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心理健康素养及其与社区居住老年人健康促进行为的关系:一项潜在剖面分析。

Mental health literacy and its relationship with health-promoting behaviors of community-dwelling older adults: A latent profile analysis.

作者信息

Liu Yi, Li Baiyun, Liu Lihua, Chen Xiaoling, Liu Wanjing, Yao Man, Jian Xiaohong

机构信息

Medical College of Hunan Normal University, Chang Sha, Hu Nan Province, China.

Department of Nursing, Xianjia Lake Street Community Health Service Center, Chang Sha, Hu Nan Province, China.

出版信息

Geriatr Nurs. 2025 Mar-Apr;62(Pt A):123-130. doi: 10.1016/j.gerinurse.2025.01.015. Epub 2025 Jan 31.

Abstract

OBJECTIVES

To explore the latent profiles of mental health literacy among community-dwelling older adults and analyze their relationship with health-promoting behaviors.

METHODS

A cross-sectional study was conducted among 321 community-dwelling older adults using a general information questionnaire, the Chinese version of the Mental Health Literacy Scale, and the Geriatric Health Promotion Scale. A latent profile analysis was performed to identify latent profiles of mental health literacy among community-dwelling older adults. Multiple logistic regression analysis was used to explore the predictive factors of different profiles. One-way ANOVA was applied to examine the relationship between profiles and health-promoting behaviors.

RESULTS

The mental health literacy of community-dwelling older adults was classified into three latent profiles: Profile 1, low mental health literacy group (21.81 %); Profile 2, medium mental health literacy group (46.42 %); and Profile 3, high mental health literacy group (31.78 %). Sex and living status were predictors of different profiles. The total score difference of health-promoting behaviors among the three profiles was statistically significant.

CONCLUSIONS

There is significant heterogeneity in mental health literacy among community-dwelling older adults. Promoting mental health literacy can effectively increase health-promoting behaviors. Targeted interventions for community-dwelling older adults in different profiles are recommended to improve their health-promoting behaviors.

摘要

目的

探讨社区老年人心理健康素养的潜在类别,并分析其与健康促进行为的关系。

方法

采用一般信息问卷、中文版心理健康素养量表和老年健康促进量表,对321名社区老年人进行横断面研究。进行潜在类别分析以识别社区老年人心理健康素养的潜在类别。采用多元逻辑回归分析探讨不同类别的预测因素。应用单因素方差分析检验类别与健康促进行为之间的关系。

结果

社区老年人的心理健康素养分为三个潜在类别:类别1,低心理健康素养组(21.81%);类别2,中等心理健康素养组(46.42%);类别3,高心理健康素养组(31.78%)。性别和生活状况是不同类别的预测因素。三个类别之间健康促进行为的总分差异具有统计学意义。

结论

社区老年人心理健康素养存在显著异质性。提高心理健康素养可有效增加健康促进行为。建议针对不同类别的社区老年人进行有针对性的干预,以改善他们的健康促进行为。

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