• 제목/요약/키워드: Health belief model

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Using the Health Belief Model to Predict Tuberculosis Preventive Behaviors Among Tuberculosis Patients' Household Contacts During the COVID-19 Pandemic in the Border Areas of Northern Thailand

  • Nantawan Khamai;Katekaew Seangpraw;Parichat Ong-Artborirak
    • Journal of Preventive Medicine and Public Health
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    • 제57권3호
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    • pp.223-233
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    • 2024
  • Objectives: The coronavirus disease 2019 pandemic has exacerbated the rate of tuberculosis (TB) infection among close contacts of TB patients in remote regions. However, research on preventive behaviors, guided by the Health Belief Model (HBM), among household contacts of TB cases is scarce. This study aimed to employ the HBM as a framework to predict TB preventive behaviors among household contacts of TB patients in the border areas of Northern Thailand. Methods: A cross-sectional study with multi-stage random sampling was conducted in Chiang Rai Province. The study included 422 TB patients' household contacts aged 18 years or older who had available chest X-ray (CXR) results. A self-administered questionnaire was used to conduct the survey. Results: The participants' mean age was 42.93 years. Pearson correlation analysis showed that TB preventive behavior scores were significantly correlated with TB knowledge (r=0.397), perceived susceptibility (r=0.565), perceived severity (r=0.452), perceived benefits (r=0.581), self-efficacy (r=0.526), and cues to action (r=0.179). Binary logistic regression revealed that the modeled odds of having an abnormal CXR decreased by 30.0% for each 1-point score increase in preventive behavior (odds ratio, 0.70; 95% confidence interval, 0.61 to 0.79). Conclusions: HBM constructs were able to explain preventive behaviors among TB patients' household contacts. The HBM could be used in health promotion programs to improve TB preventive behaviors and avoid negative outcomes.

핀테크(FinTech) 서비스의 정보보안 위협요인과 개인정보보호행위와의 구조적 관계에 관한 연구: 기술위협회피와 건강행동이론 관점에서 (The Structural Relationships among Information Security Threat Factors and Information Protection Behavior of the FinTech Services: Focus on Theoretical Perspectives of Technology Threat Avoidance and Health Protective Behaviors)

  • 배재권
    • 한국정보시스템학회지:정보시스템연구
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    • 제26권3호
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    • pp.313-337
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    • 2017
  • Purpose Financial technology, also known as FinTech, is conceptually defined as a new type of financial service which is combined with information technology and other traditional financial services like payments, investments, financing, insurance, asset management and so on. Most of the studies on FinTech services have been conducted from the viewpoint of technical issues or legal and institutional studies, and few studies are conducted from the health belief perspectives and security behavior approaches. In this regard, this study suggest an extended information protection behavior model. Design/Methodology/Approach The Health Belief Model (HBM), the Protection Motivation Theory (PMT), and the Technology Threat Avoidance Theory (TTAT) were employed to identify constructs relevant to information protection behavior of FinTech services. A new extended information protection behavior model in which the influence factors of information protection behavior (i.e., perceived susceptibility, perceived severity, perceived benefits, perceived barriers, perceived self-efficacy, subjective norms) affect perceived threats and perceived responsiveness positively, leading to information protection behavior of FinTech users eventually. This study developed an extended information protection behavior model to explain the protection behavior intention in FinTech users and collected 272 survey responses from the mobile users who had experiences with such mobile payments and FinTech services. Findings The finding of this study suggests that the influence factors of information protection behavior affect perceived threats and perceived responsiveness positively, and information protection behavior of FinTech users as well.

Factors Associated with Adherence to Colorectal Cancer Screening among Moderate Risk Individuals in Iran

  • Taheri-Kharameh, Zahra;Noorizadeh, Farsad;Sangy, Samira;Zamanian, Hadi;Shouri-Bidgoli, Ali Reza;Oveisi, Helaleh
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권18호
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    • pp.8371-8375
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    • 2016
  • Background: Colorectal cancer is one of the most common neoplasms in Iran. Secondary prevention (colorectal cancer screening) is important and a most valuable method of early diagnosis of this cancer. The objectives of this study were to determine the factors associated with colorectal cancer screening adherence among Iranians 50 years and older using the Health Belief Model. Materials and Methods: This cross-sectional study was conducted from June 2012 to May 2013. A convenience sample of 200 individuals aged 50 and older was recruited from the population at outpatient clinics in teaching hospitals. Data gathering tools were the Champions health belief model scale (CHBMS) with coverage of socio-demographic background and CRC screening information. Multiple logistic regression was performed to identify factors associated with colorectal cancer screening adherence. Results: The mean age of participants was $62.5{\pm}10.8$ and 75.5% were women. A high percentage of the participants had not heard or read about colorectal cancer (86.5%) and CRC screening (93.5%). Perceived susceptibility to colorectal cancer had the lowest percentage of all of the subscales. Participants who perceived more susceptibility (OR =2.99; CI 95%: 1.23-5.45) and reported higher knowledge (OR =1.29; CI 95%: 1.86-3.40) and those who reported fewer barriers (OR =.37; CI 95%:.21-.89), were more likely to have carried out colorectal cancer screening. Conclusions: Our findings indicated that CRC knowledge, perceived susceptibility and barriers were significant predictors of colorectal cancer screening adherence. Strategies to increase knowledge and overcome barriers in risk individuals appear necessary. Education programs should be promoted to overcome knowledge deficiency and negative perceptions in elderly Iranians.

간호대학생의 낙상에 대한 건강신념이 낙상예방행위에 미치는 영향 (Effects of Health Belief of Falling on Fall Prevention Activities of Nursing Students)

  • 고영지;엄주연
    • 근관절건강학회지
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    • 제26권1호
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    • pp.54-61
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    • 2019
  • Purpose: This study was performed to identify nursing students' fall prevention activities, health beliefs of falling and factors associated with fall prevention activities among nursing students. Methods: 149 nursing students from a university completed self-administered questionnaires including participants' characteristics, fall prevention activities, and health belief of falling. Hierarchical multiple regression analysis was used to determine significant independent factors of fall prevention activities. Results: The score for fall prevention activities was $62.40{\pm}9.78$, which was relatively high. The regression model had an adjusted $R^2$ of .16, which indicated that perceived susceptibility was a factor affecting fall prevention activities of nursing students. Conclusion: To increase perceived susceptibility, repetitive fall prevention education including various examples of falls could help nursing students to promote fall prevention activities. Nursing faculty should develop contents to increase recognition of obligation and responsibility regarding fall prevention in curriculum for nursing students.

여성 불임술 수용의 영향 요인에 관한 연구 (A Study on the Influencing Factors of Women향a Adoption of Sterilization)

  • 배은경;이미라
    • 대한간호학회지
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    • 제16권3호
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    • pp.11-21
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    • 1986
  • The purposes of this study were to clarify whether the health belief model could explain the women's adoption of sterilization and to find the factors which influence the adoption of sterilization. To achieve these purpose, 35 women, who visited the family planning hospital to undergo an surgical operation for sterilization, were selected and named the group of adoption. Also, 36 women, who have the same demographic characteristics as the group of adoption, and have no sterilization among the married women, were selected and named the group of non-adoption. The measuring instruments used in this study were made by the researchers on the basis of the results of the review of the related literatures. The validity of these instruments was examined by one professor majoring in nursing and two family plmanning practioners. The reliability was proven by calculation of Cronbach's α with data of the group of adoption. The data was analyzed by t-test, X²-test, and ANOVA using Computer SAS system. The results were following: 1. Health belief model could be said to explain whether women accept the sterilization or not, because the degrees of susceptibility and severity for future pregnancy and the degree of benefit or adoption of sterilization in the group of ad-option are higher than those of the group of non-adoption. 2. Influence of demographic variables on health belief variables was as follows. With advancing ages, degree of susceptibility increased in the group of adoption, and the higher the number of artificial abortion increased, the higher degree of barrier increased in the group of non-adoption. Suggestions for further studies and application to the nursing practice are as follows 1. If one wants to educate the non-adoption women, one would be better to give such information as to increase the perception of susceptibility, severity and benefit. 2. New instrument to measure the perceived barrier which includes such items as fear on well-ness of the existing children, objection of husband and postoperative complication, is needed. 3. A study to find the change of perception on health belief variables is needed, after education to increase the level of perceived susceptibility and severity on the future pregnancy, and benefit on sterilization is given.

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Risk Perceptions of Noncommunicable Diseases among Cambodian Adults: A Cross-Sectional Study

  • Bae, Sung-Heui;Hwang, Oknam;Jeong, Jieun;Yang, Youngran
    • 지역사회간호학회지
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    • 제33권2호
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    • pp.259-268
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    • 2022
  • Purpose: In Cambodia, noncommunicable diseases (NCDs) account for 64% of all deaths. A lack of risk perception of NCDs leads to poor measures of their prevention and management. This study aimed to investigate Cambodians' risk perceptions of NCDs based on the health belief model. Methods: A cross-sectional design was used, and using convenience sampling, participants included 200 Cambodians aged 40 years or older. A face-to-face administered structured questionnaire was used to assess demographic characteristics, health behaviors, and risk perceptions of NCDs. Results: Of the constructs of NCD risk perception, perceived severity (88.2%) and benefits (86.3%) were high, but relative to these, perceived cues to action (64.1%), barriers (63.5%), and self-efficacy (58.1%) were low. Conclusion: It is important to improve perceived self-efficacy in government health promotion, outreach, and improvement programs and to reduce perceived barriers through medical tests either by facility-based delivery or via outreach health services in Cambodia.

임신부의 건강신념요인이 구강건강관련행위에 미치는 영향 (Effect of Health Belief Factor on Oral Health Related Behavior in Pregnant Woman)

  • 김미나;임도선;김명희;김아름;김성임;안용순
    • 치위생과학회지
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    • 제15권2호
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    • pp.129-137
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    • 2015
  • 본 연구는 개인의 행동 변화를 설명하는 이론적 모형인 건강신념모형(health belief model)을 적용해 임신부의 구강건강관련행위에 영향을 미치는 요인을 분석하여 임신부의 구강건강증진과 구강보건교육프로그램 개발의 기초자료를 제공할 목적으로 시행하였다. 2014년 8월 1일부터 8월 31일까지 서울특별시, 경기도, 인천광역시에 소재한 8개의 산부인과의원과 1개의 산모교실을 방문한 임신부 총 217명을 대상으로 자기기입식 설문지를 배부하였다. 수집된 자료는 PASW Statistics ver. 18.0 프로그램을 이용하여 다음과 같은 결론을 얻었다. 임신부의 건강신념 수준은 총 3.61점이었으며 인지된 유익성이 4.37점으로 가장 높았고 자기 효능감 4.04점, 인지된 민감성 3.98점, 인지된 장애성 3.15점 순이었으며 인지된 심각성이 2.91점으로 가장 낮았다. 건강신념요인과 구강건강관련행위의 상관관계로 인지된 심각성은 치아에 좋은 식품섭취 노력, 임신 중 구강검진과 양의 상관관계를 보였으며 인지된 유익성은 임신 중 구강검진과 양의 상관관계를 보였다. 인지된 장애성은 매 간식 후 칫솔질, 회전법 칫솔질, 임신 중 구강검진, 임신 전 구강검진과 음의 상관관계를 보였으며 자기 효능감은 매 칫솔질 후 구강위생용품 사용, 임신 중 구강검진과 양의 상관관계를 보였다. 구강건강관련행위에 영향을 미치는 건강신념요인으로 인지된 심각성은 임신 중 구강검진, 임신 중 치과치료에, 인지된 유익성은 임신 중 구강검진에, 인지된 장애성은 매 간 식 후 칫솔질, 회전법 칫솔질, 임신 중 구강검진에, 자기 효능감은 매 칫솔질 후 구강위생용품 사용, 임신 중 구강검진에 영향을 미치는 요인으로 나타났다. 이상의 연구결과로 건강신념요인의 인지된 심각성, 인지된 유익성, 인지된 장애성, 자기 효능감이 임신부의 구강건강관련행위에 영향을 미치는 요인임을 제시하며, 임신부의 인지된 심각성, 인지된 유익성, 자기 효능감을 높이고 인지된 장애성을 낮출 수 있는 임신부를 위한 구체적인 구강보건교육프로그램 개발이 필요하다.

보육교사에 대한 보건소 중심의 영유아 안전관리 교육 프로그램의 효과 (Effect of Community Based Child Safety Education Program for Child Care Teachers)

  • 방경숙
    • 부모자녀건강학회지
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    • 제8권1호
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    • pp.23-36
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    • 2005
  • Purpose: The purpose of this study was to determine the effect of an education program promoting attitude, knowledge, and practice of safety for teachers in child care centers. Method: This education was provided at one public health center in Kyunggi Province. One group pretest-post test design was used, and knowledge on safety and emergency care, practice of safety, health belief and self confidence on safety practice were assessed from 74 teachers. Theoretical framework for this program was Pender's health promotion model. Result: After two hours group education session on safety management, knowledge on safety and emergency care was significantly increased and perception on the main cause of injuries was significantly changed. Practice on safety was significantly related to the knowledge, health belief and confidence on safety, and social support. Conclusion: The education program for teachers in child care centers regarding the child safety and emergency care was effective in promoting knowledge and perception on the main cause of injuries of infants.

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유튜브 기반 홈 트레이닝 콘텐츠 이용요인에 관한 연구 (A Study on the Use Factors of YouTube-based Home Training Content)

  • 윤승욱;김건
    • 디지털융복합연구
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    • 제19권2호
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    • pp.345-355
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    • 2021
  • 본 연구는 기술수용모델과 건강신념모델을 통합, 적용하여 유튜브 기반 홈 트레이닝 콘텐츠의 이용에 영향을 미치는 요인을 살펴보았다. 주요 연구결과를 다음과 같다. 먼저, 개인의 혁신성은 지각된 용이성과 지각된 유용성에 정(+)의 영향을 미치는 것으로 나타났다. 그리고 지각된 민감성은 지각된 유용성에 유의한 영향을 미치지 못하였고, 지각된 이익은 지각된 유용성에 정(+)의 영향을 미친 것으로 나타났다. 마지막으로 지각된 용이성은 지각된 유용성에 정(+)의 영향을 미치는 것으로 나타났고, 지각된 용이성과 지각된 유용성은 모두 지속이용의도에 정(+)의 영향을 미치는 것으로 나타났다. 이를 통해 기술수용모델과 건강신념모델의 통합 가능성을 일정 부분 재확인하였다는 점에서 본 연구의 의의가 있을 것이다.