Department of Reproductive Health, Tehran University of Medical Sciences, Tehran, Iran.
Int J Public Health. 2014 Jun;59(3):465-73. doi: 10.1007/s00038-013-0513-y. Epub 2013 Sep 17.
The aim of this study was to determine health-promoting behaviors and their determinants including social support and sociodemographic characteristics as well as to explore women's experience of health-promoting behaviors.
This sequential explanatory mixed methods study was conducted in two phases. The first phase was a cross-sectional study conducted on 1,359 women. Questionnaires, including items on sociodemographic characteristics, the HPLP-II and the PRQ85-Part2, were completed by interview. In the second phase, 15 women who were identified as extreme cases participated in individual in-depth interviews.
The results of the quantitative phase showed that women obtained the highest scores on interpersonal relations and the lowest scores on physical activity. Scores on the HPLP-II and all its subscales correlated significantly with the level of social support. In the qualitative phase, factors affecting health-promoting behaviors were explored and grouped into four main categories that included personal and socio-environmental barriers as well as personal and socio-environmental facilitators.
The findings from this study confirm the importance of social support and modifiable variables (sociodemographic) that play a role in the health-promoting behaviours of women. These results will be useful in designing suitable interventions and strategies for the promotion of women's health.
本研究旨在确定促进健康的行为及其决定因素，包括社会支持和社会人口特征，并探讨女性促进健康行为的体验。
这是一项两阶段的顺序解释性混合方法研究。第一阶段是一项横断面研究，共纳入 1359 名女性。通过访谈完成了包括社会人口特征、HPLP-II 和 PRQ85-Part2 在内的问卷。在第二阶段，确定了 15 名极端情况的女性参加了个人深入访谈。
定量阶段的结果表明，女性在人际关系方面得分最高，在体育活动方面得分最低。HPLP-II 及其所有分量表的得分与社会支持水平显著相关。在定性阶段，探讨了影响促进健康行为的因素，并将其分为四个主要类别，包括个人和社会环境障碍以及个人和社会环境促进因素。
本研究的结果证实了社会支持和可改变变量（社会人口特征）在女性促进健康行为中的重要性。这些结果将有助于设计适合促进妇女健康的干预措施和策略。
