Influence of lifestyle, health behavior, and health indices on the health status of underserved adults
Version of Record online: 12 MAY 2013
©2013 The Author(s) ©2013 American Association of Nurse Practitioners
Journal of the American Association of Nurse Practitioners
Volume 25, Issue 12, pages 674–681, December 2013
How to Cite
Kessler, T. A. and Alverson, E. M. (2013), Influence of lifestyle, health behavior, and health indices on the health status of underserved adults. American Assoc Nurse Prac, 25: 674–681. doi: 10.1002/2327-6924.12027
- Issue online: 25 NOV 2013
- Version of Record online: 12 MAY 2013
- Manuscript Accepted: JAN 2012
- Manuscript Received: JUL 2011
To examine how lifestyle, health behavior, and health indices best predict health status in underserved adults.
Eighty-four underserved adults from a nurse-managed center completed an investigator-developed instrument to measure lifestyle, health behavior, and health indices. The SF-12 Health Survey measured general (SF-1), physical (PCS), and mental (MCS) health status.
The majority of the sample was female (64%). Sixty-three percent were at or below 200% of the federal poverty level. For nonsmokers, five independent variables accounted for 47.1% of the variance in SF1 (p < .000), 33.5% in PCS-12 scores (p < .001), and 23.2% in MCS-12 scores (p = .017). For smokers, six variables accounted for 48.7% of the variance in SF1 (p = .024), 41.7% in PCS-12 scores (p = .067), and 25.4% in MCS-12 scores (p = .378).
Implications for practice
Findings provide partial support for the impact of lifestyle and health behaviors on health status outcomes. Focusing concurrent interventions on improving multiple behaviors may have the greatest impact on health status outcomes.