背景:低收入社区易受非传染性疾病(NCDs)的影响,影响他们的经济和残疾状况。解决非传染性疾病负担的有效方法是通过促进健康生活方式的多维概念。全世界人群用于NCD治疗的另一种优选方法是天然健康产品(NHP)。关于这一弱势群体的NHP和健康促进生活方式的研究,特别是低收入城市社区,是有限的。因此,这项研究,旨在调查NHP知识和促进健康的生活方式,并确定与Cheras低收入城市社区健康促进生活方式相关的因素,吉隆坡。这项研究的重点是社会人口统计学特征,年度健康监测活动,和健康状况,它们是可改变的和不可改变的因素。
方法:研究的第一阶段涉及开发马来语版本的NHP知识问卷,而第2阶段涉及对446名随机选择的低收入受访者进行的横断面研究,以确定他们的健康促进生活方式水平和相关因素。受访者的社会人口统计,社会经济,健康监测活动,健康状况,和NHP知识数据是使用新开发的马来人版NHP问卷和健康促进生活方式简介II(HPLPII)问卷获得的。独立变量包括社会人口状况,年度健康监测活动,使用简单和多元线性回归分析健康状况和NHP知识。
结果:在这项研究中,在马来语版本中开发的10项NHP知识问卷包含两个领域[安全使用(八个项目)和参考点(两个项目)](解释的总差异:77.4%)。NHP知识得分均值为32.34(标准差[SD]7.37)。同时,健康促进生活方式的平均得分为109.67(SD25.01).促进健康的生活方式的最高和最低得分归因于精神成长和身体活动,分别。种族与更高的促进健康的生活方式水平有关,职业状态-NHP知识交互也是如此。“未分类”的教育状况和年度血糖水平监测与较低水平的健康促进生活方式有关。
结论:开发了马来语版本的新问卷来衡量NHP知识。与其他亚群相比,受访者在这项研究中促进健康的生活方式水平较低,与种族有关,教育状况,和健康监测活动。这些发现提供了对NHP知识和职业状况之间相互作用的洞察,这与更高的促进健康的生活方式水平有关。因此,未来在医疗保健服务中促进健康的生活方式干预计划应针对这些因素。
BACKGROUND: Low income communities are vulnerable to non-communicable diseases (NCDs), which affect their economy and disability status. An effective approach to address the NCD burden is through the multidimensional concept of health-promoting lifestyle. Another preferred approach by the population worldwide for NCD treatment is natural health product (NHP). Studies on NHP and health-promoting lifestyle among this vulnerable population, specifically the low-income urban community, are limited. Therefore, this study, aimed at investigating the NHP knowledge and health-promoting lifestyle, and to determine the factors associated with health-promoting lifestyle in a low income urban community in Cheras, Kuala Lumpur. This study has focused on sociodemographic characteristics, annual health monitoring activities, and health status, which are modifiable and non-modifiable factors.
METHODS: Phase 1 of the study involves developing the Malay-version NHP knowledge questionnaire, whereas Phase 2 involves a cross-sectional study of 446 randomly selected low-income respondents to determine their level of health-promoting lifestyle and the associated factors. The respondents\' sociodemographic, socioeconomic, health monitoring activity, health status, and NHP knowledge data were obtained using the newly developed Malay-version NHP questionnaire and the Health-Promoting Lifestyle Profile II (HPLP II) questionnaire. The independent variables include sociodemographic status, annual health monitoring activities, health status and NHP knowledge were analysed using simple and multiple linear regression.
RESULTS: In this study, the 10-item NHP knowledge questionnaire developed in the Malay version contains two domains [safe use (eight items) and point of reference (two items)] (total variance explained: 77.4%). The mean of NHP knowledge score was 32.34 (standard deviation [SD] 7.37). Meanwhile, the mean score of health-promoting lifestyle was 109.67 (SD 25.01). The highest and lowest scores of health-promoting lifestyles are attributed to spiritual growth and physical activity, respectively. Ethnicity is associated with a higher health-promoting lifestyle level, same goes to the occupational status - NHP knowledge interaction. \"Unclassified\" education status and annual blood glucose level monitoring are associated with a lower level of health-promoting lifestyle.
CONCLUSIONS: A new questionnaire in Malay version was developed to measure NHP knowledge. Compared to other subpopulations, the respondents\' health-promoting lifestyle levels in this study were low, associated with ethnicity, education status, and health monitoring activities. The findings provided insight into the interaction between NHP knowledge and occupational status, which is associated with a higher health-promoting lifestyle level. Accordingly, the future health-promoting lifestyle intervention programmes in healthcare delivery should target these factors.