Self-Efficacy, Health Literacy, and Nutrition and Exercise Behaviors in a Low-Income, Hispanic Population
Self-Efficacy, Health Literacy, and Nutrition and Exercise Behaviors in a Low-Income, Hispanic Population
复制标题
DOI：
10.1007/s10903-016-0384-4
复制
发表时间：
2017-04-01
影响因子：
1.9
通讯作者：
Davis, LaShara A.
中科院分区：
文献类型：
--
作者：
Guntzviller, Lisa M.;King, Andy J.;Davis, LaShara A.
公共卫生目标强调健康的营养和锻炼行为，特别是在服务不足的人群中。根据社会认知理论（SCT），自我效能和能力（例如，健康素养）可以相互作用来预测预防行为。我们调查了100名生活在美国的低收入，母语为西班牙语的人，他们的英语水平很低，主要是墨西哥血统。参与者报告了他们的营养和运动自我效能，西班牙健康素养，营养和体育活动行为。与SCT一致，自我效能和健康素养的相互作用显着预测水果和蔬菜的消费和每周锻炼，并轻微预测避免高脂肪食物。对于所有三种交互作用，较高的健康素养水平加强了自我效能与健康行为之间的正相关关系。结果提供支持SCT和最佳的原则，为低收入，讲西班牙语的成年人，行为的信心和识字能力的组合是必要的，制定适当的健康行为。
Public health goals have emphasized healthy nutrition and exercise behaviors, especially in underserved populations. According to social cognitive theory (SCT), self-efficacy and capability (e.g., health literacy) may interact to predict preventative behaviors. We surveyed 100 low-income, native Spanish-speakers living in the United States who were low in English proficiency and predominantly of Mexican heritage. Participants reported their nutritional and exercise self-efficacy, Spanish health literacy, and nutrition and physical activity behaviors. Consistent with SCT, the interaction of self-efficacy and health literacy significantly predicted fruit and vegetable consumption and weekly exercise, and marginally predicted avoidance of high fat foods. For all three interactions, higher health literacy levels strengthened the positive relationship between self-efficacy and health behaviors. The results offer support for the tenets of SCT and suggest-for low-income, Spanish-speaking adults-that a combination of behavioral confidence and literacy capability are necessary to enact appropriate health behaviors.