ArticleFrontiers in public health2024
Determinants influencing health-promoting behaviors in individuals at high risks of stroke: a cross-sectional study.
Article in Frontiers in public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Association Between Stroke-Related Knowledge and Self-Management Behaviours in Patients With Ischemic Stroke: Serial Mediation by Health Beliefs and Depression.Nursing open · 2026Article
- A mini-program for high-risk of stroke population management using the intervention mapping approach: design, development process, and usability study.BMC public health · 2026Article
- Capability, opportunity, and motivation: a structural equation model of hand hygiene behavior based on the COM-B framework in a Chinese hospital setting.Frontiers in public health · 2026Article
- The mediating role of digital health literacy in the relationship between social support and health-promoting lifestyle among occupational populations: a cross-sectional study.Frontiers in public health · 2026Article
- Pathways related to the degeneration of health behavior in stroke patients: a qualitative comparative analysis.Frontiers in public health · 2026Article
- Trajectories and Influencing Factors of Depression in Patients with H-Type Hypertension-Related Ischemic Stroke: A Single-Center Longitudinal Study.Patient preference and adherence · 2026Article
- Drug-related problems and their determinants among stroke patients in suburban China: a PCNE-based analysis with targeted initiatives.Frontiers in public health · 2026Article
- Determinants of proactive health behaviors in individuals at high risks of stroke: a structural equation model analysis.Frontiers in public health · 2026Article
- Impact of sense of coherence and social support on disease activity in Crohn's disease: a network analysis.Frontiers in public health · 2025Article
- Social support and risk perception of influenza among Chengdu residents: A cross-sectional study during post-pandemic recovery.PloS one · 2025Article
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13 authors.
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Abstract
Background: Quit smoking, moderate drinking, exercise, and healthy eating habits are all known to decrease the risk of stroke. As a result, understanding the health behaviors of high risk groups for stroke is crucial. Health behavior is influenced by knowledge, social environment, and health beliefs. However, little research has been done on these relationships. For a better grasp of the relationships mentioned above, consider using the COM-B model (capability, opportunity, motivation, and behavior). The purpose of this study was to investigate the variables related to health behavior and to test the mediating effect of health beliefs. Methods: The cross-sectional study was carried out at a physical examination center of a tertiary hospital in Shanghai, China. 986 high-risk populations of stroke have been tested using the Health Behavior Scale (HBS-SP), Stroke Knowledge Questionnaire (SKQ), Health Beliefs Questionnaire (HBS), and Multidimensional Scale of Perceived Social Support (MSPSS). The structural equation modeling was used in this study. Results: The scores for MSPSS, SKQ, HBS, and HBS-SP were 60.64 ± 13.72, 26.60 ± 9.77, 157.71 ± 34.34, and 2.46 ± 0.41, respectively. The revised model fits well (approximate root mean square error = 0.042; comparative fit index = 0.946). The health behavior was obviously and positively correlated to social Support, stroke knowledge, and health beliefs. Moreover, health belief has a mediating effect on the relation of social support, stroke knowledge, and health behavior. Conclusion: Chinese high risk groups for stroke have a mediate level of health behaviors. Factors associated with health behaviors are knowledge of stroke, health beliefs, and social support. The COM-B-based model can be used to explain the health behavior of individuals at risk of stroke and to guide the formulation of effective health management programs.
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