农村中青年健康促进行为与自我效能关系

Relationship between health promotion behavior and self-efficacy among young and middle-aged rural residents in Hebei province

目的了解河北省农村中青年健康促进行为及自我效能现状及二者之间关系,为进行健康促进干预提供依据。方法采用健康生活方式量表和一般自我效能量表对河北省800名农村中青年进行健康促进行为及自我效能调查,并采用Pearson相关分析探讨二者相关性。结果河北省农村中青年健康促进行为平均得分为(78.51±27.52)分(标准得分54.52分)。各维度得分为自我实现(24.76±7.43)分、人际支持(14.81±4.69)分、健康责任(14.24±8.58)分、适当营养(10.96±3.61)分、压力处理(9.08±4.14)分、运动休闲(4.89±3.31)分,标准化后各维度得分依次为自我实现63.48分、人际支持61.70分、适当营养60.88分、压力处理50.44分、健康责任43.15分、运动休闲40.75分。自我效能得分为(22.75±5.92)分,低于中国常模(t=-30.89,P=0.000)。Pearson相关分析显示,农村中青年健康促进行为总分与自我效能呈正相关(r=0.182,P=0.000),其中自我实现(r=0.208,P=0.000)、人际支持(r=0.174,P=0.000)、适当营养(r=0.125,P=0.001)、健康责任(r=0.110,P=0.004)、压力处理(r=0.106,P=0.005)与自我效能均呈正相关,而运动休闲与自我效能无相关性(r=0.015,P=0.702)。结论河北省农村中青年健康促进行为处于中等水平,自我效能处于较低水平,二者呈正相关。

Objective To explore the correlation between health promotion behavior and self-efficacy among young and middle-aged rural residents in Hebei province. Methods With random stratified sampling,800 young and middle-aged rural residents in Hebei province were investigated with a health promotion lifestyle scale and self-efficacy scale. The correlation between healthy lifestyle and self-efficacy was evaluated with Pearson product-moment correlation. Results The standardized score of health promotion behavior was 54. 52, among which self-actualization ranked the highest（ 63.48 ）, followed by interpersonal support （ 61.70 ）, nutrition （ 60. 88 ）, stress management （ 50. 4,t ）, health responsibility （ 43. 15 ）, and exercise（ 40. 75 ）. The score of self-efficacy was 22. 75 ± 5.92. Pearson product-moment correlation showed that overall health promotion behavior （ r = 0. 182, P = 0. 000 ）, self-actualization （ r = 0. 208, P = 0. 000 ）, interpersonal support （ r = 0. 174 ,P =0. 000） ,nutrition（ r =0. 125 ,P =0. 001 ） ,health responsibility（ r =0. 110,P = 0. 004） and stress management（ r = 0. 106, P = 0. 005 ） were positively related to the self-efficacy. However the same tendency did not show in the exercise subscale （ r = 0. 015, P = 0. 702）. Conclusion The health promotion behavior among young and middle-aged rural residents in Hebei province is at a medium level, and the self-efficacy is at a low level,with a positive relationship between them suggesting much attention should be paid to the self-efficacy in order to promote health behavior in the population.