Social Influence and Motivation to Change Health Behaviors Among Mexican-Origin Adults: Implications for Diet and Physical Activity

Social Influence and Motivation to Change Health Behaviors Among Mexican-Origin Adults: Implications for Diet and Physical Activity
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DOI:
10.4278/ajhp.100107-quan-2
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发表时间:
2012-01-01
影响因子:
2.7
通讯作者:
Koehly, Laura M.
Koehly, Laura M.
中科院分区:
医学4区
文献类型:
--
作者:
Ashida, Sato;Wilkinson, Anna V.;Koehly, Laura M.

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目的.为了评估来自社交网络成员的影响是否与改变饮食和体育活动行为的动机相关。基线评估,然后邮寄基于家庭健康史的个性化信息(2周)和随访评估(3个月)。来自德克萨斯州休斯顿一个正在进行的基于人群队列的家庭。来自161个墨西哥裔家庭的475名成年人。在接触的347户家庭中,有162户(47%)参加了活动。家庭健康史、社交网络和改变行为的动机。两水平logistic回归模型。至少有一个网络成员鼓励一个人吃更多的水果和蔬菜(p = 0.010)和从事定期的体育活动(p = 0.046)与改变相关行为的动机有关。大约40%的参与者没有这些行为的证据。确定网络内的新的干扰源并以自然干扰源为目标(例如,儿童,配偶)可能会增加干预措施的有效性,以激励墨西哥裔成年人的行为变化。(Am J Health Promot 2012;26131:176-179.)
Purpose. To evaluate whether influence from social network members is associated with motivation to change dietary and physical activity behaviors.Design. Baseline assessment followed by mailing of family health history based personalized messages (2 weeks) and follow-up assessment (3 months).Setting. Families from an ongoing population-based cohort in Houston, Texas.Subjects. 475 adults from 161 Mexican-origin families. Out of 347 households contacted, 162 (47%) participated.Measures. Family health history, social networks, and motivation to change behaviors.Analysis. Two-level logistic regression modeling.Results. Having at least one network member who encourages one to eat more fruits and vegetables (p = .010) and to engage in regular physical activity (p = .046) was associated with motivation to change the relevant behavior. About 40% of the participants did not have encouragers for these behaviors.Conclusions. Identification of new encouragers within networks and targeting natural encouragers (e.g., children, spouses) may increase the efficacy of interventions to motivate behavioral changes among Mexican-origin adults. (Am J Health Promot 2012;26131:176-179.)