Are we getting the message out to all? Health information sources and ethnicity
Are we getting the message out to all? Health information sources and ethnicity
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DOI：
10.1016/s0749-3797(99)00067-7
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发表时间：
1999-10-01
影响因子：
5.5
通讯作者：
Johnson, L
中科院分区：
文献类型：
--
作者：
O'Malley, AS;Kerner, JF;Johnson, L
背景：少数民族和经济困难人群超额死亡的80%以上是由可预防或可控致病因素造成的。然而，以行为改变为目标的主流健康教育往往无法惠及少数群体。目的：确定多种族人群使用的健康和癌症信息来源，并确定信息来源是否因种族群体、年龄、性别和社会经济地位而异。方法：对 2462 名西班牙裔（哥伦比亚、多米尼加、厄瓜多尔和波多黎各）和黑人（加勒比、海地和美国出生）进行多语言、随机数字拨号电话调查人口，年龄 18-80 岁，来自基于人口的配额样本，纽约市，1992 年。结果：所有种族和年龄组都将卫生专业人员视为最常见的健康信息来源（总共 40%）。其次最常引用的来源是：电视（21%）、医院或医生办公室（18%）、书籍（17%）、杂志（15%）、小册子/小册子（11%）和广播（8%）。对癌症信息来源的反应也遵循类似的模式。黑人亚群比西班牙裔亚群更有可能从医生或其他健康专业人员那里获取健康信息（p = 0.001）。使用广播作为健康信息来源的比例最高的是海地人 (20.8%) 和哥伦比亚人 (12.5%)，最低的是美国出生的黑人 (4.2%) (p = 0.001)，但电视的使用情况没有差异。在移民中，随着在美国大陆度过的生活比例上升，引用杂志 (p = 0.001) 的百分比增加，而引用广播 (p = 0.025) 作为健康信息来源的百分比下降。受教育程度较低的人和较新的移民最有可能报告无法获取健康信息 (p = 0.001)。 结论：鉴于健康和癌症信息来源的差异，确定最常用的信息对于健康教育者和公共卫生从业者针对难以接触到的少数民族的努力非常重要。
Background: Over 80% of the excess deaths in minority and economically disadvantaged populations are from diseases with preventable or controllable contributing factors. However, mainstream health education targeting behavior change often fails to reach minority populations.Objective: To identify the health and cancer information sources used by a multi-ethnic population and to determine whether information sources differ by ethnic group, age, gender, and socioeconomic status.Methods: A multilingual, random-digit dial telephone survey of 2462 Hispanic (Colombian, Dominican, Ecuadorian, and Puerto Rican) and black (Caribbean, Haitian, and U.S.-born) persons, aged 18-80 years, from a population-based quota sample, New York City, 1992.Results: All ethnic and age groups cited a health professional as the most common source of health information (40% overall). The next most commonly cited sources overall were: television (21%), hospitals or doctor's offices (18%), books (17%), magazines (15%), brochures/pamphlets (11%), and radio (8%). Responses on sources of cancer information followed a similar pattern. Black subgroups were all significantly more likely than Hispanic subgroups to get their health information from a-doctor or other health professional (p = 0.001). Use of the radio as a source of health information was highest among Haitians (20.8%) and Colombians (12.5%), and lowest among U.S.-born blacks (4.2%) (p = 0.001), but there was no difference in the use of television. Among immigrants, as the proportion of life spent in mainland U.S. rose, increasing percentages cited magazines (p = 0.001) and decreasing percentages cited radio (p = 0.025) as a health information source. Less educated persons and more recent immigrants were most likely to report inability to get health information (p = 0.001).Conclusions: Given the variation in sources of health and cancer information, identification of those most commonly used is important to health educators' and public health practitioners' efforts to target hard-to-reach ethnic minorities.