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The Effects of Health-Promoting Behavior, Health Self-Efficacy, and Health Literacy on Aging Anxiety among Late Middle-Aged Adults: A Cross-Sectional Descriptive Study.

Purpose: This study aimed to investigate the levels and correlations of health-promoting behavior, health self-efficacy, health literacy, and aging anxiety, and the factors influencing aging anxiety in late middle-aged adults. Methods: The subjects included 164 late middle-aged adults aged 50-64 yea...

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Publicado en:Research in Community & Public Health Nursing (RCPHN) Vol. 37; no. 2; pp. 200 - 212
Autores principales: Jung, Hye Su, Shin, So Young
Formato: research tables/charts Journal Article
Publicado: Korean Academy of Community Health Nursing Jun2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2026
      vid: 37
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      pub: Korean Academy of Community Health Nursing
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        195027593
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        10.12799/rcphn.2026.01599
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        atl: The Effects of Health-Promoting Behavior, Health Self-Efficacy, and Health Literacy on Aging Anxiety among Late Middle-Aged Adults: A Cross-Sectional Descriptive Study.
      aug:
        au:
          Jung, Hye Su
          Shin, So Young
        affil: Registered Nurse, Inje University Haeundae Paik Hospital, Busan, Korea
      sug:
        subj:
          Aging Psychosocial Factors
          Anxiety Evaluation
          Health Promotion Psychosocial Factors
          Self-Efficacy
          Health Literacy
          Risk Assessment
          Human
          South Korea
          Male
          Female
          Middle Age
          Cross Sectional Studies
          Descriptive Research
          Questionnaires
          Scales
          Power Analysis
          Unpaired T-Tests
          One-Way Analysis of Variance
          Post Hoc Analysis
          Pearson's Correlation Coefficient
          Multiple Linear Regression
          Data Analysis Software
          Odds Ratio
          Confidence Intervals
          Descriptive Statistics
          Economic Status
          Disease Management
          Psychological Well-Being
          Healthy Aging
          Health Behavior Evaluation
          Middle Aged: 45-64 years
          Male
          Female
      ab: Purpose: This study aimed to investigate the levels and correlations of health-promoting behavior, health self-efficacy, health literacy, and aging anxiety, and the factors influencing aging anxiety in late middle-aged adults. Methods: The subjects included 164 late middle-aged adults aged 50-64 years residing in B metropolitan city, South Korea. An online questionnaire was administered through a professional online research company from June 10th to 16th, 2025 to assess general characteristics, health-promoting behavior, health self-efficacy, health literacy, and aging anxiety. Collected data were analyzed using descriptive statistics, independent t-tests, one-way ANOVA with Duncan tests, Pearson correlation coefficients, and multiple linear regression. Results: A total of 164 subjects with a mean (±SD) age of 56.70 (±4.08) years were included in the final analyses. Aging anxiety had significant negative correlations with health-promoting behavior (r=-.38, p<.001), health self-efficacy (r=-.31, p<.001), and health literacy (r=-.17, p=.029). In the final multiple regression analysis, having one chronic disease (β=.24, p=.003), subjective health rated as 'average' (β=.28, p=.002) and 'poor' (β=.29, p=.010), and perceived economic status rated as 'moderate' (β=.33, p=.008) and 'low' (β=.34, p=.010) were associated with higher aging anxiety, whereas higher health-promoting behavior (β=-.23, p=.003) and health self-efficacy (β=-.21, p=.010) were associated with lower aging anxiety. The model explained 33% of the variance in aging anxiety (F=8.93, p<.001). Conclusion: Enhancing health-promoting behavior and health self-efficacy and improving chronic disease management, subjective health, and economic stability of late middle-aged adults will ultimately reduce their aging anxiety and positively impact their psychological well-being and healthy aging.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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