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首页> 外文期刊>Journal of public health >Can diagnostic self-testing of laypeople be predicted by core concepts of health behaviour theories? A comparison between German self-testers and non-self-testers
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Can diagnostic self-testing of laypeople be predicted by core concepts of health behaviour theories? A comparison between German self-testers and non-self-testers

机译：能否通过健康行为理论的核心概念来预测外行人的诊断性自我测试？德国自测者与非自测者的比较

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Aim: A broad range of self-tests (testing for e.g. HIV, cancer, hepatitis B/C) is available on the Internet and can be conducted by lay consumers without the help of a health professional. However, little is known about the determinants of self-testing. The aims of this study were to investigate whether the use of self-tests can be predicted by (1) factors specified in social-cognitive health behaviour theories; (2) technological affinity; or (3) anticipated affect. Subjects and methods: An online survey was conducted to investigate social-cognitive health concepts, technological affinity, and anticipated affect as predictors of self-testing. Participants were invited in batches, representative of the age and gender distribution in Germany, until similar numbers of completed cases of non-self-testers (n = 512) and self-testers (n = 505) were reached. Univariate and multiple hierarchical logistic regression analyses were carried out. Results: Self-testing was significantly associated with self-test-related self-efficacy, perceived severity, perceived susceptibility, and to some degree with outcome expectancy. Technological competence acted as a suppressor variable, tending to enhance the predictive value of self-test-related self-efficacy. Participants who anticipated a positive self-test-related affect were more likely to be self-testers than non-self-testers. Conclusions: Self-testing was predicted by the common health psychological constructs. However, including technological affinity and anticipated affect into the model significantly improved the predictive value of the use of self-tests. Given the current shortage of physicians, especially in rural areas, the need for, and actual use of self-tests could increase in Germany in the future. Thus, follow-up studies investigating the emotional consequences of self-testing are needed.
机译：目的：互联网上可以进行广泛的自测（例如，HIV，癌症，乙型/丙型肝炎的检测），并且可以由非专业消费者进行，而无需医疗专业人员的帮助。但是，关于自测的决定因素知之甚少。这项研究的目的是调查是否可以通过（1）社会认知健康行为理论中指定的因素来预测自我测试的使用; （2）技术亲和力;或（3）预期影响。主题和方法：进行了一项在线调查，以调查社会认知健康概念，技术亲和力和预期影响，作为自我测试的预测指标。邀请参加者分批参加，代表德国的年龄和性别分布，直到达到完成数量的非自测者（n = 512）和自测者（n = 505）为止。进行了单变量和多层次逻辑回归分析。结果：自我测试与自我测试相关的自我效能，感知的严重程度，感知的易感性以及在某种程度上与预期结果密切相关。技术能力是抑制因素，倾向于提高与自我测试相关的自我效能的预测价值。预期与自我测试相关的积极影响的参与者更可能是自我测试者，而不是非自我测试者。结论：自我测试是由常见的健康心理结构预测的。但是，将技术亲和力和预期影响纳入模型后，可以显着提高使用自测的预测价值。鉴于当前医生的短缺，特别是在农村地区，将来德国对自测的需求和实际使用可能会增加。因此，需要进行后续研究以调查自我测试的情感后果。

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