Zarghami Fatemeh, Sadegi Roghayeh, Sarbakhsh Parvin, Pakmehr Sina, Pakpour Vahid
University of Limerick, Co. Limerick, Castletroy, V94 T9PX, Ireland.
Department of Public Health & Gerontology, Tabriz University of Medical Sciences, Tabriz, Iran.
BMC Public Health. 2025 Aug 1;25(1):2614. doi: 10.1186/s12889-025-23934-3.
Population aging is one of the most significant global social changes, making the improvement of the health and quality of life for the elderly a key health priority. The adoption of health promotion behaviors and having self-worth are effective approaches to maintain the health of older people. The current study aimed to investigate health promotion behaviors and their relationship with self-worth among the elderly in Tabriz, Iran.
This cross-sectional study recruited 427 older people, who lived in Tabriz in 2022. The participants were selected using multistage random cluster sampling. The Health Promotion Activities of Older Adults Measure, and the Contingencies of Self-Worth Scale were used for collecting the data. Descriptive and inferential statistics methods were applied to the data.
The results showed a moderate mean score of health promotion behaviors (93.25 ± 15.39) and a low mean score of self-worth (79.30 ± 10.29) for the participants. The multivariate linear regression analysis showed a significant relationship between health promotion behaviors and self-worth among the older adults (p < 0.01). Therefore, self-worth could predict about 3.7% of the variance of health promotion behaviors among this population (R = 0.037, t = 4.01). Although the association was statistically significant, the explained variance was low, indicating that self-worth had a limited predictive value for health promotion behaviors in this sample.
While self-worth showed a modest correlation with health promotion behaviors, multivariable analysis revealed socioeconomic factors as stronger predictors. Interventions should address structural determinants alongside psychosocial factors to improve elderly health. Future studies are needed to explore causal pathways between self-worth and health behaviors in aging populations.
人口老龄化是全球最重大的社会变革之一，因此改善老年人的健康状况和生活质量成为关键的卫生优先事项。采取健康促进行为和拥有自我价值感是维持老年人健康的有效途径。本研究旨在调查伊朗大不里士老年人的健康促进行为及其与自我价值感的关系。
这项横断面研究招募了427名2022年居住在大不里士的老年人。参与者采用多阶段随机整群抽样法选取。使用老年人健康促进活动量表和自我价值感条件量表收集数据。对数据应用描述性和推断性统计方法。
结果显示，参与者的健康促进行为平均得分中等（93.25±15.39），自我价值感平均得分较低（第79.30±10.29）。多元线性回归分析显示，老年人的健康促进行为与自我价值感之间存在显著关系（p<0.01）。因此，自我价值感可以预测该人群中健康促进行为方差的约3.7%（R=0.037，t=4.01）。尽管这种关联具有统计学意义，但解释的方差较低，表明自我价值感对该样本中的健康促进行为的预测价值有限。
虽然自我价值感与健康促进行为呈适度相关，但多变量分析显示社会经济因素是更强的预测因素。干预措施应在解决心理社会因素的同时，解决结构性决定因素，以改善老年人的健康状况。未来需要开展研究，探索老年人群中自我价值感与健康行为之间的因果途径。
