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Hauora Tãne: Mãori Men, Health Behaviours, and the Stages of Change Model

Published online by Cambridge University Press:  23 February 2012

Jo Paddison ,
Hemi Heta  and
Ross Flett
Jo Paddison
Affiliation:
Massey University, New Zealand
Hemi Heta
Affiliation:
Massey University, New Zealand
Ross Flett*
Affiliation:
Massey University, New Zealand
*
School of Psychology, Massey University, Palmerston North, New Zealand. E-mail: R.A.Flett@massey.ac.nz
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Abstract

Understanding the distribution of Mãori across stages of health behaviour change (precontemplation, contemplation, preparation, action, maintenance) may inform the development of public health programs. In a replication and extension of a study by Nigg et al. (1999) we described the distribution of 73 Mãori male questionnaire respondents (age 18 to 59 years) across these stages for 8 healthy behaviours (avoiding dietary fat, eating fibre, reducing weight, regularly exercising, reducing stress, reducing sun exposure, using sunblock, and conducting cancer self-examinations). Respondents were also asked to rate their general health, health worries, and health locus of control. Evidence found of a continuum of change for ‘ignoring’, to ‘thinking about1 to ‘performing’ healthy behaviour provides moderate support for the idea that behaviour change is not an all-or-nothing event. There were no significant age effects. Respondents who rated their health more positively were more likely to report using sunblock, exercising regularly, and eating a high fibre diet. Respondents who felt they had more control over their health were more likely to eat a diet high in fibre. Eating a high fibre diet, exercising and managing stress were most strongly associated with the other health behaviours which may illustrate the concept of gateway behaviours proposed by Nigg et al. (1999).

Type
Research Article
Information
The Australian Journal of Rehabilitation Counselling , Volume 11 , Issue 2 , January 2005 , pp. 136 - 145
Copyright
Copyright © Cambridge University Press 2005

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References

Allison, D.B., Gorman, B.S., & Primavera, L.H. (1993). Some of the most common questions asked of statistical consultants: Our favorite responses and recommended readings. Genetic, Social and General Psychology Monographs, 119, 155–185.Google Scholar
Cancer Society of New Zealand. (2000). Cancer facts and figures. Retrieved July 14, 2002, from http://www.xtramsn.co.nz/health/0„8239-1188718.00.htmlGoogle Scholar
Cancer Society of New Zealand. (2001). Healthy lifestyles. Retrieved July 12, 2002, from http://www.cancersoc.org.nz/index.php?url=/html/early/cs_early_01.phpGoogle Scholar
Costakis, C.E., Dunnagan, T., & Haynes, G. (1999). The relationship between the stages of exercise adoption and other health behaviours. American Journal of Health Promotion, 14, 22–30.Google Scholar
Courneya, K.S. (1995). Understanding readiness for regular physical activity in older individuals: An application of the theory of planned behavior. Health Psychology, 14, 80–87.Google Scholar
Etter, J., Perneger, T.V., & Ronchi, A. (1997). Distributions of smokers by stage: International comparison and association with smoking prevalence. Preventative Medicine, 26, 380–385.Google Scholar
Flett, R., Millar, M.A., Long, N.R., & MacDonald, C. (1998). Community survey of trauma. Wellington, New Zealand: Accident Compensation Corporation.Google Scholar
Grigg, M., & Macrae, B. (2000). Tikanga Oranga Hauora Te Puni Kokiri: Ministry of Mãori Development, Wellington, New Zealand.Google Scholar
Idler, E.L., & Benyamini, Y. (1997). Self rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behaviour, 38, 21–37.Google Scholar
Rosnow, R.L., & Rosenthal, R. (1989). Statistical prodecures and the justification of knowledge in psychological science. American Psychologist, 44, 1276–1284.Google Scholar
Laforge, R.G., Greene, G.W., & Prochaska, J.O. (1994). Psychosocial factors influencing low fruit and vegetable consumption. Journal of Behavioral Medicine, 17, 361–374.Google Scholar
Maddux, J.E., & DuCharme, K.A. (1997). Behavioral intentions in theories of health behavior. In Gochman, D.S. (Ed.), Handbook of health behavior research I: Personal and social determinants. New York: Plenum Press.Google Scholar
Marcus, B.H., Banspach, S.W., Lefebvre, C.R., Rossi, J.S., Carleton, R.A., & Abrams, D.B. (1992). Using the stages of change model to increase the adoption of physical activitiy among community participants. American Journal of Health Promotion, 6, 424–429.CrossRefGoogle Scholar
Meillier, L.K., Lund, A.B., & Kok, G. (1996). Reactions to health education among men. Health Education Research, 11, 107–115.Google Scholar
Ministry of Health. (1999). Our health, our future — hauora pakari, koiora roa – the health of New Zealanders. Retrieved on 15 July, 2002, from http://www.moh.govt.nzGoogle Scholar
Ministry of Health. (2000). New Zealand health strategy. Retrieved July 7, 2002, from http://www.moh.govt.nz/moh.nsf/NZHthStrat.pdfGoogle Scholar
New Zealand Health Information Service. (2001, 06). New Zealand drug statistics. Retrieved June 31, 2002, from http://www.nzhis.govt.nz.publications/drugs.htmlGoogle Scholar
Nigg, C.R., Burbank, P.M., Padula, C., Dufresne, R., Rossi, J.S., Velicer, W.F., et al. (1999). Stages of change across ten health risk behaviors for older adults. The Gerontologist, 4, 473–482.Google Scholar
Prochaska, J.O., & DiClemente, C.C. (1983). Stages and processes of self-change of smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology, 51, 390–395.CrossRefGoogle ScholarPubMed
Prochaska, J.O., & DiClemente, C.C. (1992). Stages of change in the modification of problem behaviours. In Herson, M., Eisler, R.M., & Miller, P. M. (Eds.), Progress in behaviour modification. Sycamore, IL: Sycamore Press.Google Scholar
Prochaska, J.O., DiClemente, C.C., & Norcross, J.C. (1992). In search for how people change: Applications to addictive behaviours. American Psychologist, 47, 1102–1114.Google Scholar
Prochaska, J.O., DiClemente, C.C., Velicer, W.F., & Rossi, J.S. (1993). Standardized, individualized, interactive, and personalized self-help programs for smoking cessation. Health Psychology, 12, 399–405.Google Scholar
Prochaska, J.O., & Velicer, W.F. (1997). The transtheoretical model of health behavior change. American Journal of Health Promotion, 1, 38–48.Google Scholar
Prochaska, J.O., Velicer, W.F., Rossi, J.S., Goldstein, M.G., Marcus, B.H., Rakowski, W.et al. (1994). Stages of change and decisional balance for 12 problem behaviors. Health Psychology, 13, 39–46.Google Scholar
Rakowski, W., Dube, C.E., Marcus, B.H., Prochaska, J.O., Velicer, W.F., & Abrams, D.B. (1992). Assessing elements of women's decisions about mammography. Health Psychology, 11, 111–118.CrossRefGoogle ScholarPubMed
Riebe, D., & Nigg, C.N. (1998). Setting the stage for healthy living. Health and Fitness Journal, 2, 11–15.Google Scholar
Rossi, J.S. (1992). Stages of change for 15 health risk behaviours in an HMO population. Paper presented at the 13th annual meeting of the Society of Behavioral Medicine, New York, NY.Google Scholar
Rossi, J.S., Blais, L.M., Redding, C.A., & Weinstock, M.A. (1995). Preventing skin cancer through behavior change. Dermatoepidemiology, 13, 613–622.Google Scholar
Rossi, J.S., Rossi, S.R., Velicer, W.F., & Prochaska, J.O. (1995). Motivational readiness to control weight. In Allison, D.B. (Ed.), Handbook of assessment methods for eating behaviors and weight-related problems: Measures, theory, and research. Thousand Oaks, CA: Sage.Google Scholar
Snow, M.G., Prochaska, J.O., & Rossi, J.S. (1994). Processes of change in alcoholics anonymous: Maintenance factors in long-term sobriety. Journal of Studies on Alcohol, 55, 362–371.Google Scholar
Velicer, W.F., Fava, J.L., Prochaska, J.O., Abrams, D.B., Emmons, K.M., & Pierce, J.P. (1995). Distribution of smokers by stage in three representative samples. Preventative Medicine, 24, 401–411.Google Scholar
Velicer, W.F, Prochaska, J.O., Fava, J.L., Laforge, R.G., & Rossi, J.S. (1999). Interactive versus noninteractive interventions and dose-response relationships for stage-matched smoking cessation programs in a managed care setting. Health Psychology, 18, 21–28.Google Scholar