Health Behavior Models and Health Promotion Frameworks

This article presents a multidimensional model of psychosocial determinants of health behavior for health promotion research and policy analysis. Frequently, health promotion focuses almost exclusively on intrapsychic determinants and on individual level behavior. Based upon Field Theory and attitude theories, this proposed model holds that in populations with comparable sociodemographic and biological status (exogenous variables) a health behavior is a function of direct and interaction effects of five key intrapsychic and external variables. These are: behavioral intentions, social support, accessibility of means for action, personal autonomy, and action situation. Empirical tests with cross-cultural studies in Venezuela, Kenya, and the Philippines provide substantial support for the model. The findings suggest that while health promotion strategies should deal with intrapsychic determinants of behavior, key extrapsychic factors (such as social support, quality and accessibility of health care measures, and situational factors) all have direct and independent effects on health behavior as well. Health promotion research and interventions which aim exclusively at intrapsychic determinants would thus have rather limited overall value. The article discusses key research and policy implications of the model presented.

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Relevance of Health Behavior Research to Health Promotion and Health Education

Handbook of Health Behavior Research IV ◽

10.1007/978-1-4899-0484-3_8 ◽

1997 ◽

pp. 143-161 ◽

Cited By ~ 3

Author(s):

Karen Glanz ◽

Brian Oldenburg

Keyword(s):

Health Promotion ◽

Health Education ◽

Health Behavior

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Health Behavior Research and School and Youth Health Promotion

Handbook of Health Behavior Research IV ◽

10.1007/978-1-4899-0484-3_14 ◽

1997 ◽

pp. 263-284 ◽

Cited By ~ 1

Author(s):

Steven H. Kelder ◽

Elizabeth W. Edmundson ◽

Leslie A. Lytle

Keyword(s):

Health Promotion ◽

Health Behavior ◽

Youth Health

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Educational institution as a health promotion center for students (based on the results of the international project 'Health behavior in school-aged children (HBSC)')

Ukrainian society ◽

10.15407/socium2014.02.099 ◽

2014 ◽

Vol 2014 (2) ◽

pp. 99-107

Author(s):

Tetiana Bondar ◽

Keyword(s):

Health Promotion ◽

Health Behavior ◽

Educational Institution ◽

International Project ◽

School Aged Children

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Computer-Based Health Promotion: Combining Technological Advances with Problem-Solving Techniques to Effect Successful Health Behavior Changes

Annual Review of Public Health ◽

10.1146/annurev.pu.08.050187.002131 ◽

1987 ◽

Vol 8 (1) ◽

pp. 387-415 ◽

Cited By ~ 45

Author(s):

D H Gustafson ◽

K Bosworth ◽

B Chewning ◽

R P Hawkins

Keyword(s):

Health Promotion ◽

Problem Solving ◽

Health Behavior ◽

Behavior Changes ◽

Technological Advances ◽

Computer Based ◽

Health Behavior Changes

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An educational test of health behavior models in relation to emergency helping.

Health Psychology ◽

10.1037/0278-6133.11.6.396 ◽

1992 ◽

Vol 11 (6) ◽

pp. 396-402 ◽

Cited By ~ 7

Author(s):

Steven R. Hawks ◽

Steven L. Peck ◽

Karen Vail-Smith

Keyword(s):

Health Behavior ◽

Educational Test ◽

Behavior Models

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Health behavior models compared

Social Science & Medicine ◽

10.1016/0277-9536(87)90291-7 ◽

1987 ◽

Vol 24 (11) ◽

pp. 973-981 ◽

Cited By ~ 128

Author(s):

Patricia D. Mullen ◽

James C. Hersey ◽

Donald C. Iverson

Keyword(s):

Health Behavior ◽

Behavior Models

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The Multidimensional Health Behavior Inventory

Journal of Nursing Measurement ◽

10.1891/1061-3749.7.2.177 ◽

1999 ◽

Vol 7 (2) ◽

pp. 177-195 ◽

Cited By ~ 13

Author(s):

Pamela A. Kulbok ◽

Kimberly F. Carter ◽

Joan H. Baldwin ◽

Mattia J. Gilmartin ◽

Bessie Kirkwood

Keyword(s):

Health Promotion ◽

Substance Use ◽

Factor Analysis ◽

Health Behavior ◽

Risky Behaviors ◽

Intervention Strategies ◽

Health Promotion Intervention ◽

Older Adolescents ◽

Multidimensional Health ◽

Improve Health

Gaps in knowledge about what constitutes healthy and risky behaviors for young people hinder successful health promotion intervention strategies. With the development of appropriate instruments, behaviors can be measured and interventions can be implemented to improve health outcomes. The structure of a new health behavior instrument, the Multidimensional Health Behavior Inventory (MHBI), was explored with data from 1,077 college students, ages 18 to 24 years. Factor analysis of 116 health behavior questions yielded 7 factor-based scales with 57 items: diet (13 items), substance use (10 items), safety (9 items), checkup (9 items), social (6 items), stress (6 items), and exercise (4 items). Evaluation of the 7 behavior scales of the MHBI using subgroups defined by age, gender, and race will contribute to an understanding of health behaviors of older adolescents and young adults and will provide directions for research and clinical interventions.

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