scholarly journals Health Belief Model Perspective on the Control of COVID-19 Vaccine Hesitancy and the Promotion of Vaccination in China: Web-Based Cross-sectional Study (Preprint)

2021 ◽  
Author(s):  
Hao Chen ◽  
Xiaomei Li ◽  
Junling Gao ◽  
Xiaoxi Liu ◽  
Yimeng Mao ◽  
...  
Keyword(s):  
Health Belief Model ◽  
Self Efficacy ◽  
Health Belief ◽  
Vaccination Rate ◽  
Mediating Effect ◽  
Perceived Barriers ◽  
Vaccine Hesitancy ◽  
Perceived Benefits ◽  
Convenience Sample ◽  
Belief Model

BACKGROUND The control of vaccine hesitancy and the promotion of vaccination are key protective measures against COVID-19. OBJECTIVE This study assesses the prevalence of vaccine hesitancy and the vaccination rate and examines the association between factors of the health belief model (HBM) and vaccination. METHODS A convenience sample of 2531 valid participants from 31 provinces and autonomous regions of mainland China were enrolled in this online survey study from January 1 to 24, 2021. Multivariable logistic regression was used to identify the associations of the vaccination rate and HBM factors with the prevalence of vaccine hesitancy after other covariates were controlled. RESULTS The prevalence of vaccine hesitancy was 44.3% (95% CI 42.3%-46.2%), and the vaccination rate was 10.4% (9.2%-11.6%). The factors that directly promoted vaccination behavior were a lack of vaccine hesitancy (odds ratio [OR] 7.75, 95% CI 5.03-11.93), agreement with recommendations from friends or family for vaccination (OR 3.11, 95% CI 1.75-5.52), and absence of perceived barriers to COVID-19 vaccination (OR 0.51, 95% CI 0.35-0.75). The factors that were directly associated with a higher vaccine hesitancy rate were a high level of perceived barriers (OR 1.63, 95% CI 1.36-1.95) and perceived benefits (OR 0.51, 95% CI 0.32-0.79). A mediating effect of self-efficacy, influenced by perceived barriers (standardized structure coefficient [SSC]=−0.71, <i>P</i>&lt;.001), perceived benefits (SSC=0.58, <i>P</i>&lt;.001), agreement with recommendations from authorities (SSC=0.27, <i>P</i>&lt;.001), and agreement with recommendations from friends or family (SSC=0.31, <i>P</i>&lt;.001), was negatively associated with vaccination (SSC=−0.45, <i>P</i>&lt;.001) via vaccine hesitancy (SSC=−0.32, <i>P</i>&lt;.001). CONCLUSIONS It may be possible to increase the vaccination rate by reducing vaccine hesitancy and perceived barriers to vaccination and by encouraging volunteers to advocate for vaccination to their friends and family members. It is also important to reduce vaccine hesitancy by enhancing self-efficacy for vaccination, due to its crucial mediating function.

scholarly journals Determinants of Breast Self-Examination Practice among Women in Surabaya, Indonesia: An Application of the Health Belief Model

2019 ◽  
Author(s):  
Triana Kesuma Dewi ◽  
Karlijn Massar ◽  
Robert A.C. Ruiter ◽  
Tino Leonardi
Keyword(s):  
Breast Cancer ◽  
Health Belief Model ◽  
Self Efficacy ◽  
Health Belief ◽  
Perceived Barriers ◽  
Perceived Benefits ◽  
Breast Self Examination ◽  
Cues To Action ◽  
Belief Model ◽  
Self Examination

Background. Breast cancer has become one of the most prevalent causes of mortality among Indonesian women. Better prognosis of breast cancer will be achieved if it is diagnosed in an earlier stage, thus efforts to detect breast cancer earlier are important. Breast Self-Examination (BSE) is considered as an important first step to encourage women to actively be responsible for their own health, especially for women in developing countries with limited resources and access to other forms of preventive healthcare. The present study aimed to predict BSE behavior among women in Surabaya, Indonesia using the HBM. Methods. This investigation was a cross-sectional survey which was distributed among 1,967 women aged 20-60 years. The Indonesian version of Champion’s Health Belief Model Scale (I-CHBMS) was used to explain self-reported BSE practice. Logistic regression analysis was used to examine the association of HBM variables with BSE practice.Results Almost half of the sample (44.4%) had performed BSE. Further, the results indicated that the HBM variables were significantly associated with BSE practice. Specifically, higher perceived benefits and self-efficacy, lower perceived barriers and less cues to action were unique correlates of BSE behavior. The result also showed that perceived severity and susceptibility were not associated with BSE behavior. Conclusion. This study indicated that several HBM constructs significantly associated with BSE behavior among Indonesian women, suggesting that BSE health education programs should emphasize the perceived benefits of BSE, focus on increasing women’s self-efficacy to address and overcome perceived barriers in performing BSE, and help them in identifying personally relevant cues to action.

scholarly journals Determinants of breast self-examination practice among women in Surabaya, Indonesia: an application of the health belief model

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Triana Kesuma Dewi ◽  
Karlijn Massar ◽  
Robert A. C. Ruiter ◽  
Tino Leonardi
Keyword(s):  
Breast Cancer ◽  
Health Belief Model ◽  
Self Efficacy ◽  
Health Belief ◽  
Perceived Barriers ◽  
Perceived Benefits ◽  
Breast Self Examination ◽  
Belief Model ◽  
Self Examination ◽  
The Health Belief Model

Abstract Background Breast cancer has become one of the most common causes of mortality among Indonesian women. Many women in Indonesia present with late-stage breast cancer, negatively affecting prognosis and treatment outcomes. Better prognosis of breast cancer will be achieved if it is diagnosed in an earlier stage, thus efforts to detect breast cancer earlier are important. Breast Self-Examination (BSE) is considered as an important first step to encourage women to actively be responsible for their own health, especially for women in low-and middle-income countries with limited resources and access to other forms of preventive healthcare (e.g., screening programs). The present study aimed to predict BSE practice among women in Surabaya, Indonesia using the Health Belief Model (HBM). Methods This investigation was a cross-sectional survey which was distributed among 1967 women aged 20–60 years. The Indonesian version of Champion’s Health Belief Model Scale (I-CHBMS) was used to explain self-reported BSE practice. Logistic regression analysis was used to examine the association of HBM variables with BSE practice. Results 44.4% of the respondents indicated they had performed BSE. Further, the results indicated that the HBM variables were significantly associated with BSE practice. Specifically, higher perceived benefits and self-efficacy, lower perceived barriers and less cues to action were unique correlates of BSE practice. The result also showed that perceived severity and susceptibility were not associated with BSE practice. Conclusion This study indicated that several HBM constructs significantly associated with BSE practice among Indonesian women, suggesting that BSE health education programs should emphasize the perceived benefits of BSE, focus on increasing women’s self-efficacy to address and overcome perceived barriers in performing BSE, and help them in identifying personally relevant cues to action.

scholarly journals Behavior Study of The Prevention of Covid-19 Transmission with Health Protocol at Transportation Service Office

2021 ◽  
Vol 4 (1) ◽  
pp. 47-61
Author(s):  
Nurna Ningsih ◽  
Hartati Bahar ◽  
Fikki Prasetya
Keyword(s):  
Health Belief Model ◽  
Self Efficacy ◽  
Health Belief ◽  
Phenomenological Approach ◽  
Community Services ◽  
Perceived Barriers ◽  
Perceived Benefits ◽  
Congenital Diseases ◽  
Transportation Service ◽  
Belief Model

The initial entry of Covid-19 in Muna was 8 cases with the highest number of cases in Southeast Sulawesi. This study aims to determine the behavior of preventing Covid-19 by implementing health protocols at the Transportation Service Office based on the theory of the health belief model. This study uses a qualitative design with a phenomenological approach. Data collected through in-depth interviews, observation and documentation. The results based on the Perceived suspectibility factor informants know that people who are susceptible to Covid-19 are people who are old, people who work in community services. Based on Perceived saverity, the informant said that Covid-19 is a pandemic so it is dangerous because of its transmission, and if infected with Covid-19 it can worsen the condition of people who have congenital diseases. Based on Perceived benefits, informants feel the perceived benefits of implementing health protocols in addition to preventing Covid-19 are also useful for daily life. For Perceived barriers, informants feel obstacles in implementing health protocols such as the use of masks because of the small amount of air they breathe. Meanwhile, the Threat factor, informants feel that when they do not apply the health protocol, they feel afraid or anxious. Self-efficacy informants feel confident in carrying out health protocols because they feel safe. Conclusions based on the theory of health belief model, it is concluded that perceived vulnerability factors, perceived benefits, perceived barriers, threats and self-efficacy indicate the behavior of implementing health protocols at the Transportation Service Office in preventing Covid-19.

scholarly journals THE CORRELATIONS AMONG CONSTRUCTS IN THE HEALTH BELIEF MODEL AND SELF-EFFICACY IN APPLYING THE NEWLY DEVELOPED INDONESIAN MODEL OF ASSERTIVE COMMUNICATION (CERDAS)

2018 ◽  
Vol 4 (1) ◽  
pp. 31-36
Author(s):  
Theresia Puspitawati ◽  
Yayi Suryo Prabandari ◽  
Soenarto Sastrowijoto ◽  
Ira Paramastri ◽  
Mora Claramita
Keyword(s):  
Health Belief Model ◽  
Self Efficacy ◽  
Pearson Correlation ◽  
Health Belief ◽  
Perceived Barriers ◽  
Family Welfare ◽  
Perceived Benefits ◽  
Perceived Severity ◽  
Cues To Action ◽  
Belief Model

Background: One of the most important factors in providing health services is communication. Effective communication between patient-physician will have an impact on health outcomes. Nevertheless, a gap still occurs in patient-physician communication.Objective: This study aimed to determine the correlation between the core concepts of the well-established Health Belief Model: perceived susceptibility, perceived severity, perceived benefits, perceived barriers and cues to action with the concept of self-efficacy in applying the newly developed Indonesian Model of Assertive Communication called “CERDAS”.Methods: A cross sectional study was conducted with 202 eligible women of the Family Welfare Programme in Yogyakarta, Indonesia. The samples were selected using quota sampling. Data were analyzed using Pearson correlation test.Results: Results of the Pearson correlation tests between self efficacy and perceived susceptibiliy showed r: 0.191, perceived severity r: 0.239, perceived benefits r: 0.256, perceived barriers r: 0.272, and cues to action r: 229; with all values p0.05.Conclusion: There was a significant correlation between perceived vulnerability, perceived severity, perceived benefits and perceived barriers, as well as cues to action with self-efficacy in applying the new Model of Assertive Patient-Physician Communication, “CERDAS”. 

scholarly journals TINDAKAN PENCEGAHAN KARIES GIGI PADA SISWA SEKOLAH DASAR BERDASARKAN TEORI HEALTH BELIEF MODEL

2018 ◽  
Vol 5 (1) ◽  
pp. 65
Author(s):  
Lidia Septianingtias Setiari ◽  
Muji Sulistyowati
Keyword(s):  
Dental Caries ◽  
Health Belief Model ◽  
Self Efficacy ◽  
Health Belief ◽  
Caries Prevention ◽  
Perceived Barriers ◽  
Perceived Benefits ◽  
Perceived Susceptibility ◽  
Perceived Severity ◽  
Belief Model

Dental caries is one of the serious health problem in school age children. The maintenance of dental and oral health need to be done early in the prevention of dental caries. This study was conducted to analyze  the application of Health Belief Model theory on dental caries prevention  in elementary school students. This research was quantitative study with a cross-sectional approach. Sample were fifth grade student at SDN Kedurus 1 Surabaya amount to 53 students and taken by simple random sampling. The independent variable were perceived susceptibility, perceived severity, perceived benefits, perceived barriers, self-efficacy and cues to action. The dependent variable of this study was action in the prevention of dental caries. Quantitative data was analyzed using Spearman correlation test and logistic regression. The respondent action to prevent dental caries was good. There was a correlation between perceived susceptibility, perceived severity, perceived benefits, perceived barriers, self-efficacy and cues to action with action in preventing dental caries. This research concluded that perceived susceptibility was the most influencing factor in preventing dental caries. It was suggested to increase the effort of  promotive and preventive in school so that the students can more diligent in doing dental caries prevention action. Keyword: health belief model, dental caries, behavior of students

scholarly journals Investigating the health belief model structures regarding the preventive factors from the occurrence of accidents and injuries in children under 5 years of age in Fasa city

2019 ◽  
Author(s):  
Seyedeh Samaneh Dehghani ◽  
Saeedeh Jafarzadeh ◽  
Fatemeh Azadkhah ◽  
Mohammad-Rafi Bazrafshan ◽  
Pouyan Afzali Harsini ◽  
...  
Keyword(s):  
Health Belief Model ◽  
Self Efficacy ◽  
Health Belief ◽  
Perceived Barriers ◽  
Perceived Benefits ◽  
Perceived Susceptibility ◽  
Belief Model ◽  
The Health Belief Model ◽  
Model Structures ◽  
Children Under 5

Injuries caused by the accidents are one of the major causes of death in children under 5 years of age. One of the important indexes of the development and health optimization in countries is the mortality rate of children under age 5. Aim: The purpose of this study is investigating the health belief model structures regarding the preventive factors from the occurrence of accidents and injuries in children under age 5. Material and methods: Present cross sectional descriptive study has been conducted on 270 mothers having a child under 5 years of age who have referred to the health centers in Fasa city in 2017. Based on the health belief model, the information are collected via questionnaires and the obtained data are analyzed by the multiple regression SPSS-20. Results and discussion: The predictive structures of this study are the perceived barriers, perceived susceptibility, perceived benefits and self-efficacy. The average score of perceived barriers is 62.24, perceived susceptibility is 45.25, the perceived benefits is 61.22 and the self-efficacy is 50.49. Therefore, the studied variables predict 33.6% of whole performance. Also, except the perceived barriers, a significant and direct relationship is observed between the structure of mothers performance and other structures (P < 0.05). Conclusions: According to the average scores of awareness and performance of mothers and other health belief model structures, it is suggested that, training programs in the form of training packages be performed based on this model in order to develop the preventive behaviors from the occurrence of accidents and injuries in children.

scholarly journals Effectiveness of Health Belief Model in Adopting Protective Behaviors Against COVID-19

Health Scope ◽  
2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Sedigheh Salavati ◽  
Hamid Shokri ◽  
Asghar Tanoumand ◽  
Ali Soleimani ◽  
Maryam Shirvani Shiri ◽  
...  
Keyword(s):  
Health Belief Model ◽  
Self Efficacy ◽  
Perceived Risk ◽  
Health Belief ◽  
Perceived Barriers ◽  
Perceived Benefits ◽  
Protective Behavior ◽  
Protective Behaviors ◽  
Online Questionnaire ◽  
Belief Model

Background: Adoption of protective health behaviors is extremely important to prevent the coronavirus disease 2019 (COVID-19) outbreak. Objectives: This study aimed to evaluate the influencing factors on adopting preventive behaviors during COVID-19 using health belief model (HBM) among the urban population in Maragheh, a city from North West of Iran. Methods: We investigated 383 people via an online questionnaire from December 5 to 11, 2020. The validity of the questionnaire was confirmed with an experts' panel of 10 health professionals, and its reliability was 0.74 through Cronbach’s alpha. Multiple regression analysis was conducted to analyze data. Results: The self-efficacy (17.1 ± 2.5) and perceived benefits (5.7 ± 0.5) were evaluated at a high level. The health behavior was also appraised with a high mean score (21.2 ± 3.2). Among the components of the health belief model, perceived risk, self-efficacy, perceived benefits, and perceived barriers, and among demographic variables, gender and marital status were the predictors of protective behaviors against COVID-19. Conclusions: Self-efficacy, perceived benefits, and perceived risk increased the incidence of protective behavior by 69% and 30%, respectively, and perceived barriers decreased it by 0.07%. Strengthening the ability to adopt protective behaviors and improving the public’s perception of the effectiveness of these behaviors can be useful.

Analisis Faktor Perilaku Lansia Dengan Penyakit Kronis Berdasarkan Health Belief Model Di Puskesmas

2021 ◽  
Vol 11 (1) ◽  
pp. 71-79
Author(s):  
Ellia Ariesti ◽  
Felisitas A. Sri S ◽  
Elizabeth Y. Y. Vinsur ◽  
Kristianto D. N
Keyword(s):  
Health Belief Model ◽  
Health Belief ◽  
Perceived Barriers ◽  
Perceived Benefits ◽  
Chi Square ◽  
Cross Sectional ◽  
Perceived Susceptibility ◽  
Perceived Severity ◽  
Belief Model

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

Use of the Health Belief Model for Weight Control Promotion Using Vegetarian Meal Plans

2021 ◽  
Vol 20 (2) ◽  
pp. 219-228
Author(s):  
Yi-Cheng Hou ◽  
Jing-Hui Wu ◽  
Ching-Feng Cheng ◽  
Chan-Yen Kuo ◽  
I-Shiang Tzeng
Keyword(s):  
Body Composition ◽  
Health Belief Model ◽  
Body Fat ◽  
Fat Body ◽  
Health Belief ◽  
Body Water ◽  
Perceived Barriers ◽  
Perceived Benefits ◽  
Belief Model ◽  
The Health Belief Model

A health belief model is used to evaluate people's beliefs about health problems and predict engagement in health-promoting behaviors. Overweight and obesity are health problems that could be corrected by healthier diet. Eighty-seven employees of the Taipei Tzu Chi Hospital participated in a month-long program that offered 500-calorie vegetarian meals. The health belief model questionnaire was designed and administered. Body composition (weight, body mass index, body fat, body water, and muscle mass) was measured weekly. Additionally, the number of meals taken and visits to nutrition consultants were analyzed. Overall, a higher perceived susceptibility was related to a decrease in weight, body fat, and muscle. Higher perceived benefits or higher perceived barriers were both related to a decrease in weight and body fat, but to an increase in body water and muscle. In the overweight or obese group, a significant correlation was found between perceived barriers and weight. No significant relationship was found between the health belief model and the total number of meals or number of visits to nutrition consultants. Perceived benefits and barriers were significantly related to changes in weight, body fat, body water, and muscle. With vegetarian meal plans as the cue for action, the health belief model can be utilized to predict changes in body composition.

scholarly journals LGB Tobacco Control: Do Health Belief Model Constructs Predict Tobacco Use Intentions Differently between LGB and Heterosexual Individuals?

2021 ◽  
Vol 18 (13) ◽  
pp. 7008
Author(s):  
Yachao Li ◽  
Bo Yang ◽  
Bryan Chen
Keyword(s):  
Health Belief Model ◽  
Tobacco Use ◽  
Negative Relationship ◽  
Health Belief ◽  
Perceived Health ◽  
Perceived Barriers ◽  
Perceived Benefits ◽  
Health Threat ◽  
And Bisexual ◽  
Belief Model

This research includes two studies testing whether the Health Belief Model (HBM) constructs predict tobacco use intentions differently between heterosexual and lesbian, gay, and bisexual (LGB) people. Focusing on cigarette smoking, Study 1 (n = 1808 U.S. adult current smokers) found that the perceived health threat and perceived benefits of smoking differently predicted intentions to continue smoking between heterosexual and LGB smokers. The perceived health threat of smoking had a weaker negative relationship and perceived benefits of smoking had a stronger positive relationship with smoking intentions among LGB smokers than heterosexual smokers. Focusing on vaping, Study 2 (n = 2801 U.S. adults) found that the perceived health threat and perceived barriers of vaping differentially predicted vaping intentions between heterosexual and LGB individuals. The perceived health threat of vaping only negatively predicted vaping intentions among heterosexual people. Perceived barriers to vaping had a stronger negative relationship with intentions to vape among LGB people than among heterosexual people. Our finding suggests that compared to perceptions of tobacco-related health consequences (perceived heath threat), behavioral perceptions (perceived benefits and barriers) may have stronger impacts on tobacco use intentions among LGB people. Thus, efforts focusing on reducing tobacco-related disparities among the LGB community should address perceived benefits and barriers of tobacco use.

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