Pullen C, Walker S N, Fiandt K
University of Nebraska Medical Center, College of Nursing, Omaha, Nebraska, USA.
Fam Community Health. 2001 Jul;24(2):49-72. doi: 10.1097/00003727-200107000-00008.
The purpose of this study was to: (a) describe the health-promoting lifestyle behaviors and attempts at change among 102 community-dwelling rural women aged 65 and older, and (b) determine the extent to which personal influences (demographics, definition of health, and perceived health status) and contextual influences (sources of health information and provider counseling) explain health-promoting lifestyle behaviors and attempts at change among those women. They scored highest on frequency of nutrition behaviors and lowest on frequency of physical activity behaviors. They had attempted change in from zero to five areas of health-promoting lifestyle within the past year. Multiple regression analyses revealed that younger age, living with other(s), defining health as wellness, better perceived mental health, more sources of health information and provider counseling were significantly associated with health-promoting lifestyle behaviors. Only younger age and more sources of health information were significantly associated with attempts at change. These findings provide information that is relevant in designing interventions to enhance health-promoting lifestyle behaviors among rural older women.
(a) 描述102名年龄在65岁及以上的农村社区居住老年妇女的健康促进生活方式行为及改变尝试；(b) 确定个人影响因素（人口统计学特征、健康定义和感知健康状况）和情境影响因素（健康信息来源和提供者咨询）在多大程度上能够解释这些妇女的健康促进生活方式行为及改变尝试。她们在营养行为频率方面得分最高，而在体育活动行为频率方面得分最低。在过去一年中，她们在零至五个健康促进生活方式领域尝试过改变。多元回归分析显示，年龄较小、与他人同住、将健康定义为良好状态、更好的感知心理健康、更多的健康信息来源以及提供者咨询与健康促进生活方式行为显著相关。只有年龄较小和更多的健康信息来源与改变尝试显著相关。这些发现为设计干预措施以增强农村老年妇女的健康促进生活方式行为提供了相关信息。
