Health behavioural change – the influence of social-ecological factors and health identity

Health behaviour is crucial for influencing health, making it a key component in health promotion. However, changing behaviours is complex, as many factors interact to determine health behaviours. Information, awareness, and knowledge are important but not enough. It is essential to move beyond focu...

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Main Authors: Malin Eriksson, Linda R Sundberg, Ailiana Santosa, Helena Lindgren, Nawi Ng, Kristina Lindvall
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:International Journal of Qualitative Studies on Health & Well-Being
Subjects:
Online Access:http://dx.doi.org/10.1080/17482631.2025.2458309
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author Malin Eriksson
Linda R Sundberg
Ailiana Santosa
Helena Lindgren
Nawi Ng
Kristina Lindvall
author_facet Malin Eriksson
Linda R Sundberg
Ailiana Santosa
Helena Lindgren
Nawi Ng
Kristina Lindvall
author_sort Malin Eriksson
collection DOAJ
description Health behaviour is crucial for influencing health, making it a key component in health promotion. However, changing behaviours is complex, as many factors interact to determine health behaviours. Information, awareness, and knowledge are important but not enough. It is essential to move beyond focusing solely on individual psychological and cognitive factors to an understanding of the complex processes involved in health behaviour change. Social-ecological models account for these complex processes but risk being overly broad and all-encompassing. This qualitative grounded theory study explores how individual, interpersonal, and environmental factors interplay to influence health behaviour, and examines how social-ecological models in health promotion can be tailored to address different ecological needs. Participants were recruited from a community-based cardiovascular disease-prevention program in Northern Sweden. Data was collected through in-depth interviews about health and health behaviours throughout the life course among middle-aged men and women. The results illustrate how factors obstructing or enabling health behaviours vary in patterned ways for individuals with different health identities. Social-ecological interventions could be more effective if adapted to the specific needs of people with different health identities. In addition to screening for various risk factors, screening for health identities could be helpful in designing social-ecological health-promoting interventions.
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issn 1748-2623
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publishDate 2025-12-01
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series International Journal of Qualitative Studies on Health & Well-Being
spelling doaj-art-8afda46803824191956745eebf8a65792025-02-05T12:46:15ZengTaylor & Francis GroupInternational Journal of Qualitative Studies on Health & Well-Being1748-26231748-26312025-12-0120110.1080/17482631.2025.24583092458309Health behavioural change – the influence of social-ecological factors and health identityMalin Eriksson0Linda R Sundberg1Ailiana Santosa2Helena Lindgren3Nawi Ng4Kristina Lindvall5Umeå UniversityUmeå UniversityUniversity of GothenburgUmeå UniversityUniversity of GothenburgUmeå UniversityHealth behaviour is crucial for influencing health, making it a key component in health promotion. However, changing behaviours is complex, as many factors interact to determine health behaviours. Information, awareness, and knowledge are important but not enough. It is essential to move beyond focusing solely on individual psychological and cognitive factors to an understanding of the complex processes involved in health behaviour change. Social-ecological models account for these complex processes but risk being overly broad and all-encompassing. This qualitative grounded theory study explores how individual, interpersonal, and environmental factors interplay to influence health behaviour, and examines how social-ecological models in health promotion can be tailored to address different ecological needs. Participants were recruited from a community-based cardiovascular disease-prevention program in Northern Sweden. Data was collected through in-depth interviews about health and health behaviours throughout the life course among middle-aged men and women. The results illustrate how factors obstructing or enabling health behaviours vary in patterned ways for individuals with different health identities. Social-ecological interventions could be more effective if adapted to the specific needs of people with different health identities. In addition to screening for various risk factors, screening for health identities could be helpful in designing social-ecological health-promoting interventions.http://dx.doi.org/10.1080/17482631.2025.2458309health behavioursocial-ecologicalhealth promotionhealth interventionshealth identitygrounded theory
spellingShingle Malin Eriksson
Linda R Sundberg
Ailiana Santosa
Helena Lindgren
Nawi Ng
Kristina Lindvall
Health behavioural change – the influence of social-ecological factors and health identity
International Journal of Qualitative Studies on Health & Well-Being
health behaviour
social-ecological
health promotion
health interventions
health identity
grounded theory
title Health behavioural change – the influence of social-ecological factors and health identity
title_full Health behavioural change – the influence of social-ecological factors and health identity
title_fullStr Health behavioural change – the influence of social-ecological factors and health identity
title_full_unstemmed Health behavioural change – the influence of social-ecological factors and health identity
title_short Health behavioural change – the influence of social-ecological factors and health identity
title_sort health behavioural change the influence of social ecological factors and health identity
topic health behaviour
social-ecological
health promotion
health interventions
health identity
grounded theory
url http://dx.doi.org/10.1080/17482631.2025.2458309
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