Work

Factors associated with communicable diseases-related health behavior in older adults: A structural equation model

Year: 2025

Type: article

Abstract: • A model of identified factors influencing CDRHB was constructed • CDSHL was the most important influence on CDRHB • CDSHL acted through social support, internally controlled HLC, and self-efficacy • CDRHB should be promoted in rural areas and for those with low education levels To assess communicable disease-related health behavior (CDRHB) and the relationship between communicable disease-specific health literacy (CDSHL) and CDRHB in older adults. Factors associated with CDRHB in older adults is unclear. A cross-sectional survey of 380 Chinese older adults was conducted. A structural equation model (SEM) identified factors associated with CDRHB and their effect magnitude. Mean CDRHB score was 41.92 (± 7.44). Residence type, education, CDSHL, self-efficacy, social support, and internal health locus of control (HLC) were independently associated with CDRHB ( p < 0.05). SEM showed CDSHL had the strongest association with CDRHB, followed by education, residence type, social support, internal HLC, and self-efficacy. Future tailored-intervention research on CDRHB should focus on CDSHL promotion and social support expansion, focused on older adults in rural areas and those with lower education levels.

Source: Geriatric Nursing

DOI: 10.1016/j.gerinurse.2025.01.048

Authors: Xuemei Bao, Jinyu Yin, Qinghua Zhang, Siyi Shang, Yuhan Yang

Institutions: Huzhou Normal University, Sir Run Run Shaw Hospital, Zhejiang University

Language: English

Topic: Health and Wellbeing Research

Subfield: General Health Professions

Field: Health Professions

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $3,280