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Abstract：
To explore the factors related to health-promoting lifestyles of the elderly based on social-ecosystem theory.
A cross-sectional survey study was carried out to include 627 elderly people in communities in three cities of Hebei Province (Shijiazhuang, Tangshan, and Zhangjiakou) from October 2021 to January 2022 for questionnaire survey (601 validly returned cases).
Three cities of Hebei Province (Shijiazhuang, Tangshan, and Zhangjiakou).
627 elderly people.
A cross-sectional survey study.
The questionnaire survey was conducted by using the general demographic data, health promotion life scale, frailty scale, general self-efficacy scale, health engagement scale, General Self-Efficacy Scale, The family Adaptability, Partnership, Growth, Affection, and Resolve scale, and Perceived Social Support Scale.
The total health promotion lifestyle score for the elderly was 100.20±16.21, which was at the lower limit of the good level, with the highest mean score for nutrition (2.71±0.51) and the lowest mean score for physical activity (2.25±0.56). Stepwise linear regression showed that exercise frequency (95% confidence interval (CI) 1.304-3.885), smoking status (95% CI -4.190 to -1.556), self-efficacy (95% CI 0.071-0.185), health management (95% CI 0.306-0.590), frailty (95% CI -3.327 to -1.162) in the microsystem, marital status (95% CI 0.677-3.660), children\'s attention to the elderly health (95% CI 4.866-11.305), family care in the mesosystem (95% CI 1.365-4.968), and pre-retirement occupation (95% CI 2.065-3.894), living area (95% CI 0.813-3.912), whether receive community-based chronic disease prevention and management services (95% CI 2.035-8.149), social support (95% CI 1.667-6.493) in the macrosystem were the main factors affecting health promotion of life in the elderly (P<0.05). Hierarchical regression analysis showed the microsystem accounted for 17.2%, the mesosystem accounted for 7.1%, and the macrosystem accounted for 11.4%.
The health promotion lifestyle of the elderly in Hebei Province was at the lower limit of good level. Among them, exercise frequency, children\'s attention to the elderly health, and pre-retirement occupation played a major role in relation to the health-promoting lifestyle of the elderly. Hence, it needs the joint action of individuals, families, and society to promote the elderly to adopt the health promotion lifestyle and realize healthy aging.
A cross-sectional survey study was carried out to include 627 elderly people in communities in three cities of Hebei Province (Shijiazhuang, Tangshan, and Zhangjiakou) from October 2021 to January 2022 for questionnaire survey (601 validly returned cases).
Three cities of Hebei Province (Shijiazhuang, Tangshan, and Zhangjiakou).
627 elderly people.
A cross-sectional survey study.
The questionnaire survey was conducted by using the general demographic data, health promotion life scale, frailty scale, general self-efficacy scale, health engagement scale, General Self-Efficacy Scale, The family Adaptability, Partnership, Growth, Affection, and Resolve scale, and Perceived Social Support Scale.
The total health promotion lifestyle score for the elderly was 100.20±16.21, which was at the lower limit of the good level, with the highest mean score for nutrition (2.71±0.51) and the lowest mean score for physical activity (2.25±0.56). Stepwise linear regression showed that exercise frequency (95% confidence interval (CI) 1.304-3.885), smoking status (95% CI -4.190 to -1.556), self-efficacy (95% CI 0.071-0.185), health management (95% CI 0.306-0.590), frailty (95% CI -3.327 to -1.162) in the microsystem, marital status (95% CI 0.677-3.660), children\'s attention to the elderly health (95% CI 4.866-11.305), family care in the mesosystem (95% CI 1.365-4.968), and pre-retirement occupation (95% CI 2.065-3.894), living area (95% CI 0.813-3.912), whether receive community-based chronic disease prevention and management services (95% CI 2.035-8.149), social support (95% CI 1.667-6.493) in the macrosystem were the main factors affecting health promotion of life in the elderly (P<0.05). Hierarchical regression analysis showed the microsystem accounted for 17.2%, the mesosystem accounted for 7.1%, and the macrosystem accounted for 11.4%.
The health promotion lifestyle of the elderly in Hebei Province was at the lower limit of good level. Among them, exercise frequency, children\'s attention to the elderly health, and pre-retirement occupation played a major role in relation to the health-promoting lifestyle of the elderly. Hence, it needs the joint action of individuals, families, and society to promote the elderly to adopt the health promotion lifestyle and realize healthy aging.
摘要：
目的：基于社会生态系统理论探讨老年人健康促进生活方式的相关因素。
方法：进行了横断面调查研究，包括河北省三个城市的627名社区老年人（石家庄，唐山,和张家口）于2021年10月至2022年1月进行问卷调查（601例有效退回案例）。
■河北省三个城市（石家庄，唐山,和张家口）。
方法：627名老年人。
方法：横断面调查研究。
方法：采用一般人口统计学资料进行问卷调查,健康促进生命量表，脆弱的规模，一般自我效能感量表，健康参与量表，一般自我效能感量表,家庭适应性,伙伴关系,增长,感情,和解决规模，和感知社会支持量表。
结果：老年人健康促进生活方式总分为100.20±16.21，处于良好水平的下限，营养平均得分最高（2.71±0.51），体力活动平均得分最低（2.25±0.56）。逐步线性回归显示,运动频率(95%置信区间(CI)1.304-3.885),吸烟状况（95%CI-4.190至-1.556），自我效能感（95%CI0.071-0.185），健康管理（95%CI0.306-0.590），微系统中的脆弱(95%CI-3.327至-1.162)，婚姻状况（95%CI0.677-3.660），儿童对老年人健康的关注（95%CI4.866-11.305），中系统家庭护理（95%CI1.365-4.968），和退休前职业（95%CI2.065-3.894），居住面积（95%CI0.813-3.912），是否接受社区慢性病预防和管理服务（95%CI2.035-8.149），宏观系统社会支持(95%CI1.667～6.493)是影响老年人健康促进生活的主要因素(P<0.05)。分层回归分析显示微系统占17.2%,中系统占7.1%，宏观系统占11.4%。
结论：河北省老年人健康促进生活方式处于良好水平的下限。其中,锻炼频率,儿童注意老年人的健康，退休前职业在促进老年人健康的生活方式方面发挥了重要作用。因此，它需要个人的联合行动，家庭,促进老年人采取健康促进生活方式，实现健康老龄化。
方法：进行了横断面调查研究，包括河北省三个城市的627名社区老年人（石家庄，唐山,和张家口）于2021年10月至2022年1月进行问卷调查（601例有效退回案例）。
■河北省三个城市（石家庄，唐山,和张家口）。
方法：627名老年人。
方法：横断面调查研究。
方法：采用一般人口统计学资料进行问卷调查,健康促进生命量表，脆弱的规模，一般自我效能感量表，健康参与量表，一般自我效能感量表,家庭适应性,伙伴关系,增长,感情,和解决规模，和感知社会支持量表。
结果：老年人健康促进生活方式总分为100.20±16.21，处于良好水平的下限，营养平均得分最高（2.71±0.51），体力活动平均得分最低（2.25±0.56）。逐步线性回归显示,运动频率(95%置信区间(CI)1.304-3.885),吸烟状况（95%CI-4.190至-1.556），自我效能感（95%CI0.071-0.185），健康管理（95%CI0.306-0.590），微系统中的脆弱(95%CI-3.327至-1.162)，婚姻状况（95%CI0.677-3.660），儿童对老年人健康的关注（95%CI4.866-11.305），中系统家庭护理（95%CI1.365-4.968），和退休前职业（95%CI2.065-3.894），居住面积（95%CI0.813-3.912），是否接受社区慢性病预防和管理服务（95%CI2.035-8.149），宏观系统社会支持(95%CI1.667～6.493)是影响老年人健康促进生活的主要因素(P<0.05)。分层回归分析显示微系统占17.2%,中系统占7.1%，宏观系统占11.4%。
结论：河北省老年人健康促进生活方式处于良好水平的下限。其中,锻炼频率,儿童注意老年人的健康，退休前职业在促进老年人健康的生活方式方面发挥了重要作用。因此，它需要个人的联合行动，家庭,促进老年人采取健康促进生活方式，实现健康老龄化。
