Total Health Promotion Research Articles

Associated factors of health-promoting lifestyle of the elderly based on the theory of social ecosystem

ObjectTo explore the factors related to health-promoting lifestyles of the elderly based on social-ecosystem theory. DesignA cross-sectional survey study was carried out to include 627 elderly people in communities in three cities of Hebei Province (Shijiazhuang, Tangshan, and Zhangjiakou) from October 2021 to January 2022 for questionnaire survey (601 validly returned cases). VenueThree cities of Hebei Province (Shijiazhuang, Tangshan, and Zhangjiakou). Participants627 elderly people. InterventionsA cross-sectional survey study. Main measurementsThe questionnaire survey was conducted by using the general demographic data, health promotion life scale, frailty scale, general self-efficacy scale, health engagement scale, General Self-Efficacy Scale, The family Adaptability, Partnership, Growth, Affection, and Resolve scale, and Perceived Social Support Scale. ResultsThe total health promotion lifestyle score for the elderly was 100.20±16.21, which was at the lower limit of the good level, with the highest mean score for nutrition (2.71±0.51) and the lowest mean score for physical activity (2.25±0.56). Stepwise linear regression showed that exercise frequency (95% confidence interval (CI) 1.304–3.885), smoking status (95% CI −4.190 to −1.556), self-efficacy (95% CI 0.071–0.185), health management (95% CI 0.306–0.590), frailty (95% CI −3.327 to −1.162) in the microsystem, marital status (95% CI 0.677–3.660), children's attention to the elderly health (95% CI 4.866–11.305), family care in the mesosystem (95% CI 1.365–4.968), and pre-retirement occupation (95% CI 2.065–3.894), living area (95% CI 0.813–3.912), whether receive community-based chronic disease prevention and management services (95% CI 2.035–8.149), social support (95% CI 1.667–6.493) in the macrosystem were the main factors affecting health promotion of life in the elderly (P<0.05). Hierarchical regression analysis showed the microsystem accounted for 17.2%, the mesosystem accounted for 7.1%, and the macrosystem accounted for 11.4%. ConclusionThe health promotion lifestyle of the elderly in Hebei Province was at the lower limit of good level. Among them, exercise frequency, children's attention to the elderly health, and pre-retirement occupation played a major role in relation to the health-promoting lifestyle of the elderly. Hence, it needs the joint action of individuals, families, and society to promote the elderly to adopt the health promotion lifestyle and realize healthy aging.

Influence of Health-promoting Lifestyle on the Living Quality of the Elderly in Guangxi, China

Objective: To understand the current situation of health promotion lifestyle and living quality of the elderly in Guangxi Province, China. To analyze the influencing factors of the living quality of the elderly in Guangxi, and to explore the influence of health promotion lifestyle on the quality of life. Methods: The health promotion lifestyle scale (HPLP-C) and the health status survey summary table (SF-36) were applied to investigate the elderly aged 60 and above in Guangxi. Results: The total health promotion lifestyle of the elderly in Guangxi is 94.63±13.90 points, lower than the total health promotion lifestyle studied by scholars in the past 10 years. The total quality of life is 71.91±13.04, which is lower than China’s norm. After typical correlation analysis, the results showed that the typical correlation between health promotion lifestyle and quality of life reached significant levels, both with positive correlation. Conclusions: Good health promotion lifestyle standards can improve the living quality of the elderly, in which health responsibility, self-realization, interpersonal support, exercise, stress treatment, physical function (PF), role physiological (RP), bodily pain (BP), overall health (GH), vitality (VT), social function (SF), and mental health (MH) are the main determine factors affecting the relationship, and interventions can be taken to improve the living quality of the elderly in Guangxi.

Survey of Smokers Among Workers at One Facility: A Cross-sectional Study With Propensity Score Matching.

Smoking has been reported to be a risk factor for a variety of diseases. In Japan, the Brief Job Stress Questionnaire (BJSQ) has been administered by the Ministry of Health, Labour and Welfare since December 2015, but few reports have focused on its relationship with smoking. We investigated the current situation of smokers among staff of Kagoshima University who underwent a medical check-up. Of 2,478 people who underwent a medical check-up in May and June 2021, we targeted 2,237 workers who reported whether they smoked. We examined results of the medical check-up and BJSQ and the background of smokers (n=139, 6.2%). We compared smokers and non-smokers (n=2,098) using propensity score matching (PSM) for sex, age, drinking habits, medication for dyslipidaemia, and overtime working hours at a 1:1 ratio. The results showed that white blood cell count (p=0.044), platelet count (p<0.001), glutamyl transferase (p=0.023), and triglyceride (p=0.027) were significantly higher among current smokers in comparison with current non-smokers. Smokers reported significantly more stress than non-smokers in terms of social support (p=0.027). As a result of PSM, several blood test items related to non-communicable diseases (lifestyle-related diseases) showed high values in current smokers, and these individuals reported significantly more stress than non-smokers. According to the emphasis on group analysis in the Total Health Promotion Plan revised in 2020, our findings can be helpful in enhancing smoking cessation programs in the workplace.

Health Promotion Capacity Among Chinese Healthcare Professionals and Its Influence on Preventive Health Service Practices.

BackgroundThis study evaluated the current health promotion capacity level of Chinese healthcare professionals and explored the association between health promotion capacity and preventive health service practices.MethodsA total of 124 doctors and 72 nurses were recruited from 6 county hospitals and 12 community health centers from June to August 2019 in Zhejiang Province, China. Health promotion capacity was measured using the revised Chinese version of the Health Promotion Professionals Core Competency Scale.ResultsThe mean total score on the health promotion capacity scale was 45.04 (SD = 7.30). Total health promotion capacity score was negatively associated with county hospitals (β = −0.32, p < 0.001; Ref: community health center) and positively associated with a monthly income of more than 5001 RMB ($786.39) (β = 0.25, p = 0.004; Ref: less than 5000 RMB ($786.24)). All domain scores of the health promotion capacity scale were positively related to preventive health service practices.ConclusionHealth promotion capacity is one of the most important capacities among healthcare professionals, and there is a particular need to improve nurses’ capacity. A higher level of health promotion capacity is beneficial for implementing preventive health services.

Healthy lifestyle behaviors among Omani undergraduates: a cross-sectional study

ABSTRACT It is strongly believed that healthy lifestyle behaviors improve health and decrease the risk of major health problems. Health-promoting lifestyle behaviors and their contributing factors among students at Sultan Qaboos University (SQU) have not been well-investigated yet. This study aims to explore the levels of health-promotion behaviors among senior undergraduates at SQU, compare potential differences between college type and gender, and then explore possible predictors. Using a cross-sectional descriptive design, a sample of 244 students at SQU were recruited, and data was collected using the Health-Promoting Lifestyle Profile II (HPLPII). Overall health promotion mean score ± SD for the sample was slightly moderate (2.58 ± 0.42), whereas the impact of discipline in education on the practice of health-promoting behavior was significant. Nursing students remarkably scored higher than non-nursing students (p = 0.005) in terms of health responsibility and nutrition (p = 0.005 and 0.006) respectively, whereas there was no significant difference in overall health-promoting lifestyles between males and females (p = 0.18). Females scored better than males in interpersonal relations (p = 0.006), while males scored considerably better than females in the physical activity domain (p = 0.03). Furthermore, a bivariate analysis of potential predictors of the total health promotion behavior score, followed by a multivariate model analysis has revealed that college type was the only predictor. Nursing education positively influences health-promotion behaviors and encourages nursing students to increase their health responsibility and practice healthier dietary habits. Additionally, it is recommended for the teaching institution administrators and educators to develop health promotion courses for non-health-related discipline students.

Effect of Application of Health Promotion Model on Lifestyle of Women with Endometriosis

Background: Endometriosis is a life-threatening gynecological health problem in womenduring the reproductive age that cause chronic pelvic pain, infertility, dysmenorrhea, dyspareunia,dysuria and dyschezia. Aim: The study aimed to evaluate the effect of application of health promotionmodel on lifestyle of women with endometriosis. Design: Quasi-experimental study design (preposttest). Setting: The study was conducted at Obstetric and Gynecological out -patient clinic in BenhaUniversity hospital. Sample: A purposive sample consisted of 146 women with endometriosis. Theydivided control group comprised 73 women and study group comprised 73 women. Tools: Structuredself-administered questionnaire, health promotion lifestyle profile-II and patient's satisfaction sheet.Results: 65.8% of study group were highly satisfied of health promotion model compared to only 7.2%of control group, total health promotion lifestyle profile-II improved from 20% before programimplementation to 64.4% after program implementation among study group while there was noimprovement in the control group, nearly three quarters of both study and control groups respectivelyhad poor knowledge score about endometriosis before program implementation. Meanwhile, more thanthree quarters of study group had good knowledge score about endometriosis. Conclusion: The presentstudy showed that there was a highly statistical significant difference regarding all health promotionlifestyle profile-II items (health responsibility, physical activity, nutrition, spiritual growth,interpersonal relations and stress management) between study and control groups after programimplementation (P< 0.001). Application of health promotion model has positive effect on lifestyle ofwomen with endometriosis therefore, the study hypothesis was supported. Recommendation: Asimplified and comprehensive booklet should be available for all patients with endometriosis whichinclude a clear, brief and simple explanation about non pharmacological modalities to reduceendometriosis related pain._____________________________

Relation between Health Literacy and Health Promoting Behaviors among Elderly at Tanta City

Health literacy is an emerging concept in the health care environment. It is one of the main factors that is related to adoption of the healthy lifestyle behaviors. Low health literacy in older adults leads to poor overall health. The aim of the study: was to assess the relation between health literacy and health promoting behaviors among elderly at Tanta city. Study design: A descriptive correlational study design was used in this study. Study settings: This study was conducted at the outpatient clinics of health insurance hospital at Tanta city. Study subjects: A convenience sample of 400 elderly who attend the previous setting was included in the study. Study tool: A structured interview schedule was used to collect data in this study which consisted of four parts: Part I: Socio-demographic characteristics and medical history of the elderly. Part II: Assessment of health literacy for the elderly. Part III: The Health Promotion Lifestyle Profile II (HPLP-II). Part IV: Assessment of the elderly knowledge about the basic health information. Results: about two thirds of the studied elderly had poor level of health literacy while more than half of the studied elderly had moderate level of adherence to health promoting behaviors. In addition, there was significant positive correlation between total health literacy scores, total knowledge scores, and total health promotion behaviors scores (P<0.005).Conclusion: Poor health literacy level was associated with low adherence to the healthy lifestyle among the studied elderly. Therefore, the community health nurse should organize health education programs about health promoting lifestyles and health literacy for older adults to help in improving their overall health.

Physical fitness and sports medicine research in industrial/occupational health following public announcement of the new Total Health Promotion Plan guidelines

Physical fitness and sports medicine research in industrial/occupational health following public announcement of the new Total Health Promotion Plan guidelines

Health Promoting Behavior Among School Going Adolescents in Puducherry-A Cross-Sectional Study

Background: Health promotion is considered as a process that strengthens health conditions, shapes attitudes, supports behavioural changes to attain the utmost physical and mental health, and organizes the social and physical environment of a person. Aim &amp; Objective: To identify the level of health-promoting behaviour and the associated socio-demographic factors among school-going adolescents in Puducherry. Settings and Design: A cross-sectional analytical study was conducted among 705 school-going adolescents of standard IX-XII from five government and private schools in rural and urban areas. Methods and Material: Multistage sampling was used to select the subjects and the Adolescent Health Promotion Score (AHP 40) was used to assess the health-promoting behaviour of an adolescent. The data was entered in MS Excel and analysed using SPSS v16. Statistical analysis used: Mean ± SD were used to summarize the Total Adolescent Health Promotion Score. Multiple linear regression model was used to assess the association between socio-demographic variables and Adolescent health promotion behaviour. Results: Among the 705 participants, the mean age of the students was 14.9 (±1.4). The mean AHP score of the students was 147.78(±20.59). It was observed that the majority of the students (53%) had a high health promoting behaviour. The number of siblings and father’s profession significantly predicted higher scores of adolescent health promoting behaviour. Conclusions: More than half of the student population had high level of health promoting behaviour. The family and school related variables had significant association with the health promoting behaviour of adolescents

Resettled Syrian refugees in Jordan: Survival or health promotion.

AimTo assess the health promotion practices of Syrian refugees in the north of Jordan and to determine their correlation with some socio‐demographic variables.DesignCross‐sectional descriptive correlational.MethodsHealth‐Promotion Lifestyle Profile II (HPLP‐II) was used to measure health promotion practices of Syrian refugees. Data were collected from a convenient sample of 250 Syrian refugees who lived in the North of Jordan. Descriptive and inferential statistics were used to analyse data.ResultsThe results showed that Syrian refugees in Jordan had low scores of total health promotion scale (mean = 2.28) with a cut score of 2.5, which indicated that they minimally adopted health promotion practices in general. The higher score was found on the interpersonal relation domain (mean = 2.89, SD 0.52). While the stress management domain (mean = 2.48, SD 0.43), spiritual growth domain (mean = 2.38, SD 0.39) and nutrition domain (mean = 2.34, SD 0.37) were lower than 2.5, the scores on responsibility and physical activity domains (mean = 2.20, SD 0.62), (mean = 1.35, SD 0.18) respectively, were the lowest. Women, married and unemployed, have more healthy behaviours than their counterparts.

Self-Evaluation of Health Promoting Behaviors Among Employees and Nurses of Madani Heart Center: Beginning of Activities Related Health Promoting Hospital

Introduction and objectives: Health promoting behaviors are considered as one of the criteria determining the health. Health promotion hospitals require these behaviors for improving the quality of services and promoting the health of community, and employees of such centers play crucial role in training and transferring of such behaviors and healthy lifestyle to various groups of community. The current research was conducted to evaluate these behaviors among employees working in Madani Heart Center in 2016. It was carried out at the beginning of activities related to implementing the health promoting hospital standards. Methodology: The current research was a descriptive-analytical study, in which 319 administrative and therapeutic hospital employees were selected using proportional stratified sampling method. To collect the research data, Health Promotion Lifestyle Profile II (HPLP-II) was used. Data were analyzed by SPSS 18 software and by using non-parametric statistical method of Chi-square test and Gamma and Kendall correlation coefficient at the significance level of 0.05 . Findings: Research findings revealed that 96 number of subjects (30.1%) were male and 223 of them (69.0%) were female and their mean age was found to be 38.0±6.0 years. Their mean work experience was found to be 14.0 ± 5.0 years. The mean of total health promotion behaviors was found to be 128.0 ± 19.0 and the highest score was found in the interpersonal relationship area (24.0 ± 3.0) and the lowest score was found in physical activity area (15.0 ± 4.0) . The current research revealed that gender status had a significant relationship with health promotion behaviors of the employees, so that the score of health promotion behaviors in male employees was higher than that in female employees and this difference was significant (P <0.001). Multivariate linear regression analysis indicated that the gender status of employees is the most important factor affecting the health promotion behaviors . Conclusion: given the status of health promotion behaviors among employees of the center and the low level of these behaviors among female gender, it is recommended that health education programs to be planned in order enhance the healthy lifestyle of them.

A Study on the Systemic Reaction, Vertical Jump and Side Step of Athletes According to Competition Event

The purpose of this study is to identify differences in the Systemic reaction, Vertical jump and Side step of Judo, Taekwondo, Kendo elite athletes The Total Health Promotion Plan was used to measure systemic reactions, vertical jump and side steps. In the results of the study, systemic reaction was significantly different between Judo player and Taekwondo player (p<0.05). Vertical jump did not differ between groups. Side step was significantly different between Kendo player, Judo player, Judo player and Taekwondo player, Taekwondo player and Kendo player (p<0.05). This study suggests that systemic reaction, vertical jump and side step are different for each sport.

Health promoting Behaviors Among Adolescents: A Cross-sectional Study.

Health maintenance and promotion are the fundamental prerequisites to community development. The best time for establishing healthy lifestyle habits is during adolescence. Due to importance of health promotion behaviors in adolescents, this study was conducted to investigate health-promoting behaviors and its associated factors among high school students in Rasht, Iran. A cross-sectional descriptive study was conducted on 424 students during the first semester of the year 2012. We employed the multistage sampling design to recruit from private and public high schools in Rasht, Iran. The data collection instrument was a self-report questionnaire consisting of two parts. The first part of instrument was consisted of demographic questionnaire and the second part was adolescent health promotion scale (AHPS) questionnaire. AHPS questionnaire was consisted of six dimensions (nutrition, social support, health responsibility, life appreciation, physical activity, and stress management) to measure health promoting lifestyles. Statistical analysis was performed by SPSS 16 software employing ANOVA (analysis of variance) test, t-test, Mann-Whitney, and the Kruskal-Wallis. The score of total Adolescent Health Promotion Scale were 3.58 ± 0.52 (possible range was 1-5). The highest score was in life appreciation dimension (3.99 ± 0.068) and the lowest score was in health responsibility dimension. Moreover, Significant associations were found between the adolescent health promotion Scale with age (P < 0.001), gender (P < 0.003), school grade (P < 0.011), father's educational level (P < 0.045), mother's educational level (P < 0.021), and mother's occupation (P < 0.008). Female and older students are at higher risk of developing unhealthy lifestyle. Consequently, healthcare providers, health instructors, schoolteachers, and families must pay more attention to these students. Moreover, as most of lifelong healthy and unhealthy lifestyle habits are established during adolescence, developing effective health promotion and disease prevention strategies for adolescents seems crucial.

Worksite Health Promotion and Occupational Physicians: Interventional Effects of Exercises

Results of annual health checkups at workplaces revealed a steady increase in the incidence of cardiovascular risk factors such as dyslipidemia and hypertension in Japan. With the aging of the workforce, the incidence is expected to increase further. These risk factors are modifiable through a lifestyle modification program including mild exercise and nutritional guidance. In 1988, the Japanese government revised the Industrial Safety and Health Law to promote health in the workplace and implemented the Total Health Promotion Plan (THP). However, only 5.0% of workplaces were implementing THP programs according to a survey conducted in 2007. Therefore, we have recommended some measures for worksite health promotion, such as collaboration between community health and occupational health for implementing health promotion activities especially in small and medium scale enterprises, environmental improvement to promote occupational health, and an approach to increase physical activity that includes walking to work and using the stairs. Worksite health promotion should be considered an important company initiative in terms of work-related outcomes such as job satisfaction, work ability, and absenteeism in addition to cardiovascular risk factors.

The Relationship Between Geriatric Depression and Health-Promoting Behaviors Among Community-Dwelling Seniors

People older than 65 years old account for about 10.9% of Taiwan's total population; it is also known that the older adults experience a higher incidence of depression. Public health nurses play an important role in promoting community health. Policymaking for community healthcare should reflect the relationship between health-promoting behavior and depression in community-dwelling seniors. Therefore, the encouragement of healthy aging requires strategic planning by those who provide health promotion services. This study was designed to elicit the health-promoting behaviors of community seniors and investigate the relationship between geriatric depression and health-promoting behaviors among seniors who live in rural communities. We used a cross-sectional, descriptive design and collected data using a demographic information datasheet, the Health Promotion for Seniors and Geriatric Depression Scale short forms. The study included 427 participants. Most were women; mean age was 75.8 years. Most were illiterate; roughly half engaged in a limited number of health-promoting activities. The Geriatric Depression Scale score was negatively associated with health-promoting behavior. Social participation, health responsibility, self-protection, active lifestyle, and total Health Promotion for Seniors score all reached statistical significance. Multivariate analysis indicated that geriatric depression and physical discomfort were independent predictors of health-promoting behavior after controlling the confounding factors. Participants practiced less than the recommended level of health-promoting behaviors. We found a negative correlation between the geriatric depression score and health-promoting behavior. Results can be referenced to develop strategies to promote healthy aging in the community, especially with regard to promoting greater social participation and increased activity for community-dwelling older adults experiencing depression.

Gulhane Military Medical Academy Training Hospital, the applicant Determination of Healthy Lifestyle Behaviors in Individuals Diagnosed Coronary Artery Disease

AIM: The aim of the study, Coronary Artery Disease (CAD) diagnosed with identification of individuals in specific behaviors to improve health, health status and related factors to determine the levels of detection. METHODS: This descriptive study of data types of the Gulhane Military Medical Academy (GATA) Hospital cardiology clinic in December 2009 - February 2010 were collected. The study group, at least 6 months before the diagnosis of CAD area, between the ages of 20-65 individuals who accept and participate in the study (n = 300) formed. Sociodemographic characteristics and health behaviors of the personal information form for the 33-item, 52-item scale of a healthy lifestyle behaviors and health status of the single-item scale working group of the detection technique applied to the face-to-face interview. The aim of the study, Coronary Artery Disease (CAD) for the development of health behaviors in the case of individuals diagnosed with the identification, health status and related factors to determine the levels of detection. The statistical analysis techniques such as Mann Whitney U and Kruskal-Wallis were used for the comparison. RESULTS: Of the group 57,7% were males, 46,3% were 50-59 years of age and 56,3% were higher education graduates. As regard to total Health Promotion Life-Style Profile Scale scores statistically significant differences had been found between age, gender, education, disease period, occupation and chronic condition groups. As regard to the average PHSS scores statistically significant differences had been found between age, education, body mass index, disease period, occupation, chronic condition and CAD related course groups (p

地域保健・医療・福祉分野のシステム化推進手順に関するシステム・マネジメント論的考察

地域保健・医療・福祉分野のシステム化推進手順に関するシステム・マネジメント論的考察

Work Form Affects Maximum Oxygen Uptake for One Year in Workers

Our previous study suggested that the work form is related to the maximum oxygen uptake (VO(2)max). Therefore, we test the hypothesis by a longitudinal study that, besides these lifestyle-related factors, the work form increases VO(2)max among workers. Seven hundred and ninety nine males aged 37.1 ± 10.6 and 395 females aged 37.7 ± 10.5 (range: 20 to 59 yr old), who participated in The Total Health Promotion Plan (THP) at their respective workplaces twice in one year from 1997 to 1998, were selected. Data on VO(2)max were analyzed for age, systolic blood pressure (SBP), body mass index (BMI), work form (sedentary, standing, and ambulatory), exercise, and smoking. Age and the baseline variables for BMI and for VO(2)max showed significant negative relationships with a change in VO(2)max in males and females. Further, a change in the BMI showed a significant negative relationship with a change of VO(2)max in males. However, exercise habit and an ambulatory work form showed significant positive relationships with a change of VO(2)max in males. It was suggested that after adjusting for other factors in males, an ambulatory work form may be associated with an increase in VO(2)max in one year.

Effectiveness of the Total Health Promotion Plan (THP) for Prevention of Cardiovascular Events: Cohort Study

Objectives To investigate the effectiveness of the Total Health Promotion Plan (THP) for the prevention of cardiovascular events. Design A cohort study. Setting and Participants The subjects consisted of 141 male employees of a manufacturing office that has implemented the THP since 1996. Measurement and Results We performed a follow-up survey for the occurrence of cardiovascular events, including ischemic heart disease and cerebrovascular incidents, for 13 years. The incidence of cardiovascular events was compared with Kaplan-Meier analysis and log-rank statistics. The office executing THP had a low tendency towards cardiovascular events in comparison with the control office.Conclusions This study suggests that THP is effective for preventing cardiovascular events.

Assessment of Village Health Worker Training Program in Tuguegarao, Philippine

This study was performed to evaluate the effectiveness of 'village health worker training program' which aimed to build community participatory health promotion capacity of community leaders in villages of low developed country and to develop methods for further development of the program. The intervention group were 134 community leaders from 25 barangays (village). Control group were 149 form 4 barangays. Intervention group participated 3-day training program. Questionnaire was developed based on 'Health Promotion Capacity Checklist' which assessed capacity in 4 feathers; 'knowledge', 'skill', 'commitment', and 'resource'. Each feather was assessed in 4 point rating scale. Capacity scores between intervention group and control group were examined to identify changes between the pre- and post-intervention periods. A qualitative evaluation of the program was conducted to assess the appropriateness of the program. The program was conducted in Tuguegarao city, Philippine in January, 2009. The result showed significant increases in the total health promotion capacity and each feather of health promotion capacities between pre and post assessment of intervention group. But there was no significant change in that of control group. Participants marked high level of satisfaction for preparedness, selection of main subjects and education method. Qualitative evaluation revealed that training program facilitated community participatory health promotion capacity of participants. This study suggested that the Village health worker training program is effective for building health promotion capacity of community leaders and it can be a main method for helping low developed countries with further development.