A health promoting-lifestyle prediction model for dementia prevention among chinese adults: based on the health belief model

Abstract Background People’s health belief is an important factor affecting health behavior. However, there has been little use of the health belief model (HBM) in determining the pathway effect of patients’ beliefs on health behavior in dementia prevention in China. The aim of our study was to eval...

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Main Authors: Hua Li, Jinying Zhang, Li Wang, Tiantian Yang, Yanni Yang
Format: Article
Language:English
Published: BMC 2022-12-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-022-14828-9
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author Hua Li
Jinying Zhang
Li Wang
Tiantian Yang
Yanni Yang
author_facet Hua Li
Jinying Zhang
Li Wang
Tiantian Yang
Yanni Yang
author_sort Hua Li
collection DOAJ
description Abstract Background People’s health belief is an important factor affecting health behavior. However, there has been little use of the health belief model (HBM) in determining the pathway effect of patients’ beliefs on health behavior in dementia prevention in China. The aim of our study was to evaluate the impact of dementia prevention beliefs on health promoting lifestyle among Chinese adults. Methods A cross-sectional study was conducted on line by convenience sampling from January to March 2020. A survey about dementia prevention knowledge, health belief of dementia prevention and health-promoting lifestyle was completed by 1201 adults in China. Data was analyzed using a structural equation model with the analysis of moment program. Results The participants were aged 40.50 ± 12.72 years. About 70.3% of participants were female. The purposed model fit the data from the study well. Perceived barriers (total effect-0.322, P < 0.01) and perceived susceptibility (total effect -0.242, P < 0.01) had negative effects on lifestyle. Self-efficacy had promoting effects on lifestyle (total effect 0.207, P < 0.01). Perceived severity had positive effects both on perceived benefits (total effect 0.137, P < 0.01) and perceived barriers (total effect 0.202, P < 0.01), which had a contradictory effect in the formation of health belief. Perceived benefits, cues to action and self-efficacy played a partial mediating role between knowledge and health behavior. The belief of changing lifestyle to reduce the risk of dementia could explain 24.5% of health behavior (P < 0.05). Conclusions The findings indicate that in dementia prevention, dementia prevention health belief has important influences on health behavior. Community medical staff can develop targeted dementia prevention interventions based on the health belief model in the future.
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spelling doaj.art-fe8cbe7b46784728bc02742e1af3de962023-01-01T12:29:27ZengBMCBMC Public Health1471-24582022-12-0122111010.1186/s12889-022-14828-9A health promoting-lifestyle prediction model for dementia prevention among chinese adults: based on the health belief modelHua Li0Jinying Zhang1Li Wang2Tiantian Yang3Yanni Yang4School of Nursing, Army Medical UniversitySchool of Nursing, Army Medical UniversitySchool of Nursing, Army Medical UniversitySchool of Nursing, Army Medical UniversitySchool of Nursing, Army Medical UniversityAbstract Background People’s health belief is an important factor affecting health behavior. However, there has been little use of the health belief model (HBM) in determining the pathway effect of patients’ beliefs on health behavior in dementia prevention in China. The aim of our study was to evaluate the impact of dementia prevention beliefs on health promoting lifestyle among Chinese adults. Methods A cross-sectional study was conducted on line by convenience sampling from January to March 2020. A survey about dementia prevention knowledge, health belief of dementia prevention and health-promoting lifestyle was completed by 1201 adults in China. Data was analyzed using a structural equation model with the analysis of moment program. Results The participants were aged 40.50 ± 12.72 years. About 70.3% of participants were female. The purposed model fit the data from the study well. Perceived barriers (total effect-0.322, P < 0.01) and perceived susceptibility (total effect -0.242, P < 0.01) had negative effects on lifestyle. Self-efficacy had promoting effects on lifestyle (total effect 0.207, P < 0.01). Perceived severity had positive effects both on perceived benefits (total effect 0.137, P < 0.01) and perceived barriers (total effect 0.202, P < 0.01), which had a contradictory effect in the formation of health belief. Perceived benefits, cues to action and self-efficacy played a partial mediating role between knowledge and health behavior. The belief of changing lifestyle to reduce the risk of dementia could explain 24.5% of health behavior (P < 0.05). Conclusions The findings indicate that in dementia prevention, dementia prevention health belief has important influences on health behavior. Community medical staff can develop targeted dementia prevention interventions based on the health belief model in the future.https://doi.org/10.1186/s12889-022-14828-9Health promoting-lifestyleDementia preventionHealth belief modelChinese adults
spellingShingle Hua Li
Jinying Zhang
Li Wang
Tiantian Yang
Yanni Yang
A health promoting-lifestyle prediction model for dementia prevention among chinese adults: based on the health belief model
BMC Public Health
Health promoting-lifestyle
Dementia prevention
Health belief model
Chinese adults
title A health promoting-lifestyle prediction model for dementia prevention among chinese adults: based on the health belief model
title_full A health promoting-lifestyle prediction model for dementia prevention among chinese adults: based on the health belief model
title_fullStr A health promoting-lifestyle prediction model for dementia prevention among chinese adults: based on the health belief model
title_full_unstemmed A health promoting-lifestyle prediction model for dementia prevention among chinese adults: based on the health belief model
title_short A health promoting-lifestyle prediction model for dementia prevention among chinese adults: based on the health belief model
title_sort health promoting lifestyle prediction model for dementia prevention among chinese adults based on the health belief model
topic Health promoting-lifestyle
Dementia prevention
Health belief model
Chinese adults
url https://doi.org/10.1186/s12889-022-14828-9
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