A BSTRACT Background: This study aimed to investigate health-promoting lifestyle behaviors and associated factors among Chinese workers residing in Japan. Methods: A cross-sectional survey was conducted between May and July 2017 among 313 Chinese workers (response rate: 69.4%; 62.6% female), recruited through convenience and snowball sampling in Japanese-language schools in Hiroshima Prefecture. The health-promoting lifestyle profile II revised (HPLP-IIR) was used to assess six dimensions: health responsibility (HR); physical activity (PA); nutrition (NU); spiritual growth (SG); interpersonal relations (IR); and stress management (SM). Demographics, Japanese language proficiency, residence and employment status, and workplace health education were included as independent variables. Results: The mean total HPLP-IIR score was 2.68 (SD = 0.57). The highest subscale scores were for IR (M = 3.02), NU (M = 3.01), and SG (M = 2.99), while the lowest were for HR (M = 2.37), PA (M = 2.42), and SM (M = 2.77). Stepwise multiple regression analysis revealed that higher Japanese language proficiency, participation in workplace health education, and clerical occupations were positively associated with HPLP-IIR scores. In contrast, student status, fixed-term or contract-based employment, current illness, and longer residence in Japan were negatively associated with overall and subscale scores. The model explained 17% of the variance in total HPLP-IIR. Conclusion: Japanese language proficiency, occupational type, and workplace health education are key factors in promoting healthier lifestyles among Chinese workers. Interventions that provide language support and stable employment conditions are essential for improving their health behaviors and integration.
Weng Li (Sun,) studied this question.