ArticleAging clinical and experimental research2025
Health beliefs mediates the association between the number of non-communicable diseases and preventive behaviors in middle-aged and older adults in southern China.
Article in Aging clinical and experimental research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
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Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Application of health belief model (HBM) in health sciences and medical researches: systematic review on African and Asian countries.BMC public health · 2026Pooled it
- Noncommunicable diseases risk and protective factors in adults with and without health insurance: A cross-sectional study in Riyadh city.Journal of family medicine and primary care · 2026Article
- The interplay between knowledge and self-efficacy in hypertension management: a cross-sectional analysis of lifestyle factors among Saudi patients.Frontiers in public health · 2026Article
- Analysis of Determinants Based on the Health Belief Model: A Study Predicting Cognitive Impairment Among Community-Dwelling Older Adults in China.Journal of multidisciplinary healthcare · 2026Article
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Authors and funding
5 authors.
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Abstract
backgroundThe triadic relationship among the number of NCDs, preventive behaviors and health beliefs has not been fully explored, especially the role of health beliefs.
aimsTo explore the association between the number of NCDs and preventive behaviors, as well as the mediating effect of health beliefs and its dimensions among middle-aged and older adults. Provide scientific evidence for developing targeted behavior intervention.
methodsData from 2095 middle-aged and older adults who completed demographic information, health beliefs and preventive behaviors questionnaire. Mediation analysis was used to explore the association of health beliefs and its dimensions between the number of NCDs and preventive behaviors.
resultsHealth beliefs and self-efficacy positively impacted preventive behaviors, whereas perceived severity, while perceived barriers had negative effects. Health beliefs (β = - 0.1809, 95% CI - 0.2658 to - 0.0960) and its dimensions(Perceived barriers:β = - 0.0881, 95% CI - 0.1533 to - 0.0232, self-efficacy: β = - 0.2706, 95% CI - 0.3592 to - 0.1892) partially mediated the associations between the number of NCDs and preventive behaviors. The negative mediation effects indicates that as the number of NCDs increases, preventive behaviors decrease, partly due to a decline in health beliefs and self-efficacy, as well as an increase in perceived barriers (scored inversely, meaning higher barriers). These mediation pathways exhibited modest strength, highlighting the importance of health beliefs on behavior change.
conclusionsAn increasing number of NCDs is associated with reduced engagement in preventive behaviors. Health beliefs and its dimensions play a partial mediating role in this relationship. Effective intervention targeting health beliefs may help promote positive behavioral changes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.