Gender Differences in Adherence to Nonpharmacological Health-Related Behaviors after Heart Transplant: A Secondary Analysis from the International BRIGHT Study

Abstract Many studies have indicated that lifestyles and health behaviors are important factors associated with elderly health. However, few studies have focused on such issues in Taiwan. The purposes of this study were to examine the gender differences in health-related behaviors of retired people in Taiwan. We used face-to-face interviews to collect 20 health-related behaviors among retired people aged 50-74 in Taiwan. A total of 3131 retired sample was collected including 1754 male (56.0%) and 1377 female (44.0%). The health behaviors were designed as binary variables. If the retirees executed exactly on the behavior within a month, they got 5 scores, otherwise, they got 0 scores. Then, we used factor analysis with Varimax Rotation to detect factors associated with the 20 health behaviors. Results showed that six factors were related to these 20 behaviors after conducting factor analysis. These six factors were named as 1) No tobacco, alcohol and betel nut, 2) Periodic health examination, 3) Correct medication, 4) Good habits, 5) Normal sleep and no pressure, (6) No high-fat and pickled foods. Gender differences were found in three factors: 1, 5 and 6. More female practiced every behavior in factor 1 and factor 6 than male (68.7%, 55.5% vs. 43.6%, 50.3%, p<.001, respectively). However, the male had better behaviors in factor 5 than female (54.0% vs. 47.3%, p<.001). We hope these findings could help design different health promotion programs for retirees of different genders.

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Gender differences in physical activity and health-related behaviors among stroke survivors: data from the 5th Korea National Health and Nutrition Examination Survey

Topics in Stroke Rehabilitation ◽

10.1080/10749357.2017.1304877 ◽

2017 ◽

Vol 24 (5) ◽

pp. 381-387 ◽

Cited By ~ 4

Author(s):

Yookyung Lee ◽

Won-Seok Kim ◽

Nam-Jong Paik

Keyword(s):

Physical Activity ◽

Gender Differences ◽

National Health ◽

Stroke Survivors ◽

Nutrition Examination Survey ◽

Health And Nutrition ◽

Health Related Behaviors ◽

Health Related

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Implementation Tells Us More Beyond Pooled Estimates: Secondary Analysis of a Multicountry mHealth Trial to Reduce Blood Pressure (Preprint)

10.2196/preprints.10226 ◽

2018 ◽

Author(s):

Rodrigo M Carrillo-Larco ◽

Safia S Jiwani ◽

Francisco Diez-Canseco ◽

Rebecca Kanter ◽

Andrea Beratarrechea ◽

...

Keyword(s):

Physical Activity ◽

Blood Pressure ◽

Readiness To Change ◽

Secondary Analysis ◽

Text Messages ◽

Phone Calls ◽

Health Related Behaviors ◽

Stage Of Readiness ◽

Health Related ◽

Intervention Uptake

BACKGROUND The uptake of an intervention aimed at improving health-related lifestyles may be influenced by the participant’s stage of readiness to change behaviors. OBJECTIVE We conducted secondary analysis of the Grupo de Investigación en Salud Móvil en América Latina (GISMAL) trial according to levels of uptake of intervention (dose-response) to explore outcomes by country, in order to verify the consistency of the trial’s pooled results, and by each participant’s stage of readiness to change a given lifestyle at baseline. The rationale for this secondary analysis is motivated by the original design of the GISMAL study that was independently powered for the primary outcome—blood pressure—for each country. METHODS We conducted a secondary analysis of a mobile health (mHealth) multicountry trial conducted in Argentina, Guatemala, and Peru. The intervention consisted of monthly motivational phone calls by a trained nutritionist and weekly tailored text messages (short message service), over a 12-month period, aimed to enact change on 4 health-related behaviors: salt added to foods when cooking, consumption of high-fat and high-sugar foods, consumption of fruits or vegetables, and practice of physical activity. Results were stratified by country and by participants’ stage of readiness to change (precontemplation or contemplation; preparation or action; or maintenance) at baseline. Exposure (intervention uptake) was the level of intervention (<50%, 50%-74%, and ≥75%) received by the participant in terms of phone calls. Linear regressions were performed to model the outcomes of interest, presented as standardized mean values of the following: blood pressure, body weight, body mass index, waist circumference, physical activity, and the 4 health-related behaviors. RESULTS For each outcome of interest, considering the intervention uptake, the magnitude and direction of the intervention effect differed by country and by participants’ stage of readiness to change at baseline. Among those in the high intervention uptake category, reductions in systolic blood pressure were only achieved in Peru, whereas fruit and vegetable consumption also showed reductions among those who were at the maintenance stage at baseline in Argentina and Guatemala. CONCLUSIONS Designing interventions oriented toward improving health-related lifestyle behaviors may benefit from recognizing baseline readiness to change and issues in implementation uptake. CLINICALTRIAL ClinicalTrials.gov NCT01295216; http://clinicaltrials.gov/ct2/show/NCT01295216 (Archived by WebCite at http://www.webcitation.org/72tMF0B7B).

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