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Choi, Ahn, and Lee: Comparison of Health Belief Levels and Health Behavior Practices according to Lifestyle among Adults Residing in Seoul
Original Article
Korean Journal of Community Nutrition

Korean Journal of Community Nutrition 2011; 16(6): 683-696.

Published online: 31 December 2011

DOI: https://doi.org/10.5720/kjcn.2011.16.6.683

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

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 23 September 2011       Revised 5 October 2011       Accepted 10 November 2011

Copyright © 2011 The Korean Society of Community Nutrition

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

Figures and Tables

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.
kjcn-16-683-g001
Table 1
Factor loading matrix of seven lifestyles factors
kjcn-16-683-i001

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
kjcn-16-683-i002

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

Table 3
Health belief levels related to various health behaviors by lifestyle
kjcn-16-683-i003

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
kjcn-16-683-i004

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
kjcn-16-683-i005

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

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