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Factors affecting frequency of communication about family health history with family members and doctors in a medically underserved population

机译：在医疗不足的人群中影响与家庭成员和医生就家庭健康史进行沟通的频率的因素

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Objective: Family history contributes to risk for many common chronic diseases. Little research has investigated patient factors affecting communication of this information. Methods: 1061 adult community health center patients were surveyed. We examined factors related to frequency of discussions about family health history (FHH) with family members and doctors. Results: Patients who talked frequently with family members about FHH were more likely to report a family history of cancer (p=.012) and heart disease (p<.001), seek health information frequently in newspapers (p<.001) and in general (p<.001), and be female (p<.001). Patients who talked frequently with doctors about FHH were more likely to report a family history of heart disease (p=.011), meet physical activity recommendations (p=.022), seek health information frequently in newspapers (p<.001) and in general (p<.001), be female (p<.001), and not have experienced racial discrimination in healthcare (p<.001). Conclusion: Patients with a family history of some diseases, those not meeting physical activity recommendations, and those who do not frequently seek health information may not have ongoing FHH discussions. Practice implications: Interventions are needed to encourage providers to update patients' family histories systematically and assist patients in initiating FHH conversations in order to use this information for disease prevention and control.
机译：目的：家族病史增加了许多常见慢性疾病的风险。很少有研究调查影响该信息交流的患者因素。方法：对1061例成人社区卫生中心患者进行了调查。我们研究了与家人和医生讨论家庭健康史（FHH）的频率有关的因素。结果：与家人经常谈论FHH的患者更有可能报告癌症家族史（p = .012）和心脏病（p <.001），在报纸上频繁寻求健康信息（p <.001）和通常（p <.001），而女性（p <.001）。经常与医生讨论FHH的患者更有可能报告心脏病家族史（p = .011），符合体育锻炼建议（p = .022），在报纸上经常寻求健康信息（p <.001）和通常（p <.001），应为女性（p <.001），并且在医疗保健中未经历过种族歧视（p <.001）。结论：具有某些疾病的家族病史的患者，不符合体育锻炼建议的患者以及不经常寻求健康信息的患者可能没有正在进行的FHH讨论。实践意义：需要采取干预措施，以鼓励提供者系统地更新患者的家族史，并协助患者发起FHH对话，以便将这些信息用于疾病的预防和控制。

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