THE RELATIONSHIP AMONG HOPE, PERCEIVED HEALTH STATUS AND HEALTH-PROMOTING LIFESTYLE AMONG HIV SEROPOSITIVE MEN (IMMUNE DEFICIENCY).
Contributors: New York University.
Published: 1993
Number of pages: 136
Subjects: Health Sciences, Nursing.
Description: Pender's (1987) Health Promotion Model (HPM) provided the theoretical framework for this study of the relationship among hope, perceived health status, and health-promoting lifestyle (HPL) in human immunodeficiency virus seropositive (HIV+) men who were not yet diagnosed with acquired immune deficiency syndrome (AIDS). Health promotion, which emphasizes self-actualization, well-being, and fulfillment of the individual, is different than health protection, which emphasizes protection from disease and its consequences. While both are important for HIV+ people, health promotion was studied for its contribution to quality-of-life and purpose-in-life issues, and hope for its relationship to these same issues. According to Pender, perceived health status--a component of the HPM--is one of seven cognitive/ perceptual factors which predict HPL.

Although not part of Pender's model, hope was studied along with perceived health status to measure the relationships among perceived health status, hope and HPL in HIV+ men. After analyzing the variables among the primary participants in this study, 73 men who did not yet have AIDS, a supplementary analysis of these same variables among 17 men with AIDS was completed.

Participants, between the ages of 26 and 52, were recruited from out-patient clinics, physician's offices, support groups, and individual networks. Each participant completed the General Health Rating Index (Davies & Ware, 1981), the Herth Hope Index (Herth, in press), the Health-Promoting Lifestyle Profile (Walker, Sechrist & Pender, 1987), and a Personal Data Form.

Pearson product-moment correlation coefficient analyses revealed that hope was positively correlated with HPL (r =.64, p $<$.001), and perceived health status and HPL were positively correlated (r =.35, p $\leq$.001). Hierarchical multiple regression analysis revealed that perceived health status contributed 12.1% of the variance and hope added a unique 30.7% of the variance of health-promoting lifestyle after perceived health status was entered into the equation. When hope was entered first, however, it contributed 41.4% of the variance and health status was unable to offer additional significant variance.

Supplementary analyses of the 17 men with AIDS demonstrated the same correlations between the two predictor variables and the criterion variable as in men without AIDS. However, the multiple regression showed the exact opposite findings. That is, perceived health status provided so much of the variance, that hope was unable to offer additional significant variance in HPL.
Notes: Source: Dissertation Abstracts International, Volume: 54-03, Section: B, page: 1333.

Thesis (PH.D.)--NEW YORK UNIVERSITY, 1993.

School code: 0146.