{"title":"影响马来西亚东北部单身母亲促进健康行为的因素：一项横断面研究。","authors":"Saidah Adilah Mohamed Yusof, Tengku Alina Tengku Ismail, Kamarul Imran Musa, Hasmaryanti Kamaruzzaman","doi":"10.7717/peerj.18359","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Health-promoting behaviors (HPB) play a vital role in maintaining and enhancing overall well-being. Single mothers are at higher risk of cardiovascular disease (CVD) and less involvement in HPB due to psychosocial disadvantages.</p><p><strong>Objective: </strong>This study aimed to determine the HPB scores and factors influencing HPB among single mothers in Kelantan (Northeastern, Malaysia).</p><p><strong>Methods: </strong>This study employed a cross-sectional design, selecting 242 single mothers from Kelantan through proportional stratified sampling. Data were gathered through questionnaires covering sociodemographic details, the Health-Promoting Lifestyle Profile-II (HPLP-II), the Malay Version of Health Beliefs Related to Cardiovascular Disease (HBCVD-M), and Multidimensional Perceived Social Support (MPSS). The relationships between the dependent variable (HPB) and independent variables were analyzed using multivariable linear regression models.</p><p><strong>Results: </strong>The respondents achieved an average HPB score of 118.03 (SD = 19.2), with the highest mean scores in spiritual growth (22.46 [SD = 3.70]) and interpersonal relationships (22.05 [SD = 3.67]). Physical activity had the lowest mean score at 15.09 (SD = 4.62). Significant positive associations were found between HPB and perceived severity of CVD (adjusted β = 1.60; 95% CI [0.68-2.53]; <i>p</i> < 0.001) as well as perceived social support (adjusted β = 0.63; 95% CI [0.37-0.90]; <i>p</i> < 0.001). Conversely, educational level (adjusted β = -10.36; 95% CI [-16.06 to -4.67]; <i>p</i> < 0.001) and perceived benefits of reducing CVD risk (adjusted β = -1.43; 95% CI [-2.37 to -0.48]; <i>p</i> < 0.001) were negatively associated with HPB.</p><p><strong>Conclusions: </strong>The findings highlight the importance of health beliefs, social support, and education in shaping HPB among single mothers. Community health initiatives targeting this population should develop strategies to strengthen individuals' health beliefs and promote a supportive environment.</p>","PeriodicalId":2,"journal":{"name":"ACS Applied Bio Materials","volume":null,"pages":null},"PeriodicalIF":4.6000,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11531751/pdf/","citationCount":"0","resultStr":"{\"title\":\"Factors influencing health-promoting behavior among single mothers in Northeastern Malaysia: a cross-sectional study.\",\"authors\":\"Saidah Adilah Mohamed Yusof, Tengku Alina Tengku Ismail, Kamarul Imran Musa, Hasmaryanti Kamaruzzaman\",\"doi\":\"10.7717/peerj.18359\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Health-promoting behaviors (HPB) play a vital role in maintaining and enhancing overall well-being. Single mothers are at higher risk of cardiovascular disease (CVD) and less involvement in HPB due to psychosocial disadvantages.</p><p><strong>Objective: </strong>This study aimed to determine the HPB scores and factors influencing HPB among single mothers in Kelantan (Northeastern, Malaysia).</p><p><strong>Methods: </strong>This study employed a cross-sectional design, selecting 242 single mothers from Kelantan through proportional stratified sampling. Data were gathered through questionnaires covering sociodemographic details, the Health-Promoting Lifestyle Profile-II (HPLP-II), the Malay Version of Health Beliefs Related to Cardiovascular Disease (HBCVD-M), and Multidimensional Perceived Social Support (MPSS). The relationships between the dependent variable (HPB) and independent variables were analyzed using multivariable linear regression models.</p><p><strong>Results: </strong>The respondents achieved an average HPB score of 118.03 (SD = 19.2), with the highest mean scores in spiritual growth (22.46 [SD = 3.70]) and interpersonal relationships (22.05 [SD = 3.67]). Physical activity had the lowest mean score at 15.09 (SD = 4.62). Significant positive associations were found between HPB and perceived severity of CVD (adjusted β = 1.60; 95% CI [0.68-2.53]; <i>p</i> < 0.001) as well as perceived social support (adjusted β = 0.63; 95% CI [0.37-0.90]; <i>p</i> < 0.001). Conversely, educational level (adjusted β = -10.36; 95% CI [-16.06 to -4.67]; <i>p</i> < 0.001) and perceived benefits of reducing CVD risk (adjusted β = -1.43; 95% CI [-2.37 to -0.48]; <i>p</i> < 0.001) were negatively associated with HPB.</p><p><strong>Conclusions: </strong>The findings highlight the importance of health beliefs, social support, and education in shaping HPB among single mothers. Community health initiatives targeting this population should develop strategies to strengthen individuals' health beliefs and promote a supportive environment.</p>\",\"PeriodicalId\":2,\"journal\":{\"name\":\"ACS Applied Bio Materials\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":4.6000,\"publicationDate\":\"2024-10-31\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11531751/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"ACS Applied Bio Materials\",\"FirstCategoryId\":\"99\",\"ListUrlMain\":\"https://doi.org/10.7717/peerj.18359\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"MATERIALS SCIENCE, BIOMATERIALS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"ACS Applied Bio Materials","FirstCategoryId":"99","ListUrlMain":"https://doi.org/10.7717/peerj.18359","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"MATERIALS SCIENCE, BIOMATERIALS","Score":null,"Total":0}
引用次数: 0
摘要
简介促进健康的行为（HPB）在保持和提高整体健康方面发挥着至关重要的作用。单亲母亲罹患心血管疾病（CVD）的风险较高，但由于社会心理劣势，她们参与促进健康行为的程度较低：本研究旨在确定吉兰丹州（马来西亚东北部）单身母亲的 HPB 得分和影响 HPB 的因素：本研究采用横断面设计，通过比例分层抽样从吉兰丹州选取了 242 名单身母亲。通过问卷收集数据，问卷内容包括社会人口学细节、促进健康生活方式档案-II（HPLP-II）、马来语版心血管疾病相关健康信念（HBCVD-M）和多维感知社会支持（MPSS）。采用多变量线性回归模型分析了因变量（HPB）和自变量之间的关系：受访者的 HPB 平均得分为 118.03（SD = 19.2），其中精神成长（22.46 [SD = 3.70]）和人际关系（22.05 [SD = 3.67]）的平均得分最高。体育活动的平均得分最低，为 15.09（标准差 = 4.62）。HPB 与心血管疾病严重程度之间存在显著的正相关（调整后 β = 1.60；95% CI [0.68-2.53]；p p p p 结论：研究结果凸显了健康信念、社会支持和教育在塑造单亲母亲 HPB 方面的重要性。针对这一人群的社区卫生活动应制定策略，加强个人的健康信念，促进支持性环境。
Factors influencing health-promoting behavior among single mothers in Northeastern Malaysia: a cross-sectional study.
Introduction: Health-promoting behaviors (HPB) play a vital role in maintaining and enhancing overall well-being. Single mothers are at higher risk of cardiovascular disease (CVD) and less involvement in HPB due to psychosocial disadvantages.
Objective: This study aimed to determine the HPB scores and factors influencing HPB among single mothers in Kelantan (Northeastern, Malaysia).
Methods: This study employed a cross-sectional design, selecting 242 single mothers from Kelantan through proportional stratified sampling. Data were gathered through questionnaires covering sociodemographic details, the Health-Promoting Lifestyle Profile-II (HPLP-II), the Malay Version of Health Beliefs Related to Cardiovascular Disease (HBCVD-M), and Multidimensional Perceived Social Support (MPSS). The relationships between the dependent variable (HPB) and independent variables were analyzed using multivariable linear regression models.
Results: The respondents achieved an average HPB score of 118.03 (SD = 19.2), with the highest mean scores in spiritual growth (22.46 [SD = 3.70]) and interpersonal relationships (22.05 [SD = 3.67]). Physical activity had the lowest mean score at 15.09 (SD = 4.62). Significant positive associations were found between HPB and perceived severity of CVD (adjusted β = 1.60; 95% CI [0.68-2.53]; p < 0.001) as well as perceived social support (adjusted β = 0.63; 95% CI [0.37-0.90]; p < 0.001). Conversely, educational level (adjusted β = -10.36; 95% CI [-16.06 to -4.67]; p < 0.001) and perceived benefits of reducing CVD risk (adjusted β = -1.43; 95% CI [-2.37 to -0.48]; p < 0.001) were negatively associated with HPB.
Conclusions: The findings highlight the importance of health beliefs, social support, and education in shaping HPB among single mothers. Community health initiatives targeting this population should develop strategies to strengthen individuals' health beliefs and promote a supportive environment.
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