Health policy perception and health behaviours:: A multilevel analysis and implications for public health psychology

被引:12
作者
Von Lengerke, T
Vinck, J
Rütten, A
Reitmeir, P
Abel, T
Kannas, L
Lüschen, G
Diaz, JAR
Van der Zee, J
机构
[1] GSF, Natl Res Ctr Environm & Hlth, D-85758 Neuherberg, Germany
[2] Limburgs Univ Ctr, Diepenbeek, Belgium
[3] Univ Erlangen Nurnberg, Nurnberg, Germany
[4] Univ Bern, Bern, Switzerland
[5] Univ Jyvaskyla, Jyvaskyla, Finland
[6] Univ Illinois, Urbana, IL 61801 USA
[7] Univ Barcelona, E-08007 Barcelona, Spain
[8] Netherlands Inst Hlth Serv Res, Utrecht, Netherlands
关键词
cross-national research; health behaviour; health policy; multilevel analysis; social climate;
D O I
10.1177/1359105304036110
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Associations of health policy perception with health behaviours are analysed. Policy perception is differentiated in information about programmes and appraisal of health policy's contribution to policy goals, and conceptualized on the level of: (1) individuals; and (2) populations (as a social climate indicator). Survey data from the Biomed2-Project MAREPS gathered in Belgium, Finland, Germany, The Netherlands, Spain and Switzerland (N = 3343) show that at the individual level, only policy information is associated with utilizing mammography, quitting smoking, physical activity and political participation in creating healthy environments. In contrast, multilevel regression analyses show that policy appraisal is related to physical activity and political participation as a social climate factor. Implications for integrating health psychology and public health within public health psychology are discussed.
引用
收藏
页码:157 / 175
页数:19
相关论文
共 57 条
[11]   HEALTH PSYCHOLOGY AND PUBLIC-POLICY - THE POLITICAL-PROCESS [J].
DELEON, PH ;
FRANK, RG ;
WEDDING, D .
HEALTH PSYCHOLOGY, 1995, 14 (06) :493-499
[12]  
DIEKSTRA RFW, 1990, EUROPEAN PERSPECTIVE, V2, P19
[13]   Bringing context back into epidemiology: Variables and fallacies in multilevel analysis [J].
Diez-Roux, AV .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1998, 88 (02) :216-222
[14]  
Dillman D.A., 1978, MAIL TELEPHONE SURVE
[15]   Context, composition and heterogeneity: Using multilevel models in health research [J].
Duncan, C ;
Jones, K ;
Moon, G .
SOCIAL SCIENCE & MEDICINE, 1998, 46 (01) :97-117
[16]   Bowling Alone: a review essay [J].
Durlauf, SN .
JOURNAL OF ECONOMIC BEHAVIOR & ORGANIZATION, 2002, 47 (03) :259-273
[17]  
*EUR COMM, 1996, EUR GUID QUAL ASS MA
[18]   SOCIAL-ACTION THEORY FOR A PUBLIC-HEALTH PSYCHOLOGY [J].
EWART, CK .
AMERICAN PSYCHOLOGIST, 1991, 46 (09) :931-946
[19]  
Fishbein M., 1980, UNDERSTANDING ATTITU
[20]  
Hofstede G., 1991, Cultures and organizations, DOI DOI 10.1016/S0005-7967(02)00184-5