Health-promoting behaviors among patients with coronary artery disease in Palestine

Abstract

Even though many chronic diseases result from unhealthy behaviors such as physical inactivity, high-fat diets, and smoking, these health behaviors are rarely controlled by coronary artery disease (CAD) patients. This 123study aimed to describe health-promoting behaviors ( HPB) and their predictors in patients with coronary artery disease. In this cross-sectional study, 178 participants with coronary artery disease from three primary healthcare clinics in Palestine were recruited. Health-Promoting Lifestyle Profile II was used to measure health-promoting behaviors, the Behavior-Specific Cognitions and Affect scale to measure cognition and affect, and the Multidimensional Scale of Perceived Social Support to measure social support was used. Hierarchical multiple regression analysis was performed to examine the predictive variables on health-promoting behaviors. The mean age of the participants was 53.7 years (SD=14.1). Most participants reported practicing moderate HPB (50.6%) or excellent HPB (2.8%). The mean lifestyle score was 123.7(SD=21.8), which lies in the moderate lifestyle level; the nutrition subscale had the highest score (M=24.3, SD=4.8), while the physical activity subscale had the lowest score (M=15.2, SD=4.4). Participants practice of HPB correlated negatively with age, BMI, and CCI total scores (r = −0.190, r = −0.191, r=−.247, respectively) and positively with behavior-specific cognitions and affect and social support(r =.473, r =.229). A significant difference based on gender, current smoking of cigarettes, current argilla use, marital status, level of education, and work status (t=2.189, t=-2.888, t=-3.109, F=-3.208, F=4.557, F=8.430, respectively);. For the first time in Palestine, it was demonstrated in this study that HPB levels among CAD patients are moderate to good. The authors underline the significance of developing policies to improve HPB practices.