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http://dx.doi.org/10.5762/KAIS.2020.21.2.460

Factors Influencing on Health Promoting Behavior of Community-dwelling Older Adults  

Jang, Ji-Hye (Graduate school of Nursing, Hanyang University)
Shin, Yong Soon (School of Nursing, Hanyang University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.21, no.2, 2020 , pp. 460-469 More about this Journal
Abstract
The purpose of this study was to examine the predictive factors for health promotion behaviors of older adults in rural areas. A theoretical substruction was constructed to test hypothetical models based on Pender's health promotion model. The data was collected from 199 older adults aged 65 years or older, who resided in G city, by using a structured questionnaire. The questionnaires contained items on individual characteristics, health literacy, self efficacy and health promoting behavior. The data was analyzed with a t-test, ANOVA, Pearson's correlation coefficients and hierarchical multiple regression analysis using SPSS 20.0 for Windows. The predictive factors for the health promotion behavior were the number of health information channels (β=.16, p=.031) and self efficacy (β=.53, p<.001). The total explanatory power of these factors was 30.8%. A nursing intervention plan for improving health promoting behaviors of older adults should be developed and applied, with a focus on self-efficacy and health information channels. Further longitudinal studies are needed to help confirm relevant measurement of the level of health promoting behaviors of older adults.
Keywords
Elderly; Health Promotion; Health Behavior; Self Efficacy; Health Literacy;
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1 J. H. Jeong, J. S. Kim, "Health literacy, health risk perception and health behavior of elders", Journal of Korean Academy of Community Health Nursing, Vol.25, No.1, pp.65-73, 2014. DOI: http://dx.org/10.12799/jkachn.2014.25.1.65
2 H. S. Kim, J. S. Hur, "A study of influential factors on health promoting behaviors of the elderly: focusing on senior citizens living in Seoul", Journal of the Korea gerontological society, Vol. 30, No.4, pp.1129-1143, 2010.
3 N. J. Park, K. S. Kim, "Factors affecting health promoting behaviors of the vulnerable elderly", Journal of the Korea gerontological society, Vol.36, o.2, pp.275-294, 2016.
4 M. S. Lee, "Health literacy and health behaviors among older adults with cardio-cerebrovascular disease residing in rural areas", Korean Journal of Adult Nursing, Vol.29, No.3, pp.256-265, 2017. DOI: https://doi.org/10.7475/kjan.2017.29.3.256
5 H. M. Seo, Y. S. Hah, "A study of factors influencing on health promoting lifestyle in the elderly: Application of Pender's health promotion model", Journal of Korean Academy of Nursing, Vol.34, No.7, pp.1288-1297, 2004. DOI: https://doi.org./10.4040/jkan.2004.34.7.1288
6 N. Shin, Y. Kang, "The relationships among health locus of control and resilience, social support and health promoting behavior in patients with newly diagnosed coronary artery diseases", Korean Journal of Adult Nursing, Vol.27, No.3, pp.294-303, 2015. DOI: https://doi.org/10.7475/kjan.2015.27.3.294
7 B. Billek-Sawhney, E. A. Reicherter, "Literacy and the older adult: Educational considerations for health professionals", Topics in Geriatric Rehabilitation, Vol.21, No.4, pp.275-281, 2005.
8 T. W. Lee, S. J. Kang, "Health literacy in the Korean elderly and influencing factors", Journal of the Korea gerontological society, Vol.28, No.4, pp.847-863, 2008.
9 A. Bandura, "Social cognitive theory: An agentic perspective", Asian journal of social psychology, Vol.2, No.1, pp.21-41, 1999. DOI: https://doi.org/10.1111/1467-839X.00024   DOI
10 M. S. Kwon, G. Y. Noh, J. H. Jang, "A study on relationships between health literacy, disease-related knowledge and compliance to medical recommendations in patients with hypertension", Journal of Korean Public Health Nursing, Vol.27, No.1, pp.190-202, 2013. DOI: https://doi.org/10.5932/JKPHN.2013.27.1.190   DOI
11 N. J. Pender, C. L. Murdaugh, Health promotion in nursing practice (4th ed.), p.340, Parsons MA, Prentice Hall, 2002. p.73-97.
12 C. M. McQuiston, J. C. Campbell, "Theoretical substruction: A guide for theory testing research", Nursing Science Quarterly, Vol.10, No.3, pp.117-123, 1997.   DOI
13 J. E. Kim, "Measuring the level of health literacy and influence factors: Targeting the visitors of a university hospital's outpatient clinic", Journal of Korean Clinical Nursing Research, Vol. 17, No.1, pp.27-34, 2011.
14 Y. J. Son, E. K. Song, "Impact of health literacy on disease-related knowledge and adherence to self-care in patients with hypertension", The Korean Journal of Fundamentals Nursing, Vol.19, No.1, pp.6-15, 2012. DOI: https://doi.org/10.7739/jkafn.2012.19.1.006
15 S. H. Kim, E. J. Lee, "The influence of functional literacy on perceived health status in Korean older adults", Journal of Korean Academy of Nursing, Vol.38, No.2, pp.195-203, 2008.
16 T. W. Lee, S. J. Kang, "Development of the short form of the Korean health literacy scale for the elderly", Research in nursing & health, Vol.36, No.5, pp.524-534, 2013. DOI: https://doi.org/10.1002/nur.21556
17 R. Schwarzer, A. Born, S. Iwawaki, Y. M. Lee, E. Saito, S. Yue, "The assessment of optimistic self-beliefs: Comparison of the Chinese, Indonesian, Japanese, and Korean versions of the general self-efficacy scale", Psychologia: An International Journal of Psychology in the Orient, Vol.40, No.1, pp.:1-13, 1997.
18 National Statistical Office, 2018 elderly statistics [Internet], Statistic Korea, 2018 [cited 2018 December 10], Available From: http://kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=370779
19 H. Hwang, "Impacts of colorectal cancer knowledge and health literacy on self-management behaviors among elderly women in rural areas", Korean Journal of Adult Nursing, Vol.29, No.5, pp.527-535, 2017. DOI: https://doi.org/10.7475/kjan.2017.29.5.527   DOI
20 J. W. Ko, H. W. Kang, "Health promoting behavior and optimism among the elderly in S city", Journal of the Korean data analysis society, Vol.15, No.6B, pp.3251-3262, 2013.
21 Ministry of Health and Welfare, 2017 living profiles of older people survey, Policy Report, Ministry of Health and Welfare, Korea Institute for Health and Social Affairs, 2017, Korea, Report No.: 11-1352000-000672-12.
22 M. Loef,, H. Walach, "The combined effects of healthy lifestyle behaviors on all cause mortality: a systematic review and meta-analysis", Preventive medicine, Vol.55, No.3, pp.163-170, 2012. DOI: https://doi.org/10.1016/j.ypmed.2012.06.017   DOI
23 M. O. Gu, J. H. Kim, J. I. Kim, H. J. Kim, H. S. Kim, J. J. Oh, E. Young, M. S. Song, "A study on the barriers to health behavior in elderly people in Korea", Journal of Korean Gerontological Nursing Society, Vol. 5, pp.117-126, 2003.