Abstract

Purpose: Cambodia is with NCDs responsible for 64% of deaths in 2018. Health-promoting behaviors play a vital role in reducing the risk of NCDs. The aims of the study is to identify the determinants of health-promoting behaviors among adults living in Cambodia.

Methods: A cross-sectional study was conducted, and through stratified sampling, 268 adults aged 19 years or older residing in Phnom Penh participated. A structured questionnaire was used. The Health-Promoting Lifestyle Profile II questionnaire was used to assess health-promoting behaviors across six subscales. Data analysis was performed using the SPSS version 23.0.

Results: A total of 267 adults participated. The regression analysis showed that age, marital status, education level, perceived health status, diagnosis of hypertension or diabetes, risk perception (benefit and cue to action), and general self-efficacy were significantly associated with overall HPB (F = 15.011, p < .001), explaining 50% of the variance (adjusted R square = .500). Subcomponent analysis revealed distinct patterns across health responsibility, physical activity, nutrition, spiritual growth, interpersonal relations, and stress management. Education level, perceived health status, benefit perception, cue to action, and general self-efficacy were significant predictors across multiple subcategories. Notably, benefit perception and cue to action were consistently associated with higher levels of physical activity (β = .17), nutrition (β = .27), spiritual growth (β = .23), interpersonal relations (β = .22), and stress management (β = .26). General self-efficacy also emerged as a significant predictor for health responsibility (β = .16), physical activity (β = .15), spiritual growth (β = .27), interpersonal relations (β = .29), and stress management (β = .17). The model’s explanatory power across subcomponents ranged from 25.5% to 45.3%.

Conclusion: The study demonstrates that education level, perceived health status, NCD-related perceptions (benefit and cue to action), and general self-efficacy are significant predictors of health-promoting behaviors among adults in Phnom Penh. The findings suggest that psychosocial and demographic factors play substantial roles in influencing various dimensions of health-promoting behaviors. These insights underscore the importance of targeted interventions focusing on enhancing self-efficacy, risk perception, and educational support to improve health outcomes in low-resource settings.

Description

Non-communicable diseases (NCDs) contribute significantly to deaths in Cambodia, highlighting the need for health-promoting behaviors. This study examined factors influencing such behaviors among adults in Phnom Penh. A cross-sectional survey of 267 adults revealed that education, perceived health status, benefit perception, cue to action, and self-efficacy significantly predicted health-promoting behaviors.

Author Details

Youngran Yang, PhD, MPH, RN

Sigma Membership

Non-member

Type

Poster

Format Type

Text-based Document

Study Design/Type

Cross-Sectional

Research Approach

Other

Keywords:

Public and Community Health, Health Equity or Social Determinants of Health, Global Leadership, Adults, Health-Promoting Behaviors, Cambodia

Conference Name

36th International Nursing Research Congress

Conference Host

Sigma Theta Tau International

Conference Location

Seattle, Washington, USA

Conference Year

2025

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Click on the above link to access the poster.

Additional Files

References.pdf (96 kB)

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Factors Influencing Health-Promoting Behaivors of Adults in Cambodia

Seattle, Washington, USA

Purpose: Cambodia is with NCDs responsible for 64% of deaths in 2018. Health-promoting behaviors play a vital role in reducing the risk of NCDs. The aims of the study is to identify the determinants of health-promoting behaviors among adults living in Cambodia.

Methods: A cross-sectional study was conducted, and through stratified sampling, 268 adults aged 19 years or older residing in Phnom Penh participated. A structured questionnaire was used. The Health-Promoting Lifestyle Profile II questionnaire was used to assess health-promoting behaviors across six subscales. Data analysis was performed using the SPSS version 23.0.

Results: A total of 267 adults participated. The regression analysis showed that age, marital status, education level, perceived health status, diagnosis of hypertension or diabetes, risk perception (benefit and cue to action), and general self-efficacy were significantly associated with overall HPB (F = 15.011, p < .001), explaining 50% of the variance (adjusted R square = .500). Subcomponent analysis revealed distinct patterns across health responsibility, physical activity, nutrition, spiritual growth, interpersonal relations, and stress management. Education level, perceived health status, benefit perception, cue to action, and general self-efficacy were significant predictors across multiple subcategories. Notably, benefit perception and cue to action were consistently associated with higher levels of physical activity (β = .17), nutrition (β = .27), spiritual growth (β = .23), interpersonal relations (β = .22), and stress management (β = .26). General self-efficacy also emerged as a significant predictor for health responsibility (β = .16), physical activity (β = .15), spiritual growth (β = .27), interpersonal relations (β = .29), and stress management (β = .17). The model’s explanatory power across subcomponents ranged from 25.5% to 45.3%.

Conclusion: The study demonstrates that education level, perceived health status, NCD-related perceptions (benefit and cue to action), and general self-efficacy are significant predictors of health-promoting behaviors among adults in Phnom Penh. The findings suggest that psychosocial and demographic factors play substantial roles in influencing various dimensions of health-promoting behaviors. These insights underscore the importance of targeted interventions focusing on enhancing self-efficacy, risk perception, and educational support to improve health outcomes in low-resource settings.