Social Indicators Research

, Volume 95, Issue 3, pp 503–517 | Cite as

The Influence of Health Promoting Practices on the Quality of Life of Community Adults in Hong Kong

Article

Abstract

The importance of a healthy lifestyle is receiving increasing attention due to its impact on health and well-being. However, very few studies have been done on health promoting practices of the general public in Hong Kong. The present study aimed to identify the patterns of health promoting practices of the general public in Hong Kong, to compare health promoting practices across gender and education levels, and to examine the relationship between health promoting practices and quality of life. A total of 941 community adults were recruited using a randomized household survey design. Results revealed that a large proportion of participants reported practicing various types of health promoting behavior related to healthy food choice, engaging in stress management strategies, and refraining from health compromising behavior such as smoking and drinking excessively. Female participants were more likely to choose healthy food, refrain from smoking and drinking alcohol excessively, and take vitamin supplements, whereas male participants were more likely to exercise regularly. Both men and women with higher levels of education were more likely to report not smoking, not drinking alcohol excessively, and participating in social activities. Women with higher levels of education were also more likely to engage in relaxing activities but less likely to report exercising regularly and sleeping sufficiently. Hierarchical regression analyses revealed that stress management and social relations significantly predicted better quality of life for both male and female participants, and types of preventive health behavior were significant predictors of quality of life for female participants only. Results highlighted the importance of advocating health promoting practices among the general public in Hong Kong. Implications for future practice were discussed.

Keywords

Health promoting practice Health practice Quality of life Hong Kong 

References

  1. Acton, G. J., & Malathum, P. (2000). Basic need status and health-promoting self-care behavior in adults. Western Journal of Nursing Research, 22(7), 796–811.CrossRefGoogle Scholar
  2. Adler, N. E., Boyce, T., Chesney, M. A., Cohen, S., Folkman, S., Kahn, R. L., et al. (1994). Socioeconomic status and health. The challenge of the gradient. American Psychologist, 49(1), 15–24.CrossRefGoogle Scholar
  3. Adler, N. E., & Ostrove, J. M. (1999). Socioeconomic status and health: what we know and what we don’t. Annals of the New York Academy of Sciences, 896(1), 3–15.CrossRefGoogle Scholar
  4. Anderson, R. B., Hollenberg, N. K., & Williams, G. H. (1999). Physical Symptoms Distress Index: a sensitive tool to evaluate the impact of pharmacological agents on quality of life. Archives of Internal Medicine, 159(7), 693–700.CrossRefGoogle Scholar
  5. Bem, S. L. (1981). Gender schema theory: A cognitive account of sex typing. Psychological Review, 88(4), 354–364.CrossRefGoogle Scholar
  6. Breslow, L. (1999). From disease prevention to health promotion. JAMA, 281(11), 1030–1033.CrossRefGoogle Scholar
  7. Burckhardt, C. S., & Anderson, K. L. (2003). The Quality of Life Scale (QOLS): Reliability, validity, and utilization. Health and Quality of Life Outcomes, 1(60). doi:10.1186/1477-7525-1-60.
  8. Burckhardt, C. S., Anderson, K. L., Archenholtz, B., & Hagg, O. (2003). The Flanagan quality of life scale: Evidence of construct validity. Health and Quality of Life Outcomes, 1(59). doi:10.1186/1477-7525-1-59.
  9. Burl, V. L., Whelton, P., Roccella, E. J., Brown, C., Cutler, J. A., Higgins, M., et al. (1995). Prevalence of hypertension in the US adult population: Results from the Third National Health and Nutrition Examination Survey, 1988–1991. Hypertension, 25(3), 305–313.Google Scholar
  10. Callaghan, P., Ma, K. F., & Fung, C. Y. (1997). Hong Kong nurses’ health-related behaviours: Implications for nurses’ role in health promotion. Journal of Advanced Nursing, 25, 1276–1282.CrossRefGoogle Scholar
  11. Chang, L. (1999). Gender role egalitarian attitudes in Beijing, Hong Kong, Florida, and Michigan. Journal of Cross-Cultural Psychology, 30(6), 722–741.CrossRefGoogle Scholar
  12. Dean, K. (1989). Self-care components of lifestyles: The importance of gender, attitudes and the social situation. Social Science & Medicine, 29(2), 137–152.CrossRefGoogle Scholar
  13. Doll, R., Peto, R., Boreham, J., & Sutherland, I. (2004). Mortality in relation to smoking: 50 years’ observations on male British doctors. BMJ: British Medical Journal, 328(7455), 1519–1528.CrossRefGoogle Scholar
  14. Dornelas, E. A. (2008). Risk factors and perceptions of risk for cardiovascular disease. In Psychotherapy with cardiac patients: Behavioral cardiology in practice (pp. 29–38). Washington, DC: American Psychological Association.Google Scholar
  15. Eisler, R. M., Skidmore, J. R., & Ward, C. H. (1988). Masculine gender-role stress: Predictor of anger, anxiety, and health-risk behaviors. Journal of Personality Assessment, 52(1), 133–141.CrossRefGoogle Scholar
  16. Evans, R. I., Turner, S. H., Ghee, K. L., & Getz, J. G. (1990). Is androgynous sex role related to cigarette smoking in adolescents? Journal of Applied Social Psychology, 20(6), 494–505.CrossRefGoogle Scholar
  17. Felton, G. M., Parsons, M. A., & Bartoces, M. G. (1997). Demographic factors: Interaction effects on health-promoting behavior and health related factors. Public Health Nursing, 14(6), 361–367.CrossRefGoogle Scholar
  18. Flanagan, J. C. (1982). Measurement of quality of life: Current state of the art. Archives of Physical Medicine and Rehabilitation.Google Scholar
  19. Holahan, C. K., & Suzuki, R. (2004). Adulthood predictors of health promoting behavior in later aging. International Journal of Aging & Human Development, 58(4), 289–313.CrossRefGoogle Scholar
  20. Hong Kong Census and Statistics Department. (2005). Hong Kong Statistics. Available from: http://www.censtatd.gov.hk/hong_kong_statistics/statistical_tables/index.jsp?charsetID=1&subjectID=1&tableID=002.
  21. Hoy, B., Wagner, L., & Hall, E. O. C. (2007). Self-care as a health resource of elders: an integrative review of the concept. Scandinavian Journal of Caring Sciences, 21(4), 456–466.CrossRefGoogle Scholar
  22. Hu, F. B., Rimm, E. B., Stampfer, M. J., Ascherio, A., Spiegelman, D., Willett, W. C., et al. (2000). Prospective study of major dietary patterns and risk of coronary heart disease in men. American Journal of Clinical Nutrition, 72(4), 912–921.Google Scholar
  23. Hubbard, P., Muhlenkamp, A. F., & Brown, N. (1984). The relationship between social support and self-care practices. Nursing Research, 33(5), 266–270.CrossRefGoogle Scholar
  24. Khaw, K.-T., Wareham, N., Bingham, S., Welch, A., Luben, R., & Day, N. (2008). Combined impact of health behaviours and mortality in men and women: The EPIC-Norfolk prospective population study. PLoS Medicine, 5(1), e12.CrossRefGoogle Scholar
  25. Lee, R. L. T., & Yuen Loke, A. J. T. (2005). Health-promoting behaviors and psychosocial well-being of university students in Hong Kong. Public Health Nursing, 22(3), 209–220.CrossRefGoogle Scholar
  26. Lo, W. H. (1976). Urbanization and psychiatric disorders—the Hong Kong scene. Acta Psychiatrica Scandinavica, 54, 174–183.Google Scholar
  27. Motl, R. W., & Gosney, J. L. (2008). Effect of exercise training on quality of life in multiple sclerosis: a meta-analysis. Multiple Sclerosis, 14(1), 129–135.CrossRefGoogle Scholar
  28. Mustalahti, K., Lohiniemi, S., Collin, P., Vuolteenaho, N., Laippala, P., & Maki, M. (2002). Gluten-free diet and quality of life in patients with screen-detected celiac disease. Effective Clinical Practice, 5(3), 105–113.Google Scholar
  29. Nolen-Hoeksema, S., & Hilt, L. (2006). Possible contributors to the gender differences in alcohol use and problems. Journal of General Psychology, 133(4), 357–374.CrossRefGoogle Scholar
  30. Peralta, R. L. (2007). College alcohol use and the embodiment of hegemonic masculinity among European American men. Sex Roles, 56(11–12), 741–756.CrossRefGoogle Scholar
  31. Petajan, J. H., Gappmaier, E., White, A. T., Spencer, M. K., et al. (1996). Impact of aerobic training on fitness and quality of life in multiple sclerosis. Annals of Neurology, 39(4), 432–441.CrossRefGoogle Scholar
  32. Schnohr, C., Hojbjerre, L., Riegels, M., Ledet, L., Larsen, T., Schultz-Larsen, K., et al. (2004). Does educational level influence the effects of smoking, alcohol, physical activity, and obesity on mortality? A prospective population study. Scandinavian Journal of Public Health, 32(4), 250–256.Google Scholar
  33. Shiffman, S., & Paton, S. M. (1999). Individual differences in smoking: gender and nicotine addiction. Nicotine & Tobacco Research, 1(Suppl 2), S153–S157. discussion S156–165.CrossRefGoogle Scholar
  34. Stockton, M. C., McMahon, S. D., & Jason, L. A. (2000). Gender and smoking behavior in a worksite smoking cessation program. Addictive Behaviors, 25(3), 347–360.CrossRefGoogle Scholar
  35. Tsutsumi, T. (1997). The effects of strength training on mood, self-efficacy, cardiovascular reactivity and quality of life in older adults. Dissertation Abstracts International Section A: Humanities and Social Sciences.Google Scholar
  36. Vickers, R. R., Conway, T. L., & Hervig, L. (1990). Demonstration of replicable dimensions of health behavior. Preventive Medicine, 19, 377–401.Google Scholar
  37. Wagner, E. H., LaCroix, A. Z., Buchner, D. M., & Larson, E. B. (1992). Effects of physical activity on health status in older adults. I: Observational studies. Annual Review of Public Health, 13, 451–468.CrossRefGoogle Scholar
  38. Walker, S. N., Sechrist, K. R., & Pender, N. J. (1987). The health-promoting lifestyle profile: Development and psychometric characteristics. Nursing Research, 36, 76–81.Google Scholar
  39. Walker, Z. A. K., & Townsend, J. (1999). The role of general practice in promoting teenage health: a review of the literature. Family Practice, 16(2), 164–172.CrossRefGoogle Scholar
  40. WHOQOL group. (1995). The World Health Organization Quality of Life Assessment (WHOQOL): Position paper from the World Health Organization. Social Science & Medicine, 41(10), 1403–1409.CrossRefGoogle Scholar
  41. Wong, C.-Y., & Tang, C. S.-K. (2005). Practice of habitual and volitional health behaviors to prevent severe acute respiratory syndrome among Chinese adolescents in Hong Kong. Journal of Adolescent Health, 36(3), 193–200.CrossRefGoogle Scholar
  42. World Health Organization. (2002). The world health report 2002. Reducing risks, promoting healthy life. Geneva: WHO.Google Scholar
  43. Wu, A. M. S., Tang, C. S.-K., & Kwok, T. C. Y. (2004). Physical and psychosocial factors associated with health-promoting behaviors among elderly Chinese with type-2 diabetes. Journal of Health Psychology, 9(6), 731–740.CrossRefGoogle Scholar
  44. Zhou, L.-Y. (2006). American and Chinese college students’ anticipations of their postgraduate education, career, and future family roles. Sex Roles, 55(1–2), 95–110.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media B.V. 2009

Authors and Affiliations

  1. 1.Institute of Work, Health and OrganisationsUniversity BoulevardNottinghamUK
  2. 2.Department of PsychologyChinese University of Hong KongShatinHong Kong

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