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Health Behaviors and Health Status among Middle-Aged and Older Adults with Chronic Diseases in Taiwan

Author

Listed:
  • Wei-Hua Tian

    (Department of Economics, National Cheng Kung University, Tainan 701, Taiwan)

  • Joseph J. Tien

    (Department of Risk Management and Insurance, Tamkang University, New Taipei City 251, Taiwan)

Abstract

Changes in lifestyle behaviors may effectively maintain or improve the health status of individuals with chronic diseases. However, such health behaviors adopted by individuals are unlikely to demonstrate similar patterns. This study analyzed the relationship between the heterogeneous latent classes of health behavior and health statuses among middle-aged and older adults with hypertension, diabetes, or hyperlipidemia in Taiwan. After selecting 2103 individuals from the 2005 and 2009 Taiwan National Health Interview Survey (NHIS), we first identified heterogeneous groups of health behaviors through latent class analysis (LCA). We further explored the relationship between each latent class of health behavior and health status through ordered logit regression. We identified the following five distinct health behavior classes: the all-controlled, exercise and relaxation, healthy diet and reduced smoking or drinking, healthy diet, and least-controlled classes. Regression results indicated that individuals in classes other than the all-controlled class all reported poor health statuses. We also found great magnitude of the coefficient estimates for individuals who reported their health status to be poor or very poor for the least-controlled class. Therefore, health authorities and medical providers may develop targeted policies and interventions that address multiple modifiable health behaviors in each distinct latent class of health behavior.

Suggested Citation

  • Wei-Hua Tian & Joseph J. Tien, 2020. "Health Behaviors and Health Status among Middle-Aged and Older Adults with Chronic Diseases in Taiwan," IJERPH, MDPI, vol. 17(19), pages 1-15, October.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:19:p:7196-:d:422632
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    References listed on IDEAS

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    1. Donald S. Kenkel, 1995. "Should you eat breakfast? Estimates from health production functions," Health Economics, John Wiley & Sons, Ltd., vol. 4(1), pages 15-29, January.
    2. Victor R. Fuchs, 1982. "Economic Aspects of Health," NBER Books, National Bureau of Economic Research, Inc, number fuch82-1, March.
    3. Victor R. Fuchs, 1982. "Time Preference and Health: An Exploratory Study," NBER Chapters, in: Economic Aspects of Health, pages 93-120, National Bureau of Economic Research, Inc.
    4. Yichong Li & Mei Zhang & Yong Jiang & Fan Wu, 2012. "Co-variations and Clustering of Chronic Disease Behavioral Risk Factors in China: China Chronic Disease and Risk Factor Surveillance, 2007," PLOS ONE, Public Library of Science, vol. 7(3), pages 1-8, March.
    5. Burton, L.C. & Steinwachs, D.M. & German, P.S. & Shapiro, S. & Brant, L.J. & Richards, T.M. & Clark, R.D., 1995. "Preventive services for the elderly: Would coverage affect utilization and costs under Medicare?," American Journal of Public Health, American Public Health Association, vol. 85(3), pages 387-391.
    6. Enstrom, J.E. & Kanim, L.E. & Breslow, L., 1986. "The relationship between vitamin C intake, general health practices, and mortality in Alameda County, California," American Journal of Public Health, American Public Health Association, vol. 76(9), pages 1124-1130.
    7. G. Dever, 1976. "An epidemiological model for health policy analysis," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 2(4), pages 453-466, March.
    8. Tian, Wei-Hua & Chen, Chin-Shyan & Liu, Tsai-Ching, 2010. "The demand for preventive care services and its relationship with inpatient services," Health Policy, Elsevier, vol. 94(2), pages 164-174, February.
    9. Jian Wang & Liuna Geng, 2019. "Effects of Socioeconomic Status on Physical and Psychological Health: Lifestyle as a Mediator," IJERPH, MDPI, vol. 16(2), pages 1-9, January.
    10. Sindelar, Jody L, 1982. "Differential Use of Medical Care by Sex," Journal of Political Economy, University of Chicago Press, vol. 90(5), pages 1003-1019, October.
    11. Fuchs, Victor R. (ed.), 1982. "Economic Aspects of Health," National Bureau of Economic Research Books, University of Chicago Press, number 9780226267852, December.
    12. Avi Dor, 2004. "Optimal Price Rules, Administered Prices and Suboptimal Prevention: Evidence from a Medicare Program," Journal of Regulatory Economics, Springer, vol. 25(1), pages 81-104, January.
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