Latent profile analysis of health activation among community-dwelling older patients with chronic diseases
10.3760/cma.j.cn115682-20240426-02359
- VernacularTitle:社区老年慢性病患者健康积极度的潜在剖面分析
- Author:
Man DENG
1
;
Weihua YU
;
Shiqing ZHANG
;
Beibei GAO
;
Yuxi ZHANG
;
Xia YANG
Author Information
1. 安徽医科大学护理学院，合肥 230601
- Publication Type:Journal Article
- Keywords:
Aged;
Community;
Chronic disease;
Activation;
Life space;
Latent profile analysis
- From:
Chinese Journal of Modern Nursing
2025;31(12):1604-1611
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the latent categories and influencing factors of health activation among community-dwelling older adults with chronic diseases.Methods:Older patients with chronic diseases attending three community health centers in Hefei City from August to December 2023 were selected for the study using the convenience sampling method. The survey utilized the General Information Questionnaire, Consumer Health Activation Index, Chinese version of the Life-Space Assessment, Social Support Rating Scale, and Simplified Coping Style Questionnaire. Mplus 8.3 software was applied for latent profile analysis to examine patients' health activation, and unordered multicategory Logistic regression was used to explore the factors influencing different categories of health activation.Results:A total of 382 questionnaires were distributed, and 368 valid questionnaires were recovered, with a valid recovery rate of 96.34%. Three latent categories of health activation existed in community-dwelling older adults with chronic diseases, which were named as low health activation-high efficiency-coping inability group (16.85%, 62/368) , medium health activation group (27.99%, 103/368) , and high activation perception-action group (55.16%, 203/368) . Multicategory logistic regression analysis indicated that place of residence, age, self-rated health status, life space, social support, and active coping strategies were significant factors influencing the health activation of different latent categories of community-dwelling older adults with chronic diseases (all P<0.05) . Conclusions:The health activation of community-dwelling older adults with chronic diseases can be classified into three latent categories. Primary healthcare providers should identify the characteristics of patients in different categories and implement targeted nursing interventions to enhance their health activation levels.
