The status of health promotion lifestyle and its related factors in Shandong Province, China

Abstract

Objectives This study aims to explore the status of Shandong Province, China residents’ health promotion lifestyle and its influencing factors, especially to explore how health attitude affects health promotion lifestyle, thus can make targeted recommendations for health promotion in China and similar areas. Methods 1800 adults were selected from urban and rural areas of Shandong Province, China, using multistage stratified, cluster random sampling method. A survey was conducted face-to-face from March to May, 2018, using Health Promotion Lifestyle Profile and Health Attitude Questionnaire. The between-group measured data were compared by One-way ANOVA or t-tests. The correlation between the health attitude and health promotion lifestyle was examined by Pearson correlation. Logistic regression model was used to examine the related factors influencing health promotion lifestyle. Health promotion lifestyle is the dependent variable, and gender, education level, annual family per capita income and health attitude are the independent variables. Results The mean (SD) of HPLP-IICR total score of the participants was 82.12(16.63). 54.50% of the participants had poor or average health promotion lifestyle, while 45.50% had good or excellent health promotion lifestyle. Significant differences existed in health promotion lifestyle among different gender, education level, income level, marital status, and health attitude (Ps < 0.001). Multivariable Logistic regression model found that male (OR = 0.35, 95% CI: 0.12–0.34), high school education level (OR = 0.57, 95% CI:0.17–0.41), junior middle school & below (OR = 0.42; 95% CI:0.12–0.33), annual family per capita income with < 10,000 CNY (OR = 2.53, 95% CI:1.24–2.06; OR = 2.14, 95% CI:1.08–3.12), low health affection (OR = 0.39, 95% CI:2.15–4.22), and low health behavioral intention (OR = 0.21; 95% CI: 2.33–5.29) were statistically significant correlates of average or poor health promotion lifestyle. Conclusions The health lifestyle needs to be further promoted in Shandong Province, China. The government and social sectors are encouraged to make more efforts to improve the accessibility and quality of health services. Meanwhile, individual responsibility cannot be ignored as well. More affective factors and operable measures should be added to enhance health affection and health behavioral intention, so as to enhance health promotion lifestyle.

Socioecological influencers of health-promoting lifestyles in Chinese: a preliminary survey using convenient samples

“…Specifically, married participants tended to show lower scores in overall and stress management, while widowed participants had lower scores in health responsibility. Similar to our finding, other scholars have also found that widowed individuals scored lower than married or unmarried/divorced individuals across all scales ( 35 ).…”

“…We found that the health-promoting lifestyles of community-dwelling adults in China was at a moderate level (80–120 point), which is consistent with the results of other research ( 34 , 35 ), indicating that the health lifestyle of Chinese adults is unsatisfactory. Meanwhile, in our study, interpersonal relationships received the highest score, followed by nutrition.…”

How to make more people adopt healthy behaviors? Assessing health literacy, health promoting lifestyle and their association of community residents in Shenzhen, China

“…In this study, the low-HL and medium-HL population accounted for 87.39% of the participants, and they lacked basic HL, which was apparently higher than the Chinese average level in 2021 (25.40%) ( 17 ). Lifestyle plays a vital role in explaining health and disease, poor lifestyle is already one of the top 10 causes of death in the United States ( 38 ) and is the pathogenic factor constituting 44.70% of the top 10 causes of diseases in China ( 21 ). Different demographic characteristics affected HPL in our study, especially occupational factors.…”

“…Study in Turkey adolescents also showed that HPL was at a medium level ( 20 ). In Shandong Province, China, 54.50% of adults had poor or average HPL ( 21 ). And the mean score for Taiwan adolescent HPL was 60.76 (± 11.88), which was considered moderate ( 22 ).…”

Unraveling the Role of Objective Food Environment in Chinese Elderly’s Diet-Related Diseases Epidemic: Considering Both Healthy Food Accessibility and Diversity

“…Our finding is consistent with previous studies that reported a significant association between lifestyle factors and health outcomes. For example, based on survey data of 8266 individuals across China, Wang et al (2021) [ 40 ] showed that most health-related lifestyle variables influenced individuals’ risks of overweight and obesity in urban areas; Liu et al (2021) [ 42 ] found that suffering from chronic diseases was positively associated with unhealthy lifestyles. The significant moderating role of healthy lifestyles on the relationship between urban food environment and diet-related diseases confirms that a combination of objective food environment improvement and healthy lifestyle encouragement would be a most effective strategy to realize healthy aging.…”