HEALTH BELIEFS ON THE BEHAVIORAL ADOPTION OF MAMMOGRAPHY SCREENING MODERATED BY KNOWLEDGE AND MARITAL STATUS: A PATH ANALYTIC MODEL

Despite the effectiveness of mammography for early breast cancer detection, its’ utilization among Malaysian women remains low. Health beliefs are closely related to health screening behavior. Hence, it is important that health beliefs are employed when exploring mammography screening behavior. Thus, the study utilized HBM constructs in predicting the variance in adoptive behavior of mammography. A multi-stage, stratified random sampling method was utilized to select the polyclinics in Kuantan, Pahang. Using sample size calculation at 5% type 1 error, p < 0.05 and absolute error at 2%, 520 Malaysian women aged 35 to 70 years were randomly selected. Sets of copyrighted, validated questionnaire were used to obtain the data. Structural equation modeling using Mplus was used to test the model. All health beliefs were found to significantly influence the behavioral adoption of mammography screening. Socio-demographic factors (married women) were found to moderate significantly the relationship between perceived susceptibility and behavioral adoption of mammography. Further, knowledge and married women were found to significantly affect self-efficacy. Additionally, perceived severity, motivator factors and perceived benefits were found to significantly influence self-efficacy and that self-efficacy significantly influences the behavioral adoption of mammography screening. However, a negative correlation was found between perceived severity and perceived barriers on the behavioral adoption of mammography. The model can be used as an interventional tool in designing promotional and educational programs to encourage women to adopt mammography screening.

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Multilevel Pathways of Colorectal Cancer Screening Among Low-Income Vietnamese Americans: A Structural Equation Modeling Analysis

Cancer Control ◽

10.1177/10732748211011077 ◽

2021 ◽

Vol 28 ◽

pp. 107327482110110

Author(s):

Grace X. Ma ◽

Lin Zhu ◽

Timmy R. Lin ◽

Yin Tan ◽

Phuong Do

Keyword(s):

Health Beliefs ◽

Low Income ◽

Self Efficacy ◽

Limited English Proficiency ◽

Structural Equation ◽

Vietnamese Americans ◽

Equation Modeling ◽

Community Based ◽

Related Factors ◽

Crc Screening

Background: Colorectal cancer (CRC) disproportionately affects Vietnamese Americans, especially those with low income and were born outside of the United States. CRC screening tests are crucial for prevention and early detection. Despite the availability of noninvasive, simple-to-conduct tests, CRC screening rates in Asian Americans, particularly Vietnamese Americans, remain suboptimal. The purpose of this study was to evaluate the interplay of multilevel factors – individual, interpersonal, and community – on CRC screening behaviors among low-income Vietnamese Americans with limited English proficiency. Methods: This study is based on the Sociocultural Health Behavior Model, a research-based model that incorporates 6 factors associated with decision-making and health-seeking behaviors that result in health care utilization. Using a community-based participatory research approach, we recruited 801 Vietnamese Americans from community-based organizations. We administered a survey to collect information on sociodemographic characteristics, health-related factors, and CRC screening-related factors. We used structural equation modeling (SEM) to identify direct and indirect predictors of lifetime CRC screening. Results: Bivariate analysis revealed that a greater number of respondents who never screened for CRC reported limited English proficiency, fewer years of US residency, and lower self-efficacy related to CRC screening. The SEM model identified self-efficacy (coefficient = 0.092, P < .01) as the only direct predictor of lifetime CRC screening. Educational attainment (coefficient = 0.13, P < .01) and health beliefs (coefficient = 0.040, P < .001) had a modest significant positive relationship with self-efficacy. Health beliefs (coefficient = 0.13, P < .001) and educational attainment (coefficient = 0.16, P < .01) had significant positive relationships with CRC knowledge. Conclusions: To increase CRC screening uptake in medically underserved Vietnamese American populations, public health interventions should aim to increase community members’ confidence in their abilities to screen for CRC and to navigate associated processes, including screening preparation, discussions with doctors, and emotional complications.

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Health Belief Associated with Adherence to Health Protocol in Preventing Coronavirus Diseases on Patients’ Family

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2021.6762 ◽

2021 ◽

Vol 9 (B) ◽

pp. 1011-1015

Author(s):

Riza Fikriana ◽

Frastiqa Fahrany ◽

Syahril Ali Rusli

Keyword(s):

Health Beliefs ◽

Self Efficacy ◽

Health Belief ◽

Sampling Technique ◽

Hospital Environment ◽

Perceived Benefits ◽

Cross Sectional ◽

Perceived Susceptibility ◽

Significance Level ◽

Perceived Severity

BACKGROUND: Adherence with health protocols during the Coronavirus disease (COVID-19) pandemic is very important to prevent transmission. However, it is obtained that adherence with health protocols is still not optimal. The hospital environment is an area that is at high risk of transmission. AIM: The purpose of this study is to analyze the relationship between health belief and adherence with the health protocol in the patient’s family. METHODS: Quantitative research is correlated with a cross-sectional approach. The sample is the family of patients at the hospital, which was taken with simple random sampling technique as many as 100 people. Research variables include perceived susceptibility, perceived severity, perceived benefits, perceived barrier, self-efficacy, and adherence with health protocols. Data collection was using questionnaire instruments. Data analysis was using Fisher test with a significance level of 95%. RESULTS AND DISCUSSION: Fisher’s test results obtained data that there is a relationship between health belief in the dimensions of perceived susceptibility (p = 0.007), perceived severity (p = 0.027), perceived benefits (p = 0.003), perceived barriers (p = 0.021), and self-efficacy (p = 0.002) with adherence with health protocols in an effort to prevent the transmission of COVID-19. The patient’s family will be willing to implement health protocols if they have a high health belief in efforts to prevent the transmission of COVID-19. This health belief includes the belief that COVID-19 disease is easily contagious and serious; adherence will provide benefits for health. CONCLUSION: Health beliefs are significantly related to adherence with health protocols in the prevention of COVID-19 transmission in the patient’s family.

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Influence of Health Beliefs on Adherence to COVID-19 Preventative Practices: International, Social Media–Based Survey Study (Preprint)

10.2196/preprints.23720 ◽

2020 ◽

Author(s):

Julianna C Hsing ◽

Jasmin Ma ◽

Alejandra Barrero-Castillero ◽

Shilpa G Jani ◽

Uma Palam Pulendran ◽

...

Keyword(s):

United States ◽

Social Media ◽

Logistic Regression ◽

Hong Kong ◽

Health Beliefs ◽

Self Efficacy ◽

The United States ◽

Perceived Severity ◽

Social Distancing ◽

United States Mexico

BACKGROUND Health behavior is influenced by culture and social context. However, there are limited data evaluating the scope of these influences on COVID-19 response. OBJECTIVE This study aimed to compare handwashing and social distancing practices in different countries and evaluate practice predictors using the health belief model (HBM). METHODS From April 11 to May 1, 2020, we conducted an online, cross-sectional survey disseminated internationally via social media. Participants were adults aged 18 years or older from four different countries: the United States, Mexico, Hong Kong (China), and Taiwan. Primary outcomes were self-reported handwashing and social distancing practices during COVID-19. Predictors included constructs of the HBM: perceived susceptibility, perceived severity, perceived benefits, perceived barriers, self-efficacy, and cues to action. Associations of these constructs with behavioral outcomes were assessed by multivariable logistic regression. RESULTS We analyzed a total of 71,851 participants, with 3070 from the United States, 3946 from Mexico, 1201 from Hong Kong (China), and 63,634 from Taiwan. Of these countries, respondents from the United States adhered to the most social distancing practices (χ23=2169.7, P<.001), while respondents from Taiwan performed the most handwashing (χ23=309.8, P<.001). Multivariable logistic regression analyses indicated that self-efficacy was a positive predictor for handwashing (odds ratio [OR]United States 1.58, 95% CI 1.21-2.07; ORMexico 1.5, 95% CI 1.21-1.96; ORHong Kong 2.48, 95% CI 1.80-3.44; ORTaiwan 2.30, 95% CI 2.21-2.39) and social distancing practices (ORUnited States 1.77, 95% CI 1.24-2.49; ORMexico 1.77, 95% CI 1.40-2.25; ORHong Kong 3.25, 95% CI 2.32-4.62; ORTaiwan 2.58, 95% CI 2.47-2.68) in all countries. Handwashing was positively associated with perceived susceptibility in Mexico, Hong Kong, and Taiwan, while social distancing was positively associated with perceived severity in the United States, Mexico, and Taiwan. CONCLUSIONS Social media recruitment strategies can be used to reach a large audience during a pandemic. Self-efficacy was the strongest predictor for handwashing and social distancing. Policies that address relevant health beliefs can facilitate adoption of necessary actions for preventing COVID-19. Our findings may be explained by the timing of government policies, the number of cases reported in each country, individual beliefs, and cultural context.

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The protection motivation theory for predict intention of COVID-19 vaccination in Iran: a structural equation modeling approach

BMC Public Health ◽

10.1186/s12889-021-11134-8 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Alireza Ansari-Moghaddam ◽

Maryam Seraji ◽

Zahra Sharafi ◽

Mahdi Mohammadi ◽

Hassan Okati-Aliabad

Keyword(s):

Structural Equation Modeling ◽

Self Efficacy ◽

Structural Equation ◽

Adult Population ◽

Protection Motivation Theory ◽

Equation Modeling ◽

Protection Motivation ◽

Motivation Theory ◽

Perceived Severity ◽

Response Efficacy

Abstract Background Many efforts are being made around the world to discover the vaccine against COVID-19. After discovering the vaccine, its acceptance by individuals is a fundamental issue for disease control. This study aimed to examine COVID-19 vaccination intention determinants based on the protection motivation theory (PMT). Methods We conducted a cross-sectional study in the Iranian adult population and surveyed 256 study participants from the first to the 30th of June 2020 with a web-based self-administered questionnaire. We used Structural Equation Modeling (SEM) to investigate the interrelationship between COVID-19 vaccination intention and perceived susceptibility, perceived severity, perceived self-efficacy, and perceived response efficacy. Results SEM showed that perceived severity to COVID-19 (β = .17, p < .001), perceived self-efficacy about receiving the COVID-19 vaccine (β = .26, p < .001), and the perceived response efficacy of the COVID-19 vaccine (β = .70, p < .001) were significant predictors of vaccination intention. PMT accounted for 61.5% of the variance in intention to COVID-19 vaccination, and perceived response efficacy was the strongest predictor of COVID-19 vaccination intention. Conclusions This study found the PMT constructs are useful in predicting COVID-19 vaccination intention. Programs designed to increase the vaccination rate after discovering the COVID-19 vaccine can include interventions on the severity of the COVID-19, the self-efficacy of individuals receiving the vaccine, and the effectiveness of the vaccine in preventing infection.

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Analysis of the Impact of Health Beliefs and Resource Factors on Preventive Behaviors against the COVID-19 Pandemic

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17228666 ◽

2020 ◽

Vol 17 (22) ◽

pp. 8666 ◽

Cited By ~ 3

Author(s):

Sunhee Kim ◽

Seoyong Kim

Keyword(s):

Social Support ◽

Health Status ◽

Health Beliefs ◽

Self Efficacy ◽

National Level ◽

Personal Health ◽

Preventive Behavior ◽

Perceived Severity ◽

Preventive Actions ◽

The Impact

The global spread of COVID-19 requires not only national-level responses but also active compliance with individual-level prevention measures. Because COVID-19 is an infectious disease that spreads through human contact, it is impossible to end its spread without individuals’ active cooperation and preventive behavior. This study analyzes the effects of health beliefs and resource factors on behaviors to prevent COVID-19. In particular, it analyzes how resource factors moderate the impact of health beliefs on preventive behavior. A regression analysis showed that gender (female), age, number of elderly people in one’s family, perceived severity, perceived benefit, self-efficacy, poor family health, media exposure, knowledge, personal health status, and social support positively affected preventive actions, whereas perceived susceptibility negatively affected them. In explaining preventive actions, self-efficacy had the greatest explanatory power, followed by gender (female), knowledge, personal health status, perceived severity, and social support. In addition, an analysis of moderating effects shows that resource variables, such as education level, personal health status, and social support, play moderating roles in inducing preventive actions.

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Factors Associated with Physical Activity in Elderly Nursing Home Residents: A Path Analysis

10.21203/rs.3.rs-19293/v1 ◽

2020 ◽

Author(s):

Jingxin Huang ◽

Youqing Zou ◽

Wentao Huang ◽

Ye Zhou ◽

Shanshan Lin ◽

...

Keyword(s):

Physical Activity ◽

Nursing Home ◽

Path Analysis ◽

Health Beliefs ◽

Indirect Effects ◽

Self Efficacy ◽

Nursing Home Residents ◽

Perceived Severity ◽

Cues To Action ◽

Positive Direct

Abstract Background: Physical activity (PA) is low among elderly residents in nursing homes in China. We aimed to determine the factors that influence PA among elderly nursing home residents and their direct or indirect effects on PA levels.Methods: The PA levels of the participants were measured using the International Physical Activity Questionnaire, and their health beliefs were assessed using a self-developed 18-item questionnaire titled the ‘Health Beliefs of Nursing Home Residents Regarding Physical Activity,’ in accordance with Health Belief Model (HBM) constructs. The correlations between HBM constructs and PA levels were analyzed and a regression-based path analysis was conducted to examine the relationships between HBM constructs and PA levels.Results: A total of 180 residents with a mean age of 82.5 years (standard deviation = 5.76) were recruited. Linear regression analysis revealed that self-efficacy (p<0.001), perceived severity (p<0.01), and cues to action (p<0.01) were associated with the level of PA among nursing home residents. In the conceptual path model, self-efficacy, perceived severity, and cues to action had positive direct effects on PA level, while perceived benefits and perceived barriers had indirect effects on the PA level.Conclusion: The residents’ self-efficacy, perceived severity, and cues to action were found to be important factors that can affect the design and implementation of educational programs for PA. A better understanding of such associations may help healthcare providers design informed educational interventions to increase PA levels among nursing home residents.

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The Protection motivation theory for predict intention of COVID-19 vaccination in Iran: A structural equation modeling approach

10.21203/rs.3.rs-239756/v1 ◽

2021 ◽

Author(s):

Alireza Ansari-Moghaddam ◽

Maryam Seraji ◽

Zahra Sharafi ◽

Mahdi Mohammadi ◽

Hassan Okati-Aliabad

Keyword(s):

Structural Equation Modeling ◽

Self Efficacy ◽

Structural Equation ◽

Adult Population ◽

Protection Motivation Theory ◽

Equation Modeling ◽

Protection Motivation ◽

Motivation Theory ◽

Perceived Severity ◽

Response Efficacy

Abstract BackgroundMany efforts are being made around the world to discover the vaccine against COVID-19. After discovering the vaccine, its acceptance by individuals is a fundamental issue for disease control. This study aimed to examine COVID-19 vaccination intention determinants based on the protection motivation theory (PMT). Methods We conducted a cross-sectional study in the Iranian adult population and surveyed study participants from the first to the 30th of June 2020 with a web-based self-administered questionnaire. We used Structural Equation Modeling (SEM) to investigate the interrelationship between COVID-19 vaccination intention and perceived susceptibility, perceived severity, perceived self-efficacy, and perceived response efficacy. Results SEM showed that perceived severity to COVID-19 (β=.17, p < .001), perceived self-efficacy about receiving the COVID-19 vaccine (β=.26, p < .001), and the perceived response efficacy of the COVID-19 vaccine (β=.70, p < .001) were significant predictors of vaccination intention. PMT accounted for 61.5% of the variance in intention to COVID-19 vaccination, and response efficacy was the strongest predictor of COVID-19 vaccination intention. ConclusionsThis study found the PMT constructs are useful in predicting COVID-19 vaccination intention. Programs designed to increase the vaccination rate after discovering the COVID-19 vaccine can include interventions on the severity of the COVID-19, the self-efficacy of individuals receiving the vaccine, and the effectiveness of the vaccine in preventing infection.

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Influence of Health Beliefs on Adherence to COVID-19 Preventative Practices: International, Social Media–Based Survey Study

Journal of Medical Internet Research ◽

10.2196/23720 ◽

2021 ◽

Vol 23 (2) ◽

pp. e23720

Author(s):

Julianna C Hsing ◽

Jasmin Ma ◽

Alejandra Barrero-Castillero ◽

Shilpa G Jani ◽

Uma Palam Pulendran ◽

...

Keyword(s):

United States ◽

Social Media ◽

Logistic Regression ◽

Hong Kong ◽

Health Beliefs ◽

Self Efficacy ◽

The United States ◽

Perceived Severity ◽

Social Distancing ◽

United States Mexico

Background Health behavior is influenced by culture and social context. However, there are limited data evaluating the scope of these influences on COVID-19 response. Objective This study aimed to compare handwashing and social distancing practices in different countries and evaluate practice predictors using the health belief model (HBM). Methods From April 11 to May 1, 2020, we conducted an online, cross-sectional survey disseminated internationally via social media. Participants were adults aged 18 years or older from four different countries: the United States, Mexico, Hong Kong (China), and Taiwan. Primary outcomes were self-reported handwashing and social distancing practices during COVID-19. Predictors included constructs of the HBM: perceived susceptibility, perceived severity, perceived benefits, perceived barriers, self-efficacy, and cues to action. Associations of these constructs with behavioral outcomes were assessed by multivariable logistic regression. Results We analyzed a total of 71,851 participants, with 3070 from the United States, 3946 from Mexico, 1201 from Hong Kong (China), and 63,634 from Taiwan. Of these countries, respondents from the United States adhered to the most social distancing practices (χ23=2169.7, P<.001), while respondents from Taiwan performed the most handwashing (χ23=309.8, P<.001). Multivariable logistic regression analyses indicated that self-efficacy was a positive predictor for handwashing (odds ratio [OR]United States 1.58, 95% CI 1.21-2.07; ORMexico 1.5, 95% CI 1.21-1.96; ORHong Kong 2.48, 95% CI 1.80-3.44; ORTaiwan 2.30, 95% CI 2.21-2.39) and social distancing practices (ORUnited States 1.77, 95% CI 1.24-2.49; ORMexico 1.77, 95% CI 1.40-2.25; ORHong Kong 3.25, 95% CI 2.32-4.62; ORTaiwan 2.58, 95% CI 2.47-2.68) in all countries. Handwashing was positively associated with perceived susceptibility in Mexico, Hong Kong, and Taiwan, while social distancing was positively associated with perceived severity in the United States, Mexico, and Taiwan. Conclusions Social media recruitment strategies can be used to reach a large audience during a pandemic. Self-efficacy was the strongest predictor for handwashing and social distancing. Policies that address relevant health beliefs can facilitate adoption of necessary actions for preventing COVID-19. Our findings may be explained by the timing of government policies, the number of cases reported in each country, individual beliefs, and cultural context.

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The Role of Career Self-Efficacy on the Effect of Parental Career Behaviors on Career Exploration: A Study on School of Tourism and Hotel Management’ Students

European Journal of Multidisciplinary Studies ◽

10.26417/ejms.v3i1.p143-154 ◽

2016 ◽

Vol 3 (1) ◽

pp. 143 ◽

Cited By ~ 3

Author(s):

Selahattin Kanten ◽

Pelin Kanten ◽

Murat Yeşiltaş

Keyword(s):

Undergraduate Students ◽

Self Efficacy ◽

Structural Equation ◽

Career Exploration ◽

Equation Modeling ◽

Survey Method ◽

Hotel Management ◽

Mediating Role ◽

The Impact

This study aims to investigate the impact of parental career behaviors on undergraduate student’s career exploration and the mediating role of career self-efficacy. In the literature it is suggested that some social and individual factors facilitate students’ career exploration. Therefore, parental career behaviors and career self-efficacy is considered as predictors of student’s career exploration attitudes within the scope of the study. In this respect, data which are collected from 405 undergraduate students having an education on tourism and hotel management field by the survey method are analyzed by using the structural equation modeling. The results of the study indicate that parental career behaviors which are addressed support; interference and lack of engagement have a significant effect on student’s career exploration behaviors such as intended-systematic exploration, environment exploration and self-exploration. In addition, it has been found that one of the dimensions of parental career behaviors addressed as a lack of engagement has a significant effect on career self-efficacy levels of students. However, research results indicate that student’s career self-efficacy has a significant effect on only the self-exploration dimension. On the other hand, career self-efficacy has a partial mediating role between lack of engagement attitudes of parents and career exploration behaviors of students.

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Osteoporosis health beliefs and self-efficacy among orthopedic nurses in Hunan Province, China

International Journal of Orthopaedic and Trauma Nursing ◽

10.1016/j.ijotn.2020.100839 ◽

2020 ◽

pp. 100839

Author(s):

Weiwei Dai ◽

Lingli Peng ◽

Yang Xiong ◽

Nancy Reynolds ◽

Ailan He ◽

...

Keyword(s):

Health Beliefs ◽

Self Efficacy ◽

Hunan Province

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