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Factor analysis of a health-promoting lifestyle profile (HPLP): application to older adults in Mainland China. | LitMetric

Factor analysis of a health-promoting lifestyle profile (HPLP): application to older adults in Mainland China.

Arch Gerontol Geriatr

Department of Preventive Medicine and Health Statistics, Fourth Military Medical University, No. 169 Changle West Road, Xi'an, Shaanxi 710032, China.

Published: February 2013

AI Article Synopsis

Article Abstract

Unlabelled: This research reports preliminary psychometric properties, especially the factor structure, of a Chinese version of a health-promoting lifestyles profile designed for older adults; and examines the distribution of the health-promoting behavioral patterns - both for the purpose of developing culturally sensitive health advancement strategies for Chinese seniors. Responses to this questionnaire were used to measure health-promoting behaviors in a random sample of 1012 elderly Chinese from thirty communities in Xi'an Shaanixi-Province.

Design: Factor analysis relied on polychoric correlations with ordinal categorical data were used to evaluate reliability and validity of a revised Chinese version of the health-promoting lifestyles profile (HPLP-C). Because this revised version was used to assess elderly adults, we termed it the HPLP-CE. This factor analysis supported a six-factor model of the original HPLP-C scale. Confirmatory factor analysis indicated a good fit, with factors explaining 88.1% of the common variance of the HPLP-CE scores. Cronbach's α coefficients were 0.91 for the revised instrument, and ranged from 0.67 to 0.88 for six dimensions. The split-half reliability was 0.92, while the test-retest reliability was 0.68. Relationships between HPLP-CE, perceived health status, SF-36 scale scores, and associations with selected demographic variables were significantly positive.

Conclusions: We concluded that this revised scale, based on the 40-item HPLP-C, was considered suitable for measuring health-promoting lifestyles of older adults in China. Mental and inner self-reflection planes were the most salient factors for assessing health-promoting behaviors of seniors. Such factors need to be considered if preventive programs are to be designed to promote seniors' health.

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Source
http://dx.doi.org/10.1016/j.archger.2012.07.003DOI Listing

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