Developing a typology of African Americans with limited literacy based on preventive health practice orientation: implications for colorectal cancer screening strategies.
Developing a typology of African Americans with limited literacy based on preventive health practice orientation: implications for colorectal cancer screening strategies.
复制标题
基于预防健康实践导向的识字率有限的非洲裔美国人的类型学：对大肠癌筛查策略的影响。
DOI：
10.1080/10810730.2013.872725
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发表时间：
2014
影响因子：
4.4
通讯作者：
Greener, Judith
中科院分区：
文献类型：
--
作者：
Gordon, Thomas F.;Bass, Sarah Bauerle;Ruzek, Sheryl B.;Wolak, Caitlin;Rovito, Michael J.;Ruggieri, Dominique G.;Ward, Stephanie;Paranjape, Anuradha;Greener, Judith
预防保健信息往往针对广泛的社会人口群体。然而，在群体内部，对预防性保健做法（如结肠直肠癌筛查）的看法可能存在相当大的差异。细分分析提供了一种工具，用于制作更接近目标个人或子群体心理模型的消息。本研究使用聚类分析，一种社会心理营销细分技术，在102名年龄在50至74岁之间文化水平有限的非裔美国临床患者中制定结直肠癌筛查方向的类型。患者来自一家大型城市教学医院的普通内科诊所，这是一个已知结直肠癌发病率高、筛查率低的亚群。预防筛查取向变量包括患者对个人态度和对预防筛查和一般预防实践的偏好的回答。k-均值聚类分析根据筛查取向将患者分为三组：准备筛查者（50.0%）、谨慎筛查者（30.4%）和恐惧回避者（19.6%）。由此产生的类型学根据他们的预防保健实践观念清楚地界定了重要的亚群。作者提出，在他们的预防性健康观念的基础上，发展一种有效的患者类型学可以适用于各种健康问题。这种类型学将有助于使人口特征标准化，并更准确地了解他们与预防健康有关的态度、价值观、关切、偏好和行为。与标准化评估工具一起使用，它将为定制健康信息和改善医疗交流提供经验基础。
Preventive health messages are often tailored to reach broad sociodemographic groups. However, within groups, there may be considerable variation in perceptions of preventive health practices, such as colorectal cancer screening. Segmentation analysis provides a tool for crafting messages that are tailored more closely to the mental models of targeted individuals or subgroups. This study used cluster analysis, a psychosocial marketing segmentation technique, to develop a typology of colorectal cancer screening orientation among 102 African American clinic patients between the ages of 50 and 74 years with limited literacy. Patients were from a general internal medicine clinic in a large urban teaching hospital, a subpopulation known to have high rates of colorectal cancer and low rates of screening. Preventive screening orientation variables included the patients’ responses to questions involving personal attitudes and preferences toward preventive screening and general prevention practices. A k-means cluster analysis yielded three clusters of patients on the basis of their screening orientation: ready screeners (50.0%), cautious screeners (30.4%), and fearful avoiders (19.6%). The resulting typology clearly defines important subgroups on the basis of their preventive health practice perceptions. The authors propose that the development of a validated typology of patients on the basis of their preventive health perceptions could be applicable to a variety of health concerns. Such a typology would serve to standardize how populations are characterized and would provide a more accurate view of their preventive health-related attitudes, values, concerns, preferences, and behaviors. Used with standardized assessment tools, it would provide an empirical basis for tailoring health messages and improving medical communication.
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影响因子：
6.1
作者：
GROVER, R;SRINIVASAN, V
通讯作者：
SRINIVASAN, V
影响因子：
2.2
作者：
Carey, Michael P.;Vanable, Peter A.;Urban, Marguerite A.
通讯作者：
Urban, Marguerite A.
影响因子：
3
作者：
FLETCHER, RH;OMALLEY, MS;TAYLOR, J
通讯作者：
TAYLOR, J
影响因子：
--
作者：
Brown, J D
通讯作者：
Brown, J D
影响因子：
4.2
作者：
Della, Lindsay J.;DeJoy, David M.;Lance, Charles E.
通讯作者：
Lance, Charles E.