Self-efficacy to reduce sedentary behavior status and its influencing factors among middle-aged or older adults with chronic diseases

A cross-sectional study

Bibliographic Data

ID15355682
AuthorsYuxi Chen (0009-0009-4146-9036, Changzhou University, corresponding author), Jingjing Chen (0000-0002-5814-8695, Changzhou University), Jufeng Chen, Shanshan Zhao (0000-0002-5828-4881, Changzhou University), Sunanjie Zhao, Pei-Yao Tao (Changzhou University), Peiya Tao, Guangjie Han (0000-0002-6921-7369, Changzhou No.2 People's Hospital), Guohu Han, Zhuo Wang (0000-0002-0390-3876, Changzhou University)
Year2025
Volume25
Issue1
Pages4201-4201
Publication date2025-12-01
Open AccessYes
TypeARTICLE
VenueBMC Public Health (JOURNAL)
Journal identifiersISSN: 1471-2458 • E-ISSN: 1471-2458
PublisherBioMed Central (PUBLISHER • GB)
DOI10.1186/s12889-025-25094-w
PMID41327186
OpenAlexW4416851403
LanguageEN
References cited52

Sedentary behavior (SB) is an important public health risk factor and is common among people with chronic diseases. Self-efficacy to reduce SB represents a distinct construct. Nonetheless, studies investigating interventions for SB are lacking, which may be addressed in future research. Hence, understanding the factors influencing self-efficacy to reduce SB among middle-aged and elderly people with chronic diseases holds significance. This study included 583 middle-aged and elderly people from March 2024-May 2024 in 6 communities in Changzhou. The Chinese version of the self-efficacy to reduce sedentary behavior (SRSB) questionnaire was used to measure individuals’ confidence in reducing SB. Data were analyzed using SPSS 27.0 using descriptive statistics, cluster analysis, chi-square test, and ordered multinomial logistic regression to explore the influencing factors of SRSB in people with chronic diseases. A survey completion rate of 97.2% was achieved. A total of 583 people from 6 communities participated in this study. The median (interquartile range, IQR) score of the Chinese version of the SRSB was 3.78 (3.00–4.44), with a range of 1.0 to 5.0. Factors associated with the self-efficacy to reduce SB were body mass index (BMI), education level, number of chronic diseases, smoking status, and physical exercise. The findings of this study confirmed that the self-efficacy to reduce SB of people with chronic diseases in China was at a moderate level. In health management, emphasis should be placed on overweight or obese individuals, poorly educated, having more chronic diseases, smoking, and not exercising. Health education should focus on preventive interventions against SB, promoting the adoption of beneficial lifestyles for middle-aged and elderly people with chronic diseases

Behavioral Risk Factor Surveillance System · Biostatistics · Body mass index · Logistic regression · Multinomial logistic regression · Overweight · Psychological intervention · Public health · Sedentary behavior · Health Promotion and Cardiovascular Prevention · Mobile Health and mHealth Applications · Physical Activity and Health · Epidemiology

Tools

Open DOIOpen Access