Introduction: Compared to sighted people, not only do people who are blind have multiple comorbidities and exhibit early mortality, but they also display high-risk health behaviors. To prevent problematic health behaviors affecting health-related quality of life and well-being, understanding the shared patterns of health behaviors among individuals with visual impairments, including blindness, is essential. Methods: This qualitative study explored the hidden constructs and patterns of health behaviors among employed young adults who are blind using a multiple case study analysis. Eight participants with self-reported total blindness were recruited via convenience sampling and recruitment postings. Results: The mean age was 27.43 ± 6.32 years with a range of 20–39 years. Seven males and one female completed the one-on-one telephone interviews. The study discovered eight patterns of health behaviors of young adults who are blind: (a) leading a sedentary lifestyle with physical inactivity, (b) eating irregularly and not cooking, (c) avoiding uncertainty and illness, (d) facing disability stigma in health care services, (e) seeking online information related to medical care, (f) sharing health-related information within the blind community, (g) receiving unreadable formats of health-related information, and (h) aiming for independence and autonomy in self-care. The following categorized health behavior constructs were extracted: perceived health problems, experiential attitude toward health care systems, health beliefs, perceived facilitators, and barriers. Discussion: The findings indicate that young adults who are blind prefer independent health-related activities. The identified problematic health behaviors were correlated to inaccessible healthcare resources. Implications for Practitioners: More accessible health resources enhancing the independence of young adults who are blind are needed to promote their health behaviors. For instance, more accessible fitness facilities and personalized exercise programs in workplaces and communities can motivate the physical activity of young adults who are blind.

中文翻译：

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探索韩国失明年轻人的健康行为

简介：与视力正常的人相比，盲人不仅患有多种合并症并表现出早期死亡，而且还表现出高风险的健康行为。为了防止有问题的健康行为影响与健康相关的生活质量和福祉，了解视力障碍（包括失明）个体之间共同的健康行为模式至关重要。方法：这项定性研究通过多个案例研究分析，探讨了盲人就业年轻人中隐藏的健康行为结构和模式。通过便利抽样和招募帖子招募了八名自称完全失明的参与者。结果：平均年龄为 27.43 ± 6.32 岁，范围为 20-39 岁。七名男性和一名女性完成了一对一的电话采访。该研究发现了盲人年轻人的八种健康行为模式：(a) 久坐、缺乏身体活动的生活方式，(b) 饮食不规律，不做饭，(c) 避免不确定性和疾病，(d) 面临残疾耻辱医疗保健服务，(e) 寻求与医疗保健相关的在线信息，(f) 在盲人社区内分享与健康相关的信息，(g) 接收不可读格式的与健康相关的信息，以及 (h) 旨在实现独立和自主自理。提取了以下分类的健康行为结构：感知的健康问题、对医疗保健系统的体验态度、健康信念、感知的促进因素和障碍。讨论：研究结果表明，失明的年轻人更喜欢独立的健康相关活动。已发现的有问题的健康行为与无法获得的医疗资源相关。对从业者的影响：需要更容易获得的卫生资源来增强盲人年轻人的独立性，以促进他们的健康行为。例如，工作场所和社区中更方便的健身设施和个性化锻炼计划可以激发盲人年轻人的体育活动。