Journal of Shandong University (Health Sciences) ›› 2024, Vol. 62 ›› Issue (7): 98-105.doi: 10.6040/j.issn.1671-7554.0.2024.0166

• 公共卫生与预防医学 • Previous Articles     Next Articles

Current situation and influencing mechanism of knowledge, attitude and practice about chronic disease management among elderly people in Shandong Provinces proactive health demonstration area

GUO Yantong1,2, YU Yuanyuan1,2, CHEN Yingying1,2, FU Yu1,2, ZHANG Botao1,2, YUAN Ying1,2, SUN Shuangshuang1,2, ZHAO Yingqi1,2, ZHU Gaopei1,2, XUE Fuzhong1,2   

  1. 1. Department of Biostatistics, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, Shandong, China;
    2. National Institute of Health Data Science of China, Jinan 250003, Shandong, China
  • Published:2024-09-20

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Abstract: Objective To explore the level of knowledge, attitude, and practice and its influential mechanism of chronic disease management among the elderly in the proactive health demonstration area of Shandong Province, China. Methods Using a multi-stage random sampling approach, a total of 5 447 elderly people aged ≥65 were selected for questionnaire survey. T-test and one-way analysis of variance(ANOVA)were used to compare the scores of knowledge, attitude, and practice in chronic disease management. A multiple linear regression model was performed to analyze the influencing factors, and mediation analysis was used to explore the influencing mechanism. Results In the proactive health demonstration area of Shandong Province, the average knowledge score was 7.47±2.83, the average attitude score was 8.47±2.47, and the average practice score was 4.94±1.79. Regression analysis revealed that gender, age, living style, and self-assessed health status were the influencing factors of knowledge; age and living style were influencing factors of attitude; gender and age were influencing factors of practice. The mediation analysis showed that knowledge had predictive effect on attitude(β=0.670 1, P<0.001), behavioral intention(β=0.046 8, P<0.01), and practice(β=0.305 6, P<0.001). Attitude had predictive effect on behavioral intention (β=0.169 8, P<0.001)and practice (β=0.216 1, P<0.001), and behavioral intention positively predicts practice (β=0.029 1, P<0.05). The direct effect value of knowledge on practice was 0.193 9, accounting for 56.46% of the total effect. The value of indirect effect was 0.149 5, accounting for 43.54% of the total effect. Conclusion The level of knowledge and attitude about chronic disease management among the elderly in the proactive health demonstration area of Shandong Province is relatively high, but the level of behavioral transformation needs to be further improved. Attitude and behavioral intention towards chronic disease management play a mediatory role between knowledge and practice, and attitude can also improve the level of practice by changing the behavioral intention.

Key words: Elderly people, Chronic disease management, Knowledge, Attitude, Behavioral intention, Practice

CLC Number: 

  • R195
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