Journal articles on the topic 'Health belief model constructs'

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1

Whibley, Daniel, Ross MacDonald, Gary J. Macfarlane, and Gareth T. Jones. "Constructs of health belief and disabling distal upper limb pain." Scandinavian Journal of Pain 13, no. 1 (October 1, 2016): 91–97. http://dx.doi.org/10.1016/j.sjpain.2016.07.003.

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AbstractBackgroundMusculoskeletal pain in the distal upper limb is common and is a cause of disability and healthcare consultation. At the time of presentation individuals reporting similar pain severities may report different levels of related disability. The biopsychosocial model proposes that health beliefs may help explain this difference. The aim of this cross-sectional study was to identify underlying constructs of health belief in those referred to physiotherapy with pain in the distal upper limb and investigate whether these constructs moderated the relationship between pain severity and extent of disability.MethodHealth beliefs were assessed using an instrument included in a questionnaire completed before randomisation to the Arm Pain Trial (ISRCTN79085082). Ordinal responses to statements about health beliefs were used to generate a polychoric correlation matrix. The output from this matrix was then used for Exploratory Factor Analysis to determine underlying constructs. The moderating influence of the identified health belief constructs was then tested using interaction terms in linear regression models.Results476 trial participants contributed data, age range 18–85 (mean 48.8, SD 13.7), 54% female. Five health belief constructs were identified: beliefs about hereditary factors, beliefs about movement and pain, beliefs about locus of control, beliefs about the role of lifecourse/lifestyle factors, and beliefs about prognosis. The only health belief construct found to moderate the pain-disability relationship was beliefs about prognosis, with greater pessimism resulting in higher levels of disability at mild-to-moderate levels of pain severity (B –0.17,95% CI –0.30, –0.036).ConclusionThis exploratory cross-sectional study identified five constructs of health belief from responses to a previously used set of statements investigating fear avoidance and illness beliefs in a clinical population with pain in the distal upper limb. Of these constructs, beliefs about prognosis were found to moderate the relationship between pain and disability.ImplicationsAt the time of referral to physiotherapy it may be beneficial to assess patients’ perception of prognosis. For those with higher than expected disability for the presenting level of pain, and pessimism about prognosis, focused reassurance may play an important part in initial consultation. Longitudinal study is required to support the findings from this study and investigate whether a causal relationship exists. Future investigations should confirm the health belief constructs proposed.
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Munley, Gary A., Angus McLoughlin, and Jeremy J. Foster. "Gender Differences in Health-check Attendance and Intention in Young Adults: An Application of the Health Belief Model." Behaviour Change 16, no. 4 (December 1, 1999): 237–45. http://dx.doi.org/10.1375/bech.16.4.237.

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AbstractHealth-check attendance intention and behaviour in young men and women was compared, and the data used to determine whether health belief model constructs were able to predict such intentions and behaviour. Sixty male and sixty female respondents completed questionnaires asking about past health-check attendance behaviour, future attendance intention, and health beliefs. More females than males had previously attended a general health check, and females had stronger intentions to do so in the future. Regression analyses indicated that health-check attendance intention was predicted for both males and females by responses to cues to action. For females, previous health-check attendance was related to responses to cues to action and perceptions of barriers to attendance. None of the health belief model constructs was found to account for previous attendance behaviour of males. The results of the study support recent calls for health promotion initiatives aimed at men, but suggest that they should target cognitions other than those included within the health belief model.
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Afrasiabi, Fateme, Fateme Behesht aeen, and Marzieh Kargar jahromi. "Applying the health belief model in identifying individual understanding towards prevention of type 2 diabetes." International Journal of Public Health Science (IJPHS) 11, no. 4 (December 1, 2022): 1267. http://dx.doi.org/10.11591/ijphs.v11i4.21908.

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Diabetes is a prevalent metabolic disorder, which leads to numerous complications. This disease can be prevented by training people and increasing their awareness via the health belief model. This descriptive study aimed to determine the diabetes prevention behaviors based on the health belief model among high-risk individuals. There were 220 randomly selected individuals at risk of type 2 diabetes completed a 65-item questionnaire based on the constructs of the health belief model. Data were analyzed by statistical package for the social sciences (SPSS). The mean score of knowledge among respondents was 5.54<span style="text-decoration: underline;">+</span>2.60, which indicated that 50.36% of the participants had gained the maximum score of knowledge. The results indicated that the constructs of the health belief model determined 19% of the variance in type 2 diabetes prevention behaviors. Perceived barriers, perceived self-efficacy, and knowledge were the significant positive predictors of diabetes prevention behaviors. In addition, a significant relationship was observed between age, economic status, and education level and some constructs of the health belief model. The results indicated that the high-risk patients obtained moderate mean scores in type 2 diabetes prevention behaviors. These results could improve educational programs with regard to beliefs, attitudes, and behaviors to promote type 2 diabetes prevention and self-care behaviors among at-risk populations.<p> </p>
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Ahlers-Schmidt, Carolyn R., Christy Schunn, Ashley M. Hervey, Millicent Dempsey, Sheila Blackmon, Brenda Davis, Trudy Baker, Cheryl A. Mayes, and Maria Torres. "Redesigned community baby showers to promote infant safe sleep." Health Education Journal 79, no. 8 (July 4, 2020): 888–900. http://dx.doi.org/10.1177/0017896920935918.

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Objective: The purpose of this study was to evaluate whether participation in a community event developed using Health Belief Model constructs increased intention to follow the American Academy of Paediatrics Safe Sleep Guidelines for infants. Design: Observational cohort study. Setting: Safe Sleep Community Baby Showers held between Spring 2015 and Spring 2019. Method: Women attending the Safe Sleep Community Baby Showers completed pre- and post-assessments measuring intentions based on constructs derived from the Health Belief Model. Results: Following the Safe Sleep Community Baby Showers, significantly more of the 812 participants demonstrated positive changes in Health Belief Model constructs, including beliefs about severity and susceptibility (infant is at risk, sleeping with infant can cause death, loose blankets can cause death), benefits (putting infant alone, on back in crib will help protect), barriers (infant will [not] choke on back) and self-efficacy (know what to do). Two barriers did not result in significant change: room for crib (cot) in parents’ room and able to keep infant warm without blankets. Most reported intention to only place infant supine (99%), in safe sleep locations (97.8%) and to include only safe items (86.2%; all p < .001). Conclusion: Structuring a community event based on the Health Belief Model resulted in significant increases in participants intending to follow the AAP Safe Sleep Guidelines. Further work is needed to address barriers around blankets and room sharing without bed sharing. Safe Sleep Community Baby Showers can impact Health Belief Model constructs related to the AAP Safe Sleep Recommendations, which may in turn impact behaviour.
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Handayani, Sri, Yohanes Andy Rias, Maria Dyah Kurniasari, Ratna Agustin, Yafi Sabila Rosyad, Ya Wen Shih, Ching Wen Chang, and Hsiu Ting Tsai. "Relationship of spirituality, health engagement, health belief and attitudes toward acceptance and willingness to pay for a COVID-19 vaccine." PLOS ONE 17, no. 10 (October 12, 2022): e0274972. http://dx.doi.org/10.1371/journal.pone.0274972.

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Purpose To explore the wider determinant factor of citizens’ spirituality, health engagement, health belief model, and attitudes towards vaccines toward acceptance and willingness to pay for a Coronavirus disease 2019 (COVID-19) vaccination. Methods A community-based cross-sectional online investigation with convenience sampling was utilized to recruit 1423 citizens from 18 districts across Indonesia between December 14, 2020 and January 17, 2021. Descriptive statistics, One-way analysis of variance, Pearson correlation, Independent t-tests, and multiple linear regression were examined. Results Spirituality, health engagement and attitude toward vaccines, as well as health beliefs constructs (all scores of perceived benefits and barriers) were significant key factors of acceptance of vaccines. Interestingly, the spirituality, attitude toward vaccine, and health beliefs constructs including perceived susceptibility, and benefits indicated a significantly higher willingness. Conclusions Results demonstrated the utility of spirituality, health engagement, health belief model, and attitudes towards vaccines in understanding acceptance and willingness to pay for a vaccine. Specifically, a key obstacle to the acceptance of and willingness to pay COVID-19 vaccination included a high score of the perceived barrier construct. Moreover, the acceptance of and willingness to pay could be impaired by worries about the side-effects of a COVID-19 vaccination.
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Panahi, Rahman, Mania KhaliliPour Darestani, Mohammad Anbari, and Keyhan Javanmardi. "Predictors of Adoption of Preventive Behaviors of Premenstrual Syndrome Based on Health Belief Model among Female Teenagers." Journal of Clinical Research and Reports 10, no. 3 (February 8, 2022): 01–06. http://dx.doi.org/10.31579/2690-1919/225.

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Background and Objective (s): Premenstrual syndrome (PMS) refers to a group of physical, behavioral, and mood symptoms that appear about a week or two before menstruation begins. Given the prevalence of this syndrome among adolescents and young women, this study was performed with the aim of determining the predictors of adoption of preventive behaviors of PMS using the Health Belief Model (HBM) among female teenagers. Materials and Methods: This cross-sectional-analytical study was conducted among 240 pre-university girl students of Tehran, Iran in 2016. The sampling was performed using multi-stage random sampling. The data collection tool was a demographic information, a valid and reliable questionnaire available including PMS preventive behaviors and all constructs of HBM. The data were collected and then entered into SPSS software version 16 and analyzed using Pearson correlation coefficient, multiple regression tests and descriptive statistics. Results: The participated students obtained 38.5% of the score for the adoption of preventive behaviors of PMS. The three constructs of perceived barriers, perceived susceptibility and self-efficacy were predictors of adoption of preventive behaviors of PMS. Overall, these constructs were able to predict 32.6% of the behavioral changes. Conclusion: According to the results of this study, in the design and implementation of educational interventions should emphasize the constructs of perceived susceptibility, perceived barriers and self-efficacy as the most important predictors of adoption of preventive behaviors of PMS among Female Teenagers.
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Lee, Corinne, Sonia A. Duffy, Samantha A. Louzon, Andrea H. Waltje, David L. Ronis, Richard W. Redman, and Tsui-Sui Kao. "The Impact ofSun SolutionsEducational Interventions on Select Health Belief Model Constructs." Workplace Health & Safety 62, no. 2 (February 1, 2014): 70–79. http://dx.doi.org/10.3928/21650799-20140121-04.

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Lee, Corinne, Sonia A. Duffy, Samantha A. Louzon, Andrea H. Waltje, David L. Ronis, Richard W. Redman, and Tsui-Sui Kao. "The Impact ofSun SolutionsEducational Interventions on Select Health Belief Model Constructs." Workplace Health & Safety 62, no. 2 (February 2014): 70–79. http://dx.doi.org/10.1177/216507991406200204.

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9

Hines, Stella E., Joanna Gaitens, Nora M. Mueller, Diego Molina Ochoa, Eseosa Fernandes, and Melissa A. McDiarmid. "Respiratory Protection Perceptions among Malian Health Workers: Insights from the Health Belief Model." International Journal of Environmental Research and Public Health 19, no. 5 (March 4, 2022): 3028. http://dx.doi.org/10.3390/ijerph19053028.

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Reusable respiratory protective devices called elastomeric respirators have demonstrated their effectiveness and acceptability in well-resourced healthcare settings. Using standard qualitative research methods, we explored the feasibility of elastomeric respirator use in low- and middle-income countries (LMIC). We conducted interviews and focus groups with a convenience sample of health workers at one clinical center in Mali. Participants were users of elastomeric and/or traditional N95 respirators, their supervisors, and program leaders. Interview transcripts of participants were analyzed using a priori constructs from the Health Belief Model (HBM) and a previous study about healthcare respirator use. In addition to HBM constructs, the team identified two additional constructs impacting uptake of respirator use (system-level factors and cultural factors). Together, these framed the perceptions of Malian health workers and highlighted both facilitators of and barriers to respirator use uptake. As needs for respiratory protection from airborne infectious hazards become more commonly recognized, elastomeric respirators may be a sustainable and economic solution for health worker protection in LMIC.
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Ghaffari Sardasht, Fatemeh, Morvarid Irani, Khadijeh Mirzaii Najmabadi, and Seyedeh Fatemeh Nosrati Hadiababd. "Breast Cancer Screening Behaviors Based on Health Belief Model." Journal of Holistic Nursing And Midwifery 32, no. 2 (March 19, 2022): 89–97. http://dx.doi.org/10.32598/jhnm.32.2.2130.

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Introduction: The incidence and mortality of breast cancer will be reduced by screening. Objective: The study aimed to determine breast cancer screening behaviors based on the health beliefs model in women living in Mashhad City, Iran. Materials and Methods: This analytical cross-sectional study was conducted on 406 women referring to five health-medical centers in Mashhad from July 2018 to May 2019. They were selected by the multistage sampling method. The study data were collected with a questionnaire based on health belief model constructs consisting of two parts. The first part collects sociodemographic information. The second part is based on constructs of the health belief model (perceived susceptibility, perceived barriers, perceived severity, cues to action, and self-efficacy). The collected data were analyzed using descriptive and inferential statistics (the Smirnov-Kolmogorov, the Pearson correlation, and the Spearman test). Results: The mean ±SD age of the participants was 33.5 ±10.3 years, and perceived severity and perceived susceptibility of breast cancer screening behaviors were low and very low in 36.4% and 8.1% of the women, respectively. Perceived barriers were high in 70% of women; cues to action and self-efficacy were low in 57.4% and 17.2%, respectively. There was a negative and significant relationship between perceived barriers and perceived benefits (P = 0.001, r = -0.160). Also, there were significant statistical relationships between preventive behavior with self-efficacy (P = 0.001, r = 0.896) and cues to action (P = 0.001, r = 0.269). However, the Pearson test showed a negative and significant relationship between age and self-efficacy (P =0.001, r = -0.231). Conclusion: The present study highlights the educational programs for preventing breast cancer screening behaviors based on the health belief model. These programs should focus on increasing breast self-examination skills and understanding the perceived benefits of breast cancer screening behaviors.
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Vitalis, Deborah. "Predicting adherence to antiretroviral therapy among pregnant women in Guyana: Utility of the Health Belief Model." International Journal of STD & AIDS 28, no. 8 (August 29, 2016): 756–65. http://dx.doi.org/10.1177/0956462416665989.

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Barriers to antiretroviral therapy (ART) adherence among pregnant women are varied and complex. This study explored the constructs of a theoretical model, the Health Belief Model (HBM) to understand and predict ART adherence among pregnant women in Guyana. A cross-sectional study surveyed 108 pregnant women attending 11 primary care clinics. ART adherence ranging from the past weekend to three months was assessed through self-reports, and health beliefs with the Adherence Determinants Questionnaire (ADQ). Constructs with sufficient variation in responses were tested for association with the level of adherence using Spearman’s rank correlation coefficient and test. Sixty-seven per cent (72) of the women reported being always adherent. Although there was positive endorsement of ART treatment and adherence, the HBM did not help in understanding or predicting ART adherence in this population. Only one item from the perceived susceptibility construct was significantly associated (p = 0.009) with adherence. Interventions are warranted to address ART adherence in this population, as 19% of the women were recently non-adherent. Although the ADQ did not contribute to a deeper understanding or provide insight into pathways that can be targeted for intervention, theoretical models can play a key role in identifying these pathways.
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Vance, Mary E., and Becky Keele. "Development and Validation of the Cervical Cancer Knowledge and Beliefs of Appalachian Women Questionnaire." Journal of Nursing Measurement 21, no. 3 (2013): 477–501. http://dx.doi.org/10.1891/1061-3749.21.3.477.

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Background and Purpose: Cervical cancer rates in Appalachia are persistently higher in Appalachia when compared to the rest of the United States. No quantitative instrument exists that examines the cervical cancer knowledge, behavior, and beliefs of Appalachian women. The purpose of this research is to develop, test, and use a new instrument that quantifies the cervical cancer knowledge, behavior, and beliefs of Appalachian women. Methods: Constructs from the Health Belief Model, Health Promotion Model, findings from the qualitative literature, and the researcher’s clinical background were used to construct an initial 58–item instrument. Inclusion Criteria: Appalachian residence, intact uterus, age 21–64 year, and English speaking. Results: Content and construct validity techniques decreased the initial 58-item instrument (5 demographic questions, 9 behavior questions, and 44 cervical cancer knowledge and belief questions) to a 27-item instrument consisting of 5 demographic items, 8 behavior items, and 14 knowledge and belief items. Construct validity was supported with items clustering into 4 factors explaining 53% of the variance. Pilot study testing (20 subjects) and main study testing (217 subjects) composes the sample pool. Conclusions: The new instrument demonstrated initial reliability and validity. Revision and retesting in other populations within Appalachia should comprise the next step to confirm reliability and validity.
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Kumsuk, Suwattana, Louise H. Flick, and Joanne K. Schneider. "Development of the Thai Breast Cancer Belief Scale for Thai Immigrants in the United States." Journal of Nursing Measurement 20, no. 2 (2012): 123–41. http://dx.doi.org/10.1891/1061-3749.20.2.123.

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Asian American women have not benefited from the decline in breast cancer mortality and have lower rates of mammography use. Understanding mammography behaviors among these Asian American women requires culturally specific measures. Champion’s Belief Scale was translated into Thai and cultural items were added. The Thai Breast Cancer Belief Scale (TBCBS), the Suinn-Lew Self-Identification Acculturation, and the Asian Values Scale-Revised were administered to 250 Thai immigrants. The TBCBS was tested for face validity, construct validity, and internal consistency. Factor analysis reflected the 4 constructs of the Health Belief Model and accounted for 45.8% of the variance. Cronbach’s alpha ranged from .77 to .90. Modest correlations were observed between TBCBS subscales and acculturation scales. Results indicate that the TBCBS measures breast cancer beliefs among Thai immigrant population.
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Hayslip, Bert, Daniel Weigand, Robert Weinberg, Peggy Richardson, and Allen Jackson. "The Development of New Scales for Assessing Health Belief Model Constructs in Adulthood." Journal of Aging and Physical Activity 4, no. 4 (October 1996): 307–23. http://dx.doi.org/10.1123/japa.4.4.307.

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The present investigation reports on the reliability and validity of several scales derived from the Health Belief Model (HBM). Both their internal consistency and their ability to predict self-reported sport and physical activity participation among younger and older adults are examined. As an exploratory endeavor, new, internally consistent scales were developed to assess several HBM factors. Results of age-group comparisons as well as comparisons across levels of diversity in several types of self-reported physical activity suggest that the newly developed measures differentiate between individuals on the basis of age and degrees of diversity in activity.
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McLean, Susan F., Maureen Francis, Naomi L. Lacy, and Andres Alvarado. "Point-of-Encounter Assessment: Using Health Belief Model Constructs to Change Grading Behaviors." Journal of Medical Education and Curricular Development 6 (January 2019): 238212051984035. http://dx.doi.org/10.1177/2382120519840358.

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Objective: Fourth-year medical students need feedback to improve. Even during 1-month rotations, there needs to be a formal mid-clerkship feedback session. Better feedback involves multiple surgical evaluators at multiple levels. Constructs from the Health Belief Model of behavior change were used to assess faculty and resident grading behaviors to create a more usable evaluation system. A point-of-encounter (POE) system was created. The objective of this study was to review the efficacy of a POE clinical evaluation card (CEC) system which was initiated to increase evaluator’s participation in grading and formative feedback prior to mid-clerkship evaluation. Design: The study was a 1-year retrospective cohort study reviewing the CECs for level of evaluator, content, and student compliance. A Likert-type scale survey regarding the usage of the clinical cards was also completed by evaluators. Setting: Texas Tech University Health Sciences Center at El Paso, during 2 fourth-year medical student rotations, Subinternship (Sub-I), and Surgical Intensive Care Unit (SICU). Participants: 34 fourth-year medical students and 20 evaluators. Results: Students turned in a mean of 10 cards, 75% in SICU and 65% in Sub-I turned in all 10 cards. There were significantly greater advanced residents evaluating during Sub-I vs SICU: mean evals by PGY3 were 1.9 vs 0.75 ( p = .01) and mean evals by PGY5 were 1.4 vs 0.1 ( p < .0001). There were significantly more faculty completing evaluations during SICU vs Sub-I: 2.5 faculty evals/student vs 1.4 faculty evals/student ( p = .023). Evaluator ratings were high on a 5-point Likert-type scale, with most responses near the “strongly agree” rating of 4.7 to 4.8. Conclusions: Use of POE CECs met goals of having at least 7 CECs turned in by mid-clerkship and 10 at end-clerkships. Formative evaluations by mid-clerkship went from 0 to 7 evaluations. Evaluator surveys highlighted clarity and efficiency as reasons for using CECs.
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Zar'in, Arika Umi, and Novita Intan Arovah. "Physical Activities and Construct of Health Belief Models in the Special Region of Yogyakarta in the Era of Pandemy Covid-19." Budapest International Research and Critics in Linguistics and Education (BirLE) Journal 4, no. 2 (April 20, 2021): 698–709. http://dx.doi.org/10.33258/birle.v4i2.1831.

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This study aims to determine (1) the pattern, level and status of physical activity, (2) differences in the level of physical activity based on the construct status of the health belief model and (3) the relationship between physical activity status and the construct status of the health belief model in the people of the Special Region of Yogyakarta. This research is a cross-sectional observational survey research on the DIY community as many as 390 people using convenience sampling technique with online questionnaire. Physical activity is measured using the Global Physical activity Questionnaire (GPAQ) which calculates the metabolic equivalent of task (MetS) per week, while the health belief model construct is measured using the adaptation instrument from the COVID-19 snapshoot and monitoring (COSMO-WHO). The pattern of physical activity is seen by the level of physical activity in three domains (work, transport and leisure or recreation). The difference in the level of total physical activity in the construct of health belief model uses kruskall-wallis, while the relationship between physical activity status and constructs in health belief is tested by using chi square with a confidence level of 5%. The results of this study indicate that the physical activity pattern of the DIY community is dominated by recreational activities, with an average of 868.37 Mets / week, followed by the work domain with an average of 521.28 Mets / week and the transport domain with an average of 233.54 Mets / week. People who fall into the category of moderate physical activity status are 71%. DIY people who have a high level of HBM status tend to have sufficient physical activity status with a sig value of 0,000 in all constructs. It can be concluded that there is a relationship between the HBM construct and the physical activity status in the new normal era in the DIY community with high HBM status, so they will have a better level of physical activity status than those who have low HBM status, with a correlation value of 0.89 which meaning very strong.
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Wang, Hanyin, Yikuan Li, Meghan Hutch, Andrew Naidech, and Yuan Luo. "Using Tweets to Understand How COVID-19–Related Health Beliefs Are Affected in the Age of Social Media: Twitter Data Analysis Study." Journal of Medical Internet Research 23, no. 2 (February 22, 2021): e26302. http://dx.doi.org/10.2196/26302.

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Background The emergence of SARS-CoV-2 (ie, COVID-19) has given rise to a global pandemic affecting 215 countries and over 40 million people as of October 2020. Meanwhile, we are also experiencing an infodemic induced by the overabundance of information, some accurate and some inaccurate, spreading rapidly across social media platforms. Social media has arguably shifted the information acquisition and dissemination of a considerably large population of internet users toward higher interactivities. Objective This study aimed to investigate COVID-19-related health beliefs on one of the mainstream social media platforms, Twitter, as well as potential impacting factors associated with fluctuations in health beliefs on social media. Methods We used COVID-19-related posts from the mainstream social media platform Twitter to monitor health beliefs. A total of 92,687,660 tweets corresponding to 8,967,986 unique users from January 6 to June 21, 2020, were retrieved. To quantify health beliefs, we employed the health belief model (HBM) with four core constructs: perceived susceptibility, perceived severity, perceived benefits, and perceived barriers. We utilized natural language processing and machine learning techniques to automate the process of judging the conformity of each tweet with each of the four HBM constructs. A total of 5000 tweets were manually annotated for training the machine learning architectures. Results The machine learning classifiers yielded areas under the receiver operating characteristic curves over 0.86 for the classification of all four HBM constructs. Our analyses revealed a basic reproduction number R0 of 7.62 for trends in the number of Twitter users posting health belief–related content over the study period. The fluctuations in the number of health belief–related tweets could reflect dynamics in case and death statistics, systematic interventions, and public events. Specifically, we observed that scientific events, such as scientific publications, and nonscientific events, such as politicians’ speeches, were comparable in their ability to influence health belief trends on social media through a Kruskal-Wallis test (P=.78 and P=.92 for perceived benefits and perceived barriers, respectively). Conclusions As an analogy of the classic epidemiology model where an infection is considered to be spreading in a population with an R0 greater than 1, we found that the number of users tweeting about COVID-19 health beliefs was amplifying in an epidemic manner and could partially intensify the infodemic. It is “unhealthy” that both scientific and nonscientific events constitute no disparity in impacting the health belief trends on Twitter, since nonscientific events, such as politicians’ speeches, might not be endorsed by substantial evidence and could sometimes be misleading.
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Tawfik, Ayat Mahmoud, Eman D. El Desouky, and Marwa Salem. "Egyptians’ Perceptions of COVID-19: Applying the Health Belief Model: A Cross-sectional Study." Open Access Macedonian Journal of Medical Sciences 10, E (March 8, 2022): 1397–401. http://dx.doi.org/10.3889/oamjms.2022.7990.

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BACKGROUND: Many studies have found that assessing COVID-19 preventive behaviors using the health belief model (HBM) to understand both motives and fears is critical to better controlling the disease. AIM: The aim of the study was to assess the perceptions of social distancing as a preventive measure during the COVID-19 pandemic using the HBM among a sample of the Egyptian population. METHODS: An exploratory cross-sectional study was conducted using an online survey distributed through one of Egypt’s most popular social media platforms. Four hundred and seventy people responded to the survey. The survey constructed of two sections; the first section for sociodemographic data and Section 2 was for HBM constructs of self-efficacy, perceived susceptibility, and severity to COVID-19 prevention benefits and barriers. RESULTS: More than half of the participants (59.8%) were in the age range of 20–29, with an average age of 29.0 ± 6.4 years. Two hundred ninety-seven participants (63.2%) were females; 60.2% lived in the canal region; 57.9% were single; and 70% had university degrees. There were statistically significant differences regarding gender; females’ perceived higher scores in almost all model constructs (benefits, susceptibility, severity, self-efficacy, and total score). Many statistically significant differences were observed; those who were older than 30 years had higher scores in barriers, benefits, self-efficacy, and total score than younger ones. Similarly, married participants reported higher scores in barriers, benefits, self-efficacy, and total score than younger ones. Postgraduate education perceived higher scores than university in benefits, susceptibility, self-efficacy, and total score. CONCLUSION: In the present study, the majority of respondents had relatively high perceived benefits, severity, and self-efficacy, with the lower perceived self-COVID-19 susceptibility but higher for family members. Females perceived higher scores in almost all model constructs (benefits, susceptibility, severity, self-efficacy, and total score).
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Nasir, Elwalid Fadul, Ahmed Khalid Elhag, and Hatim Mohammed Almahdi. "COVID-19 Perceptions: Applying the Health Belief Model." SciMedicine Journal 3, no. 4 (December 1, 2021): 325–33. http://dx.doi.org/10.28991/scimedj-2021-0304-4.

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This study aimed to explore the Sudanese COVID-19-related perceptions on preventive measures using the Health Belief Model, a psychosocial frame that explains and predicts health-related behaviours. A cross-sectional using an online-questionnaire through social media platforms, or channels. A snowball sampling technique was used. Descriptive analyses using frequencies and percentages for categorical variables, mean (±SD) for numerical variables. Bivariate relationships between the variables were assessed using a t-test. We conducted multiple variable analysis using the correlation between HBM constructs. Eight hundred seventy-seven participants with a mean age 37.8 (SD±11.94), primarily males, had a university education, employed and residing in Khartoum. Scores of 69% self-efficacy prevent COVID-19, 60% perceived severity if infected with COVID-19, 54% perceived susceptibility to COVID-19. Furthermore, high scores reported for hand hygiene barriers 50 and 53% social distancing. Self-efficacy correlated negatively with susceptibility (r=-0.084), positively with severity, benefits of and barriers to hand hygiene, benefits and barriers to social distancing (r=0.117, r=0.347, r=0.202, r=0.396, r=0.276), respectively. The lack of self-efficacy and low perception of severity and susceptibility, and increased perception of barriers to social distancing and hand hygiene among a considerable portion of the public hindered the compliance with the preventive measures. Doi: 10.28991/SciMedJ-2021-0304-4 Full Text: PDF
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Jasim, Nabeel Abdulrazzaq, and Arkan Bahlol Naji. "Using the Constructs of the Health Belief Model in Changing the Health Beliefs of Male Nurses about Testicular Self-Examinations." Indian Journal of Public Health Research & Development 9, no. 12 (2018): 1252. http://dx.doi.org/10.5958/0976-5506.2018.02023.5.

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Vahedian-Shahroodi, Mohammad, Hadi Tehrani, Faeze Mohammadi, Mahdi Gholian-Aval, and Nooshin Peyman. "Applying a health action model to predict and improve healthy behaviors in coal miners." Global Health Promotion 26, no. 4 (May 9, 2018): 79–89. http://dx.doi.org/10.1177/1757975918764309.

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Introduction: One of the most important ways to prevent work-related diseases in occupations such as mining is to promote healthy behaviors among miners. This study aimed to predict and promote healthy behaviors among coal miners by using a health action model (HAM). Method: The study was conducted on 200 coal miners in Iran in two steps. In the first step, a descriptive study was implemented to determine predictive constructs and effectiveness of HAM on behavioral intention. The second step involved a quasi-experimental study to determine the effect of an HAM-based education intervention. This intervention was implemented by the researcher and the head of the safety unit based on the predictive construct specified in the first step over 12 sessions of 60 min. The data was collected using an HAM questionnaire and a checklist of healthy behavior. Results: The results of the first step of the study showed that attitude, belief, and normative constructs were meaningful predictors of behavioral intention. Also, the results of the second step revealed that the mean score of attitude and behavioral intention increased significantly after conducting the intervention in the experimental group, while the mean score of these constructs decreased significantly in the control group. Conclusion: The findings of this study showed that HAM-based educational intervention could improve the healthy behaviors of mine workers. Therefore, it is recommended to extend the application of this model to other working groups to improve healthy behaviors.
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Limbu, Yam B., Rajesh K. Gautam, and Long Pham. "The Health Belief Model Applied to COVID-19 Vaccine Hesitancy: A Systematic Review." Vaccines 10, no. 6 (June 18, 2022): 973. http://dx.doi.org/10.3390/vaccines10060973.

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This study systematically analyzes the research that used the Health Belief Model (HBM) as a theoretical basis to examine the influence of HBM constructs on COVID-19 vaccine hesitancy. Following PRISMA guidelines, PubMed, Web of Science, Google Scholar, and Scopus were searched for quantitative studies. Sixteen studies with 30,242 participants met inclusion criteria. The prevalence of COVID-19 vaccine hesitancy was 33.23% (95% CI 24.71–41.39%). Perceived barriers and perceived benefits were the most common HBM constructs that were significantly associated with vaccine hesitancy. While perceived benefits was inversely associated, a positive association was found between perceived barriers and vaccine hesitancy. Other HBM constructs that were frequently examined and inversely associated were perceived susceptibility, cues to action, perceived severity, and self-efficacy. The most common HBM modifying factor that was directly associated with COVID-19 vaccine hesitancy was gender, followed by education, age, geographical locations, occupation, income, employment, marital status, race, and ethnicity; however, a few studies report inconsistent results. Other modifying variables that influenced vaccine hesitancy were knowledge of COVID-19, prior diagnosis of COVID-19, history of flu vaccination, religion, nationality, and political affiliation. The results show that HBM is useful in predicting COVID-19 vaccine hesitancy.
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Wu, Xue, Man Zhao, and Han-Teng Liao. "Integrating Health Belief Model, Technological Self-efficacy, and the PEN-3 cultural model: Conceptualizing the impact of culture and technology on health for advancing Sustainable Smart Health." E3S Web of Conferences 218 (2020): 02019. http://dx.doi.org/10.1051/e3sconf/202021802019.

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As people record, visualize, analyze, share, reflect on, etc. their everyday life using digital and network technologies, how can researchers and designers empower them to engage both the technologies and health about themselves? Though the Health Belief Model (HBM) has been used to explain and predict healthrelated behaviors, and the Technological Self-efficacy (TSE), and the PEN-3 cultural model has been used as constructs of technological and cultural self-efficacy, it remains a challenging task to tease out the impact of cultural and technological factors for people to improve their health conditions and well-being by taking direct and indirect actions. With the aim to develop a conceptual framework to overcome such a challenge, this study examined and selected a few constructs from the TSE and PEN-3 cultural models, respectively, and then use them to enrich the HBM so that the impact of cultural and technological factors can be better integrated and examined. The integrated model can be used as an analysis tool for both researchers and designers to identify first the relevant cultural and technological factors (using selected constructs), and then formulate and then test hypotheses regarding how these factors shape their health and technology actions (using the causal modeling of the enriched HBM).The integrated model proposed and illustrated in this study shows the ways in which both cultural and technological factors can be conceptualized to explain and predict health-related behaviors via perceived beliefs (often related to technology and health). For example, self-tracking visualization involves both cultural and technological factors that may facilitate or impede health-related behaviors.
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Zartaloudi, A. "Health Belief Model (HBM) and vaccination during pandemics." European Psychiatry 65, S1 (June 2022): S308. http://dx.doi.org/10.1192/j.eurpsy.2022.786.

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Introduction With the COVID-19 pandemic recognized as a major threat to human health, promoting vaccination is of paramount importance to public health. Objectives To examine the association between factors of the Health Belief Model (HBM) and intentions to be vaccinated against COVID-19, when a vaccine becomes available. Methods A literature review has been made through PubMed database. Results The HBM dimensions “perceived barriers”, “perceived benefits” and “perceived severity” were considered to be significant predictors of acceptance of vaccinations. The HBM constructs of cues to action (trust in third-party information sources), perceived severity of and susceptibility to COVID-19, and beliefs about the protection benefits of a COVID-19 vaccine, subsequently may elicit willingness to vaccinate. Individual predictors of vaccination were believing the vaccine is effective at preventing COVID-19, recalling their doctor recommending the vaccine. Common perceived barriers against vaccination included believing the vaccine could give people the virus, believing the vaccine can make individuals ill afterwards and preferring to develop immunity “naturally”. Patients who delayed and refused vaccine doses were more likely to have vaccine safety concerns and perceive fewer benefits associated with vaccines. Conclusions HBM is an effective tool for identifying facilitators and barriers to health behaviors. Health promotion should make use of the HBM, as the model provides a theoretically understanding of the dynamics that may enable the success of important health-related policy in the wake of COVID-19 and future pandemics and identifies the communication mechanisms that must be leveraged by governments and authorities in enforcing policy. Disclosure No significant relationships.
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Ghanbarnejad, Amin, Atefeh Homayuni, Zahra Hosseini, and Abdolhossain Madani. "Smoking Behavior Among Students: Using Health Belief Model and Zero-Inflated Ordered Probit Model." Tobacco and Health 1, no. 2 (March 30, 2022): 74–82. http://dx.doi.org/10.34172/thj.2022.12.

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Background: Smoking is increasing among adolescents and young adults. Adolescents’ smoking can predict frequent smoking in early adulthood. This study aimed to explore the predictors of smoking among high school students using health belief model (HBM). Materials and Methods: In this cross-sectional study conducted in 2019 in Bandar-Abbas city, South of Iran, 444 male high-school students aged 15-19 years (mean age: 16.7±0.85) were explored. Data were collected using a researcher-made questionnaire consisted of two main sections: sociodemographic characteristics and HBM constructs. The zero-inflated ordered probit (ZIOP) model was adopted for investigating the association between HBM constructs and smoking behavior. Results: Results indicated that 82% of the participants never smoked cigarette. The results of ZIOP model showed that the knowledge (P=0.026), susceptibility (P<0.001), severity (P=0.035), benefits (P=0.004), and cues to action (P=0.019) had significant effects on smoking cigarette after being adjusted for other covariates (i.e., age, parents’ education, losing one of the parents). Moreover, having a smoker friend was found to be an inflation factor (P<0.001). Adolescents with smoking friends were 44% less likely to avoid smoking. Conclusion: It was concluded that having a smoker friend, knowledge, susceptibility, severity, benefits, and cues to action had considerable predictive capacity for predicting smoking attitude. Therefore, it was recommended that these factors should be seriously considered when designing educational programs with the aim of reducing adolescent smoking.
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Sharafkhani, Naser, Mahboobeh Khorsandi, Mohsen Shamsi, and Mehdi Ranjbaran. "Low Back Pain Preventive Behaviors Among Nurses Based on the Health Belief Model Constructs." SAGE Open 4, no. 4 (December 14, 2014): 215824401455672. http://dx.doi.org/10.1177/2158244014556726.

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Irwin, Charles E., Susan G. Millstein, and Jonathan M. Ellen. "Appointment-Keeping Behavior in Adolescents: Factors Associated With Follow-up Appointment-Keeping." Pediatrics 92, no. 1 (July 1, 1993): 20–23. http://dx.doi.org/10.1542/peds.92.1.20.

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Study objectives. To identify the sociodemographic and Health Belief Model predictors of follow-up appointment-keeping behavior. Design. Prospective observational study. Settings. General adolescent medical clinic. Patients and measurements. Sequential sample of 166 adolescents (aged 12 to 20 years, mean = 15.9 years) enrolled in the clinic. The population was 75% female; the racial-ethnic distribution of the sample was 37.9% black, 29.8% white, 11.2% Asian, 14.3% Hispanic, and 6.8% "other" background. Subjects' social class was primarily lower-middle (60.5%) and middle class (28.6%). A subsample was randomly assigned to be interviewed about their beliefs concerning their follow-up appointment and the constructs of the Health Belief Model. Results. Forty-eight percent of the total sample failed to keep their follow-up appointment. There was a significant positive correlation between social class and appointment keeping (F = 5.07; df = 5,110; P = .026). Neither race-ethnicity nor who made the appointment were found to be associated with follow-up appointment-keeping. The only construct of the Health Belief Model found to be significantly associated with appointment keeping was the number of potential negative outcomes resulting from noncompliance perceived by the subject (F = 6.85; df 1,74; P = .011). Conclusions. Clinicians must work with adolescents to improve their understanding of the potential negative outcomes associated with noncompliance to improve appointment-keeping behavior.
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Alahmadi, Alaa, Hind Aljaloud, Amen Bawazir, Hoda Jradi, Renad Alhaidari, and Eyad Alofi. "Assessment of Awareness and Knowledge About Rickets in Primary Health Care Centers in Saudi Arabia Based on Health Belief Model and Social Cognitive Theory." Global Journal of Health Science 12, no. 11 (September 10, 2020): 65. http://dx.doi.org/10.5539/gjhs.v12n11p65.

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BACKGROUND: Rickets is considered a significant health issue affecting children especially infants and toddlers. Despite the development affordable and accessible of a health care system in Saudi Arabia, Saudi children had a high prevalence of rickets. This study aims to assess knowledge and awareness of mothers about rickets after short interventional program based on the health belief model and social cognitive theory. METHODS: A Quasi-experimental design pre-posttest type was carried out by using self-administered questionnaire. A sample size of 180 mothers who attended the well-baby clinic in primary health care centers in Riyadh and Medina Region were consented and then enrolled in the study. The questionnaire focused on 7 domains; demographic information and the other 6 domains based on health believe model and social cognitive theory. RESULTS: The mean scores of knowledge, self-efficacy, and health belief model constructs (susceptibility, severity, benefits) significantly increased. The mean score and the percentages of knowledge and health belief model constructs show changes between pretest and post test result with statistical significant (27.9% in knowledge and self-efficacy, 34.9% in perceived susceptibility, 54.5% in perceived severity, 25.9% in perceived benefits, 11.7% in perceived barriers and 5.4% in cues to action) all were with a p-value of less than 0.05. CONCLUSION: Educational intervention based on social cognitive theory and health belief model were effective in improving knowledge, awareness and practice related to preventive behaviors of rickets.
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van Bergen, Ilja, Sophie Böger, Charlotte Beaudart, Mickaël Hiligsmann, and Kei Long Cheung. "Beliefs regarding COVID-19 vaccinations of young adults in the United Kingdom: An interview study applying the Integrated Change Model." PLOS ONE 17, no. 12 (December 6, 2022): e0277109. http://dx.doi.org/10.1371/journal.pone.0277109.

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Introduction Young adults are considered one of the most hesitant groups towards getting vaccinated in the UK, which threatens the success of the vaccination program in ending the pandemic. Identifying and understanding the socio-cognitive beliefs is important to effectively design and implement health communication interventions. Therefore, the aim of this study was to identify the underlying beliefs regarding COVID-19 vaccinations among young adults in the UK. Methods The study consisted of online, one-on-one interviews with 18 individuals (6 males, 12 females) aged between 18 and 29 years, conducted in June 2021. The guiding theoretical framework was the I-Change Model. Interviews were recorded and transcribed verbatim. The transcripts were independently coded by two researchers by using the constructs of the I-Change Model. Belief statements were elicited from the codes and the frequency of belief statements was recorded and compared between intenders and non-intenders. Results Similar beliefs were observed in intenders and non-intenders for most constructs of the I-Change Model. However, non-intenders distinguished themselves from intenders by their higher perceived risks of side effects and higher perceived disadvantages of being vaccinated. Non-intenders expressed the belief that the risk of unknown or long-term side effects, such as blood clotting and impact on fertility, were the main reason for them not to be willing to vaccinate. In addition, in both groups, participants had mostly similar beliefs as their friends and family. Conclusion This research provides insights in the specific beliefs of the young adult population of the UK regarding COVID-19 vaccinations, which could have implications for health communication interventions. The findings suggest that such interventions should focus on reducing the uncertainty regarding short- and long-term effects and potentially having a focus on the entire social environment of young adults.
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Acharya, Devraj, Bhimsen Devkota, and Radha Bhattarai. "Public Service Announcements for Health Insurance in Nepal: Perspectives from Health Belief Model." Nepalese Journal of Insurance and Social Security 3, no. 3 (December 1, 2020): 23–36. http://dx.doi.org/10.3126/njiss.v3i3.36460.

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Public Service Announcement (PSA) is an advertisement to inform the people sponsored by the public company or the governmental agencies. There were several PSAs implemented to inform the people about health insurance (HI). Data from the Health Insurance Board showed low enrolment with high dropout in health insurance programme (HIP). It was found that the PSAs could not attract the people. Therefore, we assessed the PSAs used for the HIP and amomg them, three Radio/FM jingles, eight TV spots, hoarding board, newspapers, and brochure were evaluated using the Health Belief Model (HBM). We found the almost all PSAs have not covered the constructs of HBM. Most of the PSAs have included primarily perceived benefits and perceived susceptibility but missed to include perceived severity, perceived threats, and self-efficacy. Only benefits focused message could not attract the people. Therefore, we recommend that all PSAs need to have all the features of HBM in the PSA messages while notifying and informing the people.
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Guidry, Jeanine P. D., Nicole H. O’Donnell, Lucinda L. Austin, Ioana A. Coman, Jay Adams, and Paul B. Perrin. "Stay Socially Distant and Wash Your Hands: Using the Health Belief Model to Determine Intent for COVID-19 Preventive Behaviors at the Beginning of the Pandemic." Health Education & Behavior 48, no. 4 (June 29, 2021): 424–33. http://dx.doi.org/10.1177/10901981211019920.

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Background The COVID-19 pandemic has quickly spread around the world, and since currently no treatments that are safe and effective for large groups of people nor a vaccine are available, the best way to prevent the illness is to avoid being exposed to the virus causing it. The purpose of this study was to examine the predictive effects of both demographic and psychosocial factors originating with the Health Belief Model on reported intent to adhere to COVID-19 preventive behaviors (e.g., social distancing, hand washing, and not attending large gatherings). Method A Qualtrics survey of 500 U.S. adults was conducted to explore the relationships of demographics and psychosocial factors with the intent to adhere to COVID-19 preventive measures. Results Gender was a predictor of taking preventive action, with women more likely to take action. Health Belief Model constructs predicted uptake of most COVID-19 preventive actions, but the constructs often appeared to work independent of the model. Race/ethnicity was an infrequent predictor, but when it did, minorities were less likely to report intent to adhere to COVID-19 preventive behaviors. Conclusion/Implications While not a perfect model for this pandemic, the Health Belief Model and its constructs should continue to be considered for use by public health communicators focusing on preventive measure campaign design in both the COVID-19 pandemic era and beyond.
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Williams, Clay K., Donald Wynn, Ramana Madupalli, Elena Karahanna, and Barbara K. Duncan. "Explaining Users' Security Behaviors with the Security Belief Model." Journal of Organizational and End User Computing 26, no. 3 (July 2014): 23–46. http://dx.doi.org/10.4018/joeuc.2014070102.

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Information security is often viewed as a technological matter. However, security professionals will readily admit that without safe practices by users, no amount or type of technology will be effective at preventing unauthorized intrusions. By paralleling the practices of information security and health prevention, a rationale for employing constructs from existing models of health behavior is established. A comprehensive and parsimonious model (the Security Belief Model) is developed to explain information security behavior intentions. The model is tested empirically based on a sample of 237 Indian professionals. The results of the empirical study indicate general support for the model, particularly including severity, susceptibility, benefits, and a cue to action as antecedents to the intention to perform preventive information security behaviors. The paper also discusses implications of the model and results for practitioners and possibilities for future research are included.
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Khodaveisi, Masoud, Bahman Azizpour, Ali Jadidi, and Younes Mohammadi. "Education based on the health belief model to improve the level of physical activity." Physical Activity and Nutrition 25, no. 4 (December 31, 2021): 17–23. http://dx.doi.org/10.20463/pan.2021.0022.

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[Purpose] This study aimed to investigate the effect of education based on the health belief model on the physical activity of the staff ofthe University of Medical Sciences.[Methods] This semi-experimental study was conducted on 130 university staff aged 25-50 years from the Hamadan University of Medical Sciences. Inclusion criteria were having at least 1 year of work experience, lack of acute and chronic physical and mental illnesses, and not using drugs that affect physical activity. The samples were randomly divided into two groups. The experimental group received three training sessions based on the health belief model. Before and 2 months aftertraining, the control and experimental groups were evaluated via the following questionnaires: (1) demographic information questionnaire, (2) Health Belief Model Questionnaire, and (3) International Physical Activity Questionnaire. Finally, data were analyzed statistically.[Results] The training process resulted in a significant increase in the mean scores of the health belief model constructs in the experimental group, but changes in the control group were not significant. Self-efficacy was the strongest predictor of physical activity.[Conclusion] The health belief model is a useful model for improving individuals' understanding of the benefits of physical activity.
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Lahiry, S., R. Karmakar, and S. Parameswaran. "Using Health Belief Model, TriRisk Model, and Fatalism to predict COVID-19 Social Distancing Compliance Behavior." Social Psychology and Society 12, no. 4 (2021): 127–45. http://dx.doi.org/10.17759/sps.2021120408.

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Objectives. The study has a translational focus to examine the applicability of the Health Belief Model, the TriRisk model, and fatalism-belief in the context of the COVID-19 disease, specifically to test if they help us predict recommended compliance behavior. Another objective is to examine how the three components of the TriRisk model work together. Background. Amid a raging COVID-19 pandemic, governments everywhere need to deploy more targeted strategies to make social distancing effective and reduce human to human transmission of the virus. Study design. The study predicted the lockdown compliance behaviour from constructs of the TriRisk model and fatalism-belief, using multiple linear regression and mediation analysis. Participants. 357 Participants across India; age range: 15—78 years; 41.5% men and 58.5% women. Measurements. Components of the health belief model, fatalism, and recommended compliance behavior were assessed using Multi-item and single-item scales. Results. Experiential risk perception was the strongest predictor of compliance behavior, followed by perceived barriers and gender. Deliberative risk perception and affective risk perception were significantly positively correlated with compliance behavior, though not statistically significant predictors. Experiential risk perception mediated the path between cognitive risk assessment and compliance behavior. Conclusions. The present study has implications for designing and trying out compliance enhancement intervention through use of appropriate experiential risk content in designing public campaigns to increase compliance behavior.
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Sandhu, Kiran. "Historical trajectory of waste management; an analysis using the health belief model." Management of Environmental Quality: An International Journal 25, no. 5 (August 5, 2014): 615–30. http://dx.doi.org/10.1108/meq-09-2013-0098.

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Purpose – How were health-based perceptions influenced by dominant public health theories in the historical past to present times and what impact did it have on waste management behaviours? Taking public health as the single most important driver of waste management responses from historic to the contemporary times, the purpose of this paper is to evaluate the waste management practices through the lens of the leading public health constructs and their impacts on the adaptive practices of waste management. The research paper seeks to analyze the historical journey of waste management responses using the theoretical constructs of the Health Belief Model (HBM). Design/methodology/approach – The purpose of the research is achieved by conducting an extensive review into the available secondary source-based historic literature on waste. The paper uses qualitative method of research and applies content and text analysis to present the review of literature and establish patterns and co-relations between public health theories, health perceptions and waste behaviours. The HBM is applied in a modified format to evaluate the patterns of waste-based health perceptions and their impacts on adaptive waste management responses. Findings – Based upon a comprehensive review of literature pertaining to the historical aspect of waste management and public health constructs, the paper presents the link between the dominant public health theories, their impacts on waste-based health perceptions and waste management responses through the course of history. The analysis also reveals that while new approaches have been developed and adapted based upon the dominant public health theories, the age old practices and behaviours have not entirely faded away and rather continue to operate till date. Research limitations/implications – The research being under the preview of historical investigation, depends purely upon secondary review of literature to gather such information that shall lead to making an evaluation of health perceptions. As such the limitation of data itself for a thorough analysis is acknowledged. Also since the research setting uses the global context, the literature search found more information from the historic context of the western societies and less from other parts of the world and generalizations are therefore based on this literature. Originality/value – The paper presents a linkage between public health theories, perceptions and waste behaviours with application of the HBM and in doing so it makes a contribution towards understanding the historical journey of waste management responses. In the author's best knowledge the HBM has not been applied in environmental history research of this nature. The application of the HBM, while it has been done in the historical context herein, but it can be visualized that this model holds strength to make an application in contemporary settings to arrive at appropriate waste management policies and strategies.
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Yulianto, Budi, Djoko Windu Purnomo Irawan, Vincentius Supriyono, Uswatun Khasanah, and Nurlailis Saadah. "Behavior of Users Personal Protective Equipment based on Health Belief Model and Social Capital." Open Access Macedonian Journal of Medical Sciences 10, E (May 3, 2022): 1300–1306. http://dx.doi.org/10.3889/oamjms.2022.9150.

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Background: Developing a health belief model using social capital in social groups that have the same social characteristics has never been done. Methods: This study was conducted on employees of the weaving division in one of the largest textile industries in Indonesia located in Sukoharjo Regency, Central Java, Indonesia. In this case, 178 respondents were selected randomly to be assessed for the health belief model through the construct of perception: vulnerability, severity, benefit, threat, self-efficacy, barriers to readiness for action, and social capital through the construction of social networks, norms, trust, and reciprocity. In order to get a suitable model, the data were analyzed using path analysis with the assistance of Stata 13. Results: The results of the development of the health belief model using social capital for behavioral changes in weaving employees obtained the following results. First, the health belief model consists of the constructs of perception of vulnerability, perception of severity, perception of benefits, and perception of barriers that indirectly affect the perception of threats to behavioral changes using personal protective equipment. (b= -1.07; 95% CI = -1.88 to -0.26; p=0.010). Second, social capital has a direct effect on behavioral changes in the use of personal protective equipment. (b= 0.85; 95% CI = 0.18 to 1.53; p=0.013). Furthermore, cues to action has a direct effect on behavioral changes in the use of personal protective equipment (b= 1.35; 95% CI = 0.49 to 2.21; p=0.02). Conclusion: Behavioral changes to use personal protective equipment for weaving employees who are exposed to high intensity noise are directly affected by cues to action and social capital. In addition, it is also indirectly affected by the variable of Health Belief Model.
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Jolly, C. M., S. Vodouhe, B. Bayard, P. E. Jolly, and J. T. Williams. "Benin Groundnut Producers’ Perceptions, Awareness and Action about Aflatoxin." Peanut Science 43, no. 1 (April 1, 2016): 74–87. http://dx.doi.org/10.3146/0095-3679-43.1.74.

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ABSTRACT Aflatoxin (AF) contamination of groundnut poses a serious health and economic threat to Benin market participants. However, most farmers are unaware of the problem. A study of 182 farmers was conducted in 2002 using a Health Belief Model (HBM) to examine Benin farmers’ health beliefs, perception constructs of awareness, susceptibility, seriousness of the problem, barriers, and benefits derived from reducing AF levels. Exploratory Factor Analysis was employed to evaluate the HBM model constructs. The average age of farmers was 40.4 years with a Standard Deviation (SD) of 10.8, and farmers had an average of 18.32 years of farming experience. Approximately 93% of farmers stated that sorting of groundnuts was important or very important, while 77% thought that they were sure or definitely sure of the negative effects of AF on human health. The exploratory factor analysis revealed that two factors embodied the susceptibility, barrier and benefit constructs. The study results indicated that the reduction of AF in groundnuts was multidimensional and required policy intervention to increase awareness of the health risks, and to manipulate the factors that influenced the constructs at the farm and policy level.
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Li, Yachao, Bo Yang, and Bryan Chen. "LGB Tobacco Control: Do Health Belief Model Constructs Predict Tobacco Use Intentions Differently between LGB and Heterosexual Individuals?" International Journal of Environmental Research and Public Health 18, no. 13 (June 30, 2021): 7008. http://dx.doi.org/10.3390/ijerph18137008.

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This research includes two studies testing whether the Health Belief Model (HBM) constructs predict tobacco use intentions differently between heterosexual and lesbian, gay, and bisexual (LGB) people. Focusing on cigarette smoking, Study 1 (n = 1808 U.S. adult current smokers) found that the perceived health threat and perceived benefits of smoking differently predicted intentions to continue smoking between heterosexual and LGB smokers. The perceived health threat of smoking had a weaker negative relationship and perceived benefits of smoking had a stronger positive relationship with smoking intentions among LGB smokers than heterosexual smokers. Focusing on vaping, Study 2 (n = 2801 U.S. adults) found that the perceived health threat and perceived barriers of vaping differentially predicted vaping intentions between heterosexual and LGB individuals. The perceived health threat of vaping only negatively predicted vaping intentions among heterosexual people. Perceived barriers to vaping had a stronger negative relationship with intentions to vape among LGB people than among heterosexual people. Our finding suggests that compared to perceptions of tobacco-related health consequences (perceived heath threat), behavioral perceptions (perceived benefits and barriers) may have stronger impacts on tobacco use intentions among LGB people. Thus, efforts focusing on reducing tobacco-related disparities among the LGB community should address perceived benefits and barriers of tobacco use.
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Costa, Marcelo Fernandes. "Health belief model for coronavirus infection risk determinants." Revista de Saúde Pública 54 (May 7, 2020): 47. http://dx.doi.org/10.11606/s1518-8787.2020054002494.

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OBJECTIVE: To use the advantages of a ratio scale with verbal anchors in order to measure the risk perception in the novel coronavirus infection, which causes covid-19, in a health belief model-based questionnaire, as well as its validity and reproducibility. METHOD: We used the health belief model, which explores four dimensions: perceived susceptibility (five questions), perceived severity (five questions), perceived benefits (five questions), and perceived barriers (five questions). Additionally, we included a fifth dimension, called pro-health motivation (four questions). The questions composed an electronic questionnaire disseminated by social networks for an one-week period. Answers were quantitative values of subjective representations, obtained by a psychophysically constructed scale with verbal anchors ratio (CentiMax®). Mean time for total filling was 12 minutes (standard deviation = 1.6). RESULTS: We obtained 277 complete responses to the form. One was excluded because it belonged to a participant under 18 years old. Reproducibility measures were significant for 22 of the 24 questions in our questionnaire (Cronbach’s α = 0.883). Convergent validity was attested by Spearman-Brown’s split half reliability coefficient (r = 0.882). Significant differences among groups were more intense in perceived susceptibility and severity dimensions, and less in perceived benefits and barriers. CONCLUSION: Our health belief model-based questionnaire using quantitative measures enabled the confirmation of popular beliefs about covid-19 infection risks. The advantage in our approach lays in the possibility of quickly, directly and quantitatively identifying individual belief profiles for each dimension in the questionnaire, serving as a great ally for communication processes and public health education.
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Brega, Angela G., Rachel L. Johnson, Luohua Jiang, Anne R. Wilson, Sarah J. Schmiege, and Judith Albino. "Influence of Parental Health Literacy on Change over Time in the Oral Health of American Indian Children." International Journal of Environmental Research and Public Health 18, no. 11 (May 25, 2021): 5633. http://dx.doi.org/10.3390/ijerph18115633.

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In cross-sectional studies, parental health literacy (HL) is associated with children’s oral health. It is unclear, however, whether HL influences pediatric outcomes. We examined the relationship of HL with change over time in parental oral health knowledge, beliefs, and behaviors, as well as pediatric oral health outcomes. We used longitudinal data from a study designed to reduce dental decay in American Indian children (N = 579). At baseline and annually for three years, parents answered questions assessing HL; oral health knowledge, beliefs, and behaviors; and pediatric oral health status. The number of decayed, missing, and filled tooth surfaces (dmfs) was computed based on annual dental evaluations. Linear mixed models showed that HL was significantly associated with all constructs, except dmfs, at their reference time points and persistently across the three-year study period. HL predicted change over time in only one variable, parents’ belief that children’s oral health is determined by chance or luck. HL is strongly associated with oral health knowledge, beliefs, behaviors, and status prospectively but is not a key driver of change over time in these oral health constructs.
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Kwon, Hyun Joo, and Mira Ahn. "Boomers’ Intention to Choose Healthy Housing Materials: An Application of the Health Belief Model." Sustainability 11, no. 18 (September 6, 2019): 4869. http://dx.doi.org/10.3390/su11184869.

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This study aims to understand the decision-making process of healthy housing material selection of boomers who were born between 1946 and 1964 in the United States within the Health Belief Model (HBM) framework incorporating personal factors. The main constructs were three HBM components (perceived benefits, threats, and barriers), personal domains (knowledge, health concerns, and sensitivity to housing materials), and behavioral intention to choose healthy housing materials. With a nationwide random sample of boomers living in their homes (N = 306), path analysis was used to test the proposed research model. The findings indicate that behavioral intention to choose healthy housing materials is influenced by perceived benefits and threats. Of the personal factors, the knowledge component is directly and indirectly significantly associated with the behavioral intention. Insignificant association of perceived barriers and other personal components (health concerns and sensitivity) to the intention and the HBM components yield meaningful implications and discussions. The contribution of the HBM application to this study is to provide a foundation for understanding healthy housing material choosing behaviors for the general prevention of potential health issue purposes rather than actual maintenance. This paper discusses the significance of breadth and reliability of knowledge and the role of the relevant professionals to provide and communicate this knowledge.
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Kiely, Keagan, William A. Mase, Andrew R. Hansen, and Jessica Schwind. "Association between the Health Belief Model, Exercise, and Nutrition Behaviors during the COVID-19 Pandemic." International Journal of Environmental Research and Public Health 19, no. 23 (November 23, 2022): 15516. http://dx.doi.org/10.3390/ijerph192315516.

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Introduction: The COVID-19 pandemic has affected our nation’s health further than the infection it causes. Physical activity levels and dietary intake have suffered while individuals grapple with the changes in behavior to reduce viral transmission. With unique nuances regarding the access to physical activity and nutrition during the pandemic, the constructs of Health Belief Model (HBM) may present themselves differently in nutrition and exercise behaviors compared to precautions implemented to reduce viral transmission studied in previous research. The purpose of this study was to investigate the extent of exercise and nutritional behavior change during the COVID-19 pandemic and explain the reason for and extent of this change using HBM constructs (perceived susceptibility, severity, benefit of action, and barriers to action). Methods: This study used a cross-sectional design to collect 206 surveys. This survey collected information on self-reported exercise and nutrition changes during the pandemic and self-reported levels of the HBM constructs. Results: Findings showed individuals with medium or high exercise behavior change had greater odds of increased HBM score than individuals with little to no exercise behavior change (OR = 1.117, 95% CI: 1.020–1.223, SE: 0.0464, p = 0.0175). There was no association between nutritional behavior change and HBM score (OR = 1.011, 95% CI: 0.895–1.142, p = 08646). Conclusion: Individuals who reported a more drastic change in either exercise had greater odds of increased feelings of perceived susceptibility and severity related to COVID-19 and decreased perceived benefits and increased barriers to exercise. This relationship was not found regarding nutrition behavior change. These results encourage public health practitioners to understand how an individual’s perceived feelings about a threat may affect exercise and nutritional behaviors.
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Tan, Soon Guan, Aravind Sesagiri Raamkumar, and Hwee Lin Wee. "Users’ Beliefs Toward Physical Distancing in Facebook Pages of Public Health Authorities During COVID-19 Pandemic in Early 2020." Health Education & Behavior 48, no. 4 (May 20, 2021): 404–11. http://dx.doi.org/10.1177/10901981211014428.

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This study aims to describe Facebook users’ beliefs toward physical distancing measures implemented during the Coronavirus disease (COVID-19) pandemic using the key constructs of the health belief model. A combination of rule-based filtering and manual classification methods was used to classify user comments on COVID-19 Facebook posts of three public health authorities: Centers for Disease Control and Prevention of the United States, Public Health England, and Ministry of Health, Singapore. A total of 104,304 comments were analyzed for posts published between 1 January, 2020, and 31 March, 2020, along with COVID-19 cases and deaths count data from the three countries. Findings indicate that the perceived benefits of physical distancing measures ( n = 3,463; 3.3%) was three times higher than perceived barriers ( n = 1,062; 1.0%). Perceived susceptibility to COVID-19 ( n = 2,934; 2.8%) was higher compared with perceived severity ( n = 2,081; 2.0%). Although susceptibility aspects of physical distancing were discussed more often at the start of the year, mentions on the benefits of intervention emerged stronger toward the end of the analysis period, highlighting the shift in beliefs. The health belief model is useful for understanding Facebook users’ beliefs at a basic level, and it provides a scope for further improvement.
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Larki, Azam, Rahim Tahmasebi, and Mahnoush Reisi. "Factors Predicting Self-Care Behaviors among Low Health Literacy Hypertensive Patients Based on Health Belief Model in Bushehr District, South of Iran." International Journal of Hypertension 2018 (2018): 1–7. http://dx.doi.org/10.1155/2018/9752736.

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The aim of this study was to determine the factors influencing adherence to self-care behaviors among low health literacy hypertensive patients based on health belief model. A cross-sectional study was conducted among 152 hypertensive patients with low health literacy. Patients with limited health literacy were identified by S-TOFHLA. The data were collected using H-scale for assessing self-care behaviors and, HK-LS for assessing knowledge of hypertension. A researcher-made questionnaire was applied for collecting data of health belief model constructs. Data were analyzed by SPSS version 22 with using multiple logistic regression analyses. Perceived self-efficacy was associated with all self-care behaviors except medication regimens. There was a significant association between perceived susceptibility and adherence to both low-salt diet (OR = 3.47) and nonsmoking behavior (OR = 1.10). Individuals who had more perceived severity (OR = 1.82) had significantly greater adherence to their medication regimens. Perceived benefits and barriers were not significantly associated with either type of hypertension self-care behaviors. It seems that designing and implementation of educational programs to increase self-efficacy of patients and promote their beliefs about perceived susceptibility and severity of complications may improve self-care behaviors among low health literacy hypertensive patients.
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Berni, Imane, Aziza Menouni, Younes Filali Zegzouti, Marie-Paule Kestemont, Lode Godderis, and Samir El Jaafari. "Factors Associated with COVID-19 Vaccine Acceptance in Morocco: Applying the Health Belief Model." Vaccines 10, no. 5 (May 16, 2022): 784. http://dx.doi.org/10.3390/vaccines10050784.

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To identify factors that influenced Moroccans’ intention to get a COVID-19 vaccine, a cross-sectional survey among a Moroccan sample was conducted based on Health Belief Model constructs. Participants’ sociodemographic characteristics, perceived susceptibility, perceived severity, perceived barriers, perceived benefits, self-efficacy, cues to action, and intention to receive vaccine data were collected and analyzed using a structural equation model (SEM). The survey was completed by 3800 individuals; 57.2% were men, 44.5% were aged 30 to 44, and 44.6% were married. After controlling for confounders, being a woman and having a chronic disease were associated with higher acceptance of the COVID-19 vaccine. The strongest predictor for the intention of receiving a vaccine was participants who were married. Most of the HBM constructs were shown to be significantly associated with vaccine acceptance. Susceptibility and Benefits were the strongest predictors of acceptance of the COVID-19 vaccine (standardized path coefficient, SPC = 0.23), followed by Severity (SPC = 0.22). Conversely, given the negative correlation between barriers and intention (SPC = −0.08), it is necessary to maintain a high level of transparency regarding the vaccines’ safety. Our study provides guidance for an implementation of vaccination strategies, intending to bolster the overall COVID-19 immunization program.
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Ko, Nai-Ying, Wei-Hsin Lu, Yi-Lung Chen, Dian-Jeng Li, Yu-Ping Chang, Peng-Wei Wang, and Cheng-Fang Yen. "Cognitive, Affective, and Behavioral Constructs of COVID-19 Health Beliefs: A Comparison Between Sexual Minority and Heterosexual Individuals in Taiwan." International Journal of Environmental Research and Public Health 17, no. 12 (June 15, 2020): 4282. http://dx.doi.org/10.3390/ijerph17124282.

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This online survey study aimed to compare the cognitive, affective, and behavioral constructs of health beliefs related to coronavirus disease 2019 (COVID-19) between sexual minority and heterosexual individuals in Taiwan. In total, 533 sexual minority and 1421 heterosexual participants were recruited through a Facebook advertisement. The constructs pertaining to cognition (perceived relative susceptibility to COVID-19, perceived COVID-19 severity, having sufficient knowledge and information on COVID-19, and confidence in coping with COVID-19), affect (worry toward COVID-19), and behavior (adoption of health-protective behaviors) in relation to health beliefs about COVID-19 were compared between sexual minority and heterosexual participants. The results indicated that sexual minority participants had lower perceived susceptibility to COVID-19, greater self-confidence in coping with COVID-19, and lower worry about COVID-19 and were less likely to maintain good indoor ventilation and disinfect their household than heterosexual individuals. Sexual orientation is the modifying factor for the Health Belief Model in the COVID-19 pandemic and should be taken into consideration when medical professionals establish prevention programs for COVID-19.
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Arash, Salahshouri, Harooni Javad, Daniali Shahrbanoo, Pourhaji Fatemeh, Moradi Maryam, and Sheida Sepahi. "Applying the Health Belief Model Constructs to Determine Predictors of Dietary Behavior among High-School Students." British Journal of Medicine and Medical Research 17, no. 8 (January 10, 2016): 1–7. http://dx.doi.org/10.9734/bjmmr/2016/27875.

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Bahri, Nasrin, Fariba Eshaghi Hesar, and Narjes Bahri. "Application of the Health Belief Model Educational Program to Reduce the Tendency of Cesarean Birth." International Journal of Childbirth 10, no. 3 (September 1, 2020): 116–25. http://dx.doi.org/10.1891/ijcbirth-d-19-00012.

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BACKGROUNDPregnant women are an important population in all health systems and they are responsible for making decisions about their delivery mode.OBJECTIVEThis study aimed to investigate the effects of an educational intervention based on the Health Belief Model (HBM) to reduce the tendency of cesarean section among pregnant women.METHODThis field trial was conducted in Mashhad, Iran. 180 primigravida women who had a healthy and uncomplicated pregnancy with 28–32 weeks of gestational age were recruited in the study by the cluster sampling method and randomly allocated to intervention (90 women) and control (90 women) groups. A 6-hour workshop that was designed based on the HBM about delivery modes was conducted for the intervention group. The control group did not receive any intervention. All the participants filled out demographic and reproductive characteristics, knowledge about mode of delivery, and the HBM constructs questionnaires at the beginning of the study and 1 month after the intervention. Analyses were carried out using SPSS 16 software. The level of significance was set at p less than .05.RESULTSThere was no significant difference between the two groups in terms of knowledge about delivery modes and constructs of the HBM as well as selected delivery mode before the intervention (p > .05), but the results showed a significant difference between the two groups in the mentioned variables 1 month after the intervention (p < .0001). Also, the change of score between 1 month after and before the intervention had a significant difference between the two groups in terms of knowledge about delivery modes (p < .0001) and constructs of the HBM (p < .0001). The two groups were significantly different in terms of selected delivery mode and more participants opted for normal vaginal delivery in the intervention group (p = .025).CONCLUSIONSThe overall results showed that instruction of delivery modes based on the HBM can lead to more selection of normal delivery by pregnant women. Therefore, it is recommended that this model be used in educational programs during pregnancy.
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Davis-Bundrage, Melodie, Katalin Medvedev, and Jori N. Hall. "How beauty product use links to Black Lives Matter: Examining the influence of beliefs of health threats on behaviour." Fashion, Style & Popular Culture 8, no. 1 (January 1, 2021): 37–62. http://dx.doi.org/10.1386/fspc_00065_1.

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This study examines the influence of Black women’s beliefs of health threats on purchase intentions towards beauty products. It investigates whether Black women use natural beauty products to avoid health threats and injustice. Two focus groups were conducted with eleven female African American participants as part of a larger multi-method study. This article details the focus group sessions in which participants shared their stories and beliefs of how beauty ideals and products have negatively impacted their health and lives. Results indicate that constructs of the Health Belief Model (HBM) relate to the participants’ lived experiences, that ‘Blackness’ – has a major influence on consumer behaviour and that barriers, such as racism, often prevent them from a leading healthier lifestyles. The findings provide insights into Black women’s lives as consumers and communicate the importance of beauty product toxicity and healthy product development as topics of concern within the Black Lives Matter movement.
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Mehravar, Ahdieh, Nasrin Mokhtari Lakeh, Abdolhossien Emami Sigaroudi, and Saman Maroufizadeh. "Nurses' Compliance with Standard Precautions Based on Health Belief Model in Emergency Departments." Journal of Holistic Nursing And Midwifery 32, no. 2 (March 19, 2022): 135–43. http://dx.doi.org/10.32598/jhnm.32.2.2188.

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Introduction: Nurses' compliance with standard precautions is a viable tool for decreasing health hazards in health centers. Objective: This study aimed to identify factors affecting compliance with standard precautions (SPs) of infection control based on the health belief model (HBM) among emergency department nurses employed in the educational-therapeutic centers affiliated with Guilan University Medical Sciences in Rasht City, Iran. Materials and Methods: This cross-sectional study included 252 nurses working in the emergency departments of hospitals in Rasht City. The study samples were recruited using the convenience sampling method from September to October 2020. Nurses completed questionnaires, including demographics data, HBM constructs, knowledge, and compliance with standard precautions. A hierarchical multiple linear regression analysis was used to identify factors related to compliance with SPs. Results: The mean ±SD age of the nurses was 32.77±7.05 years, and the majority of them were females (88.9%). Their mean ±SD score for compliance with SPs was 63.2 ±16.0 (out of 100). The multivariable analysis results showed that the knowledge (β=0.47, 95%CI; 0.30-0.64, P=0.001), perceived benefits (β =0.19, 95%CI; 0.03-0.36, P=0.022) and perceived susceptibility (β =0.25, 95%CI; 0.13-0.36, P=0.001) constructs of HBM were positively correlated with the compliance with SPs. Furthermore, the level of education was significantly related to the compliance with SPs (β =9.51, 95%CI; 0.02-18.99, P=0.049). The final model accounted for 39.8% of the variance in compliance with SPs. Conclusion: Results indicated improvement in activity and safety level of the healthcare workers and also an increase in the overall level of compliance among nurses through education, regular training, and use of encouragement and punishment policies. It is suggested to follow the World Health Organization protocols. Also, the support management could have a better effect on perceived benefits and cues to action.
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