Heart disease risk information, encouragement, and physical activity among Mexican-origin couples: Self- or spouse-driven change?
Heart disease risk information, encouragement, and physical activity among Mexican-origin couples: Self- or spouse-driven change?
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DOI：
10.1093/tbm/ibx012
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发表时间：
2018-02-01
影响因子：
3.6
通讯作者：
Koehly，Laura M.
中科院分区：
文献类型：
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作者：
Skapinsky，Kaley F.;Persky，Susan;Koehly，Laura M.
家族健康史是一种可访问的，临床推荐的基因组工具，可改善健康风险评估。它捕捉了家庭内聚集的遗传和可改变的风险因素。因此，家庭代表了一个显着的背景下，家庭健康史为基础的干预措施，激励参与降低风险的行为。虽然以前的研究已经探讨了个人如何应对他们的个人风险信息，我们扩展这个调查，以考虑个人如何应对他们的配偶的风险信息之间的墨西哥裔美国人的样本。160对墨西哥传统家庭的配偶夫妇接受了系谱或系谱和个性化的风险评估，有或没有行为建议。进行协方差分析（ANCOVA）以评估个人和配偶的风险反馈与3个月和10个月评估时自我报告的身体活动水平之间的关系，控制基线水平。被确定为配偶的健康体重的影响也进行了评估。在3个月或10个月的评估中，个人反馈对参与者的身体活动没有影响。然而，丈夫的风险信息与妻子在3个月评估时的身体活动水平相关，丈夫收到增加的风险反馈和行为建议的女性比其他女性的身体活动水平显着更高。在10个月的随访中，丈夫和妻子的身体活动水平不同，这取决于他们是否鼓励配偶保持健康的体重。配偶的风险信息可能是一个更强大的动力来源，以改善身体活动模式比个人的风险信息，特别是对妇女。激活配偶之间的人际鼓励的干预可能会更成功地扩展干预效果。
Family health history is an accessible, clinically-recommended genomic tool that improves health risk evaluation. It captures both genetic and modifiable risk factors that cluster within families. Thus, families represent a salient context for family health history-based interventions that motivate engagement in risk-reducing behaviors. While previous research has explored how individuals respond to their personal risk information, we extend this inquiry to consider how individuals respond to their spouse’s risk information among a sample of Mexican-Americans. One hundred and sixty spouse-dyads within Mexican-heritage households received a pedigree or a pedigree and personalized risk assessments, with or without behavioral recommendations. Analyses of Covariance (ANCOVAs) were conducted to assess the relationship between risk feedback, both personal and spouse, and self-reported physical activity levels at 3-month and 10-month assessments, controlling for baseline levels. The effect of being identified as an encourager of spouse’s healthy weight was also evaluated. Personal feedback had no effect on participants’ physical activity at either 3- or 10-month assessments. However, husbands’ risk information was associated with wives’ physical activity levels at 3-month assessment, with women whose husbands received both increased risk feedback and behavioral recommendations engaging in significantly higher physical activity levels than all other women. At 10-month follow-up, physical activity levels for both husbands and wives differed depending on whether they encouraged their spouse’s healthy weight. Spousal risk information may be a stronger source of motivation to improve physical activity patterns than personal risk information, particularly for women. Interventions that activate interpersonal encouragement among spouses may more successfully extend intervention effects.