Measuring Attitudes and Health Beliefs Among Mexican Americans With Diabetes

1994 ◽  
Vol 20 (3) ◽  
pp. 221-227 ◽  
Author(s):  
Terri Schwab ◽  
Julie Meyer ◽  
Rosa Merrell

Adherence to the treatment regimen for patients with diabetes is of major concern to healthcare practitioners, particularly when dealing with the high-risk, low-income, Mexican-American population. Assessing the attitudes and beliefs of this group is vital for planning effective and realistic intervention strategies. Therefore, we designed a culturally sensitive instrument to measure health beliefs and attitudes of low-income Mexican Americans with diabetes. The Health Belief Model (HBM) was used as a basis for this study because it is well accepted as a predictor of health-related behaviors. However, we found that the HBM was not an effective tool for assessing the health beliefs or attitudes of this patient population even after rigorous efforts to operationalize the HBM and after conducting extensive statistical analyses. Only two of the five subscales of the traditional HBM, barriers and benefits, were reliable. Scales to measure acculturation and fatalism were added to increase the cultural sensitivity of the tool. These added components were found to be an important variable in interpreting the results for low-income Mexican-American patients.

2003 ◽  
Vol 1 (2) ◽  
pp. 176-182
Author(s):  
Debra M. Harris

Health related behaviors are of concern in the Mexican American community because of the prevalence of disease, such as diabetes, hypertension and cancer. Poor nutrition and a lack of physical activity are behaviors which contribute to these diseases. Training regarding health related behaviors associated with nutrition and physical activity was attended by 11 individuals from low income areas who were Mexican American. Results indicate most did understand the importance of diet and exercise in controlling these diseases. Most were motivated to change their eating and exercise habits as a result of the training they attended. / Comportamientos relacionados con la salud son de gran preocupación en la comunidad Mexicana por la alta ocurrencia de enfermedades como diabetes, hipertensión y cáncer. Pobre nutrición y la falta de actividad física son ejemplos de comportamientos responsables por estas enfermedades. Once individuos de áreas de bajo ingreso que eran Mexicano Americanos atendieron un entrenamiento referente a comportamientos relacionados con la salud que son asociados con la nutrición y actividad física. Los resultados indican que la mayoría entendieron la importancia de la dieta y ejercicios para controlar estas enfermedades. La mayoría de ellos fueron motivados a cambiar sus hábitos de comer y ejercicios como resultado del entrenamiento que asistieron.


2003 ◽  
Vol 1 (2) ◽  
pp. 176-182
Author(s):  
Debra M. Harris

Health related behaviors are of concern in the Mexican American community because of the prevalence of disease, such as diabetes, hypertension and cancer. Poor nutrition and a lack of physical activity are behaviors which contribute to these diseases. Training regarding health related behaviors associated with nutrition and physical activity was attended by 11 individuals from low income areas who were Mexican American. Results indicate most did understand the importance of diet and exercise in controlling these diseases. Most were motivated to change their eating and exercise habits as a result of the training they attended. / Comportamientos relacionados con la salud son de gran preocupación en la comunidad Mexicana por la alta ocurrencia de enfermedades como diabetes, hipertensión y cáncer. Pobre nutrición y la falta de actividad física son ejemplos de comportamientos responsables por estas enfermedades. Once individuos de áreas de bajo ingreso que eran Mexicano Americanos atendieron un entrenamiento referente a comportamientos relacionados con la salud que son asociados con la nutrición y actividad física. Los resultados indican que la mayoría entendieron la importancia de la dieta y ejercicios para controlar estas enfermedades. La mayoría de ellos fueron motivados a cambiar sus hábitos de comer y ejercicios como resultado del entrenamiento que asistieron.


2020 ◽  
Vol 16 (3) ◽  
pp. 229-235
Author(s):  
Alireza Didarloo ◽  
Leila Mokhtary ◽  
Hamid-Reza Khalkhali ◽  
Soheila Ahangarzadeh-Rezaei

Background: Breast cancer is the most prevalent type of cancer among women that is fatal if not diagnosed and treated in due time. Health beliefs play an important role in people's willingness to engage in health-promoting behaviors. Objective: The aim of the study was to examine the effects of the health belief model (HBM)-based training intervention on women’s health beliefs towards breast cancer screening behaviors. Methods: The study of educational intervention was conducted on women referred to healthcare centers. The sample was selected by convenient sampling and randomly assigned to control and intervention groups of 50 subjects. The intervention group received the theory-based training intervention, but the control group received only the routine care. Champion’s Health Belief Model Scale (CHBMS) was used for collecting the study data. Data analysis was performed using independent t-test, paired t-test, Chi-squared test, and correlation coefficient in SPSS software version 16.00. Results: The mean age of the subjects for control and intervention groups was 39.06±9.78, 38.32±8.27, respectively. Overall, 38%, 12% and 13%of the subjects reported breast selfexamination behavior, mammography and clinical breast examinations, respectively. Before the intervention program, the overall mean score of health beliefs in groups of control and intervention was 160.82±23.28, and 159.14±20.61, respectively. After educational intervention, the overall mean score of beliefs in the intervention group changed from 159.14±20.61 to 195.26±24.42, and it was statistically significant (p<0.001). In the control group, after the intervention, no significant changes were observed in the mean score of total health beliefs and were not statistically significant (p>0.05). Among the variables of the HBM, women's perceived self-efficacy toward breast selfexamination experienced the most positive change after an educational intervention. Conclusion: Our results indicated that HBM-based training significantly improved women’s beliefs toward breast cancer screening behaviors. It is suggested that trainers in the healthcare system use these educational approaches to promote people’s beliefs toward breast cancer and its screening methods.


Author(s):  
Yi-Ping Hsieh ◽  
Cheng-Fang Yen ◽  
Chia-Fen Wu ◽  
Peng-Wei Wang

During the COVID-19 pandemic, the number of hospital visits and attendance at scheduled appointments have dropped significantly. We used the health belief model (in three dimensions) to examine the determinants of non-attendance of scheduled appointments in outpatient clinics due to the COVID-19 pandemic. Participants in Taiwan (n = 1954) completed an online survey from 10 April 10 to 23 April 2020, which assessed how people perceived and responded to the outbreak of a fast-spreading infectious disease. We performed both univariate and multivariate logistic regression to examine the roles of cognitive, affective, and behavioral health belief constructs in nonattendance at scheduled appointments. The results indicated that individuals who perceived high confidence in coping with COVID-19 were less likely to miss or cancel their doctor’s appointments, whereas individuals who reported high anxiety and practiced more preventive health behaviors, including avoiding crowded places, washing hands more often, and wearing a mask more often, were more likely to miss or cancel their appointments due to the COVID-19 pandemic. Non-heterosexual participants had a lower rate of nonattendance at scheduled appointments compared with heterosexual ones. The study results increase our understanding of the patients’ cognitive health beliefs, psychological distress, and health behaviors when assessing adherence to medical appointments during a pandemic.


2016 ◽  
Vol 43 (1) ◽  
pp. 74-87
Author(s):  
C.M. Jolly ◽  
S. Vodouhe ◽  
B. Bayard ◽  
P.E. Jolly ◽  
J.T. Williams

ABSTRACT Aflatoxin (AF) contamination of groundnut poses a serious health and economic threat to Benin market participants. However, most farmers are unaware of the problem. A study of 182 farmers was conducted in 2002 using a Health Belief Model (HBM) to examine Benin farmers’ health beliefs, perception constructs of awareness, susceptibility, seriousness of the problem, barriers, and benefits derived from reducing AF levels. Exploratory Factor Analysis was employed to evaluate the HBM model constructs. The average age of farmers was 40.4 years with a Standard Deviation (SD) of 10.8, and farmers had an average of 18.32 years of farming experience. Approximately 93% of farmers stated that sorting of groundnuts was important or very important, while 77% thought that they were sure or definitely sure of the negative effects of AF on human health. The exploratory factor analysis revealed that two factors embodied the susceptibility, barrier and benefit constructs. The study results indicated that the reduction of AF in groundnuts was multidimensional and required policy intervention to increase awareness of the health risks, and to manipulate the factors that influenced the constructs at the farm and policy level.


2020 ◽  
Author(s):  
Jonas Kemeugni Ngandjon ◽  
Alfred Laengler ◽  
Thomas Ostermann

Abstract Background: The childhood vaccination program (EPI) is claimed by the World Health Organization (WHO) as the most cost-effective intervention to reduce child mortality. Therefore, in low-income countries governments and health authorities invest in vaccination programs to reach the herd immunity. However, despite the resources allocated to the EPI, epidemics preventable through vaccines are still reported in these countries. In Cameroon, the Foumbot district in the West region has witnessed measles epidemics since 2010 and in 2013 a polio outbreak was reported. Methods: The design of this study is a cross-sectional survey. A total of 160 mothers of children between the ages of 12 to 23 months were interviewed. The Health-Belief-Model was applied to design a community-related framework regarding maternal decision-making.Results: The outcome of this survey shows that 60% of the children studied were completely vaccinated, 37.75% were partially vaccinated, and 1.25% had not received any vaccine. The logistic regression analysis shows that affiliation to Islam (OR=0.2) and a poor knowledge of infectious diseases (OR=0.3) were significant predictors of complete childhood vaccination failure. Conclusion: Starting the vaccination program at birth and a good knowledge of infectious diseases were important factors for complete childhood vaccination. Additionally, health facilities presented a shortage of qualified health personnel. Public health authorities should invest in health education programs with the goal of developing skills for health- seeking behavior in individuals and communities.


Author(s):  
Meital Simhi ◽  
Julie Cwikel ◽  
Orly Sarid

Background: Postpartum depression (PPD) may have adverse outcomes for mothers, their infants, and families. Despite the negative consequences of PPD many women hesitate to seek treatment. The theoretical concepts of this study were based on the health belief model, which focuses on the individual’s attitudes, beliefs, and intentions to seek treatment. Objective: The aim of the study was to examine whether health beliefs and social support mediate the links between sociodemographic variables and treatment preferences for PPD. Method: Cross-sectional survey, including 1,000 Jewish mothers attending the maternal and child health clinics in Israel for their infant’s medical exam, 4 weeks to 6 months postpartum. Results: Mother’s age and years of education correlated positively with preferences to receive treatment in the private sector and from professionals working in mental health clinics. The greater the number of children, the less likely new mothers were to favor these preferences. Structural equation modeling showed several mediating pathways: social support mediated the links between sociodemographic variables to health belief model components such as perceived benefits, barriers, and environmental cues. Health belief model components also mediated the links between sociodemographic factors and preferences for place of treatment, professionals, and modes of treatment for PPD. Conclusions: Health belief model components and social support are important mediating components that help explain mothers’ PPD treatment preferences. Health professionals such as psychiatric or public health nurses should increase awareness of women at risk for PPD and elicit their preferred treatment options.


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