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Determinants of health-promoting lifestyle in ambulatory cancer patients

Author

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  • Frank-Stromborg, Marilyn
  • Pender, Nola J.
  • Noble Walker, Susan
  • Sechrist, Karen R.

Abstract

The Health Promotion Model was tested as an explanatory framework for health-promoting lifestyle in a sample of 385 ambulatory cancer patients undergoing treatment in 13 clinical sites in the midwestern United States. The aim of this study was to determine the extent to which cognitive/perceptual and modifying variables identified in the Health Promotion Model explain the occurrence of health-promoting behaviors in adults with cancer. A secondary aim was to determine the potential of illness-specific cognitive/perceptual and modifying variables for further explaining the occurrence of health-promoting behaviors in adults with cancer. Multiple regression analyses revealed that 23.5% of the variance in health-promoting lifestyle was explained by the model cognitive/perceptual variables definition of health, perceived health status and perceived control of health and the modifying variables education, income, age and employment. When illness-specific variables were included in the analysis, initial reaction to the diagnosis of cancer was found to be a significant contributor to the regression. Study results support the importance of both general health-related and cancer-specific cognitive/perceptual factors in explaining the occurrence of health-enhancing behaviors among ambulatory cancer patients; these factors may therefore be suitable targets for interventions to encourage adoption of healthy lifestyles.

Suggested Citation

  • Frank-Stromborg, Marilyn & Pender, Nola J. & Noble Walker, Susan & Sechrist, Karen R., 1990. "Determinants of health-promoting lifestyle in ambulatory cancer patients," Social Science & Medicine, Elsevier, vol. 31(10), pages 1159-1168, January.
    • Handle: RePEc:eee:socmed:v:31:y:1990:i:10:p:1159-1168
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