The relationships between physical activity and health-promoting behaviours in mid-life women

Physical Activity Determinants in Adults

The determinants of physical activity in adults were explored in this study. Explanatory variables included perceived benefits of and perceived barriers to physical activity, and perceived self efficacy for physical activity. Inactive participants were asked to identify barriers to activity, and active participants cited cues prompting them to adopt a physically active lifestyle. Data were collected from 137 adults obtained from work sites, an evening college program, and church groups. Overall, participants were physically active. Self efficacy was the only variable to predict physical activity. Race (i.e., being White) and body mass index (i.e., being overweight) explained perceived barriers to activity. The primary reason for inactivity was lack of time, and the most frequently cited cues to activity were dissatisfaction with one's weight or appearance. Few nursing studies have attempted to increase participants' levels of self efficacy. However, the occupational health nurse is in a unique position to increase workers' perceived self efficacy for activity and, in turn, their activity levels.

Daily Hassles and Exercise Frequency in Women

Exercise has been associated with a decreased incidence of many chronic diseases that may develop later in life. Today women are working full time, caring for children, husbands, and households. The purpose of this descriptive study was to examine the relationship between daily hassles and exercise frequency of women. The study used a convenience sample of 50 women aged 20 to 46 years. This study found that with increasing hassles related to household activity, family and friends, and personal life, there was a decrease in activity. Home health care nurses and educators can use the findings from this study to influence women to adopt active, healthy lifestyles at home.

Stability and change in health-related behaviors of midlife Swedish women

We investigated the dimensions and stability in health-related behaviors (HRBs) among midlife Swedish women, and the factors that predicted change in those behaviors. At age 43, 569 women from a representative longitudinal sample completed questionnaires about lifestyle (diet, exercise, smoking, alcohol) and participated in medical screening. Four years later we mailed a follow-up questionnaire. HRBs clustered in two dimensions: healthy eating and addictions. There was a high degree of stability in HRBs; all women slightly increased their HRBs over time. After controlling for previous HRBs, we found that education, marital status, and having children at home were significant predictors of HRBs 4 years later.

Health promotion: causes, beliefs and measurements

This investigative study summarizes the five most prevalent healthcare models and seven instruments to help the reader determine which model is the most effective in measuring health-related ideas and behaviors in subjects of varying populations. Their significance to the science and art of health promotion and analytical techniques are also reviewed. The purpose of the study is to consider varying arguments and apply them to abstractions of health promotion activities that readers may be contemplating.

Effects of exercise on stress in Thai postmenopausal women

Several researchers have investigated the impact of menopause on American and European women. Yet there is little research that has focused on the meaning of this experience in other cultural and ethnic groups. In Thailand, although there is research concerning the physical symptomotology associated with the postmenopausal period, scant data exists on psychological stress among this cohort. Exercise is important for both stress reduction and health promotion. However, no clear consensus has been reached, suggesting the need for exploration of the relationship between exercise and psychological stress. Our purpose of this study was to examine the effects of exercise on stress in Thai postmenopausal women. A one-group pretest posttest design was utilized. Data were collected on 102 Thai postmenopausal women. The findings suggest that an exercise program may be a safe, simple, and cost beneficial intervention.

The Ohio Midlife Women's Study

The Ohio Midlife Women's Study was longitudinal with measurements occurring at three, 9-month intervals. Our purpose in doing this research was to examine predictors, moderators, and outcome variables associated with the transition to midlife in Caucasian and African American women. Predictor variables included loss and gain of resources. Moderators included menopause symptoms, menopausal status, attitude toward menopause, coping, and demographic characteristics. Outcome variables included anxiety, depression, and health promoting activities. To obtain the proposed final sample of 160 midlife women, an initial sample of 103 African American and 105 Caucasian "healthy" women were recruited in the community. Consistent predictors of anxiety were loss of resources, coping effectiveness, and education. Consistent predictors of depression were loss of resources and education. Health promoting activities were consistently predicted by attitude toward menopause and coping effectiveness. Stress is a better predictor of negative health outcomes than menopausal status.

Health-promoting behaviors of elderly korean immigrants in the United States

The purpose of this study was to explore health-promoting behaviors among elderly Korean immigrants, and to examine the relationships of their health-promoting behaviors with self-efficacy and perceived health status. One hundred ten elderly Korean immigrants residing in the United States were interviewed using a structured questionnaire. The mean score of health promoting behaviors of elderly Korean immigrants was 2.54 on the 5-point Likert scale. Nutrition was the subdomain with the highest mean score (M=3.01) and exercise was the subdomain with the lowest mean score (M=1.92). Both self-efficacy (r=0.49, p=0.01) and perceived health status (r=0.19, p=0.043) were significantly related to health-promoting behaviors. Education (F=3.61, p=0.016) and economic status (F=3.01, p=0.034) were significantly associated with health-promoting behaviors. This study showed poor practices of healthy lifestyles of elderly Korean immigrants. Low exercise scores indicated the need for community based exercise and health promotion programs for the elderly Korean immigrants population.

Consequences of driving cessation: decreased out-of-home activity levels

OBJECTIVES

Increasing age, socioeconomic factors, and declining function and health have been linked to driving cessation, but little is known about the consequences of stopping driving. This study was designed to test the hypothesis that driving cessation leads to a decline in out-of-home activity levels.

METHODS

In 1989 a survey of driving practices was administered to surviving noninstitutionalized members of the New Haven Established Populations for Epidemiologic Studies of the Elderly (EPESE) cohort. Of 1,316 respondents, 502 were active drivers as of 1988, 92 had stopped driving between 1982 and 1987, and 722 never drove or stopped before 1982. Information on sociodemographic and health-related variables came from in-home EPESE interviews in 1982, 1985, and 1988, and from yearly phone interviews. Activity was measured at all three in-home interviews, and an activity measure was created based on self-reported participation in nine out-of-home activities. A repeated measures random-effects model was used to test the effect of driving cessation on activity while controlling for potential confounders.

RESULTS

Driving cessation was strongly associated with decreased out-of-home activity levels (coefficient-1.081, standard error 0.264, p < .001) after adjustment for sociodemographic and health-related factors.

DISCUSSION

The potential consequences of driving limitations or cessation should be taken into account when advising older drivers and developing alternative transportation strategies to help maintain their mobility.

The relationship of rural persons' multidimensional health locus of control to knowledge of cancer, cancer myths, and cancer danger signs

The purpose of the study was to determine if a relationship exists between multidimensional health locus of control and knowledge of breast cancer, prostate cancer, cancer myths, and danger signs. A descriptive correlational design was used. A convenience sample of 78 rural men and 79 rural women participated in the study. Participants completed three questionnaires: (a) the Cancer Danger Signs Questionnaire, (b) the Cancer Myths Questionnaire, (c) the Prostate Cancer Knowledge Test (completed by the men) and the Breast Cancer Knowledge Test (completed by the women). Results indicated that an internal score on the Multidimensional Health Locus of Control (MHLOC) scale did not predict knowledge of breast cancer in women, prostate cancer in men, cancer myths, or danger signs. Women who scored high on the Powerful Others subscale of the MHLOC had statistically significant high scores on knowledge of breast cancer, but not on cancer myths and danger signs. The MHLOC and its subscales did not predict knowledge of prostate cancer, cancer myths, or cancer danger signs for the male participants. The implications of these results for rural nursing practice and their relationship to previous research are discussed.

Health promotion lifestyles of women experiencing crises

Women who are experiencing crisis situations, including homelessness, are often perceived as passive victims of their social, economic, and personal circumstances. A few studies have challenged the stereotype of homeless women as passive victims and demonstrated that they are active in seeking solutions to their problems (Hodnicki, Horner, & Boyle, 1992; Montgomery, 1994; Thrasher & Mowbray, 1995). This study surveyed women receiving assistance at a nurse-managed clinic that serves a homeless population to determine their health promotion strategies. On the basis of this study's findings, health care providers are encouraged to recognize and build on the strengths of women in crises at both the individual and community levels of care.

The health status of women with cerebral palsy

OBJECTIVE

To determine preliminary associations between collected health status variables of women with cerebral palsy (CP) residing in the community.

DESIGN

Cross-sectional study using survey research.

PARTICIPANTS

Sixty-three women residing in the community were administered the Telephone Questionnaire when contacted to arrange their visit to the study site located within the medical clinic of a local developmental services office. During the course of their visit to the study site, all 63 women completed the CP Study Protocol, in addition to the Mail-in Questionnaire upon completion of study participation. The women ranged in age from 20 to 74 years.

MAIN OUTCOME MEASURES

Health status, consisting of four elements: (1) self-reported health status; (2) associated conditions; (3) secondary conditions; and (4) health behaviors (alcohol and tobacco use, physical activity, diet, and health care visit).

RESULTS

Women with CP residing in community living arrangements perceived themselves as healthy. The majority of women did not smoke (98%), had not consumed alcohol in the previous month (95%), and ate a balanced diet (52%). Participants also reported engaging in common physical activities (83%) and stretching and doing range-of-motion exercises in the previous week (43%), and participation in aerobic exercise in the previous week (43%). Sixty-eight percent (41 of 60) of the women walked, and more than 50% of the women did not require assistance with activities of daily living. The ability to walk and the use of a wheelchair were associated with participation in the common physical activities. The women reported associated conditions of mental retardation (34%), learning disabilities (26%), and a seizure history (40%). Additionally, the women in the sample reported the occurrence of several secondary conditions common among individuals with CP, including pain (84%), hip and back deformities (59%), bowel problems (56%), bladder problems (49%), poor dental health (43%), and gastroesophageal reflux (28%). Poor dental health was associated with a history of seizures, and associations were also found between pain and mental retardation, and between gastroesophageal reflux and mental retardation.

CONCLUSIONS

Women with CP residing in the community perceived themselves as healthy, and the observed health status measures (eg, self-reported health, associated conditions, secondary conditions, and selected health behaviors) support this concept. For the most part, independent relationships were found between several of these measures indicating no significant association among the variables. Where associations were found, however, such as between walking and participation in physical activity, further investigation is warranted for a better understanding of their ramifications in the design of health promotion activities for women with CP.

Intraindividual change and interindividual differences in factors influencing older women's health-seeking behavior

Our primary purpose in conducting this study was to examine the factor structure of older women's health-seeking behavior, which we assessed over 100 occasions. This was accomplished with a daily self-report of nutritional, exercise, and adherence behaviors. A secondary purpose was to determine differences in the stability and lability of health-seeking behavior factors. The sample consisted of 4 women in their 60s and 4 women in their 80s. By using P-technique factor analysis, in which the sample size is determined by number of occasions rather than participants, we examined individual factors of health-seeking behavior for variability over time. Both activity and dietary items made up the health-seeking behavior factors of participants who were in their 60s, whereas for participants in their 80s factors comprised only activity items. The stability of most of these health-seeking behaviors indicated that these behaviors may be more trait-like than state-like in these older women.

The effects of cognitive-perceptual factors on health promotion behavior maintenance

A causal model that examines the role of cognitive-perceptual factors (control over health, self-efficacy, and health status) in health-promoting behavior maintenance was tested using a sample of 1,339 women who participated in a two-wave national health survey. The sample was split to reserve half the data for an uncompromised validity test of the model. Initial tests of the causal model indicated that the model did not fit the data. A minimally modified model fit the observed covariance data and explained about one third of the variance in the health-promoting behaviors (self-actualization, health responsibility, exercise, and nutrition). Validation of the model with the uncompromised half of the data further supported the model. Although the cognitive-perceptual factors were an integral part of the model, their effects on particular health-promoting behaviors were small in magnitude and contributed little to the explanation of the specific health-promoting behaviors or their stability.

Worksite wellness programs and lifestyle behaviors

Do employees who participate in worksite wellness programs differ from those who do not? What health-related lifestyle behaviors are practiced most frequently by which employees? A descriptive, correlational, comparative design was used to investigate these questions. Four hundred employees at a large public university were selected through stratified random sampling to complete a demographic sheet and the Health Promoting Lifestyle Profile (HPLP). Study findings revealed that men used self-actualization and exercise behaviors more frequently than women. Women practiced more health responsibility behaviors than men. Employees who were members of the wellness program more frequently practiced health responsibility and exercise behaviors than nonmembers. Overall, wellness program members used a greater number of the total health-related behaviors than other employees. Membership in the wellness program and the number of times per week a person exercised explained 21% of the variance in the HPLP scores.