• Title/Summary/Keyword: 건강신념모델

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Evaluation of Anti-Smoking Public Relations Messages -An Exploratory Study On the Effects Using Televised Health Messages- (금연홍보 캠페인의 메시지 효과평가 -영상홍보물을 이용한 탐색적 연구-)

  • Lee, Cheol-Han
    • Korean journal of communication and information
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    • v.44
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    • pp.223-247
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    • 2008
  • The purpose of this study is to explore the anti-smoking message effects and smoking status on smoking belief attributes. Based on the health behavior theories such as theory of reasoned action, health belief model, and social cognitive theory, three factors are selected to investigate the effects of anti-smoking campaign messages. The balance of benefits and barriers, self-efficacy, and social pressure are selected as independent variables. Three two-way ANOVA were conducted. Results showed that the main effect of social pressure were found with the social smoking attributes. Interaction effects were found on the nonsmoker-social pressure group and the non-smoker-two sided message group. It is found that nonsmokers accepted these two anti-smoking messages easily as compared to smoker groups. No main smoking status was found in this study; it is believed that smoking is a habitual that is not changed easily because attitude formation takes time. Results revealed that the two-sided message video releases and the social pressure video releases were favored by both smokers and nonsmokers. This study contributes the theoretical framework that can be transferred to the practices of anti-smoking campaign. Also, the researcher produced the televised stimuli which is not common in health message studies. By using the televised message material, the research tried to solve the validity problem which is common in experimental design.

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Content Analysis of Anti-Smoking TV advertisements: Different Adaptation of Health Communication Theories between Korea and the U.S.A. (금연 TV광고의 내용분석 연구 -한국과 미국의 차이에 기반한 건강 커뮤니케이션 이론의 적용-)

  • Hong, Eunhee;Lee, Cheolhan
    • The Journal of the Korea Contents Association
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    • v.12 no.11
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    • pp.76-87
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    • 2012
  • This study examined Korean and the U.S.A..'s television anti-smoking advertisements that were coined to discourage adults and teens smoking. A content analysis of 71 television advertisements listed in the "Smoking Guidance Program" operated by Korea Health Promotion Foundation. This study evaluated to detect whether the advertising content reflected core health communication theories such as health belief model, theory of reasoned action, and social cognitive theory used in the designing of anti-smoking ad message to change behavior and attitudes toward smoking unfavorably. The results showed that Korean anti-smoking ads mostly relied on social norm messages, followed by smoking attitude. The message of modeling and self-efficacy was least used; while, the U.S.A. ads focused more on modeling and self efficacy. This difference comes from the cultural difference. Namely, Korea focused more on collectivism rather than individualism. The anti-smoking ads of Korea and the U.S.A. most frequently adopted horror and humor rather than sadness, no appeal, and angry. The ads targeted more on adults rather than teens. The research identifies the types of advertisements that are most likely to utilized and underutilize in the Korea and U.S.A. anti-smoking ads and contribute to further understandings of anti-smoking ads theoretically.

Factors Affecting Female College Students' Reproductive Health Information Seeking Behaviors on the Internet (여대생의 인터넷 생식건강정보 탐색에 영향을 미치는 요인 연구)

  • Hyunsoo Yoon;Sanghee Oh;Yeongmi Lee
    • Journal of the Korean Society for information Management
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    • v.41 no.1
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    • pp.389-409
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    • 2024
  • The purpose of this study is to identify the factors affecting female college students' behaviors in seeking reproductive health information on the Internet and to explore the relationships among these factors. Based on the Health Belief Model(HBM) and the Theory of Planned Behavior(TPB), perceived sensitivity, perceived severity, perceived benefit, perceived barriers, subjective norms, perceived behavioral control, and affective evaluation were defined as key factors, and the study was designed accordingly. An online survey was distributed to female college students in Seoul through the university student's online community, 'Everytime.' The results showed that the intention of female college students to seek reproductive health information via the Internet was associated with higher perceived sensitivity, perceived benefit, and subjective norms, and lower perceived barriers. There were statistically significant differences between groups in terms of sexual experiences, experience with reproductive system disorders, and the level of health interest. We believe that this research outcome will contribute to assessing the level of awareness regarding reproductive health among female college students, thereby aiding in the development of online health information literacy education or related service programs by university libraries, health institutions, and similar entities targeting female college students.

Health Belief Model Approach to Health Beliefs, Attitude, and Health Behaviors Concerning HIV / AIDS. (건강신념모델을 적용한 AIDS 예방의 건강신념, 태도 및 건강행동)

  • 김명혜
    • Korean Journal of Health Education and Promotion
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    • v.14 no.2
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    • pp.125-147
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    • 1997
  • This study was conducted in order to identify the extent to which Health Belief Model (HBM) constructs explain the likelihood of taking preventive behaviors for AIDS among the young adolescents in Korea. HBM was applied as the theoretical framework for developing questionnaire items in this study. The survey instrument included all of the constructs of Health Belief Model, namely, perceived susceptibility, perceived severity, perceived benefit, perceived barriers, cue to actions for preventive behaviors concerning AIDS. Additionally, demographic characteristics of the respondents, their sexual experiences, and AIDS Knowledge Test were included in the study. Each of HBM constructs were developed with a 5-point Likert type scale from l(never agree) to 5 (absolutely agree). The survey was conducted with a total of 247 military men in a city on September 18, 1996, using self-reported questionnaire. The results of the study were summarized as follows: 1. Because the subjects for this study were military soldiers, their demographic characteristics were limited to all men, young age, and ummarried. Educational status was evenly distributed between high school graduates and university students. 2. On the average, the respondents started their first sexual relationship at 18 years old and 82.6% of them did not use condom when having their first sexual experience. Thirty-one percent of the subjects had sexual contact with prostitutes and the average number of sexual contact with prostitutes was 5 times during the past 2 years. 3. The results of AIDS Knowledge Test scores demonstrated that the respondents had a high level of knowledge about AIDS. However, some misconceptions about transmission of AIDS through casual contact were still prevailed. Sixty-six percent of the respondents expressed that people infected with HIV should be isolated from the society in order to protect the general public. 4. All the respondents expressed that they had heard about AIDS before. TV was found to be the source which provided information on AIDS most frequently. 5. Among fundamental constructs of Health Belief Model, scores of perceived benefit of taking preventive action against AIDS marked the highest score, while scores of perceived susceptibility were the lowest. As a result of Multiple Stepwise Regression analysis, 13 variable groups were found to predict the preventive action by 25%. Among them, only perceived benefit variables was the most significant factor to explain preventive behaviors by 17%.

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The Effects of a Sex Education Program on Knowledge Related to Sexually Transmitted Diseases and Sexual Autonomy among University Students (건강 신념 모델에 근거한 성교육 프로그램이 대학생의 성병 관련지식과 성적자율성에 미치는 효과)

  • Shin YunHee;Chun YaungKyung;Cha SungMi;Cha YeRyung
    • Journal of Korean Academy of Nursing
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    • v.35 no.7
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    • pp.1304-1313
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    • 2005
  • Purpose: The purpose of this study was to evaluate the effects of a sex education program, which was based on the Health Belief Model, on knowledge related to sexually transmitted diseases and sexual autonomy among university students. Method: A non-equivalent control group, pretest-posttest design was used. The four session program was delivered to 18 students during 4 weeks; the control group consisted of 23 students. The theme of the first session was 'sex, gender, and sexuality: all our concern', 'dangerous sex' for the second session, 'safe sex' for the third session, and 'right sex for you and me' for the fourth session. Result: At follow-up, the knowledge related to sexually transmitted diseases and sexual autonomy were significantly greater in the intervention group than in the control group. Conclusion: A sex education program with several sessions within the theoretical frame of HBM was effective to improve knowledge related to sexually transmitted diseases and sexual autonomy. The results suggest the potential of a systematic sexual education program to teach healthy sex and to extend the program for other various populations.

Adolescents' and Parental Knowledge, Health Beliefs Toward Hepatitis A Vaccination (청소년과 그들의 보호자를 대상으로 실시한 A형 간염 예방접종에 대한 지식 및 건강신념 연구)

  • Yoon, Seo Hee;Lee, Hyo Yeon;Kim, Han Wool;Kong, Kyoung Ae;Kim, Kyung-Hyo
    • Pediatric Infection and Vaccine
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    • v.20 no.3
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    • pp.147-160
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    • 2013
  • Purpose: Although the overall incidence of hepatitis A in Korea has been decreasing recently, the adolescents born before the introduction of the hepatitis A vaccine remain to be highly vulnerable to outbreak. This study examines the unvaccinated adolescents' and their parents' knowledge and health beliefs toward hepatitis A vaccination. Methods: Healthy adolescents aged 13-19 years old who had no previous history of hepatitis A vaccine and hepatitis A infection, and their parents or legal guardians were the subjects of the study. The survey was conducted using a structured questionnaire based on the Health Belief Model, and examined the subjects' demographics, knowledge, and health beliefs (i.e., perceived susceptibility, severity, benefits, and barriers). Results: We included 157 adolescents and their parents/guardians (mean age: $16.0{\pm}1.6$ and $45.6{\pm}4.7$ years, respectively). The average knowledge item score for adolescents and parents was $6.4{\pm}3.7$ and $7.3{\pm}3.4$ (out of 18), respectively. Similarly, average Health Belief Model item scores were: susceptibility, $5.6{\pm}1.6$ and $5.9{\pm}1.7$ (range: 2-10); severity, $16.3{\pm}4.1$ and $18.3{\pm}3.6$ (range:5-25); benefits, $19.7{\pm}3.3$ and $20.6{\pm}2.1$ (range:5-25); and barriers, $41.3{\pm}8.9$ and $39.0{\pm}9.1$ (range:7-85). The major reason for not undergoing hepatitis A vaccination was lack of knowledge about its importance. Conclusions: Refresher health lectures about hepatitis A and the vaccine are needed by both the adolescents and their parents. Furthermore, the inclusion of hepatitis A vaccine in the national immunization program should be considered to reduce the risk of hepatitis A outbreak and to raise the vaccination coverage among the adolescents in Korea.

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The factors of oral health beliefs on scaling performance by national health insurance coverage in consumers (치과의료소비자의 구강건강신념이 건강보험 급여화에 따른 스케일링 행위에 영향을 미치는 요인)

  • Lee, Myung-Sun;Lim, Hee-Jung
    • Journal of Korean society of Dental Hygiene
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    • v.15 no.1
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    • pp.31-38
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    • 2015
  • Objectives: The purpose of this study is to investigate the factors of oral health beliefs on scaling performance by national health insurance coverage in consumers. Methods: The subjects were 353 people living in Seoul, Incheon, and Gyeonggi-do from September 25 to October 20, 2013. They filled out the self-reported questionnaire after receiving informed consents. The questionnaire included 6 questions of general characteristics, 6 questions of oral health behavior, 6 questions of health insurance coverage, and 1 question of subjective oral health recognition. The oral health belief consisted of 6 questions of seriousness, 6 questions of susceptibility, 8 questions of barriers, 5 questions of benefit, and 3 questions of self-efficacy measure by Likert 5 scale. Cronbach's alpha in the study was 0.759. Data were analyzed using SPSS version 20.0 for frequency analysis, t-test, ANOVA, post-hoc Scheffe test, Pearson's correlation coefficient, and binary logistic regression. Results: The influencing factors of oral health belief model were Seriousness(${\beta}=0.091$), Self efficacy(${\beta}=-0.471$) and age(${\beta}=0.855$)(p<0.05). Those who had highly perceived seriousness and younger age tended to have probability of scaling performance. Higher self-efficacy tended to take more chance to have scaling performance probability. Conclusions: In order to cover the scaling by national health insurance, it is very important to notice the benefit of health insurance coverage of scaling to the consumers. National health insurance coverage enables the scaling practice to be easily accessible to the people. Easy access to scaling by low cost strategy can improve the oral health behavior.

Nursing students' knowledge, health beliefs, anxiety, and preventive health behaviors on COVID-19: A cross-sectional study (간호대학생의 COVID-19에 관한 지식, 건강신념 및 불안이 예방적 건강행위에 미치는 영향: 횡단적 연구)

  • Sa, Hyeweon;Kim, Youngji
    • The Journal of Korean Academic Society of Nursing Education
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    • v.28 no.3
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    • pp.284-295
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    • 2022
  • Purpose: This study aimed to describe Coronavirus disease 2019 (COVID-19)-related knowledge, health beliefs, anxiety levels, and preventive behaviors among nursing students and to identify factors that influence their preventive behaviors. Methods: A descriptive survey was conducted, targeting a total of 192 nursing students from March 4, 2021 to March 25, 2021. A structured questionnaire was used to identify nursing students' knowledge, health beliefs, anxiety, and preventive health behavior regarding COVID-19. Data were analyzed using descriptive statistics, a t-test, analysis of variance, Pearson's correlation coefficients, and multiple regression. Results: The nursing students' knowledge level was 15.08±1.70 out of 5, and their health belief level was 3.72±0.32 out of 5. These scores were considered high. Their anxiety score was 3.29±3.84 and considered very low. COVID-19 preventive behaviors had a positive correlation with benefits (r=.29, p<.001) and cues to action (r=.28, p<.001). Factors influencing COVID-19 preventive behaviors by multiple regression were identified as health beliefs and living arrangements (F=8.95, p<.001, Adjusted R2=14.3%). Conclusion: The findings suggest that health beliefs and living arrangements could be important factors affecting preventive health behavior in nursing college students during the COVID-19 pandemic. This study highlights the need for appropriate education and widespread awareness campaigns aimed at potential health care professionals about the prevention of new emerging diseases.

Factors Affecting Dental Service Utilization of Adult: An Application of the Andersen Model (앤더슨 모형을 적용한 일부 성인의 치과 의료이용 행태에 영향을 미치는 요인)

  • Choi, Eunsil;Kim, Mi-Na;Noh, Sunmi;Park, Jieun
    • Journal of dental hygiene science
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    • v.15 no.1
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    • pp.67-76
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    • 2015
  • This study aims to determine the factors affecting the dental service utilization of adults. The subjects in this study were 455 adults, whom a survey was conducted form May 7 to June 7, 2013. Statistical verification conducted through PASW Statistics was 18.0. The difference in the distribution of independent variables related with the dental service utilization was verified with chi-square test. Relevant factors were determined using Hierarchical logistic regression analysis. Model I is predisposing factor, Model II is predisposing factor and enabling factor. Model III is predisposing, enabling, need factor. Andersen model factor which infuences dental service utilization of adults resulted that use dental floss (OR, 2.32; CI, 1.39~3.86), use electric toothbrush (OR, 2.98; CI, 1.0~8.89), use interdental brush (OR, 2.55; CI, 1.36~4.78), self-efficacy (OR, 0.68; CI, 0.48~0.96), barriers (OR, 1.45; CI, 1.04~2.04). Predisposing factor and need factor were found to be determinants for dental service utilization in adult.

A Prediction Model of Fear of Falling in Older Adults Living in a Continuing-Care Retirement Community(CCRC) in United States (미국 노인의 낙상에 대한 두려움 예측모형에 관한 연구)

  • Jung, Dukyoo
    • 한국노년학
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    • v.29 no.1
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    • pp.243-258
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    • 2009
  • Background: Falls are among the most common and serious health problems of older people. The psychological symptoms of falling have received relatively little attention compared to physical problems. Objective: The purpose of this study is to test a model to explain the factors that influence fear of falling among older adults living in a continuing care retirement community (CCRC) in Baltimore city, United States. Methods: A secondary analysis was conducted using data obtained from a Health Promotion Survey done on 149 older adults living in a CCRC. Data was originally obtained during face to face interviews with each participant. Descriptive statistics and bivariate correlations were used to describe the sample and evaluate simple correlations. A path analysis was done using the AMOS 4.0 statistical program. Results: Of the 49 hypothesized paths, 13 were statistically significant, and the model accounted for 22% of the variance in fear of falling among the elderly. There was support for the fit of the model to the data with a nonsignificant chi square at 0.478 (df=2, p=0.79), and the ratio of chi-square to degrees of freedom was 0.24, a CFI of 0.99 and RMSEA of 0.00. In particular, gender, a history of falling, and exercise were significant predictors of fear of falling. Conclusions/Implications: As anticipated, exercise is an important factor to prevent fear of falling. As a modifiable variable, self-efficacy and outcome expectation indirectly influence fear of falling through exercise.