ArticlePhysical activity and nutrition2026
Factors associated with health-promoting lifestyles among community-dwelling older adults in Zigong, China: a cross-sectional study.
Article in Physical activity and nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeThe aging population in China faces significant challenges in maintaining health-promoting lifestyles, with disparities between life expectancy and healthy life expectancy. In this study, we aimed to assess health-promoting lifestyles and identify factors associated with them among community-dwelling older adults in Zigong, China.
methodsA cross-sectional study was conducted with 768 participants aged 60 years and older, selected via multistage stratified random sampling. Standardized instruments, including the Health-Promoting Lifestyle Profile II, the Health Literacy Scale-Short Form, and the General Self-Efficacy Scale, were used to assess health-promoting behaviors, health literacy, and self-efficacy. Statistical analyses included descriptive statistics and stepwise regression analyses.
resultsParticipants demonstrated moderate levels of health-promoting lifestyles, with physical activity scoring the lowest among all domains. Policy awareness, health literacy, self-efficacy, and education level were notably associated with health-promoting lifestyles, collectively explaining 71.6 % of the variance.
conclusionThe findings underscored the associations of policy awareness and psychological factors with healthy aging. Targeted interventions to enhance health literacy and self-efficacy, particularly among socioeconomically disadvantaged older adults, are recommended.
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