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 Application of Health Belief Model and Theory of Planned Behavior on Factors Affecting Breast Self Examination among University Students

2020 ◽  
Author(s):  
Asruria Sani Fajriah ◽  
◽  
Supriyadi Hari Respati ◽  
Bhisma Murti ◽  
◽  
...  
Keyword(s):  
Health Belief Model ◽  
Self Efficacy ◽  
Health Belief ◽  
Subjective Norm ◽  
Breast Self Examination ◽  
Factors Affecting ◽  
Perceived Benefit ◽  
Cues To Action ◽  
Belief Model ◽  
Self Examination

Background: Breast self-examination (BSE) is a technique that allows a woman to examine her breast tissue for any physical or visual changes. It is important to help women in the early detection of breast abnormality. This study aimed to determine factors affecting breast self examination among university students using health belief model and theory of planned behavior. Subjects and Method: A cross-sectional study was conducted in Universitas Sebelas Maret, from August to September 2019. A sample of 200 female collage students was selected by simple random sampling. The dependent variable was breast-self examination. The independent variables were knowledge, perceived benefit, perceived barrier, intention, attitude, self-efficacy, cues to action, and subjective norm. The data were collected by questionnaire and analyzed by path analysis run on Stata 13. Results: BSE was directly increased by strong intention (b= 1.39; 95% CI= 0.58 to 2.21; p= 0.001), strong self-efficacy (b= 1.53; 95% CI= 0.75 to 2.30; p<0.001), and strong cues to action (b= 1.34; 95% CI= 0.56 to 2.11; p= 0.001). BSE was indirectly affected by attitude, cues to action, perceived barrier, perceived benefit, subjective norm, and knowledge. Conclusion: BSE was directly increased by strong intention (b= 1.39; 95% CI= 0.58 to 2.21; p= 0.001), strong self-efficacy (b= 1.53; 95% CI= 0.75 to 2.30; p<0.001), and strong cues to action (b= 1.34; 95% CI= 0.56 to 2.11; p= 0.001). BSE was indirectly affected by attitude, cues to action, perceived barrier, perceived benefit, subjective norm, and knowledge Keywords: breast cancer, breast self examination, path analysis Correspondence: Asruria Sani Fajriah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +6285790341801. DOI: https://doi.org/10.26911/the7thicph.02.42

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 Earthquake Preparedness of Households and Its Predictors Based on Health Belief Model

2020 ◽  
Author(s):  
Masoumeh Rostami-Moez ◽  
Mohammad Rabiee-Yeganeh ◽  
Mohammadreza Shokouhi ◽  
Amin Dosti-Irani ◽  
Forouzan Rezapur-Shahkolai
Keyword(s):  
Health Belief Model ◽  
Self Efficacy ◽  
Health Belief ◽  
Average Score ◽  
Perceived Benefits ◽  
Earthquake Preparedness ◽  
Response Predictors ◽  
Multi Stage ◽  
Cues To Action ◽  
Belief Model

Abstract Background: Earthquakes are one of the most destructive natural disasters in which many people are injured, disabled, or died. Iran has only one percent of the world's population, but the percentage of its earthquake-related deaths is absolutely higher. Therefore, this study aimed to determine the level of earthquake preparedness of households and its predictors using the Health Belief Model (HBM).Methods: This observational descriptive and analytical study was conducted on 933 households in Hamadan province, located in the west of Iran, in 2019. Multi-stage cluster random sampling was used for selecting the participants. The inclusion criteria were being at least 18 years old and being able to answer the questions. A questionnaire was used for data collection including earthquake preparedness, awareness of earthquake response, predictors of earthquake preparedness based on the HBM, and demographic information. Analysis of variance, independent t-test, and a linear regression model was used.Results: The mean age of participants was 38.24 ±12.85 years. The average score of earthquake preparedness was low (approximately 30%). There was a significant relationship between earthquake preparedness and gender (P < 0.001), homeownership (P < 0.001), marriage status (P < 0.001), education (P < 0.001), and previous earthquake experience (P < 0.001). Regarding the HBM constructs, perceived benefits (P < 0.001), cues to action (P < 0.001), and self-efficacy (P < 0.001) were significant predictors of earthquake preparedness. Conclusions: Earthquake preparedness was insufficient. Besides, perceived benefits, cues to action, and self-efficacy were predictors of earthquake preparedness. These predictors can be taken into account, for designing and implementing related future interventions.

scholarly journals Can Health Belief Model Predict Breast Cancer Screening Behaviors?

2018 ◽  
Vol 6 (5) ◽  
pp. 949-953 ◽  
Author(s):  
Azar Darvishpour ◽  
Soheila Mazloum Vajari ◽  
Sara Noroozi
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Health Belief Model ◽  
Breast Cancer Screening ◽  
Health Belief ◽  
Perceived Barriers ◽  
Cluster Sampling ◽  
Perceived Benefits ◽  
Cross Sectional ◽  
Belief Model

BACKGROUND: Breast cancer is the second cause of cancer-related death among women. Prevention programs insist on the early diagnosis and screening to reduce the mortality rate.AIM: The study was conducted to determine the predictors of breast cancer screening behaviours based on the health belief model.MATERIAL AND METHODS: The present cross-sectional study was conducted by involving 304 women ranging from 20 to 65 years of age, living in East Guilan cities, the North of Iran, in 2015 using two-stage cluster sampling. The research instrument was Champion's Health Belief Model Scale. The data were analysed based on Regression test by using SPSS software version 18.RESULTS: The results showed perceived benefits (ExpB = 1.118, p = 0.009), self-efficacy (ExpB = 1.122, p = 0.001) and the perceived barriers (ExpB = 0.851, p = 0.001) as the predictors of breast self-examination. In addition, the study revealed that the two components of perceived benefits (ExpB = 1.202), and the perceived barriers were the predictors of mammography (ExpB = 0.864) (p = 0.001). None of the health belief model components showed a role to predict clinical breast examination (P > 0.05).CONCLUSION: The present study highlights the need for educational programs, which should focus on increasing breast self-exam skills and understanding the benefits of healthy behaviours and eliminating their barriers.

THE EFFECTS OF EMOTION ON BREAST SELF-EXAMINATION: ANOTHER LOOK AT THE HEALTH BELIEF MODEL

1997 ◽  
Vol 25 (3) ◽  
pp. 223-232 ◽  
Author(s):  
Murray G. Millar
Keyword(s):  
Breast Cancer ◽  
Health Belief Model ◽  
Emotional Responses ◽  
Health Belief ◽  
Emotional States ◽  
Breast Self Examination ◽  
Belief Model ◽  
Self Examination ◽  
Belief Models ◽  
The Health Belief Model

Research examining the performance of breast self-examination (BSE) has been guided primarily by belief models (e.g., Health Belief Model (HBM)) that focus on cognition. In this paper it was hypothesized that emotional responses, in addition to beliefs, would have an important impact on BSE frequency. To test this hypothesis the participants' emotional states were measured after they had been required to think about BSE. Also, the participants' beliefs about the benefits of BSE, barriers to performing BSE, susceptibility to breast cancer, and severity of breast cancer were measured. The results indicated that the participants' emotional responses to BSE increased the ability of models containing the HBM variables to predict different types of self-reports about BSE frequency.

scholarly journals Analisis Pengaruh Persepsi Ibu Terhadap Perilaku Gaya Hidup Bersih dan Sehat Berdasarkan Health Belief Model di Surabaya

2020 ◽  
Vol 6 (1) ◽  
pp. 94
Author(s):  
Minarni Wartiningsih ◽  
Danoe Soesanto ◽  
Hanna Tabita Hasianna Silitonga ◽  
Gianina Angelia Santoso
Keyword(s):  
Health Belief Model ◽  
Health Belief ◽  
Perceived Barriers ◽  
Perceived Benefits ◽  
Cross Sectional ◽  
Perceived Susceptibility ◽  
Perceived Severity ◽  
Perceived Benefit ◽  
Cues To Action ◽  
Belief Model

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

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 Earthquake Preparedness of Households and Its Predictors Based on Health Belief Model

2020 ◽  
Author(s):  
Masoumeh Rostami-Moez ◽  
Mohammad Rabiee-Yeganeh ◽  
Mohammadreza Shokouhi ◽  
Amin Dosti-Irani ◽  
Forouzan Rezapur-Shahkolai
Keyword(s):  
Natural Disasters ◽  
Health Belief Model ◽  
Self Efficacy ◽  
Health Belief ◽  
Cluster Sampling ◽  
Perceived Benefits ◽  
Earthquake Preparedness ◽  
Response Predictors ◽  
Cues To Action ◽  
Belief Model

Abstract Background : Earthquakes are one of the most destructive natural disasters in which many people are injured, disabled, or died. Although Iran has only one percent of the world's population, its earthquake-related deaths are six percent. Therefore, this study aimed to determine the level of earthquake preparedness of households and its predictors using the Health Belief Model (HBM) . Methods : This observational descriptive and analytical study was conducted on 933 households in Hamadan province, located in the west of Iran, in 2019. Multistage random cluster sampling was used for selecting the participants. The inclusion criteria were being at least 18 years old and being able to answer the questions. A questionnaire was used for data collection including earthquake preparedness, awareness of earthquake response, predictors of earthquake preparedness based on the HBM, and demographic information. Analysis of variance, independent t-test, and a linear regression model was used . Results : The mean age of participants was approximately 38.29 ±12.80 years. Furthermore, 60.83% of the participants did not complete a post-secondary education. The earthquake preparedness was low (approximately 30%) among households. There was a significant relationship between earthquake preparedness and gender, homeownership, marriage status, and previous earthquake experience (P <0.001). Regarding the HBM constructs, perceived benefits, cues to action, and self-efficacy were significant predictors of earthquake preparedness (P <0.01). conclusions: Earthquake preparedness was insufficient. Besides, perceived benefits, cues to action, and self-efficacy were predictors of earthquake preparedness. It is suggested that health providers take into account these predictors for designing future interventions. Keywords : Crises, Hazards, Health promotion, Health education, Natural disasters, Safety

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