Health promoting lifestyle behaviors and associated predictors among clinical nurses in China: a cross-sectional study
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Abstract
BACKGROUND: Nurses play a core role and encompass the main workforce in health care systems. Their role model of health promoting lifestyle behaviors (HPLB) would directly or indirectly affect their clients' beliefs or attitudes of health promotion. There is limited evidence on HPLB in clinical registered nurses. The current study aimed to explore the HPLB and associated influencing factors among clinical registered nurses in China. METHODS: A multi-center cross-sectional anonymous online survey was conducted in 2020. Participants were asked to complete social demographic information as well as the revised Chinese edition of Health Promoting Lifestyle Profile (HPLP). Independent-Sample T-Test, One-Way ANOVA, and categorical regression (optimal scaling regression) were the main methods to analyze the relationship between demographic data and the score of HPLB. RESULTS: 19,422 nurses were included in the study. The mean score of self-actualization, health responsibility/physical activity, nutrition, job safety, interpersonal support, and overall Health Promoting Lifestyle Profile were, 27.61(5.42) out of a score of 36, 22.71(7.77) out of a score of 44, 10.43(2.97) out of a score of 16, 22.05(3.97) out of a score of 28, 20.19(4.67) out of a score of 28, and 102.99 (19.93) out of a score of 144, respectively. There was a significant relationship among Hospital levels, working years, nightshift status, and monthly income per person, and mean score of all subscales and the overall HPLP (P < 0.05). CONCLUSIONS: Nurses who participated in the study presented a moderate level of health promoting lifestyle behaviors. Hospital levels, working years, nightshift status, and monthly income per person were predictors for all subscales and overall HPLP.
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Previous studies showed that health-promoting behaviors decreased when there was a lack of dining facilities in medical institutions or when it was difficult to access healthy food for financial or time reasons.
“This is different from the results of previous studies, which showed that health-promoting behaviors decreased when there was a lack of dining facilities in medical institutions or when it was difficult to access healthy food [7] for financial or time reasons [8].”
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References 32 · Cited by 33
Research works printed but not linked: 3
- [5]World Health Organization. The 1st International Conference on Health Promotion, Ottawa, 1986 1986 [cited 2020 17 December]. Available from: https://www.who.int/teams/health-promotion/enhanced-wellbeing/first-global-conference.
- [27]Chen X, Ma J, Wu Y, et al. Current status and trend of workload of health professionals in Chinese public hospitals[J]. J Chin Res Hosp. 2020;7(1):31–35 + 141–147.
- [33]Conner M, Norman P. Predicting health behaviour[M]: McGraw-Hill Education (UK); 2005.
- Authors
- Zeng, W., Shang, S., Fang, Q., He, S., Li, J., & Yao, Y.
- Affiliations
- Peking University (CN)
- Guizhou Provincial People's Hospital (CN)
- Corresponding author
- Li, Juan
- Yao, Yuanrong
- Venue
- BMC Nursing
- Published
- 2021-11-17
- Volume
- 20
- Issue
- 1
- Pages
- 230-230
- ISSN
- 1472-6955 (ISSN-L)
- PMC
- PMC8597212
- OpenAlex
- W3139251578
- Cited by
- 33
- References
- 32
- Citations by year
- 2026: 6 · 2025: 7 · 2024: 13 · 2023: 4 · 2022: 3
- FWCI
- 5.62
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Nursing (publishedVersion, cc-by)
- Research Square (acceptedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Ministry of Science and Technology of the People's Republic of China (2020 YFC 2008800)
- Joint Fund of the National Natural Science Foundation of China and the Karst Science Research Center of Guizhou Province (81860245)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health and Wellbeing Research
- Health Sciences › Nursing › Leadership and Management › Healthcare Education and Workforce Issues
- Health Sciences › Health Professions › General Health Professions › Health and Lifestyle Studies
- Keywords
- health-promoting lifestyle behaviors, Health-Promoting Lifestyle Profile, self-realization, health responsibility, physical activity, nutrition, occupational safety, interpersonal support, health behavior determinants, night shift work, working years, hospital level, nursing pay, China
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