The document discusses health behaviors, defining them as actions taken to enhance or maintain health, and distinguishes between health behaviors and established health habits. It emphasizes the importance of primary prevention in promoting good health habits and outlines various factors influencing health behaviors, including demographics, personal control, social influence, and knowledge. Additionally, it explores strategies for changing health habits, such as educational appeals, fear appeals, and message framing.
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An Introduction to Healthy Behavior
The document discusses health behaviors, defining them as actions taken to enhance or maintain health, and distinguishes between health behaviors and established health habits. It emphasizes the importance of primary prevention in promoting good health habits and outlines various factors influencing health behaviors, including demographics, personal control, social influence, and knowledge. Additionally, it explores strategies for changing health habits, such as educational appeals, fear appeals, and message framing.
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AN INTRODUCTION TO
HEALTH BEHAVIORS Health Behaviors and Health Habits
• Health behaviors are behaviors undertaken by people to enhance or
maintain their health. A health habit is a health behavior that is firmly established and often performed automatically, without awareness. These habits usually develop in childhood and begin to stabilize around age 11 or 12 (Cohen, Brownell, & Felix, 1990). • Sleeping 7 to 8 hours a night • Not smoking • Eating breakfast each day • Getting regular exercise∙ • Not eating between meals • Being no more than 10 percent overweight Primary Prevention Instilling good health habits and changing poor ones is the task of primary prevention. This means taking measures to combat risk factors for illness before an illness has a chance to develop. There are two general strategies of primary prevention. The first and most common strategy is to get people to alter their problematic health behaviors, such as helping people lose weight through an intervention. The second, more recent approach is to keep people from developing poor health habits in the first place. Smoking prevention pro- Practicing and Changing Health Behaviors: An Overview Demographic Factors • Younger, more affluent, better-educated people with low levels of stress and high levels of social support typically practice better health habits than people under higher levels of stress with fewer resources. Age • Health habits are typically good in childhood, deteriorate in adolescence and young adulthood, but improve again among older people. Values • Values affect the practice of health habits. For example, exercise for women may be considered desirable in one culture but undesirable in another. Personal Control • People who regard their health as under their personal control practice better health habits than people who regard their health as due to chance. The health locus of control scale measures the degree to which people perceive their health to be under personal control, control by the health practitioner, or chance. Social Influence • Family, friends, and workplace companions influence health-related behaviors, some- times in a beneficial direction, other times in an ad- verse direction. For example, peer pressure often leads to smoking in adolescence but may influence people to stop smoking in adulthood. Personal Goals and Values • Health habits are tied to personal goals. If personal fitness is an important goal, a person is more likely to exercise. Perceived Symptoms • Some health habits are controlled by perceived symptoms. For example, a smoker who wakes up with a smoker’s cough and raspy throat may cut back in the belief that he or she is vulnerable to health problems at that time. Access to the Health Care Delivery System • Access to the health care delivery system affects health behaviors. For example, obtaining a regular Pap smear, getting mammograms, and receiving immunizations for childhood diseases depend on access to health care. Other behaviors, such as losing weight and stopping smoking, may be indirectly encouraged Knowledge and Intelligence • The practice of health behaviors is tied to cognitive factors, such as knowledge and intelligence. More knowledgeable and smarter people typically take better care of themselves. People who are identified as intelligent in childhood have better health- related biological profiles in adulthood, which may be explained by their practice of better health behaviors in early life. CHANGING HEALTH HABITS Attitude Change and Health Behavior • Educational Appeals: Educational appeals make the assumption that people will change their health habits if they have good information about their habits. Early and continuing efforts to change health habits have consequently focused heavily on education and changing attitudes. More recently, though, the fact that attitude change may not lead to behavior change has prompted research on what additional factors may be involved. Also, the important automatic aspect of health habits has been incorporated into interventions, as unconscious and nonconscious influences on the practice of health habits have become increasingly apparent. See table 3.3 on page 46 • Fear Appeals: Attitudinal approaches to changing health habits often make use of fear appeals. This approach assumes that if people are afraid that a particular habit is hurting their health, they will change their behavior to reduce their fear. However, this rela- tionship does not always hold. Persuasive messages that elicit too much fear may actually undermine health behavior change. Moreover, fear alone may not be sufficient to change behavior. Specific action recommendations, such as where and how one can obtain a flu shot, may be needed. Moreover, as already noted, fear can increase defensiveness, which reduces how effective an appeal will be. • Message Framing A health message can be phrased in positive or negative terms. For example, a reminder card to get a flu immunization can stress the benefits of being immunized or stress the discomfort of the flu itself. Which of these methods is more successful? Messages that emphasize problems seem to work better for behaviors that have uncertain outcomes, for health behaviors that need to be practiced only once, such as vaccinations, and for issues about which people are fearful. Messages that stress benefits are more persuasive for behaviors with certain outcome.