likely to join this heart disease prevention program. Positive predictors of participation included higher occupational status, greater knowledge about heart disease, a more internal health locus of control, and the belief that there are few barriers preventing the adoption of a healthier low-fat eating pattern. These findings indicate that there is widespread community interest in optimal nutrition, and they also provide suggestions as to what motivates the general public to take preventive health actions.
社会经济状况和预防性健康行为。
DOI: --
发表时间: 1974
影响因子: 5
作者:
D. Coburn;C. Pope
通讯作者: C. Pope
DOI: 10.2105/ajph.69.10.1011
发表时间: 1979
影响因子: 12.7
作者:
M. Greenlick;J. Bailey;J. Wild;J. Grover
通讯作者: J. Grover
DOI: 10.1016/0091-7435(81)90063-3
发表时间: 1981
影响因子: 5.1
作者:
J. Neaton;S. Broste;L. Cohen;E. Fishman;M. Kjelsberg;J. Schoenberger
通讯作者: J. Schoenberger
心血管健康教育活动中的技能培训。
DOI: 10.1037//0022-006x.48.2.129
发表时间: 1980
影响因子: 5.9
作者:
A. Meyer;J. Nash;A. Mcalister;N. Maccoby;J. Farquhar
通讯作者: J. Farquhar
DOI: 10.1111/j.1468-0009.2005.00425.x
发表时间: 1966-09
期刊: The Milbank Memorial Fund quarterly
影响因子: --
作者:
I. Rosenstock
通讯作者: I. Rosenstock