Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
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Psychosocial Factors and Health Behavior among Korean Adults: A Cross-sectional Study

  • Kye, Su-Yeon (Cancer Information and Education Branch, National Cancer Information Center, National Cancer Center) ;
  • Park, Kee-Ho (Cancer Information and Education Branch, National Cancer Information Center, National Cancer Center)
  • Published : 2012.01.31
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Abstract

Objective: This study was an attempt to identify associations between health behavior, such as smoking, alcohol consumption, healthy diet, and physical activity, and psychosocial factors. Methods: This crosssectional study was conducted among 1,500 participants aged between 30 and 69 years, selected from a population-based database in October 2009 through multiple-stratified random sampling. Information was collected about the participants' smoking and drinking habits, dietary behavior, level of physical activity, stress, coping strategies, impulsiveness, personality, social support, sense of coherence, self-efficacy, health communication, and sociodemographics. Results: Agreeableness, as a personality trait, was negatively associated with smoking and a healthy diet, while extraversion was positively associated with drinking. The tendency to consume a healthy diet decreased in individuals with perceived higher stress, whereas it increased in individuals who had access to greater social support. Self-efficacy was found to be a strong predictor of all health behaviors. Provider-patient communication and physical environment were important factors in promoting positive healthy behavior, such as consumption of a healthy diet and taking regular exercise. Conclusions: Psychosocial factors influence individuals' smoking and drinking habits, dietary intake, and exercise patterns.

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References

  1. Adler N, Matthews KA (1994). Health psychology: why do some people get sick and some stay well? Ann Rev Psychol, 45, 229-59. https://doi.org/10.1146/annurev.ps.45.020194.001305
  2. Altekruse SF, Timbo BB, Headrick ML, et al (1995). Associations between diet and health behavior: results from the 1992 Rhode Island Behavioral Risk Factor Survey. J Behav Med, 18, 225-32. https://doi.org/10.1007/BF01857870
  3. Amirkhan JH (1990). A factor analytically derived measure of coping: the Coping Strategy Indicator. J Pers Soc Psychol, 59, 1066-75. https://doi.org/10.1037/0022-3514.59.5.1066
  4. Anderson ES, Winett RA, Wojcik JR (2007). Self-regulation, self-efficacy, outcome expectations, and social support: social cognitive theory and nutrition behavior. Ann Behav Med, 34, 304-12. https://doi.org/10.1007/BF02874555
  5. Anderson ES, Wojcik JR, Winett RA, et al (2006). Socialcognitive determinants of physical activity: the influence of social support, self-efficacy, outcome expectations, and self-regulation among participants in a church-based health promotion study. Health Psychol, 25, 510-20. https://doi.org/10.1037/0278-6133.25.4.510
  6. Andrew GM, Oldridge NB, Parker JO, et al (1981). Reasons for dropout from exercise programs in post-coronary patients. Med Sci Sports Exerc, 13, 164-8.
  7. Antonovsky A (1993). The structure and properties of the sense of coherence scale. Soc Sci Med, 36, 725-33. https://doi.org/10.1016/0277-9536(93)90033-Z
  8. Arora NK (2003). Interacting with cancer patients: the significance of physicians' communication behavior. Soc Sci Med, 57, 791-806. https://doi.org/10.1016/S0277-9536(02)00449-5
  9. Bandura A (2004). Health promotion by social cognitive means. Health Educ Behav, 31, 143-64. https://doi.org/10.1177/1090198104263660
  10. Breslow RA, Guenther PM, Smothers BA (2006). Alcohol drinking patterns and diet quality: the 1999-2000 National Health and Nutrition Examination Survey. Am J Epidemiol, 163, 359-66. https://doi.org/10.1093/aje/kwj050
  11. Bundesmann R, Kaplowitz SA (2011). Provider communication and patient participation in diabetes selfcare. Patient Educ Couns, in press.
  12. Carcaise-Edinboro P, Bradley CJ (2008). Influence of patientprovider communication on colorectal cancer screening. Med Care, 46, 738-45. https://doi.org/10.1097/MLR.0b013e318178935a
  13. Chang SJ (2000). Standardization of collection and measurement for health data. Seoul, Korea: Kyechukmunhwasa.
  14. Charmandari E, Tsigos C, Chrousos G (2005). Endocrinology of the stress response. Annu Rev Physiol, 67, 259-84. https://doi.org/10.1146/annurev.physiol.67.040403.120816
  15. Chung YO, Lee CW (1997). A study of factor structures of the Barratt Impulsiveness Scale in Korean university students. Korean J Clin Psychol, 16, 117-29
  16. Dahlgren G, Whitehead M (1991). Policies and strategies to promote social equity in health. Stockholm, Sweden: Institute for Framtidsstudier.
  17. de Bruijn GJ, Kremers SP, van Mechelen W, et al (2005). Is personality related to fruit and vegetable intake and physical activity in adolescents? Health Educ Res, 20, 635-44. https://doi.org/10.1093/her/cyh025
  18. Dutton GR, Tan F, Provost BC, et al (2009). Relationship between self-efficacy and physical activity among patients with type 2 diabetes. J Behav Med, 32, 270-277. https://doi.org/10.1007/s10865-009-9200-0
  19. Dutton GR, Tan F, Provost BC, et al (2009). Relationship between self-efficacy and physical activity among patients with type 2 diabetes. J Behav Med, 32, 270-277. https://doi.org/10.1007/s10865-009-9200-0
  20. Fox HC, Bergquist KL, Peihna G, et al (2010). Interactive effects of cumulative stress and impulsivity on alcohol consumption. Alcohol Clin Exp Res, 34, 1376-85.
  21. Gordon-Larsen P, Nelson MC, Page P, et al (2006). Inequality in the built environment underlies key health disparities in physical activity and obesity. Pediatrics, 117, 417-24. https://doi.org/10.1542/peds.2005-0058
  22. Gosling SD, Rentfrow PJ, Swann WB (2003). A very brief measure of the Big-Five personality domains. J Res Pers, 37, 504-28. https://doi.org/10.1016/S0092-6566(03)00046-1
  23. Green KL, Johnson JV (1990). The effects of psychosocial work organization on patterns of cigarette smoking among male chemical plant employees. Am J Public Health, 80, 1368-71. https://doi.org/10.2105/AJPH.80.11.1368
  24. Green KL, Johnson JV (1990). The effects of psychosocial work organization on patterns of cigarette smoking among male chemical plant employees. Am J Public Health, 80, 1368-71. https://doi.org/10.2105/AJPH.80.11.1368
  25. Grunberg NE, Straub RO (1992). The role of gender and taste class in the effects of stress on eating. Health Psychol, 11, 97-100. https://doi.org/10.1037/0278-6133.11.2.97
  26. Harling M, Strehmel P, Schablon A, et al (2009). Psychosocial stress, demoralization and the consumption of tobacco, alcohol and medical drugs by veterinarians. J Occup Med Toxicol, 4, 4. https://doi.org/10.1186/1745-6673-4-4
  27. Helasoja V, Lahelma E, Prattala R, et al (2007). The sociodemographic patterning of drinking and binge drinking in Estonia, Latvia, Lithuania and Finland, 1994- 2002. BMC Public Health, 7, 241. https://doi.org/10.1186/1471-2458-7-241
  28. Hooten WM, Ames SC, Vickers KS, et al (2005). Personality correlates related to tobacco abstinence following treatment. Int J Psychiatry Med, 35, 59-74. https://doi.org/10.2190/N9F1-1R9G-6EDW-9BFL
  29. Ishii K, Inoue S, Ohya Y, et al (2009). Sociodemographic variation in the perception of barriers to exercise among Japanese adults. J Epidemiol, 19, 161-8. https://doi.org/10.2188/jea.JE20080094
  30. Katapodi MC, Facione NC, Miaskowsk C, et al (2002). The influence of social support on breast cancer screening in a multicultural community sample. Oncol Nurs Forum, 29, 845-52. https://doi.org/10.1188/02.ONF.845-852
  31. Kelly RB, Zyzanski SJ, Alemagno SA (1991). Prediction of motivation and behavior change following health promotion: role of health beliefs, social support, and selfefficacy. Soc Sci Med, 32, 311-320. https://doi.org/10.1016/0277-9536(91)90109-P
  32. Kerr J, Rosenberg D, Sallis JF, et al (2006). Active commuting to school: Associations with environment and parental concerns. Med Sci Sports Exerc, 38, 787-94. https://doi.org/10.1249/01.mss.0000210208.63565.73
  33. Laitinen J, Ek E, Sovio U (2002). Stress-related eating and drinking behavior and body mass index and predictors of this behavior. Prev Med, 34, 29-39. https://doi.org/10.1006/pmed.2001.0948
  34. Lawhon D, Humfleet GL, Hall SM, et al (2009). Longitudinal analysis of abstinence-specific social support and smoking cessation. Health Psychol, 28, 465-72. https://doi.org/10.1037/a0015206
  35. Leung DY, Chan SS, Lan CP, et al (2008). An evaluation of the psychometric properties of the Smoking Self-Efficacy Questionnaire (SEQ-12) among Chinese cardiac patients who smoke. Nicotine Tob Res, 10, 1311-8. https://doi.org/10.1080/14622200802238928
  36. Marinho V, Blay SL, Andreoli SB, et al (2008). A prevalence study of current tobacco smoking in later life community and its association with sociodemographic factors, physical health and mental health status. Soc Psychiatry Psychiatr Epidemiol, 43, 490-97. https://doi.org/10.1007/s00127-008-0338-9
  37. Martikainen P, Bartley M, Lahelma E (2002). Psychosocial determinants of health in social epidemiology. Int J Epidemiol, 31, 1091-93. https://doi.org/10.1093/ije/31.6.1091
  38. MeMahon RC, Malow RM, Jennings TE (2000). Personality, stress, and social support in HIV risk prediction. AIDS and Behavior, 4, 399-410. https://doi.org/10.1023/A:1026410824645
  39. Morris KS, McAuley E, Motl RW (2008). Neighborhood satisfaction, functional limitations, and self-efficacy influences on physical activity in older women. Int J Behav Nutr Phys Act, 5, 13. https://doi.org/10.1186/1479-5868-5-13
  40. National Health Strategy (1992). Enough to Make you Sick: how income and environment affect health. Canberra: Australian Government Publishing Service.
  41. Ng DM, Jeffery RW (2003). Relationships between perceived stress and health behaviors in a sample of working adults. Health Psychol, 22, 638-42. https://doi.org/10.1037/0278-6133.22.6.638
  42. Oei TP, Hasking P, Phillips L (2007). A comparison of general self-efficacy and drinking refusal self-efficacy in predicting drinking behavior. Am J Drug Alcohol Abuse, 33, 833-41. https://doi.org/10.1080/00952990701653818
  43. Oliver G, Wardle J (1999). Perceived effects of stress on food choice. Physiol Behav, 66, 511-15. https://doi.org/10.1016/S0031-9384(98)00322-9
  44. Politi MC, Clark MA, Rogers ML, et al (2008). Patientprovider communication and cancer screening among unmarried women. Patient Educ Couns, 73, 251-55. https://doi.org/10.1016/j.pec.2008.07.030
  45. Pollard TM, Steptoe A, Canaan L, et al (1995). Effects of academic examination stress on eating behavior and blood lipid levels. Int J Behav Med, 2, 299-320. https://doi.org/10.1207/s15327558ijbm0204_2
  46. Robins RW, Tracy JL, Trzesniewski K, et al (2001). Personality correlates of self-esteem. J Res Pers, 35, 463-82. https://doi.org/10.1006/jrpe.2001.2324
  47. Rundle A, Roux AV, Free LM, et al (2007). The urban built environment and obesity in New York City: a multilevel analysis. Am J Health Promot, 21, 326-34. https://doi.org/10.4278/0890-1171-21.4s.326
  48. Schaefer C, Coyne JC, Lazarus RS (1981). The health-related functions of social support. J Behav Med, 4, 381-406. https://doi.org/10.1007/BF00846149
  49. Seow A, Huang J, Straughan PT (2000). Effects of social support, regular physician and health-related attitudes on cervical cancer screening in an Asian population. Cancer Causes Control, 11, 223-30. https://doi.org/10.1023/A:1008954606992
  50. Silveira CM, Wang YP (2007). Heavy episodic drinking in the Sao Paulo epidemiologic catchment area study in Brazil: gender and sociodemographic correlates. J Stud Alcohol Drugs, 68, 18-27. https://doi.org/10.15288/jsad.2007.68.18
  51. Spanier PA, Allison KR (2001). General social support and physical activity: an analysis of the Ontario Health Survey. Can J Public Health, 92, 210-13.
  52. Steptoe A (1991). Invited review. The links between stress and illness. J Psychosom Res, 35, 633-44. https://doi.org/10.1016/0022-3999(91)90113-3
  53. Steptoe A, Wardle J, Pollard TM, et al (1996). Stress, social support and health-related behavior: a study of smoking, alcohol consumption and physical exercise. J Psychosom Res, 41, 171-80. https://doi.org/10.1016/0022-3999(96)00095-5
  54. Thornton PL, Kieffer EC, Salabarria-Pena Y, et al (2006). Weight, diet, and physical activity-related beliefs and practices among pregnant and postpartum Latino women: the role of social support. Matern Child Health J, 10, 95- 104. https://doi.org/10.1007/s10995-005-0025-3
  55. UICC (2009). Cancer-related beliefs and behaviors in eight geographic regions. Geneva, Switzerland: UICC.
  56. Wagner J, Burg M, Sirois B (2004). Social support and the transtheoretical model: Relationship of social support to smoking cessation stage, decisional balance, process use, and temptation. Addict Behav, 29, 1039-43. https://doi.org/10.1016/j.addbeh.2004.02.058
  57. Welch N, McAaughton SA, Hunter W, et al (2009). Is the perception of time pressure a barrier to healthy eating and physical activity among women? Public Health Nutr, 12, 888-95. https://doi.org/10.1017/S1368980008003066
  58. WHO regional office for Europe (2003). Social determinants of health: the solid facts. Denmark, Copenhagen: WHO regional office for Europe.
  59. Williams CD, Lewis-Jack O, Johnson K, et al (2001). Environmental influences, employment status, and religious activity predict current cigarette smoking in the elderly. Addict Behav, 26, 297-301. https://doi.org/10.1016/S0306-4603(00)00102-7
  60. Zimet GD, Dahlem NW, Farley GK (1988). The multidimensional scale of perceived social support. J Pers Assess, 52, 30-41. https://doi.org/10.1207/s15327752jpa5201_2

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