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Published in: BMC Public Health 1/2022

Open Access 01-12-2022 | Dementia | Research

A health promoting-lifestyle prediction model for dementia prevention among chinese adults: based on the health belief model

Authors: Hua Li, Jinying Zhang, Li Wang, Tiantian Yang, Yanni Yang

Published in: BMC Public Health | Issue 1/2022

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Abstract

Background

People’s health belief is an important factor affecting health behavior. However, there has been little use of the health belief model (HBM) in determining the pathway effect of patients’ beliefs on health behavior in dementia prevention in China. The aim of our study was to evaluate the impact of dementia prevention beliefs on health promoting lifestyle among Chinese adults.

Methods

A cross-sectional study was conducted on line by convenience sampling from January to March 2020. A survey about dementia prevention knowledge, health belief of dementia prevention and health-promoting lifestyle was completed by 1201 adults in China. Data was analyzed using a structural equation model with the analysis of moment program.

Results

The participants were aged 40.50 ± 12.72 years. About 70.3% of participants were female. The purposed model fit the data from the study well. Perceived barriers (total effect-0.322, P < 0.01) and perceived susceptibility (total effect -0.242, P < 0.01) had negative effects on lifestyle. Self-efficacy had promoting effects on lifestyle (total effect 0.207, P < 0.01). Perceived severity had positive effects both on perceived benefits (total effect 0.137, P < 0.01) and perceived barriers (total effect 0.202, P < 0.01), which had a contradictory effect in the formation of health belief. Perceived benefits, cues to action and self-efficacy played a partial mediating role between knowledge and health behavior. The belief of changing lifestyle to reduce the risk of dementia could explain 24.5% of health behavior (P < 0.05).

Conclusions

The findings indicate that in dementia prevention, dementia prevention health belief has important influences on health behavior. Community medical staff can develop targeted dementia prevention interventions based on the health belief model in the future.
Literature
1.
go back to reference Delva F, Touraine C, Joly P, Edjolo A, Amieva H, Berr C, Rouaud O, Helmer C, Pérès K, Dartigues JF. ADL disability and death in dementia in a French population-based cohort: New insights with an illness-death model. Alzheimer’s Dementia. 2016;12(8):909–16.CrossRef Delva F, Touraine C, Joly P, Edjolo A, Amieva H, Berr C, Rouaud O, Helmer C, Pérès K, Dartigues JF. ADL disability and death in dementia in a French population-based cohort: New insights with an illness-death model. Alzheimer’s Dementia. 2016;12(8):909–16.CrossRef
2.
go back to reference Jia L, Quan M, Fu Y, Zhao T, Li Y, Wei C, Tang Y, Qin Q, Wang F, Qiao Y, et al. Dementia in China: epidemiology, clinical management, and research advances. The Lancet Neurology. 2020;19(1):81–92.CrossRef Jia L, Quan M, Fu Y, Zhao T, Li Y, Wei C, Tang Y, Qin Q, Wang F, Qiao Y, et al. Dementia in China: epidemiology, clinical management, and research advances. The Lancet Neurology. 2020;19(1):81–92.CrossRef
3.
go back to reference WHO. Risk reduction of cognitive decline and dementia. 2019. WHO. Risk reduction of cognitive decline and dementia. 2019.
4.
go back to reference Akenine U, Barbera M, Beishuizen CR, Fallah Pour M, Guillemont J, Rosenberg A, Coley N, Mangialasche F, Salo L, Savy S, et al. Attitudes of at-risk older adults about prevention of cardiovascular disease and dementia using eHealth: a qualitative study in a European context. BMJ Open. 2020;10(8): e037050. Akenine U, Barbera M, Beishuizen CR, Fallah Pour M, Guillemont J, Rosenberg A, Coley N, Mangialasche F, Salo L, Savy S, et al. Attitudes of at-risk older adults about prevention of cardiovascular disease and dementia using eHealth: a qualitative study in a European context. BMJ Open. 2020;10(8): e037050.
5.
go back to reference Mukadam N, Sommerlad A, Huntley J, Livingston G. Population attributable fractions for risk factors for dementia in low-income and middle-income countries: an analysis using cross-sectional survey data. Lancet Glob Health. 2019;7(5):e596–603.CrossRef Mukadam N, Sommerlad A, Huntley J, Livingston G. Population attributable fractions for risk factors for dementia in low-income and middle-income countries: an analysis using cross-sectional survey data. Lancet Glob Health. 2019;7(5):e596–603.CrossRef
6.
go back to reference Kivimaki M, Singh-Manoux A, Pentti J, Sabia S, Nyberg ST, Alfredsson L, Goldberg M, Knutsson A, Koskenvuo M, Koskinen A, et al. Physical inactivity, cardiometabolic disease, and risk of dementia: an individual-participant meta-analysis. BMJ (Clin Res ed). 2019;365: l1495. Kivimaki M, Singh-Manoux A, Pentti J, Sabia S, Nyberg ST, Alfredsson L, Goldberg M, Knutsson A, Koskenvuo M, Koskinen A, et al. Physical inactivity, cardiometabolic disease, and risk of dementia: an individual-participant meta-analysis. BMJ (Clin Res ed). 2019;365: l1495.
7.
go back to reference Kivipelto M, Mangialasche F, Ngandu T. Lifestyle interventions to prevent cognitive impairment, dementia and Alzheimer disease. Nat Rev Neurol. 2018;14(11):653–66.CrossRef Kivipelto M, Mangialasche F, Ngandu T. Lifestyle interventions to prevent cognitive impairment, dementia and Alzheimer disease. Nat Rev Neurol. 2018;14(11):653–66.CrossRef
8.
go back to reference Kim S, McMaster M, Torres S, Cox KL, Lautenschlager N, Rebok GW, Pond D, D’Este C, McRae I, Cherbuin N, et al. Protocol for a pragmatic randomised controlled trial of body brain life-general practice and a lifestyle modification programme to decrease dementia risk exposure in a primary care setting. BMJ Open. 2018;8(3): e019329.CrossRef Kim S, McMaster M, Torres S, Cox KL, Lautenschlager N, Rebok GW, Pond D, D’Este C, McRae I, Cherbuin N, et al. Protocol for a pragmatic randomised controlled trial of body brain life-general practice and a lifestyle modification programme to decrease dementia risk exposure in a primary care setting. BMJ Open. 2018;8(3): e019329.CrossRef
9.
go back to reference Long E, Ponder M, Bernard S. Knowledge, attitudes, and beliefs related to hypertension and hyperlipidemia self-management among African-American men living in the southeastern United States. Patient Educ Couns. 2017;100(5):1000–6.CrossRef Long E, Ponder M, Bernard S. Knowledge, attitudes, and beliefs related to hypertension and hyperlipidemia self-management among African-American men living in the southeastern United States. Patient Educ Couns. 2017;100(5):1000–6.CrossRef
10.
go back to reference Fouladi N, Pourfarzi F, Mazaheri E, Asl HA, Rezaie M, Amani F, Nejad MR. Beliefs and behaviors of breast cancer screening in women referring to health care centers in northwest Iran according to the champion health belief model scale. Asian Pac J Cancer Prev. 2013;14(11):6857–62.CrossRef Fouladi N, Pourfarzi F, Mazaheri E, Asl HA, Rezaie M, Amani F, Nejad MR. Beliefs and behaviors of breast cancer screening in women referring to health care centers in northwest Iran according to the champion health belief model scale. Asian Pac J Cancer Prev. 2013;14(11):6857–62.CrossRef
11.
go back to reference ShiraziZadehMehraban S, Namdar A, Naghizadeh MM. Assessment of preventive behavior for cervical cancer with the health belief model. Asian Pac J Cancer Prev. 2018;19(8):2155–63. ShiraziZadehMehraban S, Namdar A, Naghizadeh MM. Assessment of preventive behavior for cervical cancer with the health belief model. Asian Pac J Cancer Prev. 2018;19(8):2155–63.
12.
go back to reference Jones CJ, Smith H, Llewellyn C. Evaluating the effectiveness of health belief model interventions in improving adherence: a systematic review. Health Psychol Rev. 2014;8(3):253–69.CrossRef Jones CJ, Smith H, Llewellyn C. Evaluating the effectiveness of health belief model interventions in improving adherence: a systematic review. Health Psychol Rev. 2014;8(3):253–69.CrossRef
13.
go back to reference Carpenter CJ. A meta-analysis of the effectiveness of health belief model variables in predicting behavior. Health Commun. 2010;25(8):661–9.CrossRef Carpenter CJ. A meta-analysis of the effectiveness of health belief model variables in predicting behavior. Health Commun. 2010;25(8):661–9.CrossRef
14.
go back to reference Janz NK, Becker MH. The health belief model: a decade later. Health Educ Q. 1984;11(1):1–47. Janz NK, Becker MH. The health belief model: a decade later. Health Educ Q. 1984;11(1):1–47.
15.
go back to reference Xia X, et al. Health-promoting lifestyle and influencing factors of wrinkly and elderly residents. Sichuan Mod Prev Med. 2019;46(19):3575–9. Xia X, et al. Health-promoting lifestyle and influencing factors of wrinkly and elderly residents. Sichuan Mod Prev Med. 2019;46(19):3575–9.
16.
go back to reference Kim S, Sargent-Cox K, Cherbuin N, Anstey KJ. Development of the motivation to change lifestyle and health behaviours for dementia risk reduction scale. Dement Geriatr Cogn Dis Extra. 2014;4(2):172–83.CrossRef Kim S, Sargent-Cox K, Cherbuin N, Anstey KJ. Development of the motivation to change lifestyle and health behaviours for dementia risk reduction scale. Dement Geriatr Cogn Dis Extra. 2014;4(2):172–83.CrossRef
17.
go back to reference Wang XF, Yang YN, Tang BX, Wang FL, Jiang YY. reliability and validity of the chinese version of motivation to change lifestyle and health behaviors for Dementia risk reduction scale. J Nurs Sci. 2016;31(21):13–6. Wang XF, Yang YN, Tang BX, Wang FL, Jiang YY. reliability and validity of the chinese version of motivation to change lifestyle and health behaviors for Dementia risk reduction scale. J Nurs Sci. 2016;31(21):13–6.
18.
go back to reference Walker SN, Sechrist KR, Pender NJ. The health-promoting lifestyle profile: development and psychometric characteristics. Nurs Res. 1987;36(2):76–81.CrossRef Walker SN, Sechrist KR, Pender NJ. The health-promoting lifestyle profile: development and psychometric characteristics. Nurs Res. 1987;36(2):76–81.CrossRef
19.
go back to reference Cao WJ, Guo Y, Ping WW, et al. Prevention: development and psychometric tests of a Chinese version of the HPLP-II Scales. Chin J Dis Control Prev. 2016;20(03):286–9. Cao WJ, Guo Y, Ping WW, et al. Prevention: development and psychometric tests of a Chinese version of the HPLP-II Scales. Chin J Dis Control Prev. 2016;20(03):286–9.
20.
go back to reference Zeng YJ, Guo TF, Wang HJ, et al. Current status of health beliefs and Lifestyle behavior from an Internet investigation. Chin J Hyperten. 2016;24(06):535–40. Zeng YJ, Guo TF, Wang HJ, et al. Current status of health beliefs and Lifestyle behavior from an Internet investigation. Chin J Hyperten. 2016;24(06):535–40.
21.
go back to reference Xie HG, Tian JZ, Wang LN. Chinese expert consensus on memory examination. Chin J Intern Med. 2014;53(12):1002–6. Xie HG, Tian JZ, Wang LN. Chinese expert consensus on memory examination. Chin J Intern Med. 2014;53(12):1002–6.
22.
go back to reference Saghafi-Asl M, Aliasgharzadeh S, Asghari-Jafarabadi M. Factors influencing weight management behavior among college students: An application of the Health Belief Model. PLoS ONE. 2020;15(2): e0228058.CrossRef Saghafi-Asl M, Aliasgharzadeh S, Asghari-Jafarabadi M. Factors influencing weight management behavior among college students: An application of the Health Belief Model. PLoS ONE. 2020;15(2): e0228058.CrossRef
23.
go back to reference Fleary SA, Paasche-Orlow MK, Joseph P, Freund KM. The relationship between health literacy, cancer prevention beliefs, and cancer prevention behaviors. J Cancer Educ. 2019;34(5):958–65.CrossRef Fleary SA, Paasche-Orlow MK, Joseph P, Freund KM. The relationship between health literacy, cancer prevention beliefs, and cancer prevention behaviors. J Cancer Educ. 2019;34(5):958–65.CrossRef
24.
go back to reference Woo BK. Family history and its relationship with dementia stigma beliefs among Chinese Americans. Geriatr Gerontol Int. 2017;17(1):122–5.CrossRef Woo BK. Family history and its relationship with dementia stigma beliefs among Chinese Americans. Geriatr Gerontol Int. 2017;17(1):122–5.CrossRef
25.
go back to reference Rosenberg A, Coley N, Soulier A, Kulmala J, Soininen H, Andrieu S, Kivipelto M, Barbera M, Mind AD. groups H: experiences of dementia and attitude towards prevention: a qualitative study among older adults participating in a prevention trial. BMC Geriatr. 2020;20(1):99.CrossRef Rosenberg A, Coley N, Soulier A, Kulmala J, Soininen H, Andrieu S, Kivipelto M, Barbera M, Mind AD. groups H: experiences of dementia and attitude towards prevention: a qualitative study among older adults participating in a prevention trial. BMC Geriatr. 2020;20(1):99.CrossRef
27.
go back to reference Liu D, Cheng G, An L, Gan X, Wu Y, Zhang B, Hu S, Zeng Y, Wu L. Public knowledge about dementia in China: a national wechat-based durvey. Int J Environ Res Public Health. 2019;16(21):Article Number 4231. Liu D, Cheng G, An L, Gan X, Wu Y, Zhang B, Hu S, Zeng Y, Wu L. Public knowledge about dementia in China: a national wechat-based durvey. Int J Environ Res Public Health. 2019;16(21):Article Number 4231.
28.
go back to reference Harada K, Lee S, Shimada H, Lee S, Bae S, Anan Y, Harada K, Suzuki T. Psychological predictors of participation in screening for cognitive impairment among community-dwelling older adults. Geriatr Gerontol Int. 2017;17(8):1197–204.CrossRef Harada K, Lee S, Shimada H, Lee S, Bae S, Anan Y, Harada K, Suzuki T. Psychological predictors of participation in screening for cognitive impairment among community-dwelling older adults. Geriatr Gerontol Int. 2017;17(8):1197–204.CrossRef
29.
go back to reference Sheeran P, Maki A, Montanaro E, Avishai-Yitshak A, Bryan A, Klein WM, Miles E, Rothman AJ. The impact of changing attitudes, norms, and self-efficacy on health-related intentions and behavior: a meta-analysis. Health Psychol. 2016;35(11):1178–88.CrossRef Sheeran P, Maki A, Montanaro E, Avishai-Yitshak A, Bryan A, Klein WM, Miles E, Rothman AJ. The impact of changing attitudes, norms, and self-efficacy on health-related intentions and behavior: a meta-analysis. Health Psychol. 2016;35(11):1178–88.CrossRef
30.
go back to reference Mohammadi S, Karim NA, Talib RA, Amani R. The impact of self-efficacy education based on the health belief model in Iranian patients with type 2 diabetes: a randomised controlled intervention study. Asia Pac J Clin Nutr. 2018;27(3):546–55. Mohammadi S, Karim NA, Talib RA, Amani R. The impact of self-efficacy education based on the health belief model in Iranian patients with type 2 diabetes: a randomised controlled intervention study. Asia Pac J Clin Nutr. 2018;27(3):546–55.
31.
go back to reference Yu B, Zhou J, Gong Y, Han J, Dong P, Yang S, Liao R, Guan P, Yang S. Self-efficacy mediates perceived benefits and barriers of adherence of heroin-dependent patients to methadone for addiction treatment: a health belief model study. J Addict Med. 2020;14(4):e110–7.CrossRef Yu B, Zhou J, Gong Y, Han J, Dong P, Yang S, Liao R, Guan P, Yang S. Self-efficacy mediates perceived benefits and barriers of adherence of heroin-dependent patients to methadone for addiction treatment: a health belief model study. J Addict Med. 2020;14(4):e110–7.CrossRef
32.
go back to reference Peng H, Wan L, Huang Y, Deng S, Gao L. Investigation on health beliefs and health behaviors of stroke patients. Chin J Nurs. 2012;47(01):10–4. Peng H, Wan L, Huang Y, Deng S, Gao L. Investigation on health beliefs and health behaviors of stroke patients. Chin J Nurs. 2012;47(01):10–4.
33.
go back to reference Werner P, AboJabel H, Maxfield M. Conceptualization, measurement and correlates of dementia worry: a scoping review. Arch Gerontol Geriatr. 2021;92: 104246.CrossRef Werner P, AboJabel H, Maxfield M. Conceptualization, measurement and correlates of dementia worry: a scoping review. Arch Gerontol Geriatr. 2021;92: 104246.CrossRef
34.
go back to reference Kim S, Sargent-Cox KA, Anstey KJ. A qualitative study of older and middle-aged adults’ perception and attitudes towards dementia and dementia risk reduction. J Adv Nurs. 2015;71(7):1694–703.CrossRef Kim S, Sargent-Cox KA, Anstey KJ. A qualitative study of older and middle-aged adults’ perception and attitudes towards dementia and dementia risk reduction. J Adv Nurs. 2015;71(7):1694–703.CrossRef
35.
go back to reference Lihong W, Junhao P, Xiaopei Z, Hengfang R, Ling L, Shaoxian C. the mediation effect of health belief on the relationship between health knowledge and health behavior among hypertensive patient with stroke. Chin J Behavi Med Brain Sci. 2017;26(9):847–51 (in Chinese). Lihong W, Junhao P, Xiaopei Z, Hengfang R, Ling L, Shaoxian C. the mediation effect of health belief on the relationship between health knowledge and health behavior among hypertensive patient with stroke. Chin J Behavi Med Brain Sci. 2017;26(9):847–51 (in Chinese).
Metadata
Title
A health promoting-lifestyle prediction model for dementia prevention among chinese adults: based on the health belief model
Authors
Hua Li
Jinying Zhang
Li Wang
Tiantian Yang
Yanni Yang
Publication date
01-12-2022
Publisher
BioMed Central
Keywords
Dementia
Dementia
Published in
BMC Public Health / Issue 1/2022
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-022-14828-9

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