Conceptual and Empirical Dimensions of Health Behavior

Steele, J. L.; McBroom, William H.

doi:10.2307/2136830

Cited by 78 publications

(33 citation statements)

References 10 publications

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“…This finding is in accordance with some of the above referred studies, which reported general health-related behaviour to be multidimensional (i.e. Harris and Guten, 1979;Kannas, 1981;Steele and McBroom, 1972;William and Wechsler, 1972). However, the second-order analysis showed that three more general dimensions were underlying health behaviour.…”

Section: Discussionsupporting

confidence: 92%

“…The multi-dimensional view (Harris and Guten, 1979;Kannas, 1981;Steele and McBroom, 1972;Williams and Wechsler, 1972) 1991) was also supported, but at the second-order level. Finally, the uni-dimensional view (Hays, Stacy and DiMatteo, 1984;Jessor, 1986;Vingilis and Adlaf, 1990) was supported as well, at the third-order level.…”

Section: Discussionmentioning

confidence: 89%

“…By applying factor analysis he extracted five health-related dimensions: 'Use of sugar and fat', 'la dolce vita', 'active health-oriented behaviour', 'regularity of eating and resting habits', and 'dental care'. Williams and Wechsler (1972), applying principal component analysis with orthogonal rotation, and Steele and McBroom (1972), applying correlational analysis, have also reported data which appear to support the appropriateness of a multi-factorial model of health-related behaviours. In a more recent study, Steptoe et al, (1994) found a mean inter-item correlation close to zero, among 16 health practices, indicating an extreme multidimensionality or even no dimensionality underlying health behaviours.…”

Section: Introductionmentioning

confidence: 85%

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On the structure and dimensionality of health-related behaviour in adolescents

R⊘ysamb¹,

Rse²,

Kraft³

1997

Psychology & Health

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The structure of interrelations among different health-related behaviours was studied in a sample of Norwegian adolescents. Whereas some studies have suggested that health-related behaviour is unidimensional, other studies have supported the notion of multi-dimensionality, and most recently, bidimensionality.A multiple level, hierarchical factor model was developed through the combined use of exploratory and confirmatory (LISREL) analysis. On the first-order level a multi-dimensional model was extracted. On the second-order level, three more general dimensions appeared: 'High-action', 'Addiction' and 'Protection'. Finally, at the third-order level a single bi-polar dimension was found, differentiating between healthenhancing and health-threatening behaviour. A comprehensive hierarchical model, including first-, secondand third-order factors yielded good fit to the data. The results suggest that health-related behaviour can be conceptualised as concurrently multidimensional, few-dimensional and uni-dimensional. Further, through the aggregation of increasingly broader classes of behaviour, increasingly more general behaviour dispositions can be identified. Methodologically, the results suggest a general potential for higher-order factor models.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 89%

Section: Introductionmentioning

confidence: 85%

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On the structure and dimensionality of health-related behaviour in adolescents

R⊘ysamb¹,

Rse²,

Kraft³

1997

Psychology & Health

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“…Although past literature addresses intergenerational transmission (Elder, Liker, & Cross, 1984) and other studies suggest that mothers develop health-promoting lifestyles during childhood (Pender, 1987;Litman, 1974;Steele & McBroom, 1972), this study found that mothers were the link to the initiation of the health behaviors of the next generation because mother's health behaviors were being perpetuated by the new parents with their children. In the context of the changing nature of families and the increasing poverty and vulnerability of families with young children, it is debatable how successful maternal transmission of such values as health behavior will be in the future in socially disadvantaged areas of Western Sydney, Australia.…”

Section: Contribution Of the Research And Implications For Community mentioning

confidence: 59%

Capturing Parents' Understanding About the Health Behaviors They Practice With Their Preschool-Aged Children

Roden

2003

Issues in Comprehensive Pediatric Nursing

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This qualitative, descriptive study first explored parents' concept of health and then examined the health practices they undertook for their preschool-aged children. The purposive sample of 11 parent couples and 3 single parents (14 parent sets in total) with preschool-aged children attending long daycare and preschool/kindergarten centers was equally distributed between parents from two different socioeconomic groups in two suburbs of western Sydney, Australia. Consenting parents were interviewed and transcripts were analyzed concurrently in accordance with a grounded theory approach (Glaser Strauss, 1967). Results revealed the presence of three themes, and practice implications for community nurses stem from them. These themes were Educating About Family Health, The Dynamic, Multidimensional Nature of Teaching Child Health Behavior, and The Intergenerational Theme. There was only minimal support for health-related socioeconomic differences. The study also found that most families with preschool-aged children were engaged in illness prevention rather than health promotion. Unlike those families focused on illness prevention, families focused on a health promotion mode were more sophisticated in their educational strategies and used more educational strategies associated with developing their child's health behaviors. This research validated the importance of the intergenerational transmission of values, particularly by mothers. The health behaviors that mothers considered important, and that they reinforced with their children, were transmitted equally to their daughters and sons.

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“…The other side of the coin is to provide ready access to health-promoting options. '0 023- 25 The strategy of making health-promoting options easier is implicit in the small group approach to behavior change, e.g. weight-reduction, cessation of smoking or alcohol consumption.…”

Section: A Timefor Changementioning

confidence: 99%

A framework for prevention: changing health-damaging to health-generating life patterns.

Milio¹

1976

Am J Public Health

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A set of propositions is offered to provide a frame of reference for proposed strategies to improve healthful behavior by placing personal choicemaking in the context of societal option-setting.The health status of populations at a given point in time is seen as a result of customary personal choicemaking. These choices in turn are limited by both the perceived and actual options available to individuals, depending on their personal and their community's resources, from which to make choices. Most people, most of the time will make the easiest choices, i.e., will do the things, develop the patterns or life-styles, which seem to cost them less and/or from which they It is a paradox that health professionals, in their efforts to improve people's health-related practices, seem to expect more of the ordinary consumer than they do of themselves. Almost all patient and consumer health education assumes, explicitly or implicitly, that if people know what is most healthful, they will do it.Perhaps the most obvious test of this assumption is to look at health professionals themselves. If knowing what is health-generating were directly related to doing, then surely we in the health field would be among the most robust in the nation, slim, agile, nonsmoking, temperate eaters of complementary protein, low fat and cholesterol, low-sucrose, and nonrefined carbohydrate foods, avoiders of drugging levels of alcohol and other artificial mood-changers, evenly paced in our daily patterns. This picture is obviously nonexistent. Nor do we expect it to exist. Most will recognize that it is not much more likely for a physician earning $85,000 a year to change his life pattern than for a $6,000 a year hospital aide to do so. However, the potential for lifestyle change, the array of options available to these two individuals, may differ considerably.The point is that most human beings, professional or will gain more of what they value in tangible and/or intangible terms.The range of options available to them, and the ease with which they may choose certain ones over others, is typically set by organizations, public and private, formal and informal. The more powerful the organization, i.e., the more effective it is in carrying out its policies, the more it affects the options available to other organizations and populations, whether or not these effects are immediately perceived by individuals in their day-by-day choicemaking. Implications for health education strategies are noted. (Am. J. Public Health 66:435-439, 1976) nonprofessional, provider or consumer, make the easiest choices available to them most of the time, and not necessarily because of what they know is most healthful. Thus, if it is agreed that health-promoting life patterns are a good thing, then the focus for changing behavior should be on the problem of how to make health-generating choices more easy, and how to make health-damaging choices more difficult. A Timefor ChangeThere is increasing national and even international interest in the problems of "prima...

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Conceptual and Empirical Dimensions of Health Behavior

Cited by 78 publications

References 10 publications

On the structure and dimensionality of health-related behaviour in adolescents

On the structure and dimensionality of health-related behaviour in adolescents

Capturing Parents' Understanding About the Health Behaviors They Practice With Their Preschool-Aged Children

A framework for prevention: changing health-damaging to health-generating life patterns.

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