Factors Associated With Colonoscopy Compliance Based on Health Belief Model in a Community-Based Colorectal Cancer Screening Program Shanghai, China

2019 ◽  
Vol 41 (1) ◽  
pp. 25-33
Author(s):  
Lihua He ◽  
Shuna Gao ◽  
Sha Tao ◽  
Weiyi Li ◽  
Juan Du ◽  
...  

Screening can help early detection of colorectal cancer (CRC) in the general population. However, colonoscopy compliance in screening program is low in China. The study aimed to identify factors associated with colonoscopy compliance based on Health Belief Model (HBM). An investigation was conducted in Huangpu District, Shanghai in 2015. High-risk individuals of CRC received an in-person interview with physicians to fill out a questionnaire. The questionnaires assessing predictors of colonoscopy compliance were collected, and status of colonoscopy participation was determined. Univariate and multiple logistic regression analyses were conducted. Among 2,568 high-risk population (20.68%), 531 subjects underwent colonoscopy. Participants with both risk assessment and fecal immunochemical test positive were most likely to undergo colonoscopy. Based on HBM, colonoscopy compliance was positively associated with higher perceived severity (odds ratio [ OR] = 1.05, 95% confidence interval [CI] = [1.00, 1.10]). Higher perceived barriers ( OR = 0.97, 95% CI = [0.94, 0.99]), without prior colonoscopy ( OR = 0.35, 95% CI = [0.26, 0.47]), not knowing anyone who underwent colonoscopy before ( OR = 0.74, 95% CI = [0.58, 0.96]), without health-care provider recommendation on colonoscopy ( OR = 0.58, 95% CI = [0.44, 0.77]), and without psychosocial support from someone for colonoscopy ( OR = 0.27, 95% CI = [0.21, 0.35]) were shown to be associated with colonoscopy noncompliance. The colonoscopy compliance was low in this CRC screening program in Shanghai, China. The influencing factors were positive results in primary screening, perceived severity, perceived barriers, personal or others’ experiences in colonoscopy, health-care provider recommendation, and psychosocial supports. Effective education campaign and facilitated communication between health-care providers and high-risk population were suggested in the future interventions.

2021 ◽  
Vol 11 (1) ◽  
pp. 71-79
Author(s):  
Ellia Ariesti ◽  
Felisitas A. Sri S ◽  
Elizabeth Y. Y. Vinsur ◽  
Kristianto D. N

ABSTRAK Proses menua sering dikaitkan dengan insiden penyakit kronik seiring dengan penurunan kondisi fisik, psikologis, maupun sosial serta berkurangnya daya tahan tubuh dalam menghadapi pengaruh luar dari ketahanan tubuhnya. Banyak permasalahan timbul dari kondisi kronis di lansia karena meningkatnya jumlah lansia. Pengontrolan maupun pencegahan menuju kondisi lebih parah dapat dilakukan melalui gaya hidup sehat. Salah satu model yang dikembangkan untuk melihat faktor-faktor yang mempengaruhi tindakan seseorang untuk mencari upaya hidup sehat adalah model kepercayaan kesehatan atau Health Belief Model. Tujuan penelitian mengetahui faktor-faktor yang mempengaruhi perilaku lansia dengan penyakit kronis dalam mengatasi penyakitnya berdasarkan Health Belief Model di Puskesmas. Jenis penelitian deskriptif analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah lansia yang mengalami penyakit kronis di Puskesmas Bareng Kota Malang. Jumlah sampel sebanyak 76 responden. Hasil analisis menggunakan uji chi-square menunjukkan bahwa variabel perceived susceptibility, perceived severity, perceived benefits, perceived barriers yang berhubungan dengan perilaku lansia (p<0.05). Hasil model akhir analisis multivariat, variabel perceived barriers merupakan variabel yang berhubungan dengan perilaku lansia yang menderita penyakit kronis. Dukungan individu lain terhadap lansia mulai dari mereka yang tinggal bersama maupun oleh aparat penduduk setempat untuk meminimalkan atau menghilangkan rintangan mesti dilakukan agar kualitas hidup lansia dengan penyakit kronis dapat optimal. Kata Kunci       : Health Belief Model, Penyakit Kronis, Perilaku Lansia


PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0247252
Author(s):  
Kyeongmin Lee ◽  
Haejoo Seo ◽  
Sunho Choe ◽  
Seung-Yong Jeong ◽  
Ji Won Park ◽  
...  

Background We sought to investigate intentions to undergo primary screening with colonoscopy in an attempt to predict future colorectal cancer screening behaviors and the feasibility of implementing colonoscopy as the primary screening modality for colorectal cancer in the National Cancer Screening Program (NCSP) of Korea. Methods Data were obtained from a nationwide online survey conducted in 2018. The survey included a total of 800 eligible adults aged over 45 years. Study measures included the history of screening colonoscopy within the past 10 years and intentions to undergo primary screening with colonoscopy under the NCSP based on the five constructs of the Health Belief Model. Logistic regression analysis was conducted to examine factors associated with intentions to undergo primary screening with colonoscopy. Results Approximately 77% of the participants expressed strong willingness to undergo primary screening with colonoscopy under the NCSP. Higher perceived severity and perceived benefits were significantly associated with stronger intentions to undergo screening with colonoscopy (adjusted odds ratio [aOR], 1.53; 95% confidence interval [CI], 1.10–2.14 and aOR, 2.74; 95% CI, 1.76–4.28, respectively). Greater perceived barriers (aOR, 0.65; 95% CI, 0.45–0.93) were significantly associated with weaker intentions. Cues to action elicited the strongest screening intentions (aOR, 8.28; 95% CI, 5.23–13.12). Conclusion The current study findings highlight the need for increasing awareness of the severity of CRC and the benefits of colonoscopy screening. Family-orientated recommendation strategies and reducing complications may boost an individual’s intentions to undergo colonoscopy.


2019 ◽  
Vol 15 (1) ◽  
pp. 15-32
Author(s):  
Daniel Ntabagi Koloseni ◽  
Chong Yee Lee ◽  
Ming-Lee Gan

This article investigates security behaviours of employees using the Health Belief Model (HBM) as a theoretical lens. Given the fact that previous studies on security behaviours paid much attention to conscious information security behaviours; this article extends the HBM to study both habitual or automatic security behaviours (security habit) and conscious security behaviours of Tanzanian government employees. A structural equation modelling (SEM) technique was used for data analysis. The study found that, the intentions of government employees to practice information security behaviour is influenced by perceived severity, perceived susceptibility, perceived barriers, and cues to action and security habits. Their intentions, however, is not affected by perceived benefits and self-efficacy. Further, an employee's intentions and security habits has a significant effect on actual security practice. Generally, the extended research model enriches the understanding of the role played by both conscious and habitual security behaviours on information security behaviours of employees.


2020 ◽  
Vol 6 (1) ◽  
pp. 94
Author(s):  
Minarni Wartiningsih ◽  
Danoe Soesanto ◽  
Hanna Tabita Hasianna Silitonga ◽  
Gianina Angelia Santoso

Di Surabaya pada tahun 2017, Incidence penyakit diare sebesar 76,602 kasus yang sebelumnya sebanyak 77,617 suspek kasus (98,69%). Kota Surabaya memiliki 63 Puskesmas dan dari tahun 2016 hingga tahun 2018, terdapat 12 Puskesmas yang  inciden penyakit diare pada balita meningkat. Penelitian ini bertujuan untuk menganalisis pengaruh persepsi ibu yang mengasuh balita terhadap perilaku gaya hidup bersih dan sehat berdasarkan Health Belief Model. Penelitian ini adalah penelitian kuantitatif analitik dengan pendekatan cross-sectional. Terdapat 120 ibu yang mengasuh balitanya dari 12 Puskesmas ikut terlibat dalam penelitian ini. Responden mengisi kuesioner tentang karakteristik, perceived susceptibility, perceived severity, perceived benefit, cues to action and perilaku gaya hidup sehat. Penelitian ini dilakukan pada bulan Mei tahun 2019. Analisis variabel dilakukan dengan uji analisis bivariat dengan regresi binomial. Karakteristik responden yang terdiri dari (usia, tingkat pendidikan dan tingkat sosio ekonomi) pada penelitian ini berpengaruh terhadap perceived susceptibility, perceived severity and perceived benefits. Perceived susceptibility dan perceived severity berpengaruh terhadap perceived barriers, tingkat pendidikan juga berpengaruh terhadap perceived benefits. Cues to action berpengaruh terhadap perceived barriers dan perceived barrier dan perceived benefits berpengaruh terhadap perilaku hidup bersih dan sehat. Kata kunci: Diare, Persepsi, Health Believe Models, PHBS


2021 ◽  
Author(s):  
Hoda Joorbonyan ◽  
Ghaffari Mohtasham ◽  
Rakhshanderou Sakineh

Abstract Background & Aim: HIV/AIDS is one of the most dangerous viruses known in the world. In addition, considering its fatality rate and high cost of care, it is a serious threat to the health and economy of social communities. Adolescents are one of the high-risk groups. One of the most effective ways to prevent this disease is to promote healthcare, raise awareness, and change health-related beliefs and attitudes. This study aims at determining the effect of peer education, based on the health belief model, on the preventative measures against AIDS adopted by girls. Methods & Materials: In this empirical-interventionist study two schools were randomly selected, one of which was considered as the intervention group and the other as the control group. The classes were also randomly selected and 80 students from each school took part in the project following the entry criterion. A questionnaire with acceptable validity and reliability was used to collect data. In this study a few bright students were chosen as peer educators after being trained. The intervention group received 4 sessions of 60-minute education through training, lectures, question and answer, and group discussion. The posttest was administered two months after the treatment. The data was fed into the SPSS 16. Finally, T-test, Chi-Square, and ANCOVA were employed to analyze the data. 2 Results: The average scores obtained from the intervention group and the control group were not significantly different in terms of awareness level, perceived susceptibility, perceived severity, perceived benefits, perceived barriers, perceived self-efficacy, behavioral intention, and pre-intervention behavior (P˃0.05). Two months after the intervention there was a significant increase in the average scores of all the variables in the experimental group (P>0.05). However, there was no significant change in the scores of the control group (P>0.05). Conclusion: Following a health belief model focusing on peer eduaction among high school girls, the intervention eduaction can affect awareness level, susceptibility, severity, benefits, perceived barriers, perceived self-efficacy, behavioral intention, and finally avoidance of high-risk behavior.


2020 ◽  
Author(s):  
Sakineh Dadipoor ◽  
Vahid Ranaei ◽  
Mohtasham Ghaffari ◽  
Sakineh Rakhshanderou ◽  
Ali Safari-Moradabadi

Abstract Background: The purpose of this study was to predict safe driving behaviors among taxi drivers of Tehran based on the constructs of health belief model. Methods: This descriptive-analytical study was performed on 450 taxi drivers in Tehran using multi-stage sampling. Data were analyzed through SPSS software version 18 using Pearson correlation coefficient and multivariate regression analysis. The P <0.05 was considered statistically significant. Results: Among the constructs of health belief model, perceived severity, perceived benefits and self-efficacy, had significant and direct relationship and perceived barriers had a significant and reverse relationship with safe driving behaviors. According to the results, the constructs of health belief model predicted 17.3% of safe driving behaviors. Self-efficacy was the strongest determinant of safety behaviors (0.362 CI 0.098-0.625). Conclusions: Increasing self-efficacy, reducing perceived barriers and highlighting benefits for the purpose of accepting safe behaviors can be considered as a principle in driving education and training. Also, increasing the perceived severity of adverse outcomes of RTAs and the susceptibility to these outcomes will lead to higher levels of safe driving behaviors.


2021 ◽  
Vol 11 (1) ◽  
pp. 71-79
Author(s):  
Ellia Ariesti ◽  
Felisitas A. Sri S ◽  
Elizabeth Y. Y. Vinsur ◽  
Kristianto D. N

ABSTRAK Proses menua sering dikaitkan dengan insiden penyakit kronik seiring dengan penurunan kondisi fisik, psikologis, maupun sosial serta berkurangnya daya tahan tubuh dalam menghadapi pengaruh luar dari ketahanan tubuhnya. Banyak permasalahan timbul dari kondisi kronis di lansia karena meningkatnya jumlah lansia. Pengontrolan maupun pencegahan menuju kondisi lebih parah dapat dilakukan melalui gaya hidup sehat. Salah satu model yang dikembangkan untuk melihat faktor-faktor yang mempengaruhi tindakan seseorang untuk mencari upaya hidup sehat adalah model kepercayaan kesehatan atau Health Belief Model. Tujuan penelitian mengetahui faktor-faktor yang mempengaruhi perilaku lansia dengan penyakit kronis dalam mengatasi penyakitnya berdasarkan Health Belief Model di Puskesmas. Jenis penelitian deskriptif analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah lansia yang mengalami penyakit kronis di Puskesmas Bareng Kota Malang. Jumlah sampel sebanyak 76 responden. Hasil analisis menggunakan uji chi-square menunjukkan bahwa variabel perceived susceptibility, perceived severity, perceived benefits, perceived barriers yang berhubungan dengan perilaku lansia (p<0.05). Hasil model akhir analisis multivariat, variabel perceived barriers merupakan variabel yang berhubungan dengan perilaku lansia yang menderita penyakit kronis. Dukungan individu lain terhadap lansia mulai dari mereka yang tinggal bersama maupun oleh aparat penduduk setempat untuk meminimalkan atau menghilangkan rintangan mesti dilakukan agar kualitas hidup lansia dengan penyakit kronis dapat optimal. Kata Kunci       : Health Belief Model, Penyakit Kronis, Perilaku Lansia


2021 ◽  
Vol 35 (4) ◽  
Author(s):  
Matthew Asare ◽  
Chukwuemeka N Okafor ◽  
Karla J Bautista

We evaluated the associations between health belief model (HBM) constructs and adherence to COVID-19 public health recommendations (PHR) among 433 Black/African Americans (AA) in the US. We found that participants’ perceived severity, perceived benefits, and perceived barriers were posi- tively associated with PHR (p<.01), and the variables accounted for 25% of the variance. Factors such as worrying about health and worrying about living conditions were associated with participants’ anxiety and depressive symptoms (p<.01) accounting for 12.6 and 9.2% of the variance respectively. HBM con- structs could be used to develop an intervention to encourage adherence to COVID-19 PHR among AA.


2020 ◽  
Vol 11 (1) ◽  
pp. 26
Author(s):  
Dewi Rury Arindari ◽  
Dessy Suswitha

Introduction: Health Belief Model is one of the factors that influence medication adherence. The World Health Organization (WHO) has identified medication adherence as the primary indication of treatments effectiveness for hypertensive patients. The number of medication adherence on people with hypertension is decreasing in the world, including Indonesia. Objective: The aims of this paper was to examine the relationship between perceived susceptibility to develop the complications of hypertension, perceived severity of hypertension complications, perceived benefits of medication adherence, perceived barriers to medication adherence and medication adherence. Result: There were significant statistically relationships between perceived susceptibility to develop the complications of hypertension, perceived severity of hypertension complications, perceived benefits of medication adherence, perceived barriers to medication adherence and medication adherence. Discusion: The patients who have high perceptions about susceptibility to develop the hypertension complication, severity of the complications of hypertension, the benefit of medication adherence, reduce barriers to medication adherence more likely adhering to their medications.


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