Assessing Situational Awareness for Healthful Behaviors and the “Self-Care Gap” Among Non-Hispanic Black and Hispanic Men With Chronic Conditions
Why this work is in the frame
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Bibliographic record
Abstract
ObjectiveThis study sought to identify factors associated with (1) situational awareness (i.e., daily recognition of situations to make choices to act in the best interest of one's health) and (2) the self-care gap (i.e., not acting in one's best interest despite having recognized at least one opportunity to perform healthful behaviors).MethodsData from 1,761 non-Hispanic Black (58.4%) and Hispanic (41.6%) men aged 40 years or older with chronic conditions were collected using an internet-delivered questionnaire. Two linear regression models were fitted to assess factors associated with situational awareness and the self-care gap, respectively. Regression models were adjusted for sociodemographics, disease symptomatology, preventive screening activity, health behaviors, and health-related perceptions.ResultsSituational awareness levels were lower for older individuals (B = -.03, p < .001). Men who had higher fatigue (B = .11, p = .002), more stress (B = .07, p = .032), utilized more prevention screenings (B = .13, p = .001), adhered to physical activity guidelines (B = .36, p = .044), and received more social support (B = .89, p < .001) reported higher situational awareness. The self-care gap was more pronounced among non-Hispanic Black men (B = -.32, p = .026). Men who reported higher fatigue (B = .06, p = .041), clinical depression (B = .39, p = .039), more barriers to self-care (B = .11, p < .001), and higher frustrations with health care (B = .12, p < .001) were associated with greater self-care gaps.ConclusionsMen's recognition of healthful opportunities was largely driven by their disease symptomatology, greater engagement in preventive screenings, and receiving social support. However, the self-care gap was seemingly driven by mental health and challenges with disease self-management and health care interactions. Efforts are needed to narrow disparities in the self-care gap between non-Hispanic Black and Hispanic men.
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Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it