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

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing Pub Date : 2025-02-15 DOI:10.1016/j.gerinurse.2025.01.048

Xuemei Bao MSc , Jinyu Yin MSc , Qinghua Zhang PhD , Siyi Shang MSc , Yuhan Yang MSc

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Abstract

Objectives

To assess communicable disease-related health behavior (CDRHB) and the relationship between communicable disease-specific health literacy (CDSHL) and CDRHB in older adults.

Background

Factors associated with CDRHB in older adults is unclear.

Methods

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.

Results

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.

Conclusions

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.

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来源期刊

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.