Determinants of health‐promoting lifestyle behaviors among arab immigrants from the region of the levant

Aqtash, Salah-Addin H.; Servellen, Gwen van

doi:10.1002/nur.21555

Cited by 41 publications

(52 citation statements)

References 65 publications

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“…The lowest subscale in the international group was observed in the stress management. Our finding is consistent with those of previous studies [29]. International students process and manage their daily requirements through financial expenses (e.g.…”

Section: Discussionsupporting

confidence: 93%

Do socio-cultural factors influence college students’ self-rated health status and health-promoting lifestyles? A cross-sectional multicenter study in Dalian, China

Lolokote

Hidru

2017

BMC Public Health

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BackgroundAn unhealthy lifestyle of college students is an important public health concern, but few studies have been undertaken to examine the role of socio-cultural differences.MethodsFor this cross-sectional comparative study, data on college students’ health-promoting lifestyles (HPL), as measured using the Health-Promoting Lifestyle Profile (HPLP-II) scale, and self-rated health status (SRH) as measured by Sub-Optimal Health Measurement Scale (SHMS V1.0) were collected from 829 college students.ResultsThe sample of 829 college students included 504 (60.8%) Chinese and 325 (39.2%) international students. Chinese students had higher scores in overall health-promoting lifestyle (HPL) (P < 0.001, eta squared =0.113) and in all the six subclasses than their international counterparts. In relation to health status evaluation, the two groups varied in physiological health (P < 0.001, eta squared = 0.095) and social health (P = 0.020, eta squared = 0.007) but there was no significant difference in psychological health subscale (P = 0.156, eta squared = 0.002). HPL was predicted by financial status among the Chinese group and by student’s major, age and level of education in the international group. Body mass index (BMI) and financial status emerged as predictors of the three subscales of SHMS V1.0 in the Chinese group and also of physiological and psychological subscales in the international group. Gender was associated with psychological health in both groups. Smoking status was a predictor of psychological health in both groups and also of social health in the international group. The level of education emerged as a predictor of social health in the international group.Regression analyses revealed a significant association between health status and healthy lifestyle (P < 0.001). In reference to participants with “excellent” lifestyle, participants with moderate lifestyle were at a 4.5 times higher risk of developing suboptimal health status (SHS) (OR: 4.5,95% CI:2.2-9.99) and those with a ‘general’ lifestyle were at a 3.2 times higher risk SHS (OR: 3.2, 95% CI: 1.5-7.18). Good and moderate HPLP-II levels of nutrition are associated with low risk of suboptimal health status (OR: 0,41 and 0,25, respectively). Participants in good and moderate HPLP-II levels of interpersonal relations are associated with higher risk of suboptimal health (OR:2,7 and 3,01 respectively) than those in excellent levels of HPLP-II.ConclusionCollectively, these findings provide a convincing body of evidence to support the role of socio-cultural factors as key determinants of the HPL and SRH of college students.

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Section: Discussionsupporting

confidence: 93%

Do socio-cultural factors influence college students’ self-rated health status and health-promoting lifestyles? A cross-sectional multicenter study in Dalian, China

Lolokote

Hidru

2017

BMC Public Health

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“…In this study, the spiritual growth dimension had the highest mean score among the participants, which was in accordance with the findings of previous studies (22-26). Stability in life, a close relationship with God and society, and individuals having a good relationship with themselves determine spirituality.…”

Section: Discussionsupporting

confidence: 93%

“…Stability in life, a close relationship with God and society, and individuals having a good relationship with themselves determine spirituality. The participants’ lowest score was for physical activity, which was also similar to the results of other studies (22-24, 26-28). In this study, 55% of the patients were overweight with a BMI of 25 - 29.9, which could have been the result of a lack of physical activity and the presence of chronic diseases.…”

Section: Discussionsupporting

confidence: 90%

Predictors of Health-Promoting Behaviors in Coronary Artery Bypass Surgery Patients: An Application of Pender’s Health Promotion Model

Mohsenipoua

Majlessi

Shojaeizadeh

et al. 2016

Iran Red Crescent Med J

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BackgroundAdvances in coronary artery surgery have reduced patient morbidity and mortality. Nevertheless, patients still have to face physical, psychological, and social problems after discharge from hospital.ObjectivesThe objective of this study was to determine the efficacy of Pender’s health promotion model in predicting cardiac surgery patients’ lifestyles in Iran.MethodsThis cross-sectional study comprised 220 patients who had undergone coronary artery bypass graft (CABG) surgery in Mazandaran province (Iran) in 2015. The subjects were selected using a simple random sampling method. The data were collected via (1) the health-promoting lifestyle profile II (HPLP II) and (2) a self-designed questionnaire that included two main sections: demographic characteristics and questions based on the health-promoting model constructs.ResultsSpiritual growth (28.77 ± 5.03) and physical activity (15.79 ± 5.08) had the highest and lowest scores in the HPLP II dimensions, respectively. All the health promotion model variables were significant predictors of health-promoting behaviors and explained 69% of the variance in health-promoting behaviors. Three significant predictors were estimated using regression coefficients: behavioral feelings (β = 0.390, P < 0.001), perceived benefits (β = 0.209, P < 0.001), and commitment to a plan of action (β = 0.347, P < 0.001).ConclusionsAccording to the results of the study, health-promoting model-based self-care behaviors can help identify and predict cardiac surgery patients’ lifestyles in Iran. This pattern can be used as a framework for discharge planning and the implementation of educational interventions to improve the lifestyles of CABG patients.

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“…13,22,23 The sample was fairly young (mean age, 41.75 years; median, 41 years); however, in comparison with the Arab American population (median, 33.1 years) and the US population (median, 36.4 years), 22 the sample was slightly older, which can be explained by including only adult participants in the study.…”

Section: Discussionmentioning

confidence: 96%

“…The HPLP-II was translated by bilingual/ bicultural translators and was tested for cultural appropriateness in Arab Americans. 13,22 The HPLP-II has very well-established reliability. However, this study used only physical activity and nutrition sub-scales to measure healthy lifestyle behaviors.…”

Section: Methodsmentioning

confidence: 99%

Prevalence, Awareness, Treatment, and Control of Hypertension Among Arab Americans

Tailakh

Mentes

Morisky

et al. 2013

Journal of Cardiovascular Nursing

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Background Hypertension (HTN) is a major risk factor for heart disease, which is the leading cause of death in the United States. Hypertension detection and blood pressure (BP) control are critically important for reducing the risk of myocardial infarction and strokes. Although there are more than 3.5 million Arab Americans in the United States, there are no national or regional data on HTN prevalence among Arab Americans. Objective This study aims to estimate the prevalence of HTN in a community sample of Arab Americans; assess levels of awareness, treatment, and control in hypertensive patients; and describe and compare lifestyle behaviors (eg, physical activity, nutrition, and weight control). Methods In this cross-sectional, descriptive study, 126 participants completed a self-administered questionnaire to measure physical activity, nutrition, and medical history. Height and weight were measured. Three BP measurements were obtained at 60-second intervals after resting for 5 minutes. Hypertension was defined as a mean systolic BP of 140 mm Hg or higher, or a diastolic BP 90 mm Hg or higher, and/or taking antihypertensive medications. Results Overall, 36.5% of participants had HTN and 39.7% had pre-HTN. Among hypertensive participants, only 67.4% were aware of their high BP, and 52.2% were taking antihypertensive medication. Among those taking medication, 46% had controlled BP. The prevalence of HTN was higher in men than in women (45.9% and 23.2%, respectively; P = .029) and increased with age (P = .01). Hypertensive participants also had higher body mass index (mean, 31.55 kg/m2) compared with normotensive participants (mean, 28.37 kg/m2; P = .01). Conclusion Our results indicate that HTN and pre-HTN are highly prevalent in Arab Americans. Hypertension awareness and control rates were inadequate and low compared with national data. These results emphasize the urgent need to develop public health strategies to improve the prevention, detection, and treatment of HTN among Arab Americans.

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Determinants of health‐promoting lifestyle behaviors among arab immigrants from the region of the levant

Cited by 41 publications

References 65 publications

Do socio-cultural factors influence college students’ self-rated health status and health-promoting lifestyles? A cross-sectional multicenter study in Dalian, China

Do socio-cultural factors influence college students’ self-rated health status and health-promoting lifestyles? A cross-sectional multicenter study in Dalian, China

Predictors of Health-Promoting Behaviors in Coronary Artery Bypass Surgery Patients: An Application of Pender’s Health Promotion Model

Prevalence, Awareness, Treatment, and Control of Hypertension Among Arab Americans

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