Abstract

Aging societies have garnered global attention regarding issues related to older adults’ health promotion. This cross-sectional study aimed to identify factors associated with older adults’ participation in community-based health promotion activities. The Older Adults’ Health Promotion Activity Questionnaire was developed to collect data, and a total of 139 older adults were recruited from a community care center in Taoyuan City. Participants’ mean age was 72.7 years (SD = 6.0 years), 74.8% were females, 64.7% were married, 59% had a lower level of education, 51.8% had lower income, 59% reported their health status not good, and 76.3% had chronic disease. Our findings indicated that age, perceived benefits, and self-efficacy were identified as significant predictors of participation in health promotion activities. Among them, perceived benefits were found to have the strongest association with participation in health promotion activities (β = 0.305; p < 0.05). The findings showed that the Pender’s Health Promotion Model is useful to provide information for predicting and detecting significant factors related to older adults’ participation in community-based health promotion activities. By using this model as a framework, researchers can design more specific studies that are directed towards improving healthy lifestyles and detecting the key components of health-related behaviors among different age groups.

Highlights

  • The proportion of older adults is gradually increasing in countries around the world because of declining fertility rates

  • By the end of 2019, the aging index of Taiwan, which has been on the rise, reached 119.8; this value is higher than the benchmark value for an aging society according to the World Health Organization (WHO)

  • 30% of older adults in Taiwan have two or more chronic conditions, such as diabetes, heart failure, arthritis, or dementia, that can lead to increased hospitalizations or nursing home stays [2]

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Summary

Introduction

The proportion of older adults (aged 65 and over) is gradually increasing in countries around the world because of declining fertility rates. It is expected that the global population of older adults will reach 2 billion by 2050 [1]. By the end of 2019, the aging index of Taiwan, which has been on the rise, reached 119.8; this value is higher than the benchmark value for an aging society according to the World Health Organization (WHO). 30% of older adults in Taiwan have two or more chronic conditions, such as diabetes, heart failure, arthritis, or dementia, that can lead to increased hospitalizations or nursing home stays [2]. Community-based health promotion activities have multiple benefits to improve older adults’ physical functions, spiritual satisfaction, and sense of accomplishment [3]

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