Defense Date


Document Type


Degree Name

Doctor of Philosophy


Adult Health Nursing

First Advisor

Dr. Jeanne Salyer


This descriptive, correlational study was based on Pender's Health Promotion Model (Pender, Murdaugh, & Parsons, 2002). The purpose was to examine factors influencing health status in community-dwelling, older white and black adults. The following research question was addressed by the study: What are the relationships among the individual characteristics (age, gender, race, education, and income); the behavior-specific cognitions and affect (perceived self-efficacy, perceived barriers, and interpersonal influences); and the behavioral outcomes (health-promoting behaviors), and health status in community-dwelling whites and blacks 65 years of age and older? The convenience sample of 113 participants from four congregate meal sites in Central Virginia represented 46% of the young-old (aged 65 to 74 years); 83% females, 76% blacks, and 43% less than high school educated. Twenty-one percent had an annual household income of $4,999 or less, and 31% reported having an income between $10,000 and $14,999. The demographic questionnaire, the Perceived Health Competence Scale, the Barriers Scale, the Health promoting Lifestyle Profile-11, the Lubben Social Network Scale, and the Short Form-120®, Version 2 Health Survey were used to collect data.These participants reported high perceived self-efficacy (Mean = 37.35, SD = 6.76), which was positively related to a health-promoting lifestyle (r = 0.20, p2 = 0.15, F = 8.03, p = 0.01). Perceived self-efficacy and perceived barriers were the predictors of mental health (R2 = 0.29, F = 18.74, p = 0.01).


© The Author

Is Part Of

VCU University Archives

Is Part Of

VCU Theses and Dissertations

Date of Submission

June 2008

Included in

Nursing Commons