Chinese Residents’ Healthy Eating Intentions and Behaviors: Based on an Extended Health Belief Model

Abstract

Unhealthy eating is one cause of obesity and some chronic non-communicable diseases. This study introduces self-efficacy and health consciousness to construct an extended health belief model (HBM) to examine the factors influencing healthy eating intentions and behaviors of Chinese residents and explore the moderating effect of perceived barriers and the mediating effect of healthy eating intentions. Through the survey platform “Questionnaire Star”, this study collected quantitative data from 1281 adults, and partial least squares structural equation modeling was used for confirmatory factor analysis, path analysis, importance-performance map analysis, and multi-group analysis. Results showed that perceived susceptibility, perceived severity, perceived benefits, self-efficacy, and health consciousness had a significant positive effect on residents’ healthy eating intentions. Perceived barriers had a significant negative effect on residents’ healthy eating intentions. Healthy eating intentions had a significant positive effect on healthy eating behaviors. Perceived barriers played a significant negative moderating effect between healthy eating intentions and behaviors. Healthy eating intentions had a positive and significant mediating effect. The multi-group analysis showed that extended HBM has relative generalization ability. The extended HBM has good explanatory and predictive power for healthy diet and provides a new framework for understanding the influencing factors of individuals’ healthy eating intentions and behaviors.

Nutrition and eating beliefs and behaviors among individuals with spinal cord injuries and disorders: Healthy or misconceived?

“…Barriers of accessibility, mobility, and dependence on others for meals have previously been voiced by individuals with SCI/D, their informal caregivers, and SCI healthcare providers (LaVela, Pellegrini, et al, 2022). Y. Wang et al (2022) found that perceived barriers to healthy eating were associated with negative healthy eating intentions and behaviors in a non-SCI/D population.…”

“…Y. Wang et al (2022) found that perceived barriers to healthy eating were associated with negative healthy eating intentions and behaviors in a non-SCI/D population. In the current study, participants specifically discussed challenges to independently grocery shopping (e.g., difficulty getting to stores, transportation, and navigating aisles), preparing (e.g., unable to chop vegetables), and similar to findings by Holla et al (2020) barriers to cooking (e.g., unable to reach standard stovetop) for oneself often leading to consumption of processed, microwavable/instant foods, fast foods for convenience, or relying on others for meals.…”

Health-driven mechanism of organic food consumption: A structural equation modelling approach

“…When the main effect is significant, if the lower limit and upper limit contain 0, the mediation effect does not exist. If 0 is not included, there is a mediation effect [ 71 , 72 ]. In AMOS, We set the sample size at 5000 with 95% confidence.…”

Health Belief and Behavioral Analysis of Fad Diets: A Perspective from Younger Generations in a Developing Country

“…The usual solution to cover the gap or to improve the behavioral findings is to consider adding more components, variables, or constructs to the TPB [ 62 , 63 , 64 ]. On the other hand, the HBM provides a more thorough analysis of health-related attitudes and actions [ 65 ]. This has been used to assess perception and belief among individuals when dealing with studies related to health [ 27 , 28 , 29 ].…”