scholarly journals Determinants of Skin Cancer Prevention Behaviors in Yazd Students: Application of the Extended Parallel Process Model

Author(s):  
Seyed Saeed Mazloomy Mahmoodabad ◽  
Sakineh Gerayllo ◽  
Mahdiye Khaleghi Moori ◽  
Nooshin Yoshany

Introduction: Skin cancer is one of the most common cancers with an increasing global rate. In preventing this disease, the most basic measure is sun protection behaviors. Given the importance of health for medical students as health ambassadors, the aim of this study was to investigate the effect of extended parallel process model on the skin cancer preventive behaviors in Yazd students. Methods: This descriptive-analytical study was conducted on 280 students of Yazd universities in 2019. The participants were selected using the random sampling method. A questionnaire based on the extended parallel processes model was used to collect the information. After entering SPSS 18 software, the data were analyzed using appropriate parametric statistical tests including independent t-test, analysis of variance, Pearson correlation, and linear regression at the significance level of 0.05. Results: The participants’ mean age and standard deviation was 22.69±3.18 years within the range of 18 to 41 years. Among the participants, 62.5% were women. Application of hats and sunscreen was 15.7% and 30.9%, respectively. According to the findings, the perceived severity structural had the highest score among the model structures. Among the constructs of model, self-efficacy was the strongest predictor of behavioral intention (β = 0.376) and preventive behaviors of skin cancer (β = 0.109). Conclusion: Due to the low level of protective behaviors and self-efficacy perceived construct, as the most effective factors on the preventive behaviors of skin cancer, it is recommended to consider educational interventions in this regard.

Author(s):  
Seyed Saeed Mazloomy Mahmoodabad ◽  
Sakineh Gerayllo ◽  
Nafise Mizani

Background: Skin cancer is one of the most common cancers that is mostly caused by ultraviolet radiation. The aim of this study was to investigate the factors affecting skin cancer preventive behaviors in medical sciences students based on the extended parallel process model that is responsible for the future health of the community. Methods: This descriptive cross-sectional study was carried out among 150 students who were selected by the simple random sampling method in Yazd in 2017. The data were collected by translating the questionnaire based on the extended parallel process model. The data were analyzed by SPSS-18 software and descriptive tests and non-parametric Mann-Whitney, Kruskal-Wallis tests, Spearman correlation and linear regression at a significance level of 0.05.  Results: The mean age of participants was 22.01 ± 5.24, more than half of whom (57.3%) used sunscreen as a self-protective behavior against the sunlight. The perceived severity construct had the highest score among the constructs (79.53) and preventive behaviors score (61.7). Among the demographic variables, gender had a significant statistical difference with the constructs of fear and behavioral intention, and preventive behaviors and economic status variable in the perceived response efficacy construct. Among the model constructs, the behavioral intention was the strongest behavioral predictor of skin cancer prevention (p< 0.000,β =0.589). Conclusion: In view of the findings, it seems necessary to increase protective behaviors against sunlight and skin cancer prevention by removing existing barriers including cultural issues. Also, recurrent training can be effective in promoting behavioral intention of student in preventing skin cancer.


Societies ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. 21
Author(s):  
Cui Zhang Meadows

This study tested the Extended Parallel Process Model (EPPM) by examining how fear mediated the effects of threat on individuals’ assessment of risk, which was neglected in many fear appeal studies. Second, this study treated efficacy as an existing perception, and explored the effects of varying levels of threat and efficacy on individuals’ behavioral intention. Furthermore, this study examined whether message format, such as narratives, played a role on individuals’ behavioral intention. Implications for the EPPM and health message development were discussed.


2011 ◽  
Vol 2 (1) ◽  
pp. 11-14 ◽  
Author(s):  
Betty Carlson Bowles

Lactation consultants (LC) often use fear appeals when providing anticipatory guidance to mothers about breastfeeding. We mention that improper positioning or latch-on can lead to sore nipples or fissures, or that inadequate or irregular emptying can lead to plugged ducts, mastitis, or a diminished milk supply. Instead of motivating the mother to practice the recommended preventive measures, fear appeals can lead to lack of confidence and fear of failure. Instead, lactation consultants can increase the mother’s confidence in her ability to breastfeed by helping her envision success, manage self-defeating thoughts, and solve problems. This article explores how the Extended Parallel Process Model can be applied to lactation consultation to increase the probability that the lactation consultant’s message will be heeded rather than rejected.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Leila Jahangiry ◽  
Fatemeh Bakhtari ◽  
Zahara Sohrabi ◽  
Parvin Reihani ◽  
Sirous Samei ◽  
...  

Abstract Background The novel coronavirus disease 2019 (COVID-19) has emerged as a major global public health challenge. This study aimed to investigate on how people perceive the COVID-19 outbreak using the components of the Extended Parallel Process Model (EPPM) and to find out how this might contribute to possible behavioral responses to the prevention and control of the disease. Methods This cross-sectional study was conducted in Iran during March and April 2020. Participants were recruited via online applications using a number of platforms such as Telegram, WhatsApp, and Instagram asking people to take part in the study. To collect data an electronic self-designed questionnaire based on the EPPM was used in order to measure the risk perception (efficacy, defensive responses, perceived treat) related to the COVID-19. Descriptive statistics, chi-square, t-test and analysis of variance (ANOVA), were used to explore the data. Results A total of 3727 individuals with a mean age (SD) of 37.0 (11.1) years participated in the study. The results revealed significant differences in efficacy, defensive responses and perceived treat among different population groups particularly among those aged 60 and over. Women had significantly higher scores than men on some aspects such as self-efficacy, reactance, and avoidance but men had higher perceived susceptibility scores compared to women. Overall 56.4% of participants were engaged in danger control (preventive behavior) while the remaining 43.6% were engaged in fear control (non-preventive behavior) process. Conclusion More than half of all participants motivated by danger control. This indicated that more than half of participants had high perceived efficacy (i.e., self-efficacy and response efficacy). Self-efficacy scores were significantly higher among participants who were older, female, single, lived in rural areas, and had good economic status. The results suggest that socioeconomic and demographic factors are the main determinants of the COVID-19 risk perception. Indeed, targeted interventions are essential for controlling the pandemic.


2021 ◽  
Vol 8 (2) ◽  
pp. 81-87
Author(s):  
Majid Barati ◽  
Khadijeh Ezzati Rastgar ◽  
Sharareh Bagheri ◽  
Jahanbakhsh Usefi ◽  
Ameneh Hosseini ◽  
...  

2020 ◽  
Author(s):  
Leila Jahangiry ◽  
Fatemeh Bakhtari ◽  
Zahara Sohrabi ◽  
Parvin Reihani ◽  
Sirous Samei ◽  
...  

Abstract Background: The novel coronavirus disease 2019 (COVID-19) has emerged as a major global public health challenge. This study aimed to investigate how people perceived the COVID-19 outbreak using the components of the Extended Parallel Process Model (EPPM) and to find out how this might contribute to possible behavioral responses to the prevention and control of the disease.Methods: This cross-sectional study was conducted online in Iran in March and April 2020. The Data were collected using an electronic questionnaire via Porsline. Participants were recruited using online applications and posts on a number of platforms such as Telegram, WhatsApp, and Instagram asking people to take part in the study. To collect data a self-designed questionnaire based on the EPPM was used in order to measure the risk perception (efficacy, defensive responses, perceived treat) related to the COVID-19. Descriptive statics, chi-square, t-test and analysis of variance (ANOVA), were used to explore the data.Results: A total of 3,727 individuals with a mean age (SD) of 37.0 (11.1) years participated in the study. The results revealed significant progressive increases in efficacy, defensive responses and perceived treat particularly among those aged 60 and over. Women had significantly higher scores than men on some aspects such as self-efficacy, reactance, and avoidance but men had higher perceived susceptibility scores for COVID-19 than women. Overall 56.4% of participants were engaged in danger control (preventive behavior) while the remaining 43.6% were engaged in fear control (non-preventive behavior) process.Conclusion: More than half of all participants motivated by danger control. This indicated that more than half of participants had high perceived efficacy (i.e., self-efficacy and response efficacy). Self-efficacy scores were significantly higher among participants who were older, female, single, lived in rural areas, and had good economic status. The results suggest that socioeconomic and demographic factors are the main determinants of risk perceptions for controlling the COVID-19 pandemic.


2020 ◽  
Author(s):  
Leila Jahangiry ◽  
Fatemeh Bakhtari ◽  
Zahara Sohrabi ◽  
Parvin Reihani ◽  
Sirous Samei ◽  
...  

Abstract Background: The novel coronavirus disease 2019 (COVID-19) has emerged as a major global public health challenge. This study aimed to investigate how people perceived the COVID-19 outbreak using the components of the Extended Parallel Process Model (EPPM) and to find out how this might contribute to possible behavioral responses to the prevention and control of the disease.Methods: This cross-sectional study was conducted online in Iran in March and April 2020. The Data were collected using an electronic questionnaire via Porsline. Participants were recruited using online applications and posts on a number of platforms such as Telegram, WhatsApp, and Instagram asking people to take part in the study. To collect data a self-designed questionnaire based on the EPPM was used in order to measure the risk perception (efficacy, defensive responses, perceived treat) related to the COVID-19. Descriptive statics, chi-square, t-test and analysis of variance (ANOVA), were used to explore the data.Results: A total of 3,727 individuals with a mean age (SD) of 37.0 (11.1) years participated in the study. The results revealed significant progressive increases in efficacy, defensive responses and perceived treat particularly among those aged 60 and over. Women had significantly higher scores than men on some aspects such as self-efficacy, reactance, and avoidance but men had higher perceived susceptibility scores for COVID-19 than women. Overall 56.4% of participants were engaged in danger control (preventive behavior) while the remaining 43.6% were engaged in fear control (non-preventive behavior) process.Conclusion: More than half of all participants motivated by danger control. This indicated that more than half of participants had high perceived efficacy (i.e., self-efficacy and response efficacy). Self-efficacy scores were significantly higher among participants who were older, female, single, lived in rural areas, and had good economic status. The results suggest that socioeconomic and demographic factors are the main determinants of risk perceptions for controlling the COVID-19 pandemic.


2020 ◽  
Author(s):  
Leila Jahangiry ◽  
Fatemeh Bakhtari ◽  
Zahara Sohrabi ◽  
Parvin Reihani ◽  
Sirous Samei ◽  
...  

Abstract Background: The novel coronavirus disease 2019 (COVID-19) has emerged as a major global public health challenge. This study aimed to investigate on how people perceive the COVID-19 outbreak using the components of the Extended Parallel Process Model (EPPM) and to find out how this might contribute to possible behavioral responses to the prevention and control of the disease.Methods: This cross-sectional study was conducted in Iran during March and April 2020. Participants were recruited via online applications using a number of platforms such as Telegram, WhatsApp, and Instagram asking people to take part in the study. To collect data an electronic self-designed questionnaire based on the EPPM was used in order to measure the risk perception (efficacy, defensive responses, perceived treat) related to the COVID-19. Descriptive statistics, chi-square, t-test and analysis of variance (ANOVA), were used to explore the data.Results: A total of 3,727 individuals with a mean age (SD) of 37.0 (11.1) years participated in the study. The results revealed significant differences in efficacy, defensive responses and perceived treat among different population groups particularly among those aged 60 and over. Women had significantly higher scores than men on some aspects such as self-efficacy, reactance, and avoidance but men had higher perceived susceptibility scores compared to women. Overall 56.4% of participants were engaged in danger control (preventive behavior) while the remaining 43.6% were engaged in fear control (non-preventive behavior) process.Conclusion: More than half of all participants motivated by danger control. This indicated that more than half of participants had high perceived efficacy (i.e., self-efficacy and response efficacy). Self-efficacy scores were significantly higher among participants who were older, female, single, lived in rural areas, and had good economic status. The results suggest that socioeconomic and demographic factors are the main determinants of the COVID-19 risk perception. Indeed, targeted interventions are essential for controlling the pandemic.


2020 ◽  
Author(s):  
Karlijn Thoonen ◽  
Liesbeth van Osch ◽  
Rik Crutzen ◽  
Hein de Vries ◽  
Francine Schneider

Background: Adequate sun safety during childhood is crucial for decreasing skin cancer risk in later life. Although parents are an essential target group in applying sun protection measures for their children, interventions are often not directed at parents. This study identifies the most relevant determinants in predicting parental sun protection intentions and behaviors to provide guidance for future intervention development.Methods: A longitudinal survey study with two measurements was conducted among Dutch parents (N=670) of children (4-12 years old). Twenty-seven socio-cognitive determinants were examined in terms of relevance regarding four parental sun protection behaviors in different sun exposure situations. The CIBER approach was used to visualize room for improvement (sample means) on all determinants and their association strengths (correlations) with sun protection intentions and behaviors.Results: Behavior-specific rather than generic determinants were most relevant in explaining all sun protection behaviors. Of these determinants, attitude, self-efficacy and action planning, and especially parental feelings of difficulty in performing sun protection behaviors, were most relevant. Altogether, the explained variance of all socio-cognitive determinants was highest for shade-seeking behavior (R2= .41 and .43) and lowest for supportive behavior (R2=.19 and .29) in both planned and incidental sun exposure situations respectively.Discussion: This study provides detailed insight into relevant socio-cognitive determinants of parental sun protection behaviors in various sun exposure situations. This insight provides guidance for composing parental skin cancer prevention interventions. Future composition of sun safety interventions should emphasize on enhancing parental feelings of self-efficacy, especially for shade-seeking and clothing behaviors.


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