Factors affecting the adoption of health-promoting behaviours in patients with polycystic ovary syndrome: a cross-sectional study

Abstract

ObjectiveThis study aimed to investigate health-promoting lifestyle status and associated risk factors in patients with polycystic ovary syndrome (PCOS).DesignCross-sectional study.SettingThis study was conducted at a tertiary hospital in Guizhou, China from December 2020 to June 2021.ParticipantsA total of 366 participants (18–45 years) diagnosed with PCOS were recruited from the outpatient departments.MeasuresSociodemographic characteristics were collected, and health-promoting behaviours were measured using the Health-Promoting Lifestyle Profile scale. Anxiety status was measured using the Zung’s Self-Rating Anxiety Scale, depression status using the Zung’s Self-Rating Depression Scale and self-efficacy using the Managing Chronic Disease 6-Item Scale. Multiple stepwise linear regression was conducted to assess the risk factors associated with the health-promoting behaviours of the study participants.ResultsThe participants had a poor health-promoting behaviours (88.54±17.44). The highest score in all dimensions was spiritual growth (16.68±4.98), while physical activity (12.71±2.68) was the lowest. Multiple regression analysis revealed that the main factors influencing the development and maintenance of health-promoting behaviours among participants were education (B=10.788, p<0.001), depression (B=−0.377, p<0.001), anxiety (B=−0.333, p<0.001) and self-efficacy (B=0.938, p=0.002). The model showed 74.40% variance shared between the dependent and independent variables (R2=74.40, F=264.633, p<0.001).ConclusionHealth-promoting behaviours are minimal among patients with PCOS, and improving negative emotions and enhancing behavioural awareness and self-efficacy are necessary to increase the adoption of health-promoting behaviours among patients with PCOS.Trial registration numberChiCTR2000034572.

Polycystic ovary syndrome: An exploration of unmarried women’s knowledge and attitudes

“…The current findings, although reports that the respondents have adequate knowledge of the health-promoting behaviours, due to the anticipated inconsistencies in the practice of the same, the findings partially validate the reports of recent research such as Guo et al. (2022) that women in their early adulthood - reproductive age could have poor health-promoting behaviour.…”

“…Hence, in the background of recent research, the current study could bring up the necessary bridge in enabling the individuals to practice what they know. Moreover, although the result of Guo et al. (2022) could resemble the Indian culture (due to the similarity of the collectivistic culture of China), further studies are warranted to explore the differences within the multicultural context of India.…”

A structural equation model linking health literacy, self-efficacy, and quality of life in patients with polycystic ovary syndrome

“…The negative correlation between HL and BMI suggests that patients with high HL have healthier lifestyles [36]. Moreover, previous studies have suggested that a higher BMI is associated with poor health behaviors in the life management of patients with PCOS [21], which may explain the relationship between a high BMI and low HL. Furthermore, chronic disease prevalence increases with increasing BMI [37,38] and, since PCOS is a chronic disease and most patients are obese, this may also contribute to the negative relationship between HL and BMI.…”

“…The current study aims to affirm the role of SE in modulating psychological status and life management in PCOS [21,22]. However, existing research on the relationship between SE and QOL [21,22] has only identified a direct relationship through regression or correlation, and no study has explored this mediating relationship for patients with PCOS using structural equation modeling (SEM). SEM is a multivariate statistical framework used to model the complex relationships between directly and indirectly observed (latent) variables [23].…”

“…SE management programs have been widely used in treating chronic diseases because they can improve functioning and health status [20]. The current study aims to affirm the role of SE in modulating psychological status and life management in PCOS [21,22]. However, existing research on the relationship between SE and QOL [21,22] has only identified a direct relationship through regression or correlation, and no study has explored this mediating relationship for patients with PCOS using structural equation modeling (SEM).…”