scholarly journals Factors Leading Municipal Authorities to Implement Preventive Interventions for Lyme Disease

Author(s):  
Johann Jacob ◽  
Pierre Valois ◽  
Cécile Aenishaenslin ◽  
Catherine Bouchard ◽  
Sandie Briand ◽  
...  

The aim of this study is to document climate change adaptation interventions targeting Lyme disease at the municipal level in the province of Quebec (Canada). This exploratory study relies on the theory of planned behavior and certain constructs from the health belief model to identify the factors leading municipal authorities to implement preventive interventions for Lyme disease (PILD). Data were obtained from an online survey sent, during the summer of 2018, to municipal officers in 820 municipalities in Quebec, in all health regions where the population is at risk of contracting Lyme disease (response rate = 36%). The questionnaire was used to measure the implementation of PILD, the intention to implement these interventions, attitudes, perceived social pressure, perceived control (levers and barriers) over interventions, perceived effectiveness of preventive measures, risk, and perceived vulnerability. Results of structural equation analyses showed that attitudes were significantly associated with municipal authorities’ intention to implement PILD, while the intention to implement PILD was a significant predictor of the implementation of PILD. Additional analyses showed that perceived barriers added a moderating effect in the intention-implementation relationship. The prediction of behaviors or practices that municipal authorities could implement to prevent Lyme disease will enable the evaluation over time of the evolution of Quebec municipalities’ adaptation to Lyme disease. Moreover, the examination of the associations of specific psychosocial factors revealed important implications for the design of effective behavior-change interventions, which would allow health officials doing awareness work to create personalized interventions better suited to municipal officers and their specific contexts.

Author(s):  
Grace Chua ◽  
Kum Fai Yuen ◽  
Xueqin Wang ◽  
Yiik Diew Wong

The COVID-19 pandemic has seen an unmatched level of panic buying globally, a type of herd behavior whereby consumers buy an uncommonly huge amount of products because of a perception of scarcity. Drawing on the health belief model, perceived scarcity, and anticipated regret theories, this paper formulated a theoretical model that linked the determinants of panic buying and analyzed their interrelationships. Subsequently, data were collated from 508 consumers through an online survey questionnaire in Singapore that was conducted during the early stage of the pandemic, before the onset of the circuit breaker in April 2020. Next, an analysis of the results was done through structural equation modeling. It showed that the effect of the health belief model dimensions (i.e., perceived susceptibility, perceived severity, outcome expectation, cues to action, and self-efficacy) on panic buying is partially mediated by the consumers’ perceived scarcity of products. Furthermore, the effect of perceived scarcity on panic buying is partially mediated by consumers’ anticipation of regret. This paper expands on the current theoretical understanding of panic buying behavior, giving insights into the possible measures and solutions that policymakers and relevant stakeholders can uptake to manage panic buying in future a pandemic or health crisis.


2021 ◽  
Vol 9 ◽  
Author(s):  
Qiwei Pang ◽  
Haiyang Meng ◽  
Mingjie Fang ◽  
Jingjing Xing ◽  
Jinge Yao

During the COVID-19 pandemic, livestream shopping has provided consumers with a way to maintain social distancing while offering an alternative to offline shopping. This study aims to understand the impact of COVID-19 and other public health crises on the behavioral intentions of consumers using livestream shopping technology. A theoretical model was designed that combines the health belief model, trust theory, and the theory of planned behavior. Empirical data were collected from 358 residents in China and then analyzed using structural equation modeling. The results showed that perceived susceptibility, perceived severity, perceived benefits, and perceived obstacles had a significant impact on consumer trust. Consumer trust in turn had a direct impact on behavioral intention and an indirect impact on behavioral intention via attitude. These research results have practical implications for livestream shopping merchants, platform decision-makers, and service designers.


Author(s):  
Frank Pan ◽  
Yueh-Cheng E. Pan

Diabetic Mellitus (DM) is a widespread chronic disease around the world, among which type 2 DM (T2DM) shared the majority. It caused multiple severe complications and consequently a high mortality rate. DM complications overwhelm jeopardize the patient’s quality of life. In response to the threats of such complications, some nutraceuticals were developed, including the highly praised bitter melon peptide (BMP). This study aims to apply the structural equation model in HBM. A theoretical model had been developed on the health belief model (HBM), and to test with the structural equation model (SEM) technique to examine the fitness of the theory and the data gathered in this research. A structural questionnaire was developed and used to collect 292 valid responses from DM patients. The SEM results indicated the fitness of the theory and the data were acceptable. Perceived susceptibility of DM complications and perceived benefits of nutraceutical were major predictors of intake behavior, and the association of perceived benefits and behavior was mediated by the patient’s self-efficacy on nutraceutical intake behavior.


SAGE Open ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. 215824402110688
Author(s):  
Shian-Yang Tzeng ◽  
Tzu-Ya Ho

Although the health belief model (HBM) has been widely applied in health behavior research, it cannot fully account for dietary supplement (DS) consumption. This study proposed a second-stage moderation model to empirically examine the mediating role of product knowledge and the moderating effects of trust and distrust in the HBM. Surveys were conducted both online and offline in first-tier Chinese cities; 768 effective samples were collected. Structural equation modeling was employed to test the hypotheses. The findings indicated that perceived susceptibility was a better predictor of attitude toward DS products. Second, perceived susceptibility’s effect on product attitude occurred through product knowledge. Third, trust in manufacturers positively affected product knowledge’s effect on product attitude. Based on these findings, to promote DS consumption, marketers can leverage consumers’ perceived susceptibility to illness, associate the benefits and efficacy of DSs with consumers’ health knowledge, and emphasize their production of high-quality DSs.


2019 ◽  
Vol 15 (1) ◽  
pp. 15-32
Author(s):  
Daniel Ntabagi Koloseni ◽  
Chong Yee Lee ◽  
Ming-Lee Gan

This article investigates security behaviours of employees using the Health Belief Model (HBM) as a theoretical lens. Given the fact that previous studies on security behaviours paid much attention to conscious information security behaviours; this article extends the HBM to study both habitual or automatic security behaviours (security habit) and conscious security behaviours of Tanzanian government employees. A structural equation modelling (SEM) technique was used for data analysis. The study found that, the intentions of government employees to practice information security behaviour is influenced by perceived severity, perceived susceptibility, perceived barriers, and cues to action and security habits. Their intentions, however, is not affected by perceived benefits and self-efficacy. Further, an employee's intentions and security habits has a significant effect on actual security practice. Generally, the extended research model enriches the understanding of the role played by both conscious and habitual security behaviours on information security behaviours of employees.


Vaccines ◽  
2021 ◽  
Vol 9 (8) ◽  
pp. 864
Author(s):  
Ilias Mahmud ◽  
Russell Kabir ◽  
Muhammad Aziz Rahman ◽  
Angi Alradie-Mohamed ◽  
Divya Vinnakota ◽  
...  

We examined the intention and predictors of accepting the COVID-19 vaccine in Saudi Arabia. We conducted a nation-wide, cross-sectional online survey between February and March 2021. A total of 1387 people (≥18 years) participated. Only 27.3% adults had a definite and 30.2% had a probable vaccination intent; 26.8% and 15.6% had a probable and definite negative vaccination intent. Older people (≥50 years) (p < 0.01), healthcare workers/professionals (p < 0.001), and those who received flu vaccine (p < 0.001) were more likely to have a positive intent. People from Riyadh were less likely to receive the vaccine (p < 0.05). Among the health belief model constructs, perceived susceptibility to and severity of COVID-19 (p < 0.001), and perceived benefit of the vaccine (p < 0.001) were positively associated with vaccination intent, whereas perceived barriers had a negative association (p < 0.001). Individuals were more likely to receive the vaccine after obtaining complete information (p < 0.001) and when the vaccine uptake would be more common amongst the public (p < 0.001).


2020 ◽  
Vol 14 (12) ◽  
pp. e0008961
Author(s):  
Yulan Lin ◽  
Zhijian Hu ◽  
Qinjian Zhao ◽  
Haridah Alias ◽  
Mahmoud Danaee ◽  
...  

Background This study attempts to understand coronavirus disease 2019 (COVID-19) vaccine demand and hesitancy by assessing the public’s vaccination intention and willingness-to-pay (WTP). Confidence in COVID-19 vaccines produced in China and preference for domestically-made or foreign-made vaccines was also investigated. Methods A nationwide cross-sectional, self-administered online survey was conducted on 1–19 May 2020. The health belief model (HBM) was used as a theoretical framework for understanding COVID-19 vaccination intent and WTP. Results A total of 3,541 complete responses were received. The majority reported a probably yes intent (54.6%), followed by a definite yes intent (28.7%). The perception that vaccination decreases the chances of getting COVID-19 under the perceived benefit construct (OR = 3.14, 95% CI 2.05–4.83) and not being concerned about the efficacy of new COVID-19 vaccines under the perceived barriers construct (OR = 1.65, 95% CI 1.31–2.09) were found to have the highest significant odds of a definite intention to take the COVID-19 vaccine. The median (interquartile range [IQR]) of WTP for COVID-19 vaccine was CNY¥200/US$28 (IQR CNY¥100–500/USD$14–72). The highest marginal WTP for the vaccine was influenced by socio-economic factors. The majority were confident (48.7%) and completely confident (46.1%) in domestically-made COVID-19 vaccine. 64.2% reported a preference for a domestically-made over foreign-made COVID-19 vaccine. Conclusions The findings demonstrate the utility of HBM constructs in understanding COVID-19 vaccination intent and WTP. It is important to improve health promotion and reduce the barriers to COVID-19 vaccination.


2021 ◽  
Author(s):  
Corina Elena Niculaescu ◽  
Isabel Karen Sassoon ◽  
Irma Cecilia Landa-Avila ◽  
Ozlem Colak ◽  
Gyuchan Thomas Jun ◽  
...  

The present short communication paper describes the methodological approach of applying the Health Belief Model to the use COVID-19 immunity certificates in the UK. We designed an online survey including an adaptation of the following Health Belief Model constructs: perceived COVID-19 susceptibility, perceived COVID-19 severity, perceived benefits of using immunity certificates, perceived barriers from using immunity certificates, perceived severity of not using immunity certificates, and perceived vaccination views. The online cross-sectional survey conducted on the 3rd of August 2021 gathered responses from 534 participants aged 18 and older, representative of the UK population in terms of gender, age, and ethnicity.


2021 ◽  
Vol 9 ◽  
Author(s):  
Abrar Al-Hasan ◽  
Jiban Khuntia ◽  
Dobin Yim

Widespread acceptance of COVID-19 vaccination is the next major step in fighting the pandemic. However, significant variations are observed in the willingness to take the vaccination by citizens across different countries. Arguably, differences in vaccination intentions will be influenced by beliefs around vaccines to influence health. Often perceptions of what others are doing and the information available guide individuals' behaviors for vaccination. This is more so in the digital age with the influence of the internet and media. This study aims to determine the factors that impact willingness to vaccinate for COVID-19. We examined factors associated with acceptance of vaccine based on (1) constructs of the Health Belief Model (HBM), (2) sources of information, (3) social media usage, (4) knowledge of COVID-19 treatment, and (5) perception of government's efforts for mitigation. Randomly sampled online survey data was collected by a global firm between December 2020 and January 2021 from 372 citizens (with a response rate of 96.6%) from multiple regions, including North America, the Middle East, Europe, and Asia. Ordered probit regression suggests that the health belief model constructs hold. Perceived severity of COVID-19 (P &lt; 0.001) and action cues of others taking the vaccine positively influences a subject's vaccine intent (P &lt; 0.001), perceived benefits and perceived efficacy of the vaccine positively influences a subject's vaccine intent (P &lt; 0.001). Perceived barriers negatively influence vaccine intent (P &lt; 0.001). Interestingly as for media usage, mainstream media (e.g., TV, newspaper) (P = 0.006) and social media (P = 0.013) both negatively influence a subject's vaccine intent. Social media platforms that are more entertainment and social-based, such as Whatsapp, Instagram, and YouTube, have a negative and significant influence on vaccine intent (P = 0.061), compared to other more information-based social media platforms (e.g., Twitter, LinkedIn). Knowledge of COVID-19 treatment positively influences vaccine intent (P = 0.023). Lastly, governmental efforts' perceived reliability in mitigation strategy (P = 0.028) and response efforts (P = 0.004) negatively influence vaccine intent. The study highlights the “wait-and-see” action cue from others and leaders in the community. It also informs the importance of shaping media information for vaccination through informative media and social media outlets to counteract any misinformation.


2021 ◽  
Author(s):  
Md Abul Kalam ◽  
Thomas P. Davis ◽  
Shahanaj Shano ◽  
Nasir Uddin ◽  
Md. Ariful Islam ◽  
...  

AbstractBackgroundWhile vaccines ensure individual protection against COVID-19 infection, delay in receipt or refusal of vaccines will have both individual and community impacts. The behavioral factors of vaccine hesitancy or refusal are a crucial dimension that need understanding to implicate appropriate interventions. The aim of this study was to assess the behavioral determinants of COVID-19 vaccine acceptance and to provide recommendations to increase the uptake of COVID-19 vaccines in Bangladesh.MethodsWe employed a Barrier Analysis (BA) approach to examine twelve potential behavioral determinants (drawn from the Health Belief Model and Theory of Reasoned Action [TRA]) of intended vaccine acceptance. We conducted 45 interviews with those who intended to take the vaccine (Acceptors) and another 45 interviews with those who did not have that intention (Non-acceptors). We performed data analysis to find statistically significant differences and to identify which beliefs were most highly associated with acceptance and non-acceptance with COVID-19 vaccines.ResultsCOVID-19 vaccine Acceptors in Dhaka were different from Non-acceptors in terms of many of their beliefs and responses. The behavioral determinants associated with the behavior included perceived social norms, perceived safety of COVID-19 vaccines and trust in them, perceived risk/susceptibility, perceived self-efficacy, perceived positive and negative consequences, perceived action efficacy, perceived severity of COVID-19, access, and perceived divine will. In line with the Health Belief Model, beliefs about the disease itself were highly correlated with vaccine acceptance, although not the only determinant. Other responses of Acceptors provide clues such as providing vaccination through government health facilities, schools, and kiosks, and having vaccinators maintain proper COVID-19 health and safety protocols as to ways to make it easier to boost acceptance.ConclusionAn effective behavior change strategy for COVID-19 vaccines uptake will need to address multiple beliefs and behavioral determinants, reducing barriers and leveraging enablers identified in this study. The national plans on COVID-19 vaccination should adopt culturally and community label acceptable and appropriate evidence-based behavior change interventions strategies to promote high vaccination coverage and acceptance in all societal structures across the country.


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