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Langford AT Resnicow K Roberts JS Zikmund-Fisher BJ 《Journal of genetic counseling》2012,21(3):440-447
To examine the association of 1) race/ethnicity and 2) numeracy with awareness of DTC genetic tests. Secondary analysis of
6,754 Hispanic, black, and white adult respondents to the National Cancer Institute’s 2007 Health Information National Trends
Survey (HINTS). Logistic regression was used to examine sociodemographic predictors of DTC genetic tests awareness including
race/ethnicity, income, education, and gender. Next, two numeracy variables were added to the model. After controlling for
sociodemographic variables, black respondents were significantly less likely to have heard of DTC genetic tests compared to
white respondents (OR = 0.79; CI: 0.65–0.97). When numeracy variables were added to the model, the effect of black race was
no longer significant (OR = 0.84; CI: 0.69–1.04). Hispanic respondents did not significantly differ from white respondents
in awareness of DTC genetic tests. Other significant correlates of DTC genetic tests awareness in the full model included
education, income, age, and numeracy variables including degree to which people use medical statistics and numbers to make
health decisions, and preference for words or numbers when discussing “the chance of something happening.” Although black
respondents were generally less aware of DTC genetic tests than white respondents, this relationship appears to be partially
mediated by numeracy. 相似文献
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A number of studies have investigated use of extreme (ERS) and acquiescent (ARS) response styles across cultural groups. However, due to within-group heterogeneity, it is important to also examine use of response styles, acculturation, and endorsement of cultural variables at the individual level. This study explores relationships between acculturation, six Mexican cultural factors, ERS, and ARS among a sample of 288 Mexican American telephone survey respondents. Three aspects of acculturation were assessed: Spanish use, the importance of preserving Mexican culture, and interaction with Mexican Americans versus Anglos. These variables were hypothesized to positively associate with ERS and ARS. Participants with higher Spanish use did utilize more ERS and ARS; however, value for preserving Mexican culture and interaction with Mexican Americans were not associated with response style use. In analyses of cultural factors, endorsement of familismo and simpatia were related to more frequent ERS and ARS, machismo was associated with lower ERS among men, and la mujer was related to higher ERS among women. Caballerismo was marginally associated with utilization of ERS among men. No association was found between la mujer abnegada and ERS among women. Relationships between male gender roles and ARS were nonsignificant. Relationships between female gender roles and ARS were mixed but trended in the positive direction. Overall, these findings suggest that Mexican American respondents vary in their use of response styles by acculturation and cultural factors. This usage may be specifically influenced by participants' valuing of and engagement with constructs directly associated with social behavior. 相似文献
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Springer Mellanie V. Conley Kathleen M. Sanchez Brisa N. Resnicow Ken Cowdery Joan E. Skolarus Lesli E. Morgenstern Lewis B. Brown Devin L. 《Journal of religion and health》2021,60(6):3915-3930
Journal of Religion and Health - Church-based stroke prevention programs for Hispanics are underutilized. The Stroke Health and Risk Education (SHARE) project, a multicomponent cluster-randomized... 相似文献
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Ken Resnicow Colleen DiIorio Johanna E Soet Denise Ernst Belinda Borrelli Jacki Hecht 《Health psychology》2002,21(5):444-451
Motivational interviewing (MI), initially developed for addiction counseling, has increasingly been applied in public health, medical, and health promotion settings. This article provides an overview of MI, outlining its philosophic orientation and essential strategies. Major outcome studies are reviewed, nuances associated with the use of MI in health promotion and chronic disease prevention are described, and future directions are offered. 相似文献
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Jasjit S Ahluwalia Nicole Nollen Harsohena Kaur Aimee S James Matthew S Mayo Ken Resnicow 《Health psychology》2007,26(2):214-221
OBJECTIVES: Examine the effectiveness of an intervention to increase fruits and vegetables (FV) consumption among smokers. DESIGN: Cluster-randomized trial of 20 public housing developments; 10 randomly assigned to an FV intervention and 10 to a smoking cessation intervention. MAIN OUTCOME MEASURES: Usual (past 7 days) and past 30 days change in daily FV intake at 8 weeks and 6 months postbaseline. RESULTS: Greater increases were seen in the FV group. At Week 8 and Month 6, the FV group had consumed 1.58 (p = .001) and 0.78 (p = .04), respectively, more daily FV servings in the past 7 days than the cessation group. At the same time points, the FV group had consumed 3.61 (p = .01) and 3.93 (p = .01), respectively, more FV servings in the past 30 days than the cessation group. Completing more motivational interviewing sessions (p = .02) and trying more recipes (p = .02) led to significantly greater increases at Month 6 among FV participants. CONCLUSIONS: Motivational interviewing counseling and lifestyle modification through trying out healthy recipes may be effective in helping a high-risk population increase their FV intake. 相似文献
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Bernard F Fuemmeler Louise C Masse Amy L Yaroch Ken Resnicow Marci Kramish Campbell Carol Carr Terry Wang Alexis Williams 《Health psychology》2006,25(4):474-483
In this study the authors examined psychosocial variables as mediators for fruit and vegetable (FV) intake in a clustered, randomized effectiveness trial conducted in African American churches. The study sample included 14 churches (8 intervention and 6 control) with 470 participants from the intervention churches and 285 participants from the control churches. The outcome of FV intake and the proposed mediators were measured at baseline and at 6-month follow-up. Structural equation modeling indicated that the intervention had direct effects on social support, self-efficacy, and autonomous motivation; these variables also had direct effects on FV intake. Applying the M. E. Sobel (1982) formula to test significant mediated effects, the authors confirmed that social support and self-efficacy were significant mediators but that autonomous motivation was not. Social support and self-efficacy partially mediated 20.9% of the total effect of the intervention on changes in FV intake. The results support the use of strategies to increase social support and self-efficacy in dietary intervention programs. 相似文献
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Ken Resnicow Alice Jackson Dhana Blissett Terry Wang Frances McCarty Simone Rahotep Santhi Periasamy 《Health psychology》2005,24(4):339-348
Healthy Body Healthy Spirit was a multicomponent intervention to increase fruit and vegetable (F & V) consumption and physical activity (PA) delivered through Black churches. Sixteen churches were randomly assigned to 3 intervention conditions. At baseline, 1,056 individuals were recruited across the 16 churches, of which 906 (86%) were assessed at 1-year follow-up. Group 1 received standard educational materials, Group 2 received culturally targeted self-help nutrition and PA materials, and Group 3 received the same intervention as did Group 2 as well as 4 telephone counseling calls based on motivational interviewing (MI) delivered over the course of 1 year. At 1-year follow-up, Groups 2 and 3 showed significant changes in both F & V intake and PA. Changes were somewhat larger for F & V. For F & V, but not PA, there was a clear additive effect for the MI intervention. 相似文献
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