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Aims This study aimed to construct a model that describes heart health behaviors in middle-aged working women and verify the goodness-of-fit of the model based on Salutogenesis. Methods and results This study adopted a cross-sectional design. Participants were 330 middle-aged working women in South Korea. Data were analyzed using structural equation modelling with Sobel’s Z test. In the multiple mediation model, stress coping strategy ( β = 0.26; p 0.001), social support ( β = 0.41; p 0.001), and health self-efficacy ( β = 0.36; p 0.001) had significant direct effects on sense of coherence (SOC). SOC had a significant direct effect on occupational ( β = −0.72; p 0.001) and family stress ( β = −0.76; p 0.001). Additionally, SOC ( β = 0.67; p 0.001), occupational stress ( β = −0.46; p 0.001), and family stress ( β = −0.28; p 0.001) had significant direct effects on heart health behaviors. Moreover, SOC had a significantly partial mediating effect on heart health behaviors through occupational stress ( Z = 3.17; p = 0.002) and family stress ( Z = 2.26; p = 0.024). Conclusion Occupational and family stress mediated the relationship between SOC and heart health behaviors in middle-aged working women. Clinical evidence Interventions that mitigate occupational and family stress may improve heart health behaviors among middle-aged working women.
Moon et al. (Mon,) studied this question.