Score Of Health-promoting Lifestyle Research Articles

Natural health product knowledge as a significant factor associated with health-promoting lifestyle in a low-income urban community in Kuala Lumpur

BackgroundLow income communities are vulnerable to non-communicable diseases (NCDs), which affect their economy and disability status. An effective approach to address the NCD burden is through the multidimensional concept of health-promoting lifestyle. Another preferred approach by the population worldwide for NCD treatment is natural health product (NHP). Studies on NHP and health-promoting lifestyle among this vulnerable population, specifically the low-income urban community, are limited. Therefore, this study, aimed at investigating the NHP knowledge and health-promoting lifestyle, and to determine the factors associated with health-promoting lifestyle in a low income urban community in Cheras, Kuala Lumpur. This study has focused on sociodemographic characteristics, annual health monitoring activities, and health status, which are modifiable and non-modifiable factors.MethodsPhase 1 of the study involves developing the Malay-version NHP knowledge questionnaire, whereas Phase 2 involves a cross-sectional study of 446 randomly selected low-income respondents to determine their level of health-promoting lifestyle and the associated factors. The respondents’ sociodemographic, socioeconomic, health monitoring activity, health status, and NHP knowledge data were obtained using the newly developed Malay-version NHP questionnaire and the Health-Promoting Lifestyle Profile II (HPLP II) questionnaire. The independent variables include sociodemographic status, annual health monitoring activities, health status and NHP knowledge were analysed using simple and multiple linear regression.ResultsIn this study, the 10-item NHP knowledge questionnaire developed in the Malay version contains two domains [safe use (eight items) and point of reference (two items)] (total variance explained: 77.4%). The mean of NHP knowledge score was 32.34 (standard deviation [SD] 7.37). Meanwhile, the mean score of health-promoting lifestyle was 109.67 (SD 25.01). The highest and lowest scores of health-promoting lifestyles are attributed to spiritual growth and physical activity, respectively. Ethnicity is associated with a higher health-promoting lifestyle level, same goes to the occupational status − NHP knowledge interaction. “Unclassified” education status and annual blood glucose level monitoring are associated with a lower level of health-promoting lifestyle.ConclusionA new questionnaire in Malay version was developed to measure NHP knowledge. Compared to other subpopulations, the respondents’ health-promoting lifestyle levels in this study were low, associated with ethnicity, education status, and health monitoring activities. The findings provided insight into the interaction between NHP knowledge and occupational status, which is associated with a higher health-promoting lifestyle level. Accordingly, the future health-promoting lifestyle intervention programmes in healthcare delivery should target these factors.

Health-promoting lifestyle in mothers with vaginal childbirth and cesarean section in the postpartum period

BackgroundIn the postpartum period, there are numerous changes in the physical and psychological dimensions of women, which reduce the quality of life of women. The aim of this study was to compare the health-promoting lifestyle of mothers with vaginal delivery and cesarean delivery in the postpartum period.MethodsThis cross-sectional study was conducted on 77 pregnant women who had delivered vaginal or by cesarean section at Shohadaye Behshahr Hospital and were selected based on inclusion criteria. If the women were willing to participate in the study, a demographic questionnaire was completed, and the telephone numbers of the subjects were recorded so that the Porsline health-promoting lifestyle questionnaire could be sent to them. Data were analyzed with SPSS 22 using the T test, chi-square test and Repeated Measure ANOVA.ResultsThere was no difference in the average score of health-promoting lifestyle and its dimensions between the two groups of vaginal delivery and cesarean section at two and six weeks after delivery. However, in both groups, the total score of health-promoting lifestyle decreased significantly over time (P < 0.001).ConclusionsThere was no difference in health-promoting lifestyle between mothers with vaginal and mothers with cesarean delivery at two weeks and six weeks after delivery. This requires more attention from policy makers to make vaginal childbirth more convenient, and by reducing complications after vaginal childbirth, they can improve women’s healthy lifestyles and, in turn, families. Also, it seems that the other variables apart from the method of delivery should be considered, and it is necessary to distinguish these variables such as routine episiotomy in order to prevent the decrease in the level of health-promoting behaviors among women during puerperium period.

Religious Coping and Health-promoting Lifestyle Among Iranian Infertile Women

Background: Infertility is recognized as a stressful and critical experience worldwide and across cultures and disrupts individual, marital, family, and social stability. Religion serves as a source of support in dealing with health-related problems. This study investigates the relationship between religious coping mechanisms and health-promoting lifestyle (HPL) among Iranian infertile women. Methods: A cross-sectional correlational study was conducted on 177 infertile women referring to the Sarem Sub-specialized Infertility Treatment and Research Center in Tehran City, Iran, 2019. The subjects were recruited by continuous sampling. The data in this study were collected using a demographic information form, the Iranian religious coping scale (IRCS), and the health-promoting lifestyle profile-II (HPLP-II). Statistical analyses, including the independent t-test, one-way ANOVA, and Pearson correlation coefficient, were performed using SPSS software, version 22. The significance level was set at P&lt;0.05. Results: The highest mean was related to active religious coping (7.86±2.39), while passive religious coping (2.89±1.76) and negative feelings towards God (3.95±2.07) had the lowest mean scores. The Mean±SD score of health-promoting lifestyle was 128.34±13.46; the score range was 52-208, lower than the median score of the scale. A weak but significant inverse relationship was observed between negative feelings towards God and HPL (r=-0.19; P=0.013) and its three subscales: Physical activity (r=-0.18; P=0.019), nutrition (r=-0.21; P=0.011), and interpersonal relationships (r=-0.21; P=0.01). Also, a weak yet statistically significant inverse association was observed between passive religious coping and interpersonal relations (r=-0.18; P=0.029). Conclusion: Considering that the mean HPL score of infertile women was lower than the median score of the scale, community-oriented education and care programs are recommended to improve HPL in infertile women. Teaching and strengthening positive/active religious coping strategies to improve HPL are also advised.

Analysis of the Correlation Between Healthy Lifestyle Patterns and Work Stress in Psychiatric Nurses

Introduction: This study explores the status of mental healthcare workers in the eastern region with respect to work pressure, health-promoting lifestyle patterns, and their related factors, which can provide an important reference to aid the formulation and development of health promotion strategies for such individuals. Methods: A total of 115 questionnaires were distributed and 112 valid questionnaires were recovered, with a recovery rate of 97.4%. The number of samples required for regression analysis was 99, as calculated using G-power software. The effect of work stress on health-promoting lifestyle patterns (β=-0.342, p&lt;0.001) was negative, indicating that a health-promoting lifestyle was better and less stressful. Results: This accounted for 11.70% of the total variation in the health-promoting lifestyle scores (F=14.164, p&lt;0.001, R=0.342). The important predictive variables of health-promoting lifestyle patterns had the greatest influence on work stress (β=-0.302, p=0.001). Discussion: The results of the comprehensive analysis showed that the standardized score of the health-promoting lifestyle of psychiatric nurses was 60.86 points. The overall health-promoting lifestyle of this study was lower than that of clinical nurses in two regional hospitals in Pingtung (the standardized score index is 64.84). This shows that the health-promoting lifestyle of psychiatric nursing staff is only better than that of public health-related staff in the same nursing work, and its overall health-promoting lifestyle is slightly worse than that of general nursing staff and school nurses. Conclusions: This influence was negative, indicating that the greater the work pressure, the worse the implementation of health-promoting lifestyle patterns. Creating a friendly workplace and implementing workplace health-promoting programs, organizing and encouraging psychiatric caregivers to participate in networking activities, and form families can help reduce mental health care workers’ work pressure, improve health, and promote lifestyle participation thus maintaining physical and mental health status.

Comparative Study on Residents' Health-Promoting Lifestyle and Life Satisfaction in Wuhan Before and After the COVID-19 Pandemic.

The Coronavirus Disease-19 (COVID-19) pandemic has dramatically affected residents' life. Whether the COVID-19 pandemic has significantly influenced the residents' health-promoting lifestyle, and life satisfaction is an urgent problem to be studied. Based on Health Belief Model (HBM), this paper explored and compared the responses of residents' health-promoting lifestyle and life satisfaction on the influence of the COVID-19 pandemic. Data were collected from a sample of 2,054 residents in Wuhan by questionnaire survey. The results show that the total score of health-promoting lifestyle after the COVID-19 pandemic has increased significantly compared with that before the COVID-19 pandemic, and the scores of all dimensions of health-promoting lifestyle have improved. Among them, the scores of exercises, self-actualization, and stress management are significantly higher than those before the COVID-19 pandemic. However, the score of residents' life satisfaction has shown a downward trend. There were also significant differences in life satisfaction on the demographic variables, such as gender, age, education level, marital status, and family average income. The findings are of great significance in promoting residents' health-promoting lifestyles and life satisfaction in the context of the extraordinary pandemic.

Design and implementation of a follow-up and training program of health-promoting lifestyle after the coronary artery bypass graft.

BACKGROUND:Coronary artery bypass graft (CABG) plays an important role in reducing coronary heart disease mortality, but patients are still at risk after surgery. Consequences can be avoided if threatening behaviors are soon detected and lifestyles are promoted. Therefore, the present study aimed to evaluate, follow-up, and promote a healthy lifestyle in the patients.MATERIALS AND METHODS:The present research was a quasi-experimental pre- and postintervention single-group study on 35 patients under the CABG at two hospitals affiliated to the Baqiyatallah University of Medical Sciences in Tehran from August 2020 to April 2021. The samples were selected using the purposive sampling method and the educational content was determined by creating an expert panel. We utilized the Health-promoting Lifestyle Profile II to collect data, and SPSS 22 to analyze them.RESULTS:There was a significant difference between mean total scores of health-promoting lifestyle before and after the intervention and they reached from 138.7 ± 20 to 157.2 ± 18 (P < 0.0001). There was also a statistically significant difference between mean scores of nutrition (P < 0.003), physical activity (P < 0.0001), health responsibility (P < 0.0001), and stress management (P < 0.0001) before and after the intervention, but there was no statistically significant difference between mean scores of interpersonal relationships, and spiritual growth before and after the intervention.CONCLUSIONS:The program had a positive effect on the health-promoting lifestyle scores of patients after CABG. It is possible to increase scores of healthy lifestyles in the patients by combining face-to-face and virtual training methods as well as involving family members and relatives of patients in training and follow-up programs.

Lifestyle of students at Tehran University of Medical Sciences during Corona Epidemic: A cross-sectional study

Background and purpose: There is concern that students may have an unhealthy lifestyle as a result of changes that occurred during corona conditions, so this study aimed to determine the status of the lifestyle and its relationship with the demographic characteristics of postgraduate students during the corona span.&#x0D; Material and Methods: This cross-sectional study was conducted at Tehran University of Medical Sciences in 2020. The link to the online Health-Promoting Lifestyle Questionnaire Profile2 was sent to conduct the research. To examine the relationships between the mean scores of health-promoting lifestyle and different variables, an independent samples t-test was applied in the case of dichotomous demographic variables (gender, education level, and income-generating activity), while one-way analysis of variance test was used to evaluate the multilevel demographic variables (marital status, place of residence, and faculty). The Pearson correlation coefficient was also used for testing age.&#x0D; Results: The sample 240, (75.4%) were female and 145 of them, (60.4%) were single. The mean age of them was 32.21±7.45.45 years old. The lifestyle total score was 138.28± 21.18 at the average level. The highest score was related to spiritual growth (26.93±5.01), whereas the lowest score was reported on physical activity (16.92±5.17). The difference between the mean of health-promoting lifestyle was not significant in terms of demographic variables.According to the results, a statistically significant difference was observed between male and female students in the field of nutrition. Also, students were significantly different in the nutrition domain regarding students’ residence (p-value &lt;0.05). Spiritual growth was significantly different among students in terms of marital status (p-value &lt;0.05).&#x0D; Conclusion: Although the mean score of health-promoting lifestyle was not different from other studies, further studies are proposed to plan health interventions in accordance with epidemic conditions for students.

Association between Perceived Social Support and Health-Promoting lifestyle in Pregnant Women: A Cross-Sectional Study.

Introduction: Adopting health-promoting lifestyle might be affected by a variety of factors. The existing evidence suggests that social support can improve health by fulfilling physical and mental needs. This study aimed to investigate the association between social support and health-promoting lifestyle in Pregnancy.Methods: Using multistage cluster sampling method, this cross-sectional study was conducted on 360 pregnant women. Data were collected using three questionnaires, including a self-reported demographic and obstetric, health-promoting lifestyle profile and perceived social support questionnaires. Data were analyzed using a t-test, repeated measures ANOVA, and multivariate linear regression model with SPSS software ver. 21 with.Results: The mean (SD) of health-promoting behaviors was 135.21(20.03). Amongst the different dimensions of health-promoting behaviors, the highest mean was detected in spiritual growth 26.84 (4.90) and nutrition 26.17 (4.22), respectively. Meanwhile, the lowest scores were detected in sub-domains of stress management 19.80 (3.78) and physical activity 16.71(4.14), respectively. The mean (SD) of perceived social support was 60.31 (14.75), and 51.7% of the participants had intermediate social support. Results indicated a significant difference between the mean score of Health-Promoting Lifestyle at different levels of social support. There was a direct and significant association between the scores of social support and health-promoting behavior (r=0.36; P<0.001).Conclusion: Pregnant women with better perception of social support had a better performance in adopting health-promoting Lifestyle. However, the status of health behaviors and social support was not favorable. Thus, there is a need to intervene and design programs to help pregnant women and improve their health.

Predictors of Health-Promoting Lifestyle among Students with Primary Dysmenorrhea: A Cross-Sectional Study

Background & aim: The problem of dysmenorrhea has not yet been controlled despite the various managements available for it. Among those, a health-promoting lifestyle is recognized as a key factor to prevent the progression of many diseases since health promotion are directly related to lifestyle-related behaviors. This study assessed predictors of health-promoting lifestyle among university students with primary dysmenorrhea. Methods: This cross-sectional study was conducted on 370 students with primary dysmenorrhea from October to February 2018. The subjects were selected from the students of the Islamic Azad University, Tabriz, Iran, using a proportionate stratified sampling method. The instruments used to collect data consisted of a demographic questionnaire, Beck Depression Inventory-II, General Self-efficacy Scale, and the Health-Promoting Lifestyle Profile II. The general linear model was used to estimate the impact of each independent variable on the dependent variables using SPSS software (version 21). Results: The mean scores of health-promoting lifestyle, general self-efficacy, and depression were obtained as 141.16±18.41, 57.81±8.1, and 11.8±10.5, respectively. There was a significant relationship between health-promoting lifestyle with self-efficacy and depression (p <0.001). Based on the general linear model, the relationship of the total score of a health-promoting lifestyle was significant with the general self-efficacy, depression, and regular physical activity (p <0.05). Students with high self-efficacy, low depression, and regular physical activity achieved higher health-promoting lifestyle scores. Conclusion: It is recommended thatschools� health policymakers should consider physical activities and psychological factors through offering educational and cultural programs, as well as paying greater attention than before to these dimensions.

Predictors of a Health-Promoting Lifestyle in Women of Reproductive Age

Background: Considering that women are the main components of family health and the main models for education and promotion of healthy lifestyles to the next generation, the study of lifestyle and effective factors in promoting women’s health, especially at reproductive age, is of great importance. Objectives: The present study aimed to determine the predictors of a health-promoting lifestyle in women of reproductive age in Zahedan based on Pender’s health promotion model (HPM). Methods: This descriptive cross-sectional study was conducted on a sample of 200 women aged 15 - 49 in Zahedan, Southeastern Iran, using multi-stage cluster sampling in 2019. The instruments used to collect the data were the demographic information form, the Perceived Self-Efficacy scale, the Perceived Social Support scale, the Perceived Emotions scale, the Perceived Barriers scale, and the health-promoting lifestyle profile II. The collected data were analyzed by descriptive statistics, Pearson correlation coefficient, independent samples t-test, one-way analysis of variance (ANOVA), and multiple linear regression analysis using the enter method in SPSS software (version 25). Results: The mean score of health-promoting lifestyle was 69.82 ± 13.59 out of the score range of 32 to 128. The highest and lowest mean scores were related to the nutrition subscale (20.08 ± 4.3) and the exercise subscale (14.19 ± 4.51), respectively. It was shown that the health-promoting lifestyle had a significant positive correlation with perceived self-efficacy, perceived social support, and perceived emotions (P = 0.001) and a significant negative correlation with perceived barriers (P = 0.005). The results of multiple linear regression analysis showed perceived self-efficacy (P = 0.001), perceived social support, and perceived emotions were predictors of a health-promoting lifestyle in women of reproductive age (P = 0.05, P = 0.001), and these three variables together predicted 37% of the variations in the health-promoting lifestyle score. Conclusions: This study showed that women with 54.68% of the total lifestyle score did not have an acceptable lifestyle. Besides, perceived self-efficacy was the most important factor and the strongest predictor of women’s health-promoting lifestyle. Accordingly, some interventions must be planned and implemented to improve the health-promoting lifestyle in women of reproductive age and increase their self-efficacy.

Effects of the Continuous Care Model on the Health-Promoting Lifestyle in Breast Cancer Survivors: A Randomized Clinical Trial.

Breast cancer is the most frequently diagnosed cancer and the chief cause of cancer-related death among women worldwide, with the incidence increasing exponentially particularly in low- to middle-income countries. The increase in the incidence of breast cancer is partly accounted for by increases in life expectancy due to improvements in public health, but also related to an increase in risk factors for cancer including smoking, excess body weight, decreased physical activity, and changes in reproductive activity. Health-promoting lifestyle is therefore one of the major topics of importance in studying chronic illnesses and cancer. Health promotion interventions, including the use of care models, have a vast contribution to make in terms of timely diagnosis and improved survival. One such care model, which has been designed to increase self-care, adherence, and performance in chronic patients, is the continuous care model (CCM). This study was conducted with the purpose of determining the influence of the CCM on the health-promoting lifestyle of patients with breast cancer during 2017-2018. In this randomized clinical trial, 60 patients with breast cancer were chosen by convenience sampling followed by random allocation into treatment and control groups. Six sessions of group discussion were held for the treatment group according to the CCM and items in the health-promoting lifestyle questionnaire. Data collection tools included a general health questionnaire, a demographic questionnaire, a family support questionnaire, and the Health Promoting Lifestyle Profile (HPLP), which respondents completed before and after the intervention. P values ≤ .05 were considered significant. When comparing the mean score of health-promoting lifestyle in both the control and treatment groups, before and after the intervention, significant increases in every dimension were observed. The average overall health promotion lifestyle was revealed to be significantly elevated from 123.48 to 147.12. However, in the control group the mean scores had slightly increased or were the same in all the dimensions. In addition, the average overall health promotion lifestyle had increased from 119.89 to 121.32. The observed difference in mean scores was not statistically significant. The CCM increased the score of health-promoting lifestyle of patients with breast cancer. Therefore, this caring model can be considered an alternative to improve healthy lifestyles of patients with cancer.

Determinants of health-promoting lifestyles amongst Indian University students

ABSTRACT The rising prevalence of non-communicable diseases (NCDs) in young Indians underscores a compelling need to instil healthy lifestyles in adolescents and young adults. The present study aimed to assess the health-promoting lifestyles of freshmen admitted to institutes under seven different faculties of an international university in India. The study was conducted across five Indian cities and recruited 4253 participants pursuing both undergraduate and postgraduate programmes. Information on socio-demographic factors and health-promoting lifestyle behaviours using a modified Health-Promoting Lifestyle Profile (HPLP) scale was collected. The total HPLP and sub-scale scores for six domains were estimated. Univariate and age and gender-adjusted multivariate analyses were conducted to identify the determinants of health-promoting lifestyle scores. Gender-wise distribution of total HPLP and subscale scores indicated significant differences between female and male university students except for spiritual growth (P = 0.300). Overall, female students secured significantly higher total HPLP scores than male students (139.8 vs 137.6, P=0.000). Multivariate models showed that students from the faculties of Management and Law 3.15 (CI: 1.61, 4.68) and Humanities and Social sciences 4.90 (CI: 3.24, 6.58) had lower total HPLP scores compared to students of Science, Technology, Engineering and Mathematics (STEM) faculty. The faculty, zone, and residential status predicted nutrition sub-scale scores. Interestingly, students from North zone campuses (b − 0.62 (CI: −0.92, −0.32)) than west zone, and international students (b − 1.18 (CI: −2.11, −0.24)) compared to domestic students had lower nutrition sub-scale scores. Gender and faculty-specific targeted interventions could promote the healthy lifestyles of young Indian University students.

The Association Between Vaginal Candidiasis and Health-promoting Lifestyle in Iranian Women: A Cross-sectional Study

Objectives: Vulvovaginal candidiasis is the second most common gynecological infection in the world that can bring about unfavorable consequences for the health and life of the women of reproductive age. Accordingly, the purpose of this study was to determine the prevalence of vulvovaginal candidiasis and its relationship with the health-promoting lifestyle in Boukan, Iran. Materials and Methods: This cross-sectional study was conducted with the participation of 320 married women aged 15-49 years who referred to all health centers of Boukan. The subjects were selected using a convenience sampling technique from October 2018 to March 2019. Written informed consent was obtained from the participants who were then asked to complete a demographic questionnaire and the Health- Promoting Lifestyle Profile-II (HPLP-II). Finally, the data were analyzed in SPSS, version 24. Results: A total of 124 women (38.8%) had vulvovaginal candidiasis, and the total mean (standard deviation) score of health-promoting lifestyle was 2.4 (0.2) from the possible range of 1-4. None of the demographic characteristics and vulvovaginal candidiasis were significantly related based on the results (P&lt;0.05). The highest (2.8±0.3) and lowest (1.6±0.4) mean scores belonged to "nutrition" and "physical activity" subdomains, respectively. In addition, no statistically significant relationship was found between vulvovaginal candidiasis and the total mean score of health-promoting lifestyle and its subdomains (P&gt;0.05). Conclusions: In general, more than one-third of the participants had vulvovaginal candidiasis. Eventually, the infection had no statistically significant relationship with any of the characteristics of demographic information and health-promoting lifestyle.

Prevalence and related influencing factors of depressive symptoms among empty-nest elderly in Shanxi, China

BackgroundIn China, aging has become a serious social problem, and the number of empty-nest elderly is on the rise. The aim of this study is to clarify the prevalence of depressive symptoms among empty-nest elderly in Shanxi province and evaluate the effects of sociodemographic factors and health-promoting lifestyles so as to provide a scientific reference for preventing and intervening their depression. MethodsA cross-sectional study, which used a multi-stage random cluster sampling way, was conducted among 4901 empty-nest elderly in Shanxi. An independent t-test and a chi square test were used to compare the sociodemographic factors, depression scores, and health-promoting lifestyle scores of the empty-nest elderly. Multinomial logistic regression was used to analyze the potential influencing factors for depression. ResultsThe prevalence of depressive symptoms in the population was 64.2%. Among all participants 1,776 (36.2%) had mild depression, 1,236 (25.2%) had moderate depression, and 135 (2.8%) had severe depression. The health-promoting lifestyle of the empty nesters in this study was at the medium level (2.51 ± 0.47). Gender, education level, old-age provision model, exercise frequency, chronic disease, relationships with children, self-care ability, and health-promoting lifestyles were found to be influencing factors of depression and all variables had different effects on different degrees of depression. LimitationsThis was a cross-sectional study, so the results cannot establish causal relationships among the study variables. ConclusionsDepression was prevalent among the empty-nest elderly in Shanxi. Maintaining good interpersonal relationships, developing extensive interests, and maintaining healthy lifestyles including good nutrition habits and regular exercises can reduce the incidence of depression among empty nesters.

Health Literacy and Health-promoting Lifestyle among Health Volunteers in Neyshabour

Introduction: Health literacy is a measure of individuals ability to read, comprehend, and act on medical instructions. Health literacy and lifestyle are determinants of health. We aimed to assess the relationship between health literacy and health promoting behaviors. Materials and Methods: This cross-sectional, descriptive, and analytical study was conducted on 250 health volunteers who were selected randomly. Data were collected using questionnaires of Health-Promoting Lifestyle Profile II (HPLP-II) and Test of Functional Health Literacy in Adults (TOFHLA). Data were analyzed using descriptive statistics, and to study the variables relationships Chi-square and Spearman correlation coefficient were applied. Findings: The mean age of the participants was 32.9±9.7 years, and 61.5% had elementary and junior high school education. Health literacy was insufficient in 44.6% of the health volunteers, at a border level in 32.2%, and adequate in 23.1%. The mean score of health-promoting lifestyle was 130±23.8. In this study, there was a significant relationship between educational level, age and health literacy status. Inadequate health literacy was more common among individuals with advanced age and lower education. Health literacy level was significantly correlated with nutrition, spirituality, health responsibility, physical activity, interpersonal support, and stress management (P less-than 0.001). Conclusion: This study showed that the health literacy level was inadequate in health volunteers. This result showed that health literacy and striving to improve it are important. Creating a simple, understandable and accessible media and training materials, as well as implementing theory-based educational interventions are some the ways to improve health literacy.

Effect of hierarchical intervention on hypertension prevention and control among middle-aged and elderly people in rural area

Objective To discuss the effect of hierarchical intervention on hypertension prevention and control in rural area, so as to improve awareness rate and health promoting behaviors about the hypertension disease among middle-aged and the elderly in rural area. Methods A gradually deepening intervention scheme was implemented hierarchically of levels of entire population, prehypertension group and hypertension group from March 2014 to February 2016. Results After the intervention, score of health-promoting lifestyle in the research group was (132.86±16.70) , significantly higher than that in the control group (113.72±20.86) , and also within the group, higher than before the intervention (108.47±16.161) (P<0.01) . Value of blood pressure, regular behavior of measurement and body mass index in the research group were all better than those in the control group and before the intervention (P<0.05) . Awareness rate of knowledge related to hypertension in the research group was significantly higher than those in the control group and before the intervention (P<0.01) . Conclusions The gradually deepening hierarchical health education intervention among middle-aged and elderly people in rural communities can prevent and control hypertension by improving awareness rate of the disease and help developing health promoting behaviors. Key words: Hypertension; Middle-aged and elderly people; Rural community; Hierarchical intervention

Analysis of health-promoting lifestyle and its influence factors among aged care workers

Objective To investigate the current status of health-promoting lifestyle of aged care workers and explore its influence factors. Methods By convenient sampling method, a total of 180 aged care workers were selected and were investigated by general information questionnaire and health-promoting lifestyle profile Ⅱ (HPLP-Ⅱ) from Feburary to June 2016. The collected data were analyzed by SPSS 20.0. Results The total score of health-promoting lifestyle of aged care workers was (117.60±8.82) . The average scores of the items in six dimensions were interpersonal relation (2.69±0.35) , health responsibility (2.45±0.27) , nutrition (2.30±0.27) , stress management (2.27±0.41) , self-actualization (2.19±0.40) , and physical activity (1.69±0.25) . The scores of health-promoting lifestyle exhibited statistically significant differences among aged care workers with different genders, educational levels, numbers of persons to care, religious believes and monthly salary (t=3.502, 13.983, 19.545, 5.756, 4.233; P<0.05) . Multiple regression analysis showed that gender, religious belief, number of recipients to care, and educational levels were main influence factors of health-promoting lifestyle of aged care workers (P<0.05) . Conclusions The level of health-promoting lifestyle of aged care workers is mediocre with the highest score in interpersonal relation and the lowest score in physical activity. Managers should provide specific interventions to the lifestyles of the aged care workers and promote their good health-promoting lifestyle. Key words: Aged care workers; Health-promoting; Lifestyle

Relationship Between Health-Promoting Lifestyle and Quality of Life in Women With Polycystic Ovarian Syndrome

Abstract Objectives: Promoting the quality of life in women with polycystic ovarian syndrome (PCOS) is one of the most important goals of the medical community and the importance of lifestyle is more apparent in this area. This study aimed to determine the relationship between health-promoting lifestyle and quality of life in women with PCOS. Materials and Methods: This study was conducted on 174 women with PCOS who attended public and private fertility clinics in Urmia (west Azerbaijan, Iran). The participants were selected by convenience sampling method. The data were collected through socio-demographic, health-promoting lifestyle (HPLP-II) and quality of life (PCOSQ) questionnaires. Multivariate linear regression was used to determine the relationship between the independent variables (health-promoting lifestyle and socio-demographic characteristics) and the dependent variable (quality of life). Results: The mean (standard deviation) of total score of the quality of life was obtained 45.8 (11.3) in the range between 0 to 100. The highest and lowest mean scores were in the sub-domains of weight and hirsutism. The mean (SD) of total score of health-promoting lifestyle was 2.2 (0.3) out of 4. Based on multivariate linear regression, the variables of health responsibility, stress management, spiritual growth, body mass index (BMI), woman’s job and menstrual cycle intervals were predictors of the quality of life in women with PCOS. Conclusion: Given the importance of lifestyle in women with PCOS to maintain and improve their quality of life, it is necessary to take serious strategies for changing and improving their lifestyle.

Health-promoting Lifestyle and its Demographic Predictors in Infertile Couples Referred to Infertility Clinic of Tabriz Al-Zahra Hospital, 2013.

Improving the lifestyle of infertile couples led to the preservation of their performance, increase their quality of life, and reduce health cost. So, the aims of this study were to determine the health-promoting lifestyle and its predictors among infertile couples. In a cross-sectional, analytical study 322 infertile couples referred to an infertility clinic in Tabriz was participated with convenience sampling method. The demographic and the standard Health Promoting Lifestyle-II (HPLP II) questionnaires were completed by all couples individually. For determining the demographic predictors of health-promoting lifestyle, the multivariate linear regression was used. The mean (standard deviation) score of health-promoting lifestyle in couples was 2.4 (0.4) of the achievable score ranged from 1 to 4. The highest mean score was for nutrition subscale 2.6 (0.5) in both men and women and the lowest mean score was for physical activity subscale in women 2.1(0.5) and men 2.3(0.5) and health responsibility subscale (2.3(0.5) in both men and women. Educational level, cause of infertility, adequacy of income for living expense, and living situation were predictors of health-promoting lifestyle. The results showed that participants do not carry out all health-promoting behaviors, especially physical activity and health responsibility, in an acceptable level. These behaviors have an important role in improving the quality of life, health maintenance, and fertility. Thus, the provision of strategies, including those in accordance with predictors of health-promoting behaviors, is important for improving the health status of infertile couples.

Health-promoting lifestyle and its predictors among Iranian adolescent girls, 2013

Health-promoting behaviors have considerable effects on improving life quality and decreasing healthcare expenses. This study aimed to determine the status of health-promoting behaviors and its subscales, as well as its relationship with self-efficacy and some socio-demographic characteristics in adolescent Iranian girls. The participants in this study were 750 adolescent girls aged 14-18 years, living in the city of Sanandaj, Iran in 2013. Samples were selected randomly. Questionnaires used in the study were the "Adolescent Healthy Lifestyle" and "Sherer General Self-efficacy" questionnaires. Multivariate linear regresion analysis was used to determine predictors of health-promoting lifestyle. Mean total score of health-promoting lifestyles in adolescent girls was 3.51 (SD 0.55) and its observed scores ranged from 1 to 5. The highest and lowest mean scores were obtained for life appreciation and physical activity subscales, respectively. Self-efficacy had significant positive correlation with the total health-promoting lifestyle scores and all its subscales. The variables of self-efficacy, current disease, mother's education, mother's occupation, and sufficiency of income for expenses remained in the multivariate linear regresion model and were able to explain 21% of the observed variance of the total score for health-promoting lifestyle. The findings show that adolescents "sometimes" or "often" show health-promoting behaviors. In addition to self-efficacy as the main predictor, some of the socio-demographic characteristics are also among the predictors of health behaviors. With consideration of adolescence years as a foundation for one's future life, it is necessary to provide strategies to encourage a health-promoting lifestyle in adolescents.