Haji Mukhti Muhammad Iqbal, Ibrahim Mohd Ismail
Department of Community Medicine, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian 16150, Kelantan, Malaysia.
Healthcare (Basel). 2025 Jan 31;13(3):291. doi: 10.3390/healthcare13030291.
Men's health behaviors influence health outcomes but remain understudied in high-risk occupational groups. This study examines determinants of health behaviors among public safety personnel using Andersen's Behavioral Model.
A cross-sectional study was conducted among 257 male public safety personnel in Kelantan, Malaysia. Participants were selected through simple random sampling. Data were collected using proforma and the validated Malay Health Behavior Inventory-Short Form (MHBI-SF). Multiple logistic regression identified factors associated with poor health behaviors.
Key risk factors for poor health behaviors included reliance on parental influence (AOR: 5.54; 95% CI: 1.74-17.64) and restricted healthcare access during leisure time (AOR: 4.70; 95% CI: 1.43-15.49). Protective factors included peer influence (AOR: 0.19; 95% CI: 0.05-0.71) and transportation support (AOR: 0.22; 95% CI: 0.06-0.79).
Addressing barriers to healthcare access and enhancing social support are critical to promoting healthy behaviors among men in high-risk occupations. Targeted interventions can reduce health disparities and improve outcomes.
男性的健康行为会影响健康结果，但在高风险职业群体中仍未得到充分研究。本研究使用安德森行为模型探讨公共安全人员健康行为的决定因素。
在马来西亚吉兰丹州的257名男性公共安全人员中进行了一项横断面研究。参与者通过简单随机抽样选取。使用表格和经过验证的马来语健康行为简表（MHBI-SF）收集数据。多元逻辑回归确定与不良健康行为相关的因素。
不良健康行为的关键风险因素包括依赖父母的影响（调整后比值比：5.54；95%置信区间：1.74 - 17.64）和休闲时间医疗服务受限（调整后比值比：4.70；95%置信区间：1.43 - 15.49）。保护因素包括同伴影响（调整后比值比：0.19；95%置信区间：0.05 - 0.71）和交通支持（调整后比值比：0.22；95%置信区间：0.06 - 0.79）。
解决医疗服务获取障碍并加强社会支持对于促进高风险职业男性的健康行为至关重要。有针对性的干预措施可以减少健康差距并改善结果。
