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Comparison of Health Belief Levels and Health Behavior Practices according to Lifestyle among Adults Residing in Seoul


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Comparison of Health Belief Levels and Health Behavior Practices according to Lifestyle among Adults Residing in Seoul

Article information

Korean J Community Nutr. 2011;16(6):683-696
Publication date (electronic) : 2011 December 31
doi : https://doi.org/10.5720/kjcn.2011.16.6.683
Na Hong Choi, Hong Seok Ahn, Seungmin Lee
Department of Food & Nutrition, Sungshin Women's University, Seoul, Korea.
Corresponding author: Seungmin Lee, Department of Food and Nutrition, Sungshin Women's University, 147 Mia-dong, Kangbukgu, Seoul 142-732, Korea. Tel: (02) 920-7671, Fax: (02) 920-2076, smlee@sungshin.ac.kr
Received 2011 September 23; Revised 2011 October 05; Accepted 2011 November 10.

Abstract

This study compared levels of health beliefs and health behavior practices according to lifestyle pattern among adults in Seoul. A self-administered survey questionnaire was collected from a total of 1,004 Seoul residents aged 30-59 years. The levels of perceived benefit, perceived barrier, and self-efficacy from health belief model and health behavior practices were measured across multiple health behavior areas including dietary behavior, drinking, smoking, exercise, functional food consumption, and weight control behavior. Factor analysis and subsequent cluster analysis based on 28 lifestyle questions divided the subjects into four lifestyles of society-, economy-, trend-, and health-oriented lifestyle. Some general characteristics were significantly different by lifestyles. The society-oriented lifestyle was significantly higher in proportions of men and overweight. The trend-oriented lifestyle was significantly younger and spent more monthly allowance. Health-oriented lifestyle was older. The levels of health belief variables and health behavior practices significantly differed by lifestyles. Overall the health-oriented lifestyle showed more desirable levels of health belief variables and health behavior practice in various health behavior areas compared to the other lifestyles, whereas the society-oriented lifestyle was found the other way. Health belief model variables including perceived benefit, perceived barrier, and self-efficacy were generally significant in predicting the levels of various health behavior practice, with somewhat differences by lifestyle pattern and health behavior type. The study findings suggest it may be useful to segment target subjects according to lifestyle pattern in planning and administering health education programs.

Keywords: lifestyle; health belief model; health belief level; health behavior practice

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Article information Continued

Copyright © 2011 The Korean Society of Community Nutrition

Fig. 1

Fig. 1

Scores of seven lifestyle factors for each lifestyle group by cluster analysis. A: Future guaranty-seeking type, B: Self-trusting type, C: Information-applying type, D: Plan-emphasizing type, E: Society-oriented type, F: Trend-following type, G: Health-seeking type.

Table 1

Factor loading matrix of seven lifestyles factors

Table 1

1) Factor 1: Health-seeking type, 2: Trend-following type, 3: Society-oriented type, 4: Plan-emphasizing type, 5: Information-applying type, 6: Self-trusting type, 7: Future guaranty-seeking type

2) Cumulative % of variance: 60.31

Table 2

General characteristics by lifestyle

Table 2

1) N (%), *: p <0.05, **: p < 0.01, ***: p < 0.001

Table 3

Health belief levels related to various health behaviors by lifestyle

Table 3

1) Mean ± SD

*: p < 0.05, **: p < 0.01, ***: p < 0.001

Different letter within a row represent statistical difference by Duncan's multiple test

Table 4

Health behavior practice levels by lifestyle

Table 4

1): Mean ± SD, 2) N (%)

*: p < 0.05, **: p < 0.01, ***: p < 0.001

Different letter within a row represent statistical difference by Duncan's multiple test

Table 5

Regression analysis of health behaviors on health beliefs by lifestyle

Table 5

*: p < 0.05, **: p < 0.01, ***: p < 0.001