Lifestyle Profile Research Articles

Blue Zone Loma Linda: Assessing the Relationship Between Lifestyle and Oral Health.

Objectives: Assess the relationship between lifestyle and oral health-related quality-of-life (OHRQoL) of residents in a blue zone, Loma Linda. Methods: A cross-sectional study was conducted using a questionnaire including demographics, lifestyle, and Oral Health Impact Profile (OHIP-14). Lifestyle cumulative scores ranged from 8-32, lower scores indicating greater conformity to Power 9® lifestyle, characterized by observing Sabbath, time with friends, volunteering, exercising, eating lots of plants, eating meat in moderation, drinking a lot of water, snacking on nuts, and eating an early dinner. OHIP-14 assessed OHRQoL, with scores from 0-56. Negative binomial regression was used, with significance of alpha = 0.05. Results: A total of 350 surveys were collected. Cumulative lifestyle showed a mean of 13.9. Spending time with friends was the most adhered to activity (96%) while the least followed was having early dinners (71.2%). Asians (Mean = 14.2) had significantly higher lifestyle scores than Whites (Mean = 13.7). The mean OHIP-14 was 7.01. Whites had lower OHIP-14 scores than Asians, indicating better OHRQoL. Race, nut consumption and exercise were significant predictors for increased OHRQoL (P < 0.05, in all instances). Conclusions: Loma Linda residents adhere well to the Power 9® lifestyle. There are significant predictors such as nut consumption and exercise for increased OHRQoL.

Health promoting lifestyle in educational setting: an intervention study in the universities

The "health promoting universities" strategy has gained popularity and a presence in the higher education system, particularly in universities. It is imperative for higher education establishments to prioritize the promotion of health within their student body and academic community. By safeguarding and boosting students' wellbeing, a strategy centered on encouraging healthy lifestyles has the potential to boost the university's contribution to health improvement and offer significant value to the community. Universities have the power to improve health promotion through community service and to make policies in this area through research and teaching. In order to investigate student behavior in relation to the standard aspects of the healthpromoting lifestyle profile, this project will undertake an intervention study involving 150 students with the goal of promoting a healthy lifestyle. A pretest and post-test control group design was employed in this investigation. The health-promoting lifestyle standard profile II questionnaire was the research instrument, and descriptive statistics and inference were employed for analysis at the .05 significant level. The outcomes demonstrated a noteworthy impact on the implemented measures. This study's findings indicated that interventions in learning environments successfully raised student behavior linked to a healthy lifestyle and its components.

Multiple behavioural risk factors and mental health complaints among adults in Estonia

Abstract Background Behavioural risk factors are inter-related and often coincide, resulting in potentially worse mental health outcomes. This study explores the association between multiple behavioural risk factors and mental health among adults in Estonia. Methods We used nationally representative survey data from 2020 (n = 6404) to study the co-occurrence of lifestyle risk factors (smoking, alcohol consumption, physical inactivity, unhealthy diet, drug use, and high screen time) in relation to mental health indicators. Latent class analysis (LCA) was used to identify lifestyle risk profiles, while regression analysis was used to examine associations. Results Mental health outcomes were more frequent among females and younger respondents, but 54.4% of respondents reported having at least one mental health problem. Using LCA, three lifestyle classes were identified: multiple risk factors (17.9% of respondents), healthy lifestyle (76.1%), and drug use lifestyle (5.9%). Compared to individuals in healthy lifestyle class, respondents in multiple risk factors had higher odds for experiencing depressiveness (OR 1.46; CI 1.24-1.72), stress (OR 1.26; CI 1.06-1.49), and suicidal thoughts (OR 1.50; CI 1.26-1.80), as well as self-reported diagnoses of depression and insomnia, and using medications, such as antidepressants, hypnotics and sedatives. Respondents in drug use lifestyle had 1.5-2.5 times higher odds for all mental health items compared to healthy lifestyle class with largest difference found for suicidal thoughts (OR 2.46; CI 1.92-3.16) and medication use (OR 2.58; CI 1.91-3.47). Conclusions The current data highlights the importance of preventive measures targeting multiple behavioural risk factors, given that these factors often coincide. Moreover, the study showed a high proportion of individuals with at least one mental health problem, highlighting the necessity to continue efforts in preventive and interventive methods. Key messages • The study highlights the significant association between multiple behavioural risk factors and mental health outcomes. • The study also emphasizes the importance of focused interventions targeting multiple behavioural risk factors to address the increased risk of mental health problems.

An observational study in Roma women in Greece: measuring health factors in an understudied group

Abstract Background The Roma have always been one of the most vulnerable and at the same time understudied minority groups in Europe, living under difficult conditions and experiencing discrimination. The aim of the present work was to summarize the health and lifestyle profile of Roma women living in various regions of Greece. Methods A multi-center, observational study was implemented in April-June 2022, in the context of a national program entitled “Empowering Young Roma Women in matters of health, prevention and human rights: a new methodological approach”. Roma women, living in 5 areas of Greece, and health professionals working with Roma groups were considered as eligible to participate. A two-step, methodological approach was followed: a. qualitative study with Focus Groups and b. questionnaire-based survey. Results In total, n = 41 participants in FGs, and n = 99 responders in survey were recorded. 40% of participants were smokers (&amp;gt;10-15 cigarettes/day). Main quitting reasons, were “to set a good example and cost’. Increased consumption of ultra-processed foods and beverages, low plant-based foods intake, frequent breakfast omission and eating-out were reported by the vast majority of participants. Only 15% of responders had undergone typical, gynecological, screening tests while 1 in 5 responders used contraception. Regarding vaccinations, even if about 8 in 10 women seemed to comply with the obligatory vaccines for their children, a high vaccination reluctancy in 70% of the study sample was recorded in case of vaccination in adulthood. Conclusions This study stands one of the very few that underscore the vulnerability of Roma women in terms of poor health literacy, unhealthy lifestyle behaviours and low motivation to typical preventive measures. Improving access to primary health care services and tailored, culturally sensitive training is crucial. Key messages • Social inclusion of the increasing population of Roma women is crucial. • Health promotion, taking into consideration Roma women’s special needs, shall be a decisive factor of this process.

The Association between Organizational Factors of Health Promoting Schools and Teachers' Health Lifestyles: A Multilevel Analysis.

Schools are both learning environments for students and workplaces for faculty. Recognizing the role of organizational factors in staff health in school environments, the study aimed to explore which factors, including transformational leadership, teachers' perceived management support and HPS accreditation awards, were most associated with promoting a healthy lifestyle for teachers. A cross-sectional study was undertaken of 137 elementary schools in 2014, involving 433 directors and 2090 teachers. Data were collected using an anonymous structured questionnaire. Hierarchical linear modeling was used to analyze both teacher- and school-level factors associated with health-promoting lifestyles. There was a significant positive correlation between teachers' overall health-promoting lifestyle profile (HPLP-II) scores and both perceived management support (coefficient = .98, p < .001) and transformational leadership (coefficient = .38, p = .039). All 6 HPLP-II subscales also showed significant positive correlations with perceived management support (coefficients .12-.24, p < .001). Supporting a healthy working atmosphere and strong principal transformational leadership are keys to enhancing teachers' health-promoting lifestyles. Future research could explore how transformational leadership and management support influence teachers' health behaviors and identify effective strategies and interventions.

Monitoring of urinary nickel and chromium in metal industries workers in Alborz, Iran

Heavy metal contamination from occupational sources is a cause for concern due to its potential accumulation in the environment and the body of living organisms, which leads to long-term toxic effects. There is limited evidence on the concentration of heavy metals in the body fluids of welding workers. This study aimed to measure the concentration of nickel (Ni) and chromium (Cr) as two main toxic heavy metals in the urine samples of welders and determine the potential relationship of various environmental factors on their concentration levels. This study was conducted in Iran in 2022–2023. Eighty-five urine samples were collected from the studied welding workers. Inductively coupled plasma optical emission spectrometry (ICP-OES) was used to measure the concentration of Ni and Cr. Data related to socio-demographic characteristics (education level, income, work experience, age, and body mass index (BMI)), lifestyle profile (consumption of seafood and canned food, smoking, physical activity), type of ventilation and preventive devices at work, and suffering from underlying diseases (cardiovascular and high blood pressure) were collected using valid questionnaires. Ni and Cr were present in 100% of urine samples with mean concentrations of (1.09 ± 0.294) and (11.45 ± 16.751) µg/g creatinine, respectively. A significant correlation was observed between the mean concentration of Ni and Cr with the level of education, income, work experience, age, consumption of seafood and canned food, smoking, type of ventilation and preventive devices, and underlying diseases (p-value < 0.05). Also, there was no significant difference between Ni concentration and physical activity and Cr concentration with BMI. Lifestyle determinants and not using preventive devices are important predictors of urinary heavy metals in welding workers. Therefore, more research is required to determine the adverse effects of long-term exposure to these heavy metals.

Lifestyle and sleep quality of schoolchildren living in Amazonas, Brazil

Lifestyle is something inherent to the world's population, different in each place and often varying from individual to individual. Lifestyle is directly related to health and encompasses various factors, including sleep, the quality of which is considered a determining factor, especially as it is related to the individual's development and well-being. This study sought to assess the impact of lifestyle on sleep quality in school adolescents in the city of Jutaí, in the state of Amazonas. To this end, information was collected from 356 students (167 boys and 189 girls) from the city's public school system, with an average age of around 13.10 ± 1.27 years, average body mass of 47.35 ± 11.45, average height of 1.52 ± 0.09 and BMI of 20.33 ± 3.60. The following instruments were used for data collection: Body Mass Index (BMI), the Individual Lifestyle Profile questionnaire (Nahas et al, 2000) and the mini sleep questionnaire (Zomer, 1985). The lifestyle variables analysed showed an intermediate level for nutrition, positive for stress, physical activity and social relationships oscillating between intermediate and positive, and positive preventive behaviour. Finally, it was found that most of the students surveyed - 181 participants (≅ 51.1%) - had good sleep, 46 (≅13.2%) had slightly altered sleep, 38 (≅10.7%) and 89 (25%) had severely altered sleep. There seems to be a direct relationship between sleep quality and lifestyle.

Healthy eating behaviors and food consumption frequencies of retail workers.

Retail workers comprise millions of people, but little is known about their eating behaviors and food consumption patterns. To examine the healthy eating behaviors and food consumption frequencies of retail workers in shopping malls. The sample of this descriptive study consisted of 385 retail employees working in ready-made garment stores of shopping malls in Istanbul (42% of those eligible). A descriptive information form, the nutrition subscale of the Health-promoting Lifestyle Profile (HPLP), and the Food Consumption Frequency Survey were used as data collection tools. It was determined that more than half of the participants skipped breakfast and other meals and consumed fast food and packaged and acidic drinks five to six days a week. The mean score of the participants on the HPLP-nutrition subscale was determined to be 11.79±3.29. The retail workers in shopping malls were found to have insufficient healthy eating behaviors, a low frequency of healthy food consumption, and a high level of fast-food consumption. Maintaining healthy eating habits is crucial for the health of employees. It is necessary for workplaces to take steps to help their employees become aware of and practice healthy eating. Workplaces should also be encouraged to provide healthy food options for their employees.

Lifestyle behaviors and mental health outcomes in sexual and gender minority graduate students

Objective There are well-documented health disparities among sexual and/or gender minority (LGBTQ+) individuals generally, but there is limited research investigating the disparities in health-related lifestyle factors and mental health among LGBTQ+ graduate students, which is a group that may be especially vulnerable. Participants This project was a secondary analysis of data from the American College Health Association’s National College Health Assessment’s (NCHA) Fall 2019 wave, which included 7,766 graduate students. Methods Students self-reported engagement in health-related lifestyle factors and psychological distress. Welch’s independent samples t-tests were used to compare differences in psychological distress and lifestyle behaviors and multiple linear regression models were used to test lifestyle factors as predictors of LGBTQ+ psychological distress. Results LGBTQ+ graduate students reported worse lifestyle profiles compared to their peers and greater psychological distress. Sleep quality had the strongest association with psychological distress among LGBTQ+ graduate students. Conclusions These findings have important implications for policies and interventions to improve health and decrease suffering in LGBTQ+ graduate students.

Mediation Effects of Self-care Self-efficacy and Health-promoting Behaviors on Fear of Cancer Recurrence and Posttraumatic Growth in Postoperative Patients With Cervical Cancer: A Cross-sectional Study

PurposeThe high recurrence risks significantly contribute to poor health outcomes among postoperative cervical cancer patients. This study aimed to determine the impact of fear of cancer recurrence (FCR) on the posttraumatic growth (PTG) in postoperative cervical cancer patients and to investigate the medicating effects of self-care self-efficacy and health-promoting behaviors within this relationship. MethodsA total of 334 cervical cancer patients who undergone surgery in three tertiary hospitals in Liaoning Province, China, were recruited using a convenience sampling method. Data were collected using the general information questionnaire, the Fear of Progression Questionnaire (fear of cancer recurrence), the Post-traumatic Growth Inventory (PTG), the Strategies Used by People to Promote Health (self-care self-efficacy), and the Health-Promoting Lifestyle Profile (health-promoting behaviors). Data analysis was performed using descriptive analysis, Pearson correlations, and multiple linear regression analysis. A structural equation model was conducted using Amos 24.0 software. ResultsPTG of cervical cancer patients after surgery was significantly and negatively associated with fear of cancer recurrence (r = -.54, P < .001), while positively correlated with self-care self-efficacy (r = .51, P < .001) and health-promoting behaviors (r = .59, P < .001). The mediation model revealed that self-care self-efficacy (Boots 95% CI [-0.39, -0.15]) and health-promoting behaviors (Boots 95% CI: [-0.51, -0.24]) independently served as mediating factors, respectively. Self-care self-efficacy and health-promoting behaviors played a significant chain mediating effect between fear of cancer recurrence and PTG (Boots CI: [-0.19, -0.07]), with an indirect effect of 11.6%. ConclusionsThis study demonstrated that self-care self-efficacy and health-promoting behaviors partially mediated the relationship between fear of cancer recurrence and PTG in cervical cancer survivors after surgery. Implementing tailored interventions focused on enhancing self-care self-efficacy and health-promoting behaviors among cervical cancer survivors may help alleviate concerns about cervical cancer recurrence and enhance PTG following surgery.

Interplay Cognitive Emotion Regulation and Health-Promoting Lifestyle Profile on Poor Sleep Quality in Adolescents

Background and Objective Adolescence is an important period of development, the main goal of this research was to investigate whether lifestyle can mediate the relationship between cognitive emotion regulation strategies and sleep quality.Methods This multicenter study was conducted between December 2023 and March 2024. The target population was adolescent girls between 12–18 years old. A total of 318 adolescents participated in this study in person. Pearson’s correlation coefficient was first used to check the relationships between research variables. Next, linear regression was used to draw predictive relationships based on independent and dependent variables. To investigate the mediator variable, path analysis was used and the result of the Sobel test was used.Results The R2 showed that 22% of the variance of poor sleep quality was explained by the predictor variables. Among of predictor variables in the model, health-promoting lifestyle profile and maladaptive strategies were significant and predicted poor sleep quality. The mediation role of a health-promoting lifestyle in the relationship between adaptive emotion regulation strategies and poor sleep quality was significant, the coefficient of the indirect path was equal to -0.18 and the Sobel test was equal to -4.68.Conclusions Current research has shown that cognitive emotion regulation strategies are related to poor sleep quality and this effect is mediated by a healthy lifestyle.

A Cross-Sectional Study to Assess the Healthy Lifestyle Profile of University Students in Faisalabad; Pakistan

A Cross-Sectional Study to Assess the Healthy Lifestyle Profile of University Students in Faisalabad; Pakistan

Health Risk Behaviors of Adolescents in Europe: A Latent Profile Analysis of Health Behavior in School-Aged Children Survey Data From 43 Countries

PurposeCurrent literature on prevention and intervention programs for European adolescents who engage in health risk behaviors is limited. Few studies have utilized latent profile analysis methods and internationally comparative data on adolescents and their health risk behaviors, highlighting the need for more comprehensive research using internationally comparative data. The current study aimed to examine the health risk behavior profiles and identify subgroups of adolescents with similar patterns of health risk behaviors using a representative sample of European countries. Findings will inform better targeted prevention strategies for this population. MethodsThe study used a quantitative approach and implemented secondary data analysis using the Health Behavior in School-Aged Children survey 2017/2018 from 43 European countries to understand the prevalence of health risk behaviors among European adolescents and yield latent profiles regarding their health risk behaviors by sex. ResultsFive latent profiles of health risk behaviors were identified for boys and six for girls. For both boys and girls, low-risk (83.4% and 85.7%), poor lifestyle, smoking (6.2% and 5.1%), balanced lifestyle, aggressive acts (5.4% and 3.7%), poor lifestyle, high substance use (2% and 1%), moderate lifestyle, and moderate substance use (3% and 0.9%) were common profiles. A moderate lifestyle and low substance use profile (3.6%) was only specific to girls. DiscussionThe current study provides important insights regarding European adolescents' health risk behaviors. The findings suggest the need for better targeted prevention programming.

Effects of nurse-led intervention programs based on King’s theory of goal attainment on health-promoting behaviors and life satisfaction in patients with type 2 diabetes: a randomized controlled clinical trial

BackgroundType 2 diabetes being a chronic condition that requires long-term care. This study examined the impact of an educational program using King’s goal attainment model on health behaviors and life satisfaction in type 2 diabetes patients.MethodsThis is a randomized controlled clinical trial with no blinding in which we tested two groups of intervention control. 70 patients with type 2 diabetes were allocated to an intervention (N = 35) and a control group randomly (N = 35). The nursing process stages included examination, diagnosis, goal determination, transaction based on patient preferences, and evaluation based on King’s theory. Data was gathered using the Walker Health-Promoting Lifestyle Profile (HPLP) and Satisfaction with Life Scale (SWLS, before, after, and 3 months, post-intervention. Data were analyzed in SPSS25 through descriptive statistics, Chi-square Test, Independent and paired sample T-test, two-way ANOVA, and multivariate repeated measures ANCOVA. P-values < 0.05 were considered as the level of significance.ResultsIn the intervention group, there was a significant difference in the mean score of health-promoting behaviors and life satisfaction between the three time points (before, immediately after, and 3 months after). However, in the control group, there was no significant difference in the mean score of health-promoting behaviors and life satisfaction.ConclusionThe results of this study suggest that an educational program based on King’s goal attainment model can be effective in improving health-promoting behaviors and life satisfaction in patients with type 2 diabetes. Further studies are recommended to be conducted in different settings and with a longer follow-up period.Iranian registry of clinical trialsIRCT registration number: IRCT20190917044802N8.Registration date16/12/2022.

Spiritual Growth and Stress Management of Physical Education Sport and Health Students

The purpose of this research was to identify the spiritual growth and stress management of Physical Education, Health and Recreation students. The method of this research was qualitative. The respondents to this study were students of the Physical Education, Health and Recreation study program at the Faculty of Sports and Health Sciences, Universitas Negeri Surabaya. The sampling technique used was quota sampling, which was determined by researchers to include as many as 170 students. The data collection technique was a survey with a questionnaire filled out online. The research instrument used was the Health Promoting Lifestyle Profile II instrument, which was adjusted to the characteristics of the activities of Physical Education, Health and Recreation students in the sub-questions about spiritual growth and stress management. The research data were processed descriptively and correlatively using Pearson Correlation analysis. The results of the Pearson Correlation test showed a significance value of. 000 &amp;lt; 0.05, so it was stated that the two variables were correlated. Spiritual growth and stress management, with a Pearson Correlation value of.728, have a degree of relationship with a strong correlation. The significance value of.728 is positive, indicating that the relationship between spiritual growth and stress management increases with the assumption that the higher the spiritual growth, the higher the stress management. The conclusion of this study is that the spiritual growth of Physical Education, Health and Recreation students has a positive correlation with stress management. This study contributes to providing recommendations for conducting stress management activities for students.

Dental students’ healthy lifestyle behaviors, physical activity levels and social media use: cross sectional study

BackgroundHealthy lifestyle behavior includes appropriate behaviors such as eating habits, physical activity and weight control in order to stay healthy and prevent diseases. The aim of this cross-sectional study is to evaluate healthy lifestyle behaviors, physical activity levels and social media use of dental students.MethodsAn online questionnaire including demographic characteristics, International Physical Activity Questionnaire Short Version (IPAQ-S) and Health Promoting Lifestyle Profile (HPLP) was filed by 420 dental students. The data were evaluated statistically.ResultsThe mean age was 21.6 ± 1.96 years and the majority of the students (71.7%) were living with their families. Obesity and overweight in males and underweight in females were statistically higher. There was no difference between the genders in terms of social media use. The most preferred applications were Instagram (92.7%), YouTube (85%) and Twitter (59.7%). In terms of IPAQ durations and HPLP scores, there was no gender difference. According to the IPAQ classification, while the majority of students (64.3%) were physically low active, 23.1% were physically inactive. As the total HPLP score increased, the total IPAQ score increased.ConclusionIt is concluded that as the university students make up the majority of the young adults, encouraging their health-promoting behaviors is crucial for improving public health.

The chain mediating role of family health and physical activity in the relationship between life satisfaction and health-promoting lifestyles among young adults in China.

Unhealthy lifestyles during adolescence are significant factors leading to chronic diseases in the future. Enhancing health-promoting lifestyles among young adults in China is crucial for preventing and reducing the risk factors of chronic diseases. This study aims to explore the relationships between life satisfaction, family health, physical activity, and health-promoting lifestyles among young adults in China. It also seeks to confirm the chain mediation role of family health and physical activity in the influence of life satisfaction on health-promoting lifestyles in this population. This study, conducted from August 2023 to November 2023, employed a random sampling method to recruit young adult participants aged 18-40 in the southwestern region of China. Variables were measured using the Satisfaction with Life Scale (SWLS), the Family Health Scale-Short Form (FHS-SF), the Physical Activity Rating Scale-3 (PARS-3), and the Health-Promoting Lifestyle Profile II Revised (HPLP-IIR). Data analysis was performed using SPSS 27.0 and the PROCESS macro version 4.1. The results indicated that life satisfaction was positively correlated with family health (r = 0.225), physical activity (r = 0.245), and health-promoting lifestyles (r = 0.506). Family health was positively correlated with physical activity (r = 0.320) and health-promoting lifestyles (r = 0.312). Physical activity was positively correlated with health-promoting lifestyles (r = 0.429). Additionally, life satisfaction could influence health-promoting lifestyles directly (effect = 0.369) and through three mediation pathways: (a) family health (effect = 0.033); (b) physical activity (effect = 0.050); (c) family health and physical activity (effect = 0.020). This study supports the mediating role of family health and physical activity in the influence of life satisfaction on health behaviors among young adults in China. Therefore, we recommend that future public health initiatives place greater emphasis on family health and create conditions that facilitate physical activity for this group. This could be an important direction for further enhancing health-promoting lifestyles among young adults in China.

Understanding the Lifestyle Risk Profile of Men and Their Engagement With Preventive Care: A Cross-Sectional Survey.

To explore men's health status and lifestyle risk profile and understand how they engage with preventive health care. A cross-sectional survey within a sequential mixed-methods project. Four hundred thirty-one adult males, working or volunteering for the New South Wales Rural Fire Service (NSW RFS) completed the survey between September and November 2022. The survey captured demographic data, health status and lifestyle characteristics, as well as engagement with preventive health care. Nearly three-quarters of respondents (n = 314; 72.8%) described themselves as being in good or very good health. Just 18.6% of respondents recorded a 'healthy' body mass index (BMI), despite only 29.9% having been told by a doctor that they were overweight/obese. Most (n = 344; 79.8%) respondents identified having a regular general practitioner (GP)/general practice. Nearly all respondents described having had blood pressure measurements (n = 403; 93.5%) and lipid profile (n = 346, 80.3%) in the last 2 years. Having a regular GP/general practice was significantly associated with engaging in all preventive and screening activities, except having a dental check. Our findings demonstrate a significant opportunity to support men to reduce lifestyle risk, despite their current engagement with general practice. Strategies need to support men and health professionals to have conversations about risk and risk reduction to promote behaviour change. Nurses are well placed to provide preventive health care to men in general practice. The general practice nurse has a key role in communicating lifestyle risk, supporting patients in modifying their behaviours and reducing the impact of such factors on their health and well-being. Communicating the importance of lifestyle risk factors is imperative in supporting men to achieve behavioural change in the reduction in lifestyle risk. Nurses are well-placed to take a leading role in this area. The STROBE checklist guided reporting. Survey development was undertaken in collaboration with members of the NSW RFS. Key contacts within the organisation were involved in reviewing the analysis and interpretation of findings.

The Role of Health Empowerment on Digital Health Technology Literacy by Generation

Objectives: Digital healthcare interventions are widely utilized to facilitate health-promoting behaviors; yet, disparities in digital health technology literacy exist among different generations, potentially exacerbating health inequities. This study examines the mediating effect of health empowerment on the relationship between digital health technology literacy and health-promoting behavior across Generations X, Y, and Z. Methods: A total of 935 individuals from these generations were assessed for health empowerment, digital health technology literacy (measured using the Digital Health Technology Literacy Assessment Questionnaire), and health-promoting behavior (measured using the Korean version of the Health Promoting Lifestyle Profile). Mediation analysis was conducted using AMOS bootstrapping. Results: Generation Y exhibited higher digital health technology literacy than X (p = .004), while health-promoting behavior was higher in Generation X than Y (p = .009). No statistically significant generational differences were observed in health empowerment. Health empowerment fully mediated the relationship between digital health technology literacy and health-promoting behavior across all generations, with the greatest effect observed in Generation X. Conclusions: The results underscore the vital role of health empowerment in facilitating health-promoting behavior. Tailored digital health interventions are warranted to address subtle variations in digital health technology literacy and health-promoting behavior across generations.

Relationship between eHealth Literacy and Health Promoting behaviors among nursing students

Background: Utilizing health literacy is important in establishing knowledgeable health advancements and practices, which can become deterrents to promoting a healthy lifestyle. Technological advancements improve health information availability and accessibility that potentially affect the users’ proficiency and their capability in applying the accessed health information. However, accessing health information via IT for health promotion requires e-health literacy. Purpose: The objective of the study is to determine the relationship between eHealth literacy and health-promoting lifestyle behaviors among nursing students. Methods: Descriptive-correlational study was applied to 131 nursing students recruited through a purposive sampling method from a nursing school in Philippines. The researchers adopted original English version of the e-Health Literacy Scale and Health-Promoting Lifestyle Profile II (HPLP) to collect the data. The gathered data were analyzed using descriptive analysis; frequency, percentage, mean, standard deviation, and test the correlation using Pearson's r correlation. Results: A total of 131 nursing students were employed in the study with a mean age of 20.14 (±1.22). Participants were female (71.8%) and are Level 1 students (44.3%) The mean of the total sum score for eHealth literacy was 31.24 (±4.30) while the over-all item mean was 3.92 (±0.54). On the other hand, the health-promoting behavior has a mean score of 2.43 (±0.43) while its subscales have a mean score of 2.46 (±0.45) for nutrition, 2.45 (±0.62) for physical activity, and 2.39 (±0.47) for health responsibility. It was found that eHealth literacy had a significant relationship with the students’ health-promoting behavior (r=0.245, p=0.005). Hence, students who have a high level of eHealth literacy are more inclined to perform healthy behaviors. Conclusion: The results of this study showed that the development of strategies to improve the e-health literacy of nursing students may contribute to the maintenance of their health-promoting behaviors. Identified intervention strategies based on eHealth literacy are needed to encourage healthy practices, which may reduce risks of illnesses due to unhealthy lifestyle behaviors among nursing students.