scholarly journals Citizens’ health practices during the COVID -19 pandemic in Indonesia: Applying the health belief model

2021 ◽  
Author(s):  
Eko Winarti ◽  
Chatarina Umbul Wahyuni ◽  
Yohanes Andy Rias ◽  
Yudied Agung Mirasa ◽  
Sondang Sidabutar ◽  
...  

Background: Understanding the health practice of Indonesian residents and its related factors during the COVID-19 pandemic is crucial, but such association necessitates clarity. Objective: To examine the health practices of the Indonesian citizens and their correlations with knowledge and health belief model (perceived susceptibility, barriers, benefits, severity, and self-efficacy) during the COVID-19 pandemic. Methods: A community-based online cross-sectional design was employed. The study was conducted from 10 July to 30 August 2020 among 552 citizens selected using convenience sampling. Sociodemographic characteristics, knowledge, health belief model, and health practices, including wearing a mask, social distancing, and washing hands, were measured using validated questionnaires. Adjusted odds ratios (AORs) and logistic regression were employed for data analysis.Results: The adjusted AORs (95% CIs) of a good level of health practices—wearing the mask, social distancing, and washing hands—were 3.24 (1.52~6.89), 2.54 (1.47~4.39), and 2.11 (1.19~3.75), respectively, in citizens with the high level of knowledge. Interestingly, respondents with positively perceived susceptibility exhibited significantly good practice in wearing the mask (4.91; 2.34~10.31), social distancing (1.95; 1.08~3.52), and washing hands (3.99; 2.26~7.05) compared to those with negatively perceived susceptibility. In addition, perceived barriers, benefits, severity, and self-efficacy also exhibited a significantly good all variables of health practice regarding COVID-19 pandemic after adjusting for confounding variables.Conclusion: Citizens with high levels of knowledge and positive levels of the health belief model had good practice of wearing masks, social distancing, and washing hands. The outcomes of this survey could encourage health professionals, including nurses, through management practices of nursing intervention based on the health belief model during the pandemic.Funding: This study was funded by the University of Kadiri, Kediri, Indonesia (106/P.1/LP3M/XII/2020).

2021 ◽  
Vol 3 (4) ◽  
pp. 325-333
Author(s):  
Elwalid Fadul Nasir ◽  
Ahmed Khalid Elhag ◽  
Hatim Mohammed Almahdi

This study aimed to explore the Sudanese COVID-19-related perceptions on preventive measures using the Health Belief Model, a psychosocial frame that explains and predicts health-related behaviours. A cross-sectional using an online-questionnaire through social media platforms, or channels. A snowball sampling technique was used. Descriptive analyses using frequencies and percentages for categorical variables, mean (±SD) for numerical variables. Bivariate relationships between the variables were assessed using a t-test. We conducted multiple variable analysis using the correlation between HBM constructs. Eight hundred seventy-seven participants with a mean age 37.8 (SD±11.94), primarily males, had a university education, employed and residing in Khartoum. Scores of 69% self-efficacy prevent COVID-19, 60% perceived severity if infected with COVID-19, 54% perceived susceptibility to COVID-19. Furthermore, high scores reported for hand hygiene barriers 50 and 53% social distancing. Self-efficacy correlated negatively with susceptibility (r=-0.084), positively with severity, benefits of and barriers to hand hygiene, benefits and barriers to social distancing (r=0.117, r=0.347, r=0.202, r=0.396, r=0.276), respectively. The lack of self-efficacy and low perception of severity and susceptibility, and increased perception of barriers to social distancing and hand hygiene among a considerable portion of the public hindered the compliance with the preventive measures. Doi: 10.28991/SciMedJ-2021-0304-4 Full Text: PDF


Author(s):  
Seyedeh Samaneh Dehghani ◽  
Saeedeh Jafarzadeh ◽  
Fatemeh Azadkhah ◽  
Mohammad-Rafi Bazrafshan ◽  
Pouyan Afzali Harsini ◽  
...  

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.


Author(s):  
◽  
Eti Poncorini Pamungkasari ◽  
Bhisma Murti ◽  
◽  

ABSTRACT Background: In the field of health-care education, theories and models help us to explain and predict behaviors to conduct effective health-care educational programs for changing behaviors. The Health Belief Model (HBM) contains several primary concepts by which individuals evaluate themselves to take action to change their behaviors, including antenatal care uptake in pregnant women. This study aimed to examine factors affecting the use of antenatal care. Subjects and Method: A cross sectional study was carried out in Semarang, Central Java, from June to August 2020. A sample of 250 pregnant women was selected by simple random sampling. The dependent variable was antenatal care. The independent variables were attitude, knowledge, information, self-efficacy, perceived seriousness, perceived susceptibility, perceived barrier, perceived benefit, cues to action, husband support, and facilities. The data were collected by questionnaire and analyzed by a multiple logistic regression. Results: Complete antenatal care increased with strong support (OR= 38.97; 95% CI= 3.19 to 476.53; p= 0.004), high knowledge (OR= 16.44; 95% CI= 2.54 to 106.60; p= 0.003), positive attitude (OR= 29.88; 95% CI= 2.88 to 309.92; p= 0.004), high information toward antenatal care (OR= 31.42; 95% CI= 4.07 to 242.41; p= 0.001), strong self-efficacy (OR= 7.85; 95% CI= 1.50 40.99; p= 0.015), strong cues to action (OR= 11.97; 95% CI= 2.01 to 71.36; p= 0.006), high perceived seriousness (OR= 32.99; 95% CI= 3.93 to 276.98; p= 0.001), high perceived susceptibility (OR= 24.29; 95% CI= 2.50 to 235.78; p= 0.006), high perceived benefit (OR= 30.43; 95% CI= 2.99 to 308.80; p= 0.004), high perceived barrier (OR= 0.07; 95% CI= 0.01 to 0.57; p= 0.013) and complete facilities (OR= 63.52; 95% CI= 3.62 to 1115.08; p= 0.005). Conclusion: Complete antenatal care increases with strong support, high knowledge, positive attitude, high information toward antenatal care, strong self-efficacy, strong cues to action, high perceived seriousness, high perceived susceptibility, high perceived benefit, high perceived barrier and complete facilities. Keywords: antenatal care, health facility, Health Belief Model Correspondence: Widyawati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6285742919076. DOI: https://doi.org/10.26911/the7thicph.03.117


Author(s):  
Septi Anggraini ◽  
Wahyu Utami ◽  
Elida Zairina

Abstract Background Pharmacists are known as health care professionals who are responsible for the safety and efficacy of medicine to achieve optimal therapeutic results. Community pharmacists have an opportunity to provide direct services including giving an active medication information service in women during pregnancy and breastfeeding. This study aimed to determine the factors associated with the practice of community pharmacists for actively giving the drug information service for women with chronic diseases during pregnancy and breastfeeding based on the Health Belief Model. Methods About 300 community pharmacists were randomly chosen to participate in the study. All participants were asked to complete questionnaires that were designed based on the theory of the Health Belief Models. The questionnaires measured the community pharmacists’ knowledge, beliefs, cues to action, and practice for actively giving medication information services. Results About 267 pharmacists in the community agreed to participate in this study. Nearly 80% of the participants were female pharmacists (n = 213). The results show that pharmacists’ knowledge had significant influences towards perceived threat (p = 0.009), perceived benefit (p = 0.011), and pharmacists’ self-efficacy (p < 0.001). The self-efficacy factor was the most influential factor in the practice of pharmacists to give medication information service actively (p < 0.001). Conclusions The findings of the study indicate that self-efficacy is the most important factor for pharmacist to be able to provide the medication information services successfully particularly in women during pregnancy and breastfeeding. Providing continuous learning programs through seminars and training related to medication use during pregnancy and breastfeeding to pharmacists is needed to optimise the confidence and the ability of pharmacists in providing the services.


2016 ◽  
Vol 23 (4) ◽  
pp. 221-225 ◽  
Author(s):  
Krzysztof Sas-Nowosielski ◽  
Andrzej Hadzik ◽  
Joanna Górna ◽  
Małgorzata Grabara

Abstract Introduction. The benefits of physical activity (PA) have been so well documented that there is no doubt about the significance of PA for personal and social health. Several theoretical models have been proposed with a view to understanding the phenomenon of PA and other health behaviours. The purpose of this study was to evaluate if and how the variables suggested in the Health Belief Model (HBM) determine physical activity stages of change in older adults. Material and methods. A total of 172 students of Universities of the Third Age aged 54 to 75 (mean = 62.89 ± 4.83) years agreed to participate in the study, filling out an anonymous survey measuring their stage of exercise change and determinants of health behaviours proposed by the HBM, including: perceived benefits of physical activity, perceived barriers to physical activity, perceived severity of diseases associated with sedentary lifestyle, perceived susceptibility to these diseases, and self-efficacy. Results. The results only partially support the hypothesis that the HBM predicts intentions and behaviours related to the physical activity of older adults. Only two variables were moderately-to-strongly related to stages of exercise change, namely perceived barriers and self-efficacy. Conclusion. Interventions aimed at informing older adults about the benefits of physical activity and the threats associated with sedentary lifestyle can be expected to have rather a weak influence on their readiness for physical activity.


2021 ◽  
Vol 20 (2) ◽  
pp. 150-161
Author(s):  
Morteza Khafaie ◽  
◽  
Banafsheh Mahjoob ◽  
Mehdi Mojadam ◽  
◽  
...  

Background and Objectives: A new generation of corona virus in the areas of China, Wuhan City has been expanded and has caused many deaths. The virus is highly contagious and spreads rapidly. So far, thousands of people have been infected with the virus. The aim of this study was to investigate the status of preventive behaviors of corona virus among household health ambassadors of Ahvaz Jundishapur University of Medical Sciences using the health belief model. Subjects and Methods This study is a cross-sectional study of analytical type that was conducted on 1020 household health ambassadors of the cities covered by Ahvaz Jundishapur University of Medical Sciences in the fall of 1399. Samples were taken using available sampling and by sending an online questionnaire link to the participants. The questionnaire was completed online. A researcher-made questionnaire was used to collect data, whose validity and reliability were determined. For data analysis, Spss software, descriptive and analytical statistics were used. Results The mean age of study participants was 31.12±7.66 years. The scores of perceived benefit were 18.81±1.80 and self-efficacy 31.76±3.71, which was higher than other structures. Correlation coefficient test showed a significant correlation between corona virus preventive behaviors and all model constructs. In regression analysis, it was found that model constructs predicted 23.7% (R2=0.237) of behavior changes. Conclusion The results confirm the predictive role of perceived benefits, barriers and perceived self-efficacy concepts in corona virus disease prevention behaviors based on the Health Belief Model. Therefore, methods of promoting these constructs, such as verbal persuasion, raising awareness of the benefits, barriers and abilities of individuals through virtual media and providing appropriate models for them, can be used as factors to improve preventive behaviors of corona virus.


2021 ◽  
Vol 12 (4) ◽  
pp. 127-145
Author(s):  
S. Lahiry ◽  
R. Karmakar ◽  
S. Parameswaran

Objectives. The study has a translational focus to examine the applicability of the Health Belief Model, the TriRisk model, and fatalism-belief in the context of the COVID-19 disease, specifically to test if they help us predict recommended compliance behavior. Another objective is to examine how the three components of the TriRisk model work together. Background. Amid a raging COVID-19 pandemic, governments everywhere need to deploy more targeted strategies to make social distancing effective and reduce human to human transmission of the virus. Study design. The study predicted the lockdown compliance behaviour from constructs of the TriRisk model and fatalism-belief, using multiple linear regression and mediation analysis. Participants. 357 Participants across India; age range: 15—78 years; 41.5% men and 58.5% women. Measurements. Components of the health belief model, fatalism, and recommended compliance behavior were assessed using Multi-item and single-item scales. Results. Experiential risk perception was the strongest predictor of compliance behavior, followed by perceived barriers and gender. Deliberative risk perception and affective risk perception were significantly positively correlated with compliance behavior, though not statistically significant predictors. Experiential risk perception mediated the path between cognitive risk assessment and compliance behavior. Conclusions. The present study has implications for designing and trying out compliance enhancement intervention through use of appropriate experiential risk content in designing public campaigns to increase compliance behavior.


2018 ◽  
Vol 12 (09) ◽  
pp. 706-711 ◽  
Author(s):  
Nemat Azizi ◽  
Mahmood Karimy ◽  
Vahid Naseri Salahshour

Introduction: Adherence to TB treatment is an important issue for TB control, with key health consequences. Identification of the factors associated with that adherence is also important. The objective of this study was to identify factors associated with adherence to tuberculosis treatment, using the health belief model (HBM). Methodology: Overall 297 TB patients were recruited to the study using the census method. All patients completed a 40-question survey form anonymously. The questionnaire was developed based on the Health Belief Model. Data collection was carried out through interviews and questionnaires, as well as observing medical records and medical cards to be used in medical performance checklists. Results: The participants comprised 159 men and 138 women with an average age of 56.8 years (range 19-72 years). The results showed that the variables of perceived threat, benefits, barriers, and self-efficacy accounted for 42% of the variance in therapeutic adherence. The strongest predictor of adherence was found to be self-efficacy. Conclusion: HBM appears to be a suitable model in predicting therapeutic adherence in TB patients. Our results emphasize the centrality of self-efficacy in treatment adherence, that health educators should consider when developing programs to motivate patients to adhere to treatment.


2021 ◽  
Vol 7 (1) ◽  
pp. 191-196
Author(s):  
Yuyud Wahyudi ◽  
Lilis Sulistiya Ningrum

Dengue Fever is a disease caused by the dengue virus with acute fever symptoms by entering the human bloodstream through the bite of a mosquito from the genus Aedes. Dengue Hemorrhagic Fever (DHF) has spread widely to all provinces in Indonesia. This disease often appears as an Extraordinary Event (KLB) with relatively high morbidity and mortality. Many dengue incidence rates make the application of the DHF prevention program by applying the theory of the Health Belief Model (HBM) as a prevention effort that can change the behavior of healthy and clean living. This HBM consists of four components: perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and cues to action. Based on the results of the study, it was conducted from 16 November - 12 December 2020. This research used a Quasi-experimental research design with the One Group Pre Post-test design approach with a sample of Ngrancah Hamlet RT 25 RW 8 Senggreng Village residents using a total sampling technique. The analysis technique of this research is using univariate analysis. The results of this study indicate that the health belief model theory indicators in the DHF prevention program are close to a maximum value, namely Perceived Susceptibility with a mean value of 17.30, perceived severity with a mean value of 15.80, perceived benefits of 15.80, perceived barrier 16.70, and cues. To act with a mean value of 17.30. This study concludes that these results are expected to increase awareness for healthy and clean behavior in preventing DHF.


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