Perceived Barriers to Rural Elderly Women’s Health-Promoting Behaviors: An Ecological Perspective

This study multidimensionally examines rural elderly women’s subjective barriers to practicing health-promoting behaviors. Twenty-six rural elderly women participated in three focus group interviews. Content analysis and a qualitative research method were used. The results, based on an ecological model, show that the implementation of health-promoting behaviors in rural elderly women was comprehensively related to intrapersonal (functional decline, passive attitude, and lack of implementation), interpersonal (lack of social support), community (restrictive conditions, accessibility issues, and lack of infrastructure), and public policy (lack of policy support) factors. Interventions addressing each factor can help reduce or eliminate the perceived barriers to health-promoting behaviors through interactions. Our findings can contribute to the development of health-promoting programs focused specifically on the socialization of rural elderly women and community-centered health policies in the future.

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Effects of Self-Efficacy, Depression, and Anger on Health-Promoting Behaviors of Korean Elderly Women with Hypertension

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17176296 ◽

2020 ◽

Vol 17 (17) ◽

pp. 6296

Author(s):

Ae Sil Kim ◽

Mi Heui Jang ◽

Kyung Hwan Park ◽

Ji Young Min

Keyword(s):

Self Efficacy ◽

Elderly Women ◽

Intervention Strategy ◽

Nursing Intervention ◽

Community Dwelling ◽

Self Report ◽

Trait Anger ◽

Anger Control ◽

Health Promoting Behaviors ◽

Health Promoting

The prevalence of hypertension among women in Korea aged 65 years or older is 61.7%. Past research has emphasized the importance of health-promoting behaviors in hypertension management for the elderly. The purpose of this cross-sectional study was to identify the effects of self-efficacy, depression, trait anger, and anger expression on the health-promoting behaviors of elderly women with hypertension. Self-report questionnaires were completed by 208 women aged 65 and older (age range: 65 to 85) diagnosed with hypertension by physicians and living in the communities of G city and N city of Gyeonggi-do in South Korea. A hierarchical regression analysis revealed that exercise (β = 0.36, p < 0.001) had the most significant effect on health-promoting behaviors, followed by depression (β = −0.31, p < 0.001), trait anger (β = 0.21, p = 0.002), anger control (β = 0.20, p < 0.001), religion (β = 0.18, p = 0.001), and self-efficacy (β = 0.18, p = 0.003). Trait anger and anger control were identified to have a more significant effect on health-promoting behaviors than self-efficacy. Thus, health-promoting behaviors were influenced by exercise, depression, anger, religion, and self-efficacy. It is necessary to implement a nursing intervention strategy which pays attention to these factors to improve health-promoting behaviors of Korean community-dwelling elderly women.

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The Relationship among the Health Calisthenics Participation, Health Status, and Health Promoting Lifestyle Living in the Rural Elderly Women

Korean Society for the Sociology of Sport ◽

10.22173/jksss.2008.21.2.423 ◽

2008 ◽

Vol 21 (2) ◽

pp. 423-441 ◽

Cited By ~ 1

Author(s):

Kwon Oh Seok

Keyword(s):

Health Status ◽

Elderly Women ◽

Rural Elderly ◽

Health Promoting ◽

Health Promoting Lifestyle ◽

The Relationship

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Self-Efficacy, Perceived Barriers to Care, and Health-Promoting Behaviors Among Franco-Americans Across Cardiovascular Risk Factors: A Cross-Sectional Study

American Journal of Health Promotion ◽

10.1177/0890117120982412 ◽

2020 ◽

pp. 089011712098241

Author(s):

Reed Mszar ◽

Sara Buscher ◽

Dervilla McCann ◽

Heidi L. Taylor

Keyword(s):

Risk Factors ◽

Health Care ◽

Cardiovascular Risk ◽

Cardiovascular Risk Factors ◽

Self Efficacy ◽

Health Care Services ◽

Perceived Barriers ◽

Health Promoting Behaviors ◽

Care Services ◽

Health Promoting

Purpose: To assess the prevalence of perceived barriers to accessing health care services, self-efficacy, and health-promoting behaviors among Franco-Americans as a higher-risk group for familial hypercholesterolemia (FH), stratified by cardiovascular risk factors. Design: Cross-sectional survey based on components of the Health Belief Model Setting: Administered in-person at a Franco-American cultural center and online through mailing lists and social media platforms in the Northeastern United States Sample: Franco-Americans and French Canadians (n = 170) Measures: Demographic and clinical characteristics (i.e. high cholesterol, prior heart attack or stroke, family history of atherosclerotic cardiovascular disease (ASCVD), diagnosis of FH), perceived barriers to accessing health care services, self-efficacy, and health-promoting behaviors (i.e. taking lipid-lowering medications, seeing a cardiovascular specialist). Results: In a cohort of Franco-Americans, 42 (25%) had both high cholesterol and family history of ASCVD. Among Franco-Americans with both cardiovascular risk factors, 22% had low self-efficacy and only 16% had discussed FH with their physician. Individuals with both risk factors were significantly more likely to report a concern over a future diagnosis as a barrier to accessing health care services when compared with those with neither risk factor (36% vs. 15%, p = 0.014). Overall, other prominent barriers to care included knowledge of when to seek help (27%) and a distrust in medicine (26%). Conclusion: Franco-Americans report significant barriers to accessing health care services. Our findings strengthen the case for developing focused public health strategies to raise awareness for FH, particularly among high-risk subpopulations with unmet cardiovascular needs.

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Perceived Facilitators and Barriers to Nigerian Nurses’ Engagement in Health Promoting Behaviors: A Socio-Ecological Model Approach

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17041314 ◽

2020 ◽

Vol 17 (4) ◽

pp. 1314

Author(s):

Chinenye Uchendu ◽

Richard Windle ◽

Holly Blake

Keyword(s):

Ecological Model ◽

Healthy Lifestyle ◽

Healthcare Providers ◽

Lifestyle Behaviors ◽

Structured Interviews ◽

Related Factors ◽

Health Promoting Behaviors ◽

Healthy Behaviors ◽

Health Promoting ◽

Facilitators And Barriers

Nurses make up the single largest healthcare professional group in the Nigerian healthcare system. As frontline healthcare providers, they promote healthy lifestyles to patients and families. However, the determinants of Nigerian nurses’ personal health promoting behaviors (HPBs) remain unknown. Utilizing the socio-ecological model (SEM) approach, this study aimed to explore the perceived facilitators and barriers to Nigerian nurses’ engagement in HPBs. HPBs were operationalized to comprise of healthy dietary behaviors, engagement in physical activity, low-risk alcohol consumption, and non-smoking behaviors. Our study was carried out in a large sub-urban tertiary health facility in Nigeria. Data collection was via face-to-face semi-structured interviews and participants were registered nurses (n = 18). Interview data were transcribed verbatim and analyzed thematically to produce nine themes that were mapped onto corresponding levels of influence on the SEM. Findings show that in Nigeria, nurses perceive there to be a lack of organizational and policy level initiatives and interventions to facilitate their engagement in HPBs. The determinants of Nigerian nurses’ HPBs span across all five levels of the SEM. Nurses perceived more barriers to healthy lifestyle behaviors than facilitators. Engagement in healthy behaviors was heavily influenced by: societal and organizational infrastructure and perceived value for public health; job-related factors such as occupational stress, high workload, lack of protected breaks, and shift-work; cultural and religious beliefs; financial issues; and health-related knowledge. Organizations should provide facilities and services to support healthy lifestyle choices in Nigeria nurses. Government policies should prioritize the promotion of health through the workplace setting, by advocating the development, implementation, regulation, and monitoring of healthy lifestyle policies.

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