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Objective:To explore the potential mechanisms of the relationship between socioeconomic status(SES)and depression of Chinese older adults through the mediating role of digital participation and health lifestyle.Methods:Using the nationally representative data from the China Family Panel Studies in 2020,4 846 participants aged 60 years and older were analyzed in our study.We explored the potential mechanisms of the relationship between SES and depression of Chinese older adults in the digital era through a chain multiple mediating effects model.The KHB(The Karlson,Holm,and Breen)method was used to analyze the mediating role of digital participation and health lifestyle and the propor-tion of mediating effect between the two was also calculated.A series of robustness tests were further con-ducted and the fit of the model was checked by structural equation modeling.Results:The mean age of the 4 846 older adults included in this study was(68.20±5.07)years,48.06％of whom were female and 51.94％were male.The KHB results showed that both digital participation and health lifestyle could mediate the relationship between SES and depression of older adults(P＜0.000 1)and the mediating role of health lifestyle accounted for a greater proportion than digital participation.And our study mainly found three potential pathways of SES and depression of older adults,including:(1)SES → digital par-ticipation → health lifestyle → depression,(2)SES → health lifestyle → depression,and(3)SES →depression.Structural equation modeling tests proved the overall fit of the model in this study.Conclu-sion:Our findings showed that in the digital age,in addition to the direct relationship between SES and depression of older adults,and the health lifestyle as a mediator between the relationship,there is also a sequential mediating role of digital participation and health lifestyle to reduce the risk of depression.The findings suggest that we should pay more attention to the probability of the digital divide exacerbating health inequalities and socioeconomic inequalities accumulation in the digital age and promote the co-progress of digital literacy and health literacy among older adults.
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INTRODUÇÃO: No âmbito da saúde do trabalhador, é necessária a compreensão de quais aspectos influenciam a adoção de um estilo de vida saudável. OBJETIVO: Investigar se estresse relacionado ao trabalho, lócus de controle da saúde e autopercepção de saúde estão associados com estilo de vida saudável em servidores de uma instituição federal de ensino superior. MÉTODO: Trata-se de um estudo transversal por meio de questionário online, de amostra não-probabilística. Participaram deste estudo 898 servidores. Foram utilizados os seguintes instrumentos: questionário com características sociodemográficas e laborais; FANTASTIC Lifestyle Checklist (estilo de vida); Multidimensional Health Locus of Control Scale (lócus de controle da saúde); Health Safety Executive - Indicator Tool (avaliação dos riscos psicossociais do trabalho); e SF-12 Short-Form Health Survey - 12 (saúde física e mental percebida). A amostra foi dividida entre aqueles que apresentaram Perfil Saudável e Perfil de Risco em estilo de vida. Para identificar as variáveis com maior associação com o Perfil Saudável de estilo de vida foi empregado o modelo de Regressão Logística Múltipla Binária. RESULTADOS: Apontou-se que menor estresse relacionado ao trabalho, as dimensões Acaso e Outros Poderosos do lócus de controle da saúde, melhor autopercepção em saúde física e mental, e maior escolaridade estão associados com estilo de vida saudável. DISCUSSÃO: O estudo contribui com a literatura ao apresentar fatores que podem ter efeitos sobre o estilo de vida de servidores públicos em contexto universitário e ao oferecer dados que dialogam com uma perspectiva biopsicossocial da saúde do trabalhador.
INTRODUCTION: In the context of workers' health, understanding which aspects influence the adoption of a healthy lifestyle can guide health promotion actions and organizational policies. OBJECTIVE: To investigate whether work-related stress, locus of control to health, and perceived health are associated with a healthy lifestyle in employees of a federal institution of higher education. METHOD: This is a cross-sectional study using an online questionnaire with a sample of 898 participants. The instruments used were: a questionnaire with sociodemographic and work characteristics; FANTASTIC Lifestyle Checklist, Multidimensional Health Locus of Control Scale, Health Safety Executive - Indicator Tool; and SF-12. Participants were grouped according to their lifestyle: Healthy Profile or Risk Profile. To identify the variables with association with the Healthy Lifestyle Profile, the Multiple Binary Logistic Regression model was used. RESULTS: it was pointed out that less work-related stress, Chance and Other Powers dimensions of the locus of health control, better self-perception of physical and mental health, and higher education are associated with a healthy lifestyle. DISCUSSION: The study contributes to the literature by presenting factors that may affect the lifestyle of public workers in a university context and by offering data that dialogue with a biopsychosocial perspective of workers' health.
INTRODUCCIÓN: En el ámbito de la salud de los trabajadores, es necesario comprender qué aspectos influyen en la adopción de un estilo de vida saludable. OBJETIVO: Investigar si el estrés laboral, el locus de control de la salud y la autoevaluación de la salud están asociados con un estilo de vida saludable en empleados de una institución federal de educación superior. MÉTODO: Se trata de un estudio transversal mediante cuestionario online, con muestra no probabilística. 898 servidores participaron en este estudio. Se utilizaron los siguientes instrumentos: cuestionario con características sociodemográficas y laborales; FANTASTIC Lifestyle Checklist (estilo de vida); Multidimensional Health Locus of Control Scale (locus de control), Health Safety Executive - Indicator Tool (evaluación de riesgos psicosociales en el trabajo); and SF-12 (salud física y mental percibida). La muestra se dividió entre quienes presentaban un Perfil Saludable y un Perfil de Riesgo en el estilo de vida. Para identificar las variables con mayor asociación con el Perfil de Estilo de Vida Saludable se utilizó el modelo de Regresión Logística Binaria Múltiple. RESULTADOS: Se apuntó que menor estrés laboral, las dimensiones Azar y Otros Poderosos del locus de control de la salud, mejor autopercepción en salud física y mental, y mayor escolaridad se asocian con estilo de vida saludable. DISCUSIÓN: El estudio contribuye a la literatura al presentar factores que pueden tener efecto sobre el estilo de vida de los servidores públicos en un contexto universitario y al ofrecer datos que dialogan con una perspectiva biopsicosocial sobre la salud de los trabajadores.
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Occupational Health , Occupational Stress , Life StyleABSTRACT
PURPOSE: This study was done to develop and test the effectiveness in late school-aged children of a healthy lifestyle education program for cancer prevention. METHODS: Participants were 26 students in the sixth grade of N elementary school in J City (experimental group) and 25 students in the sixth grade of D elementary school with same educational conditions (control group). The research design was a nonequivalent control group pretest-posttest design. Data collection and execution of the study were carried out from March 10 to May 19, 2011. For the experimental treatment, 7 weekly sessions of the healthy lifestyle education program for cancer prevention were given by the researcher. Posttest was done immediately following the conclusion of the program and 4 weeks later. Frequencies, percentages, chi2-test, t-test, repeated measures ANOVA and paired t-test with SPSS WIN 18.0 were used to analyze the data. RESULTS: Perceived barriers, perceived self-efficacy, activity related effect and family support significantly influenced cancer prevention knowledge and increases in healthy life styles. CONCLUSION: Results indicate that, as this program for cancer prevention was effective in increasing healthy lifestyle practices in these children, there is a need to further develop, test and implement programs in all schools.
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Child , Humans , Data Collection , Life Style , Research Design , Child HealthABSTRACT
PURPOSE: The purpose of this study was to identify and profile distinct subgroups of patients with hypertension based on knowledge, attitudes, and behavior regarding their medication and health lifestyle. METHOD: A descriptive-exploratory research design was employed. Two hundred and twenty-three patients with hypertension using W Public Health Center were randomly recruited on the basis of being over 30 of age. Upon the receipt of their written consents, direct interview with a structured questionnaire were conducted by a public health nurse. Descriptive statistics and chi2-test were utilized. RESULTS: Three subgroups were identified. Group I members had a low score on all three factors including knowledge, attitudes and behavior related to medication and health lifestyle. Group II members had a low score on one or two of the factors. Group III members had a high score on all three factors. The three subgroups were significantly associated with education level, economic status, non-smoking and non-drinking. CONCLUSIONS: Further research should be conducted to validate these findings and test tailored nursing intervention for patient compliance.
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Humans , Education , Hypertension , Life Style , Nurses, Public Health , Nursing , Patient Compliance , Public Health , Research Design , Surveys and QuestionnairesABSTRACT
BACKGROUND: The family, which is the basic unit of society, is a determinant of a persono health behavior and a unit of analysis of health behaviors. The purpose of this study was to identify the relationship of the health lifestyle profile and health status in families. METHODS: The subjects were 286 families with teenagers enrolled in the second and third year of a high school in Seoul. The measurement tools were FACES III for family functioning, C.M.I. for health status of family members, and health lifestyle profile which is based on the areas of assessment of family health-related lifestyle. The data were analyzed with descriptive statistics, t-test, ANOVA, Pearson correlation coefficient and multiple regression analysis. RESULT: There were significant differences in health lifestyle of families according to parentsoeducation levels, mothersooccupations, agreement of family membersoreligions, family income, family size and family system. Families with higher mean family cohesion and adaptability scores showed higher scores of health lifestyle profile score (P=0.000). Families with higher mean family cohesion and adaptability scores showed lower percentages of family members who drink alcohol more than three times a week (P<0.05). Families with higher mean family cohesion scores showed lower percentages of family members who smoke currently (P=0.001). The higher percentage of family members who drink alcohol more than three times a week (P=0.000) and the higher percentage of family members who smoke currently (P=0.006) showed lower health status. The percentage of family members who drink alcohol more than three times a week was the only variable (P=0.003) which could predict the health status of family members. CONCLUSION: From the results of this study, increasing the familyo ability to fulfill its function and to participate in healthy lifestyle would facilitate promotion of health status in family members.
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Adolescent , Humans , Family Characteristics , Health Behavior , Health Promotion , Life Style , Seoul , SmokeABSTRACT
The purpose of this study was to investigate the relation between health behavior patterns and demographic, socio-economic characteristics, health status, health information in Korea. The quantification method through canonical correlation analysis was conducted to the data from Korea National Health Survey in 1995, which consisted of 5,805 persons. The health lifestyle patterns were quantified as good diet lifestyle, passive lifestyle to the negative direction and drinker lifestyle, smoker lifestyle, hedonic lifestyle and fitness lifestyle to the positive direction. The covariate were related to health lifestyle patterns in the order of sex, age, marital status, occupation, health information, economic status, level of physical labour, health status. Characteristics of male, age below 50, married, blue colored worker, no health information, low in economic status, heavy level of physical labour, and poor in health status were positively related to drinker lifestyle, smoker lifestyle, hedonic lifestyle, fitness lifestyle sequentially.
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Humans , Male , Cluster Analysis , Diet , Health Behavior , Health Occupations , Health Surveys , Korea , Life Style , Marital StatusABSTRACT
This study measures the subjectivity(opinions attitudes)of college women. Identifying the schemata(structure of subjectivity) would be a basic step for the women's health education and the promotion to alternative strategies of women's health nursing. More concretely, these following research questions are focused. 1) The subjective schemata: find out typologies based on the opinions and attitudes toward the health lifestyle. 2) Applications: describe the characteristics of each type. 3) Alternatives: provide suggestion of the promotion to alternative strategies for women's health nursing. Q-Methodological method was used for that purpose. As for the research method, Q-statements were preliminary collected in the study fro through in-depth interviews and a literature review. For the study 36 Q-statements were selected. 33 college women were used as subjects for research. the 33 college women sorted the 36 statements using the principle of forced Normal distribution. The principle of forced Normal Distribution, which has nine scales to measure the individual opinions, was called. Q-Factor Analysis by using PC Quanl Program to supply the material. According to the outcomes of this study, there were three categories of special opinions about the health lifestyle in college women. The first type is called Initiatived Health Management Type. the second type is called Social Activity Centered Type. the third type is called Positive Outlook Type. Through the result of this study, the health lifestyle could be identified by 3 types, therefore the nurses needed to understand each women's meaning to health lifestyle so they could develop the appropriate nursing intervention based the typology of the health lifestyle this study explore. Finally, the result of the study will provide clues for developing a nursing interventional program and alternative strategies for the health promotion lifestyle in college women.
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Female , Humans , Education , Health Promotion , Life Style , Nursing , Weights and Measures , Women's HealthABSTRACT
The purpose of this study was to identify population subgroups with similar patterns of diet quality, physical activity, alcohol consumption and cigarette smoking of Korean. The cluster analysis was conducted using the data from Korea National Health Survey(KNHS) in 1995, which consisted of 5,805 persons. We identified six health behavior typologies: 32.9% of the sample had a good diet but sedentary activity level(good diet lifestyle), 7.2% had high activity level but less diet quality(fitness lifestyle). Individuals in the passive lifestyle cluster(39.1%) had no active health promoting activities but tended to avoid risk taking health behavior such as cigarette smoking and alcohol drinking. 1.1% of the sample were in a drinking cluster, 17.2% in a smoking cluster and 2.5% had a hedonic lifestyle characterized by heavy drinking and smoking. The other characteristics of these lifestyle clusters could be presented by demographic and socioeconomic factors.