Complex relation among Health Belief Model components in TB prevention and care. Issue 7 (July 2015)

• Record Type: Journal Article
• Authors: Li, Z.T.; Yang, S.S.; Zhang, X.X.; Fisher, E.B.; Tian, B.C.; Sun, X.Y.
• Is Part Of: Public health. Volume 129:Issue 7(2015:Jul.)
• Page Start: 907
• Page End: 915
• Publication Date: 2015-07
• Subjects: Public health -- Periodicals; Public health -- Periodicals; Electronic journals; 362.1
• DOI: 10.1016/j.puhe.2015.04.008
• Languages: English
• ISSNs: 0033-3506

Abstract

<abstract xml:lang="en" abstract-type="author" id="abs0010"> <title id="sectitle0010">Abstract</title> <sec> <title id="sectitle0015">Objectives</title> <p id="abspara0010">This study aims to explore the relationships among components of the Health Belief Model, tuberculosis (TB) preventive behavior, and intention of seeking TB care.</p> </sec> <sec> <title id="sectitle0020">Study design</title> <p id="abspara0015">Cross section study.</p> </sec> <sec> <title id="sectitle0025">Methods</title> <p id="abspara0020">Using convenience sampling, 1154 rural-to-urban migrant workers were selected between the ages of 18–50 years in six urban areas of three provinces in China. The survey was conducted by individual, face-to-face interviews with a standardized questionnaire. Lisrel 8.7 was used to conduct path analysis.</p> </sec> <sec> <title id="sectitle0030">Results</title> <p id="abspara0025">The knowledge and benefits components of the Health Belief Model predicted preventive behaviors: cover nose/mouth when coughing or sneezing (β = 0.24, 0.33 respectively), evade others' coughs (β = 0.13, 0.25) and also predicted seeking TB care (β = 0.27, 0.19). Susceptibility and severity also predicted seeking TB care (β = 0.12, 0.16). There were also important relationships among model components. Knowledge of TB predicted both susceptibility (β = 0.32–0.60) and severity (β = 0.41–0.45). Further, each of susceptibility (β = 0.30) and severity (β = 0.41) predicted perceived benefits of preventive care.</p> </sec> <sec> <title id="sectitle0035">Conclusion</title> <p id="abspara0030">Thus, a path from knowledge, through severity and susceptibility, and then through benefits predicted prevention and TB care seeking behaviors.</p> </sec> </abstract>