scholarly journals Using the Theory of Planned Behaviour to Describe Male Involvement Intention During Childbirth Among Expecting Couples in a Rural Setting: A Cross-Sectional Study From Rukwa Region, Southern Tanzania

2019 ◽  
Vol 3 (1) ◽  
pp. 31-41 ◽  
Author(s):  
Fabiola Moshi ◽  
Stephen Kibusi ◽  
Flora Fabian
BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e019786 ◽  
Author(s):  
Maha El Tantawi ◽  
Balgis Gaffar ◽  
Arheiam Arheiam ◽  
Wafaa AbdelAziz ◽  
Ola B Al-Batayneh ◽  
...  

ObjectivesThis study assessed dentists’ intention in eight Arab countries to report suspected exposure to violence among patients and factors associated with this intention based on the theory of planned behaviour.MethodsA cross-sectional study was conducted in 2016 including a convenience sample of dentists practising in public, private and academic sectors in Algeria, Egypt, Jordan, Kuwait, Libya, Palestine, Saudi Arabia and Yemen. Respondents answered a self-administered questionnaire collecting information about personal and professional background and perceived ability to identify victims of violence. The questionnaire assessed (on a scale from 1 to 10 using six negative statements) dentists’ perception of healthcare system mandated reporting of suspected violence. Six statements were used to assess professional attitude towards reporting suspected violence. Logistic regression was used to assess the association between intention to report suspected violence and perceived ability, perception and attitude adjusting for confounders.ResultsThe response rate was 65.2% (n=2936/4506) from general practitioners (70.9%) of mean age=31 years with 56.7% women. Of those, 68.8% intended to report and 52.2% considered themselves able to identify violence victims. The mean (SD) negative perception score=5.3/10 (2.1) and the mean (SD) professional attitude score=7.5/10 (1.9). In multivariate regression, intention to report was associated with professional attitude (OR 1.08, 95% CI 1.03 to 1.14), ability to identify violence victims (OR 1.76, 95% CI 1.45 to 2.12) and negative perception that reporting is not mandated (OR 0.89, 95% CI 0.85 to 0.94). Significant differences existed among countries in intention to report.ConclusionMost dentists intended to report suspected violence and their intention could be explained by the theory of planned behaviour which offers a framework for professional development to support violence victims. Sharing of training resources, policies and guidelines is needed to ensure that practices similar to international guidelines are consistently adopted by dentists across Arab countries.


BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e026203
Author(s):  
Yu-Lung Chiu ◽  
Yu-Ching Chou ◽  
Yaw-Wen Chang ◽  
Chi-Ming Chu ◽  
Fu-Gong Lin ◽  
...  

ObjectivesTo use the extended theory of planned behaviour (TPB) to predict smoking cessation counsellors’ intentions to offer smoking cessation support.DesignCross-sectional studySettingTaiwanese militaryParticipantsA survey of 432 smoking cessation counsellors was conducted in 2017.Primary and secondary outcome measuresAll participants completed a self-administered questionnaire that solicited information concerning demographics, smoking behaviour, self-rated suitability for being a counsellor, the knowledge and skills learnt from training courses and the TPB construct.ResultsThe factors of perceived behavioural control (β=0.590, p<0.001), self-rated suitability for being a counsellor (acceptable vs not suitable, β=0.436, p=0.001; suitable vs not suitable, β=0.510, p<0.001), knowledge (β=0.298, p=0.020) and professional specialty (military doctor vs non-military doctor, β=0.198, p=0.034) were found to be correlated with intention. However, attitude, subjective norms and descriptive norms were determined to be non-significant correlates. The model explained 59.7% of the variance for the intention to offer smoking cessation support (F[12,343]=44.864, p<0.001).ConclusionsTo encourage smoking cessation counsellors to offer cessation support to smokers, policies should aim to increase their perceived behavioural control, knowledge and self-rated suitability for being a counsellor.


BMJ Open ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. e037619
Author(s):  
Junjie Huang ◽  
Jingxuan Wang ◽  
Tiffany Wing-Yin Pang ◽  
Maggie Ka-Ying Chan ◽  
Sophia Leung ◽  
...  

ObjectiveColorectal cancer (CRC) ranked second in terms of cancer mortality worldwide. It is associated with a substantial global disease burden. We aimed to examine whether the theory of planned behaviour (TPB) could predict the uptake of faecal immunochemical test to inform novel strategies for enhancing CRC screening participation in population-based programmes.DesignCross-sectional study.SettingsA Hong Kong-based and territory-wide telephone survey was conducted during the study period from October 2017 to November 2018.Participants4800 asymptomatic individuals aged 61–70 years who can communicate in Cantonese were recruited during the survey period. Those who had a history of CRC, chronic bowel inflammation, two or more first-degree relatives with CRC, and received colonoscopy in the past 10 years or faecal occult blood test in the past 5 years were excluded.Outcome measuresThe association between CRC screening uptake and the factors pertinent to TPB was analysed by univariable and multivariable regression models and the mediating effect of intention. We adjusted for age, gender, educational level, marital and working status, as well as household income.ResultsMultivariable regression analysis showed that high perceived behavioural control (adjusted OR (AOR)=12.35, 95% CI 8.21 to 18.60, p<0.001), high intention for CRC screening (AOR=7.86, 95% CI 6.60 to 9.36, p<0.001) and positive attitude towards CRC screening (accuracy and effectiveness: AOR=1.19, 95% CI 1.03 to 1.38, p<0.05; embarrassment and apprehension: AOR=4.27, 95% CI 3.13 to 5.82, p<0.001) were significantly associated with CRC screening uptake. Mediation analysis found that the effect of social norms on screening behaviour was primarily mediated by intention (83.2%), and this indirect, mediated effect accounted for 21.7% to 24.1% of total effects of other constructs in TPB on screening behaviour.ConclusionsThe variables pertinent to TPB could successfully predict CRC screening uptake. Promotion of CRC screening based on interventions that increase perceived behavioural control and behavioural intention could potentially enhance screening uptake. Further studies are needed to establish the cause and effect relationship among these variables and screening uptake, as well as to evaluate the cost-effectiveness of such interventions.


2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Ademola Adelekan ◽  
Philomena Omoregie ◽  
Elizabeth Edoni

Public health officials have advocated the involvement of men as a strategy for addressing the dismal performance of family planning (FP) programmes. This study was therefore designed to explore the challenges and determine way forward to male involvement in FP in Olorunda Local Government Area, Osogbo, Nigeria. This cross-sectional study involved the use of a four-stage sampling technique to select 500 married men and interviewed them using semistructured questionnaire. In addition, four focus group discussions (FGDs) were also conducted. Mean age of respondents was 28.5 ± 10.3 years. Some (37.9%) of the respondents’ spouse had ever used FP and out of which 19.0% were currently using FP. Only 4.8% of the respondents had ever been involved in FP. Identified barriers to male involvement included the perception that FP is woman’s activity and was not their custom to participate in FP programme. More than half of the FGD discussants were of the view that men should provide their wives with transport fare and other resources they may need for FP. The majority of the respondents had never been involved in family planning with their wives. Community sensitization programmes aimed at improving male involvement in FP should be provided by government and nongovernmental agencies.


Author(s):  
Takafumi Abe ◽  
Kenta Okuyama ◽  
Tsuyoshi Hamano ◽  
Miwako Takeda ◽  
Masayuki Yamasaki ◽  
...  

Although some neighborhood environmental factors have been found to affect depressive symptoms, few studies have focused on the impact of living in a hilly environment, i.e., land slope, on depressive symptoms among rural older adults. This cross-sectional study aimed to investigate whether a land slope is associated with depressive symptoms among older adults living in rural areas. Data were collected from 935 participants, aged 65 years and older, who lived in Shimane prefecture, Japan. Depressive symptoms were assessed using the Zung Self-Rating Depression Scale (SDS) and defined on the basis of an SDS score ≥ 40. Land slopes within a 400 m network buffer were assessed using geographic information systems. Odds ratios (ORs) with 95% confidence intervals (CIs) of depressive symptoms were estimated using logistic regression. A total of 215 (23.0%) participants reported depressive symptoms. The land slope was positively associated with depressive symptoms (OR = 1.04; 95% CI = 1.01–1.08) after adjusting for all confounders. In a rural setting, living in a hillier environment was associated with depressive symptoms among community-dwelling older adults in Japan.


2020 ◽  
Author(s):  
Uday Narayan Yadav ◽  
Saruna Ghimire ◽  
Sabuj Kanti Mistry ◽  
Selvanaayagam Shanmuganathan ◽  
Lal Bahadur Rawal ◽  
...  

Abstract Background Multimorbidity among older adults is an increasing challenge for health systems. Compared to a single disease condition, multimorbidity lowers the quality of life and experience higher hospital admission and health care expenditure. Although multimorbidity has gained global attention, it remains a less studied area in Nepal. Our study aimed to estimate the prevalence of major chronic diseases and multimorbidity among older adults in rural Nepal and examine the associated socioeconomic and behavioral risk factors.Methods We analyzed data of 794 Nepalese older adults recruited using a multi-stage cluster sampling approach in two rural setting of Sunsari and Morang District of Nepal. This was a cross-sectional study, conducted between January to April 2018. Socio-demographics and health conditions data [ Osteoarthritis, Cardiovascular diseases (CVD), Diabetes, Chronic Obstructive Pulmonary Diseases (COPD) ] were collected through the help of trained research assistants using a validated questionnaire. The correlates of multimorbidity were examined using mixed-effects logistic regression.Results 48.9% of the participants had at least one chronic condition, and 14% were multimorbid. The prevalence of individual conditions were osteoarthritis- 41.7%, CVD- 2.39%, diabetes- 5.29%, and COPD- 15.7%. In the adjusted model, older adults aged 70-79 years, those from underprivileged Madhesi and other ethnic groups, without a history of alcohol drinking, and those physically inactive, were significantly associated with multimorbidity.Conclusion Our study found a sizeable proportion of the older adults had multimorbidity in our studied population. This prevalence of multimorbidity and its socioeconomic and behavioural correlates, need to be addressed through multi-level preventive strategies, including clinical guidelines and the development of a multidisciplinary workforce to address the needs of the multimorbid older adults.


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