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首页> 外文期刊>Journal of health communication >The Influence of Spiritual Framing on African American Women's Mammography Intentions: A Randomized Trial
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The Influence of Spiritual Framing on African American Women's Mammography Intentions: A Randomized Trial

机译：精神构架对非洲裔美国女性乳房X线摄影意图的影响：一项随机试验。

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摘要

Spiritual framing of breast cancer communication may provide a useful strategy for addressing disparate rates of breast cancer mortality among African American women. The efficacy of a spiritually framed breast cancer screening (BCS) message was compared with that of a traditional BCS message. Specifically, 200 African American women were randomly assigned to review either a spiritually framed or traditional BCS message and complete a self-administered survey, including a thought-listing form. Message efficacy was measured by number of thoughts generated (elaboration), ratio of positive to negative thoughts (polarity), and intention to obtain and/or recommend a mammogram. Multiple linear regression and structural equation modeling were used to assess direct and indirect (mediated) associations among variables. Spiritual framing was positively associated with greater elaboration (beta = .265, SE = .36, p < .001) and more positive polarity (beta = .237, SE = .04, p < .001). Spiritual framing also had a significant indirect effect on mammography intentions through polarity (standardized indirect effect = .057, 95% confidence interval [.024, .106], p < .001). These results indicate that spiritual framing may improve the efficacy of BCS messages among African American women by eliciting more positive thoughts about screening. Interventions targeting African American women might consider the role of spirituality when tailoring messages to encourage regular mammography use.
机译：乳腺癌沟通的精神框架可能为解决非洲裔美国女性乳腺癌死亡率的不同提供了有用的策略。将精神框架的乳腺癌筛查（BCS）信息与传统BCS信息的功效进行了比较。具体来说，随机分配了200名非裔美国女性，以审视精神上有框框的信息或传统的BCS信息，并完成一项包括思想清单在内的自我管理调查。通过产生的想法数量（细化），正面想法与负面想法的比率（极性）以及获得和/或推荐乳房X光照片的意图来衡量消息的有效性。多元线性回归和结构方程模型用于评估变量之间的直接和间接（介导）关联。精神框架与更高的精致度（β= .265，SE = .36，p <.001）和更多的正极性（β= .237，SE = .04，p <.001）呈正相关。精神框架还通过极性对乳房X线照相术意图产生了显着的间接影响（标准化的间接影响= .057，95％置信区间[.024，.106]，p <.001）。这些结果表明，精神构架可能会引起人们对筛查的更多积极思考，从而提高非裔美国人妇女BCS信息的效力。针对非裔美国女性的干预措施在定制信息以鼓励定期进行乳房X线摄影时应考虑灵性的作用。

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