Volume 23 Issue 12
Dec.  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(12): 2105-2108
YU Lirong, PENG Lingcong, ZHANG Shuangshuang. The mediating role of health-promoting behaviors in lung cancer patients undergoing chemotherapy between health information avoidance and nutritional status[J]. Chinese Journal of General Practice, 2025, 23(12): 2105-2108. doi: 10.16766/j.cnki.issn.1674-4152.004302
Citation: YU Lirong, PENG Lingcong, ZHANG Shuangshuang. The mediating role of health-promoting behaviors in lung cancer patients undergoing chemotherapy between health information avoidance and nutritional status[J]. Chinese Journal of General Practice, 2025, 23(12): 2105-2108. doi: 10.16766/j.cnki.issn.1674-4152.004302
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The mediating role of health-promoting behaviors in lung cancer patients undergoing chemotherapy between health information avoidance and nutritional status

doi: 10.16766/j.cnki.issn.1674-4152.004302

  • Department of Respiratory and Critical Care Medicine, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325000, China

Funds:

 Y20220634

 2021KY1785

  • Received Date: 2025-01-19
    Available Online: 2026-03-13
    Abstract
  •   Objective  Lung cancer patients undergoing chemotherapy often engage in health information avoidance due to fear, which may indirectly impair their nutritional status. This study aims to uncover the mediating mechanism by which health information avoidance affects nutritional status by suppressing of health-promoting behaviors, thereby providing theoretical foundations for clinical interventions.  Methods  From January 2020 to December 2021, 158 lung cancer patients undergoing chemotherapy in the Department of Respiratory and Critical Care Medicine of the First Affiliated Hospital of Wenzhou Medical University were selected for investigation and analysis by convenient sampling method. Pearson correlation analysis was employed to examine the correlations among patient-generated subjective global assessment tool (PG-SGA), health information avoidance (HIA), and health promoting lifestyle profile-Ⅱ (HPLP-Ⅱ) scores in lung cancer patients undergoing chemotherapy. Hierarchical regression analysis was used to identify the factors influencing nutritional status. The SPSS Process program's Mediation Model 4 was applied to analyze the mediating role of health-promoting behaviors (HPLP-Ⅱ scores) between health information avoidance (HIA scores) and nutritional status (PG-SGA scores).  Results  The PG-SGA score was positively correlated with the HIA score (r=0.533, P < 0.001) and negatively correlated with the HPLP-Ⅱ score (r=-0.518, P < 0.001). The HPLP-Ⅱ score was negatively correlated with the HIA score (r=-0.464, P < 0.001). Health information avoidance positively predicted nutritional status and negatively predicted health-promoting behaviors. After including health-promoting behaviors as a mediator, both health-promoting behaviors and health information avoidance remained significant predictors of nutritional status. The mediating effect of health-promoting behaviors between health information avoidance during lung cancer chemotherapy and nutritional status accounted for 29.55%.  Conclusion  Health information avoidance during lung cancer chemotherapy directly worsens nutritional status and also indirectly impairs nutritional outcomes by reducing engagement in health-promoting behaviors.

     

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