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J Adv Nurs. 1993 Mar;18(3):345-53.

Determinants of a health-promoting lifestyle: an integrative review.

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Department of Nursing, St Francis Xavier University, Nova Scotia, Canada.


This paper reports on an integrative review of the research literature published between 1983 and 1991 that focused on identifying the determinants of a health-promoting lifestyle. Twenty-three studies were reviewed, six of which were concerned with children and adolescents and the remaining 17 with adults. A meta-analysis of correlations for each study determinant was conducted using the Pandora System. Results indicated that self-efficacy was the strongest predictor of a health-promoting lifestyle, followed by social support, perceived benefits, self-concept, perceived barriers and health definition. The most frequently studied determinants were not the best predictors of a health-promoting lifestyle.

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