Weight reduction behavior is common among adolescent girls. The present study examined the status of weight reduction behavior and factors affecting the behavioral intention of weight reduction using the Health Belief Model (HBM) for female middle school students by weight category. Survey data was collected from three girl's middle schools in Gyeongju, Korea. A total of 299 female middle school students participated in this study. The questionnaire had questions about general characteristics, weight reduction behavior, and variables of HBM (perceived threat, perceived benefits, perceived barriers, cues to action, self-efficacy in dietary life and exercise, and behavioral intention of weight reduction). Descriptive statistics, Chi-square tests, ANOVA, and multiple regression analysis were applied to analyze the variables. A higher percentage of students in the overweight group attempted weight reduction than those in the underweight and the normal weight groups (P < 0.001). Among students who had attempted weight reduction, 73% tried diet therapy, while 78% tried exercise. Students in the normal and overweight groups showed significantly higher threat (P < 0.01) and cues to action (P < 0.001) than those in the underweight group. As for perceived benefits, barriers, and self-efficacy in dietary life and exercise, there were no significant differences among weight groups. Students in the overweight group showed the strongest intention of weight reduction and there were significant differences among the three weight groups (P < 0.001). Perceive threat (P < 0.01), cues to action (P < 0.001), and perceived self-efficacy (P < 0.01) were significantly associated to behavioral intention of weight reduction for all respondents. For the underweight group, perceived threat (P < 0.05) and perceived self-efficacy (P < 0.01) were the significant variables. For the overweight group, cue to action was the significant variable (P < 0.05).
Background: Breast cancer is a serious health problem. Early detection is crucial for optimal treatment and reducing mortality. Objective: The aim of this study was to evaluate health beliefs concerning performance of breast self- examination (BSE) and mammography in a sample of Iranian female health workers. Materials and Methods: This cross-sectional study was performed among 441 female health care workers (physicians=88, nurses=163, midwives=38, officers=68, and others=84) in 3 different health centers in Yazd, Iran. Data were collected using a self administered questionnaire which included demographic characteristics and thenPersian version of the Champion's Health Belief Model Scale (CHBMS). Results: The mean age of the participants was $34.7{\pm}13.7$. It was found that 41.9% of the workers performed BSE in the past and 14.9% of them regularly, but only 10.6% of them had undergone a mammogram. Perceived barriers to BSE (F=6.351, P=0.021) and mammography (F=5.214, p=0.022) were significantly higher in officers than physicians, nurses or midwives. Perceived barriers were lower among those who had performed BSE and mammography, but not significant (p=0.34 and p=0.56, respectively). Furthermore, perceived susceptibility and perceived benefits of the workers who had BSE and mammography were significantly higher than who did not (p<0.05). Perceived seriousness was not a significant variable in BSE and mammography (p=0.71 and p=0.43, respectively). Conclusions: The health beliefs of health workers concerning the perceived susceptibility of breast cancer and the perceived benefits BSE and mammography significantly impact their screening practices.
AFROZ, Rafia;MUHIBBULLAH, Md.;MORSHED, Mohammed Niaz
The Journal of Asian Finance, Economics and Business
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제6권4호
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pp.189-199
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2019
The objectives of this study are to propose the Integrated Waqf Environmental Protection Model (IWEP) and investigate the farmers' intention to adopt it. In developing the IWEP model and investigating farmers' willingness to adopt it, this study surveyed 400 farmers in Kedah. The intention of the farmers to adopt the proposed model was analysed by adding perceived barriers and socio-economic variables into the theory of reasoned action (TRA) model. The collected data were processed using structural equation modelling (SEM). The SEM results show that the subjective norm is positive and has a significant impact on the intentions of low-income farmers to accept the IWEP model. This indicates that the decision of the low-income farmers to accept the IWEP model is significantly influenced by their family members, neighbours and friends. Furthermore, awareness and perceived barriers have a greater impact on the elderly, highly educated and wealthy farmers. The findings indicate that the elderly, highly educated and wealthy farmers are aware of climate change and they perceive higher risks or barriers to climate change. As a result, they are more likely to have an adaptation intention. If we encourage people to create waqf fund, we can increase the value of the farmer and the country's total GDP.
Background: The aim of the present study was to investigate perceived inhibiting and facilitating factors concerning cervical cancer early diagnosis behavior in Turkish women over the age of 40. Materials and Methods: The study was carried out by qualitative focus group interview with 35 participating women, in the period between April-June 2010. A semi-structured interview questionnaire based on the Health Belief Model and the Health Promotion Model was used. Content analysis was applied to the study data. Results: Barriers such as lack of knowledge of women as regards to the cervical cancer and early detection, lack of sensitivity-negligence, forgetting, fear, inadequacy of health insurance and transportation, financial problems, inability to get an appointment, lack of female doctors, embarassment, fatalist approach were frequently addressed. As for facilitating factors, these included provision of information, health professionals showing interest and tolerance, free services, provision of transportation means and reminding telephone calls. Conclusions: Focus group interviews were found to be effective in determining inhibiting and facilitating factors concerning cervical cancer early diagnosis behavior. In line with the results of the study, preparation of structured national and regional education programs and their addition to curriculum programs may be effective in realizing and maintaining positive early detection behavior.
The study objectives were to investigate the attitude of Ajou University pharmacy students toward pharmaceutical care and to identify their perceived barriers to its provision. Secondarily, their career choices and influential factors for career decision were assessed. Method: A cross-sectional survey of Ajou University pharmacy students in all professional years was conducted in May 2014. Results: Over 2 weeks, a total of 123 students participated in the study (100% response rate). All respondents agreed that pharmaceutical care is the right direction for the provision to be headed and that pharmaceutical care will improve patient health. However, professional year was inversely associated with the degree of positive attitude toward pharmaceutical care. Highly perceived barriers to pharmaceutical care included poor image of pharmacist's role in society (67%) and lack of access to the patient medical record in the pharmacy (65%). Work environment, benefits, and salary were top three influential factors for career plans, and $6^{th}$ year students considered salary most important. Patient-oriented practices (hospital and community pharmacy) were the most preferred career choices among $6^{th}$ year students. Conclusion: Pharmacy clerkships appeared to have a positive influence on career choices of those students. Efforts should be exerted to improve pharmacy clerkships and to promote pharmaceutical care.
Galal, Yasmine Samir;Amin, Tarek Tawfik;Alarfaj, Abdulelah Khalid;Almulhim, Abdulaziz Abdullah;Aljughaiman, Abdullah Abdulmohsen;Almulla, Abdulrhaman Khaled;Abdelhai, Rehab Ahmed
Asian Pacific Journal of Cancer Prevention
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제17권4호
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pp.1837-1846
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2016
Background: Colon cancer screening (CRCS) uptake is markedly affected by public awareness of the disease. This study was conducted to assess levels of knowledge of CRC, to explore the pattern of CRCS uptake and identify possible barriers to screening among Saudis older than 50 years of age and primary care providers (PCPs) in Al Hassa region, Saudi Arabia. Materials and Methods: This cross-sectional study was conducted in randomly selected primary health care (PHC) centers, 884 Saudis and 39 PCPs being enrolled for data collection. Structured interviews were conducted to obtain information regarding socio-demographic characteristics, personal information relevant to CRC, awareness about early signs/symptoms and risk factors, and barriers to CRCS. Also, a self- administered data collection form was used to assess barriers to CRCS from the physicians' perspectives. Results: More than 66% of participants were lacking knowledge about CRC. Participants with higher educational levels, having ever heard about CRC, and having relatives with CRC had a significantly higher awareness of the disease. The rate of reported CRCS was low (8.6%). After conducting a logistic regression analysis, it was observed that female gender (OR=0.28; 95% CI=0.14-0.57; P=0.001), being unmarried (OR=0.11; 95% CI=0.10-0.23; P=0.001), lower levels of education (OR=0.36; 95% CI=0.16-0.82; P=0.015), and having no relatives with CRC (OR=0.30; 95% CI=0.17-0.56; P=0.001) were significantly associated with a lower CRCS uptake. There was a significant difference between most of the perceived barriers to CRCS and gender. Exploratory factor analysis showed that personal fear (especially fear of the screening results and shyness) was the major factor that hindered CRCS with high loading Eigen value of 2.951, explaining 34.8% of the barriers of the included sample toward utilization of CRCS, followed by lack of awareness of both person and providers (high Eigen value of 2.132, and explaining 23.7% of the barriers). The most frequently cited barriers to CRCS from the physicians' perspectives were lack of public awareness, lack of symptoms and signs, and fear of painful procedures. Conclusions: Poor levels of knowledge about CRC were found among older Saudis attending PHC centers in Al Hassa, Saudi Arabia. It is crucial to implement an organized national screening program in Saudi Arabia to increase public awareness.
Purpose: Although previous studies reported that actual application of research findings into the clinical setting was still poor, research utilization is a major component for implementation of Evidence-based Nursing Practice (EBNP). This study was conducted to identify the barriers to research utilization in clinical nurses. Methods: A descriptive survey design was used. Participants were 392 clinical nurses who were interviewed using a structured questionnaire. Results: Priority factors of barriers were setting, communication, research, and nurses. Five of the top 10 barriers were related to 'setting.' The first barrier was difficulty in the comprehension of statistical analyses. Nurses who worked in secondary hospitals and regularly read research articles perceived significantly lower barriers to research utilization compared with other nurses. There were statistically differences in research utilization among the groups by level of searching skills related to research documents and degree of understanding of EBNP. Conclusion: The study findings identified the top barriers to research utilization and key factors for nursing administrators and educators to consider in developing strategies to facilitate the utilization of research findings in clinical settings.
The purpose of this study was to examine the factors influencing career preparation behavior based on the perception of college students from the perspective of social cognitive career theory and to examine the effect of career barriers and career decision self - efficacy on career preparation behavior And career - decision self - efficacy. The results of the study are as follows. First, career barriers perceived by college students showed a significant positive correlation with career decision self - efficacy and career preparation behavior(-), and career decision efficacy showed a statistically significant correlation with career preparation behavior(+). Second, as a result of linear regression analysis to examine the effect of career barriers on career preparation behavior, lack of self - clarification, lack of job information, and lack of recognition of need were subordinate factors of career barriers. Third, as a result of linear regression analysis to examine the effect of career decision - making self - efficacy on career preparation behavior, goal setting and job information, which are sub - factors of career decision self - efficacy, were analyzed. Fourth, mediating effects of career decision self - efficacy on career barriers and career preparation behavior were analyzed by hierarchical regression analysis. The results of this study confirm that the level of career barrier, which is an important factor in career preparation behavior of college students, should be lowered and career decision self - efficacy should be increased.
The purpose of this research is to understand the general consumer knowledge and adoption intention of nanotechnology products, one of the advanced scientific fields. We examined consumers' knowledge of innovation products based on nanotechnology, by gender and age group, which are divided into benefits, cost, and trust perception. As a result, the benefits were highly perceived in the order of perceived usefulness, perceived gains, and perceived ease of use. In general, it was found that men and older age group perceived the benefits of nanotechnology to be relatively higher than women and younger age groups did. In terms of cost, perceived risk was relatively higher than other variables and a high innovation resistance appeared in the younger 30s group. Finally, we found that trust for nano-related institution is relatively lower than trust for nano-related people and trust for nanotechnology itself.
Internet privacy is named as one of the major barriers to the expansion and further development of e-commerce. This study is to identify the antecedents to Internet privacy concerns, to investigate the relationship of the antecedents and the perceived trust and to validate Internet privacy's effect on the perceived trust. A conceptual model which identifies Internet literacy and perceived vulnerability as antecedents to Internet privacy concern is proposed and tested based on the sample of 276 Internet users. Empirical findings show that Internet literacy affect Internet privacy concern negatively while perceived vulnerability affect positively. Also perceived vulnerability's effect on and privacy concern's effect on perceived trust has both directional negative support. Implications and further research agenda are provided with the limitation of the study.
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