SELF-EFFICACY AND HEALTH BEHAVIOR AMONG OLDER ADULTS
SELF-EFFICACY AND HEALTH BEHAVIOR AMONG OLDER ADULTS
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DOI：
10.2307/2137237
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发表时间：
1993-06-01
影响因子：
5
通讯作者：
HECHT, J
中科院分区：
文献类型：
--
作者：
GREMBOWSKI, D;PATRICK, D;HECHT, J
自我效能感对年轻人和中年人的健康行为和健康状况具有良好的有益影响，但对老年人的这些关系知之甚少。我们研究了这个问题，作为随机试验的一部分，以确定与预防性服务包的提供和报销相关的成本节约和健康相关的生活质量的变化，2,524名参加普吉特海湾团体健康合作社的医疗保险受益人。收集了所有参与者在五个行为领域的基线自我效能数据：运动，膳食脂肪摄入，体重控制，酒精摄入和吸烟。结果表明，这些健康行为的疗效和结果的期望是不独立的。相关分析和因子分析表明，两个方面的功效预期，一个由运动，饮食脂肪，体重控制，另一个由吸烟和饮酒。五种行为的结果预期形成一个单一的维度。自我效能感高的老年人在所有行为中的健康风险较低，健康状况较好。回归分析发现，社会经济地位和健康相关的生活质量之间存在正相关（p
Self-efficacy has a well-established, beneficial effect on health behavior and health status in young and middle-aged adults, but little is known about these relationships in older populations. We examined this issue as part of a randomized trial to determine the cost savings and changes in health-related quality of life associated with the provision and reimbursement of a preventive services package to 2,524 Medicare beneficiaries enrolled in Group Health Cooperative of Puget Sound. Baseline self-efficacy data were collected for all participants in five behavioral areas: exercise, dietary fat intake, weight control, alcohol intake, and smoking. Results reveal that efficacy and outcome expectations for these health behaviors are not independent. Correlational and factor analyses indicate two dimensions of efficacy expectations, one consisting of exercise, dietary fat, and weight control, and another consisting of smoking and alcohol consumption. Outcome expectations of the five behaviors form a single dimension. Older adults with high self-efficacy had lower health risk in all behaviors and better health. Regression analyses detected a positive association between socioeconomic status and health-related quality of life (p