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首页> 外文期刊>Journal of health communication >Developing a Typology of African Americans With Limited Literacy Based on Preventive Health Practice Orientation: Implications for Colorectal Cancer Screening Strategies
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Developing a Typology of African Americans With Limited Literacy Based on Preventive Health Practice Orientation: Implications for Colorectal Cancer Screening Strategies

机译：在预防保健实践的基础上发展有限读写能力的非洲裔美国人类型：对结直肠癌筛查策略的意义

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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.
机译：预防保健信息通常是针对广泛的社会人口群体量身定制的。但是，在各组内部，对预防性健康实践（例如大肠癌筛查）的认识可能存在很大差异。细分分析提供了一种工具，可以根据目标个人或小组的心理模型来更紧密地量身定制消息。这项研究使用心理社会营销细分技术的聚类分析在102名50至74岁，读写能力有限的非洲裔美国诊所患者中发展了结直肠癌筛查方向的类型学。患者来自一家大型城市教学医院的一家普通内科诊所，该亚人群的大肠癌患病率高，筛查率低。预防性筛查方向变量包括患者对涉及个人态度以及对预防性筛查和一般预防措施的偏爱的问题的回答。 k-均值聚类分析根据筛查方向产生了三类患者：现成筛查者（50.0％），谨慎筛查者（30.4％）和恐惧回避者（19.6％）。由此产生的分类学根据对预防保健实践的认识明确地定义了重要的亚组。作者建议，基于患者的预防性健康认知而建立有效的患者分类学方法，可以适用于各种健康问题。这种类型将有助于标准化人群的特征，并提供有关其与预防健康有关的态度，价值观，关注点，偏好和行为的更准确视图。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。

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