Health Behavior Decision-Making of Stroke High-Risk Population: A Latent Profile Analysis

The primary prevention of stroke high-risk groups is contingent upon health behavior intervention, and the key to such interventions is health behavioral decision-making. The present study aims to explore the potential classification of the health behavior decision-making of high-risk stroke groups using latent profile analysis (LPA) and the key influencing factors of the LPA classes. A cross-sectional study was conducted from January to May 2023 with 264 high-risk individuals of stroke in Henan Province, China. Data were collected using the Behavioral Decision Assessment Scale of Stroke Patients, the Revised Health Promoting Lifestyle Profile-II and the Social Support Rating Scale. LPA showed that a three-profile model of health behavior decision-making best fit this study. Health behavior decision-making of stroke high-risk groups were divided into three latent classes: high-output behavior type (23.1%), influence-impervious type (60.6%), and influence-sensitive type (16.3%). Comparisons between the three LPA classes showed that living situation, per capita monthly household income, hypertension, overweight/obesity, health promoting lifestyle behavior were significantly different between the participants' latent classes of behavior decision-making. Clinical staff can develop targeted interventions according to different problems existing in the decision-making processes, and improve and implement the screening content and process among community high-risk stroke groups, which has practical significance for promoting their healthy behaviors. Patient or Public Contribution: In our study, survey questionnaires were completed by participants at high risk of stroke.