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
Objective To explore the level of knowledge,attitude,and practice and its influential mechanism of chron-ic 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 knowl-edge,attitude,and practice in chronic disease management.A multiple linear regression model was performed to ana-lyze 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 at-titude 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 in-fluencing 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 di-rect 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 rela-tively 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 im-prove the level of practice by changing the behavioral intention.
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