{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T15:52:22Z","timestamp":1784649142021,"version":"3.55.0"},"reference-count":67,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T00:00:00Z","timestamp":1753920000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["EJIHPE"],"abstract":"<jats:p>Grounded in health behavior theory, this study examined patterns of preventive health behavior in a culturally diverse, multilingual region of northern Italy using data from a representative population survey (n = 2090). Preventive behaviors were assessed using the 16-item Good Health Practices (GHP-16) scale. Latent profile analysis (LPA) identified five behavioral profiles, ranging from \u2018Globally Low Engagers\u2019 to \u2018Comprehensive High Engagers\u2019. Binary logistic regression compared \u2018Globally Low Engagers\u2019 to \u2018Broadly Moderate Preventers\u2019, examining predictors including gender, age, education, language, chronic disease status, health literacy (HLS-EU-Q16), patient activation (PAM-10), mistrust of health information, living situation, and healthcare employment. The results showed that men, younger adults, individuals with low patient activation, those living alone, and respondents with high mistrust of health information had higher odds of belonging to the low engagement group. Health literacy and language group membership were not significantly associated with the profile membership. Item-level comparisons revealed gender differences in information-seeking, oral hygiene, and dietary behaviors, with men reporting lower engagement. These findings support a segmentation-based understanding of preventive health behavior and highlight the need to address personal capacities and contextual barriers in interventions while challenging assumptions of uniformly higher female health vigilance.<\/jats:p>","DOI":"10.3390\/ejihpe15080148","type":"journal-article","created":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T06:37:47Z","timestamp":1754030267000},"page":"148","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Segmenting Preventive Health Behavior: Gender Disparities and Psychosocial Predictors in a Culturally Diverse Italian Region"],"prefix":"10.3390","volume":"15","author":[{"given":"Dietmar","family":"Ausserhofer","sequence":"first","affiliation":[{"name":"Institute of General Practice and Public Health, Claudiana\u2014College of Health Professions, 39100 Bolzano, Italy"},{"name":"Claudiana Research, Claudiana\u2014College of Health Professions, 39100 Bolzano, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5934-9472","authenticated-orcid":false,"given":"Verena","family":"Barbieri","sequence":"additional","affiliation":[{"name":"Institute of General Practice and Public Health, Claudiana\u2014College of Health Professions, 39100 Bolzano, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8034-8480","authenticated-orcid":false,"given":"Stefano","family":"Lombardo","sequence":"additional","affiliation":[{"name":"Provincial Institute for Statistics of the Autonomous Province of Bolzano\u2014South Tyrol (ASTAT), 39100 Bolzano, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6187-5159","authenticated-orcid":false,"given":"Timon","family":"G\u00e4rtner","sequence":"additional","affiliation":[{"name":"Provincial Institute for Statistics of the Autonomous Province of Bolzano\u2014South Tyrol (ASTAT), 39100 Bolzano, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8234-9964","authenticated-orcid":false,"given":"Klaus","family":"Eisendle","sequence":"additional","affiliation":[{"name":"Directorate, Claudiana\u2014College of Health Professions, 39100 Bolzano, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1974-4184","authenticated-orcid":false,"given":"Giuliano","family":"Piccoliori","sequence":"additional","affiliation":[{"name":"Institute of General Practice and Public Health, Claudiana\u2014College of Health Professions, 39100 Bolzano, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adolf","family":"Engl","sequence":"additional","affiliation":[{"name":"Institute of General Practice and Public Health, Claudiana\u2014College of Health Professions, 39100 Bolzano, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4639-8195","authenticated-orcid":false,"given":"Christian J.","family":"Wiedermann","sequence":"additional","affiliation":[{"name":"Institute of General Practice and Public Health, Claudiana\u2014College of Health Professions, 39100 Bolzano, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,7,31]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1880","DOI":"10.1177\/2047487317729538","article-title":"Health literacy is associated with health behaviour and self-reported health: A large population-based study in individuals with cardiovascular disease","volume":"24","author":"Aaby","year":"2017","journal-title":"European Journal of Preventive Cardiology"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"E33","DOI":"10.5888\/pcd18.210055","article-title":"Global perspectives on improving chronic disease prevention and management in diverse settings","volume":"18","author":"Airhihenbuwa","year":"2021","journal-title":"Preventing Chronic Disease"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1101","DOI":"10.1080\/10410236.2020.1735696","article-title":"The emergence and relevance of cultural difference in mediated health interactions","volume":"36","author":"Anderson","year":"2020","journal-title":"Health Communication"},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Ausserhofer, D., Piccoliori, G., Engl, A., Marino, P., Barbieri, V., Lombardo, S., G\u00e4rtner, T., and Wiedermann, C. 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