Influence of health promoting lifestyle on health management intentions and behaviors among Chinese residents under the integrated healthcare system

Abstract

Background Health promoting lifestyle is an important influencing factor of individual health status. This study aims to assess the health promoting lifestyle of community residents in China, and explore its association with their health management intention and behaviors during the integrated healthcare system reform. Methods A total of 666 residents were recruited from six county level hospitals and 12 community health centers from July to August 2019 in Zhejiang Province, China. Health promoting lifestyle was measured by the Chinese version Health Promoting Lifestyle Profile-II scale (HPLP-II). Results The average total score of HPLP-II among our sample was 130.02±23.19. Among the six domains, interpersonal relationship had the highest average score (2.68±0.50), and physical activity scored the lowest (2.21±0.59). Total score of HPLP-II scale was negatively associated with being male (β = -0.13, p<0.01; Ref: female), positively associated with being students (β = 0.15, p<0.01; Ref: self-employed), and positively associated with a monthly per capita income of more than 8000 RMB (β = 0.15, p<0.01; Ref: less than 3000 RMB). The domain scores of HPLP-II were significantly correlated with residents’ health management intention and their behavior on following doctors’ advice or not. Conclusions The health promoting lifestyles of community residents in China are at moderate levels. Improving residents’ healthy lifestyle levels might be helpful for changing their health management intentions or behaviors.

Assessment of Adult Individuals' Fear of COVID-19, Healthy Living Behaviors, and Nutrition Knowledge Levels during the COVID-19 Pandemic Period

“…The HLBS-II was used to determine the healthy lifestyle behaviors of the individuals included in the study, and their total mean score was found to be 121.11±19.24. Few studies have been in use of this scale with the general population involved (Liu et al 2021;Akgün 2021;Zhou et al 2022). Similar to the present study, Akgün (2021) conducted a study to determine the healthy lifestyle behaviors of individuals above the age of 18 during the pandemic, and the total HLBS-II score was 123.49±18.47.…”

“…Based on the scores on the sub-dimensions of the HLBS-II, individuals scored the lowest, 15.68±5.17, on physical activity (min score: 8, max score: 32). The fact that existing literature has reported the lowest score on this sub-dimension shows that adults do not incorporate physical activity into their lifestyle (Zhou et al 2022;Alzahrani et al 2019). The reason for this may be that adults do not attach enough importance to physical activity, and that recently developed technology has changed lifestyles.…”

Health-Promoting Lifestyle and Its Predictors in Renal Transplant Recipients in Hunan, China: A Cross-Sectional Study

“…It is essential to develop educational programs that not only promote the benefits of physical activity but also provide practical solutions to overcome barriers to exercise adherence. 27 Furthermore, this study’s findings on the low compliance with stretching exercises and relaxation activities suggest that recipients may benefit from integrated lifestyle programs that combine physical activity with stress management techniques, such as yoga or pilates, which are less intensive and can be more easily incorporated into a busy schedule. 29 The psychological barriers to physical activity, including the fear of transplant rejection or complications, can be addressed through counseling and support groups, where recipients can share their experiences and learn from peers who have successfully adopted health-promoting lifestyles.…”

Relationship between self-care compliance, trust, and satisfaction among hypertensive patients in China

“…Female patients with hypertension have a higher total average CHPS score than male patients, in line with previous findings ( 41 – 43 ). This result may be because, compared with men, women undertake more housework and need to care for family members' health ( 44 ). Hence, they have more significant health responsibilities, are prone to higher compliance, and follow a healthier lifestyle ( 15 , 43 , 45 ).…”