Genetic causal beliefs about morbidity: associations with health behaviors and health outcome beliefs about behavior changes between 1982-2002 in the Finnish population.
Genetic causal beliefs about morbidity: associations with health behaviors and health outcome beliefs about behavior changes between 1982-2002 in the Finnish population.
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DOI：
10.1186/s12889-015-1657-x
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发表时间：
2015-04-17
影响因子：
4.5
通讯作者：
Salomaa V
中科院分区：
文献类型：
--
作者：
Haukkala A;Konttinen H;Hankonen N;Perola M;Kääriäinen H;Salomaa V
近几十年来，遗传信息的作用和意义大大增加。我们研究了从1982年到2002年关于发病率的因果信念的变化，以及因果信念、健康行为和肥胖之间的关联，以及健康结果信念。在1982年至2002年对25至64岁的个人进行的五项基于人口的风险因素调查（FINRISK研究）中（n = 37，503），受访者从十个备选项中选择了最重要的发病原因。健康结果信念评估有两个项目。身体不活动和吸烟状况基于自我报告，肥胖基于测量的身高和体重。认为遗传因素是发病最重要原因的人的患病率从1982年的4%上升到1992年的10%，并一直保持到2002年。在研究期间，缺乏锻炼和超重增加，而不适当的饮食和压力减少的因果信念的发病率。吸烟者和缺乏体育锻炼的人更有可能认为是遗传原因而不是行为原因导致发病，而肥胖的受访者更有可能选择超重而不是遗传原因导致发病。那些赞同遗传因素是最重要原因的人对健康行为变化的结果信念更悲观，但在研究期间，这些结果信念在所有因果信念组中变得更加积极。尽管公众对基因组学的讨论越来越多，但赞同遗传因素是发病最重要原因的人的相对比例仍然很低。然而，在这个群体中，关于健康行为改变的好处的信念变得更加积极。这可能表明，基因组健康信息的增加不会导致对生活方式改变的疗效的更多负面评价。
The role and meaning of genetic information has grown considerably in the recent decades. We examined changes in causal beliefs about morbidity as well as the associations between causal beliefs, health behaviors and obesity, and health outcome beliefs from 1982 to 2002. In five population-based risk-factor surveys (the FINRISK Studies) of individuals aged 25 to 64 years conducted from 1982 to 2002 (n = 37,503), respondents chose the most important cause of morbidity from a list of ten alternatives. Health outcome beliefs were assessed with two items. Physical inactivity and smoking status were based on self-reports and obesity was based on measured height and weight. The prevalence of those who endorse genetic factors as the most important cause of morbidity increased from 4% in 1982 to 10% in 1992 and remained at that level until 2002. During the study period, lack of exercise and overweight increased, whereas inappropriate diet and stress diminished as causal beliefs about morbidity. Smokers and physically inactive were more likely to endorse genetic than behavioral causes of morbidity, whereas obese respondents were more likely to choose overweight over genetic causes of morbidity. Those who endorse genetic factors as the most important cause had more pessimistic outcome beliefs about health behavior changes, but these outcome beliefs became more positive in all causal belief groups during the study period. Despite increased public discussion of genomics, the relative proportion of those who endorse genetic factors as the most important cause of morbidity has remained low. However, within this group beliefs about benefits of health behavior changes have become more positive. This could indicate that increase in genomic health information does not lead to more negative appraisals of efficacy of lifestyle changes.
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