scholarly journals “I Don't Need PrEP Right Now”: A Qualitative Exploration of the Barriers to PrEP Care Engagement Through the Application of the Health Belief Model

2018 ◽  
Vol 30 (5) ◽  
pp. 369-381 ◽  
Author(s):  
Marisa Felsher ◽  
Zsofia Szep ◽  
Douglas Krakower ◽  
Ana Martinez-Donate ◽  
Nguyen Tran ◽  
...  
Keyword(s):  
Health Belief Model ◽  
Health Belief ◽  
Situational Factors ◽  
Perceived Barriers ◽  
Limited Application ◽  
Hiv Acquisition ◽  
Belief Model ◽  
Exposure Prophylaxis ◽  
Qualitative Exploration ◽  
The Health Belief Model

The Health Belief Model has been useful for studying uptake of HIV prevention behaviors and has had limited application to understanding utilization of pre-exposure prophylaxis (PrEP), a biomedical strategy to reduce HIV acquisition. We recruited 90 persons undergoing HIV screening and educated them about PrEP. We followed up with 35 participants approximately 3 weeks later and quantitatively assessed PrEP uptake. No participant had initiated PrEP. We conducted in-depth interviews with 15 participants to explore situational factors impacting this decision. In this paper we provide an overview of PrEP-related engagement using qualitative data to contextualize (in)action. While participants perceived PrEP as beneficial, perceived benefits did not outweigh real- and perceived barriers, such as financial and time-related constraints. In order to promote PrEP uptake, cues to action that increase the benefits of PrEP during seasons of risk, and interventions that reduce real and perceived barriers are needed.

Use of the Health Belief Model for Weight Control Promotion Using Vegetarian Meal Plans

2021 ◽  
Vol 20 (2) ◽  
pp. 219-228
Author(s):  
Yi-Cheng Hou ◽  
Jing-Hui Wu ◽  
Ching-Feng Cheng ◽  
Chan-Yen Kuo ◽  
I-Shiang Tzeng
Keyword(s):  
Body Composition ◽  
Health Belief Model ◽  
Body Fat ◽  
Fat Body ◽  
Health Belief ◽  
Body Water ◽  
Perceived Barriers ◽  
Perceived Benefits ◽  
Belief Model ◽  
The Health Belief Model

A health belief model is used to evaluate people's beliefs about health problems and predict engagement in health-promoting behaviors. Overweight and obesity are health problems that could be corrected by healthier diet. Eighty-seven employees of the Taipei Tzu Chi Hospital participated in a month-long program that offered 500-calorie vegetarian meals. The health belief model questionnaire was designed and administered. Body composition (weight, body mass index, body fat, body water, and muscle mass) was measured weekly. Additionally, the number of meals taken and visits to nutrition consultants were analyzed. Overall, a higher perceived susceptibility was related to a decrease in weight, body fat, and muscle. Higher perceived benefits or higher perceived barriers were both related to a decrease in weight and body fat, but to an increase in body water and muscle. In the overweight or obese group, a significant correlation was found between perceived barriers and weight. No significant relationship was found between the health belief model and the total number of meals or number of visits to nutrition consultants. Perceived benefits and barriers were significantly related to changes in weight, body fat, body water, and muscle. With vegetarian meal plans as the cue for action, the health belief model can be utilized to predict changes in body composition.

scholarly journals Applying the Health Belief Model in Explaining the Stages of Exercise Change in Older Adults

2016 ◽  
Vol 23 (4) ◽  
pp. 221-225 ◽  
Author(s):  
Krzysztof Sas-Nowosielski ◽  
Andrzej Hadzik ◽  
Joanna Górna ◽  
Małgorzata Grabara
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Health Belief Model ◽  
Self Efficacy ◽  
Sedentary Lifestyle ◽  
Health Belief ◽  
Health Behaviours ◽  
Perceived Barriers ◽  
Belief Model ◽  
The Health Belief Model

Abstract Introduction. The benefits of physical activity (PA) have been so well documented that there is no doubt about the significance of PA for personal and social health. Several theoretical models have been proposed with a view to understanding the phenomenon of PA and other health behaviours. The purpose of this study was to evaluate if and how the variables suggested in the Health Belief Model (HBM) determine physical activity stages of change in older adults. Material and methods. A total of 172 students of Universities of the Third Age aged 54 to 75 (mean = 62.89 ± 4.83) years agreed to participate in the study, filling out an anonymous survey measuring their stage of exercise change and determinants of health behaviours proposed by the HBM, including: perceived benefits of physical activity, perceived barriers to physical activity, perceived severity of diseases associated with sedentary lifestyle, perceived susceptibility to these diseases, and self-efficacy. Results. The results only partially support the hypothesis that the HBM predicts intentions and behaviours related to the physical activity of older adults. Only two variables were moderately-to-strongly related to stages of exercise change, namely perceived barriers and self-efficacy. Conclusion. Interventions aimed at informing older adults about the benefits of physical activity and the threats associated with sedentary lifestyle can be expected to have rather a weak influence on their readiness for physical activity.

scholarly journals Determinants of breast self-examination practice among women in Surabaya, Indonesia: an application of the health belief model

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Triana Kesuma Dewi ◽  
Karlijn Massar ◽  
Robert A. C. Ruiter ◽  
Tino Leonardi
Keyword(s):  
Breast Cancer ◽  
Health Belief Model ◽  
Self Efficacy ◽  
Health Belief ◽  
Perceived Barriers ◽  
Perceived Benefits ◽  
Breast Self Examination ◽  
Belief Model ◽  
Self Examination ◽  
The Health Belief Model

Abstract Background Breast cancer has become one of the most common causes of mortality among Indonesian women. Many women in Indonesia present with late-stage breast cancer, negatively affecting prognosis and treatment outcomes. Better prognosis of breast cancer will be achieved if it is diagnosed in an earlier stage, thus efforts to detect breast cancer earlier are important. Breast Self-Examination (BSE) is considered as an important first step to encourage women to actively be responsible for their own health, especially for women in low-and middle-income countries with limited resources and access to other forms of preventive healthcare (e.g., screening programs). The present study aimed to predict BSE practice among women in Surabaya, Indonesia using the Health Belief Model (HBM). Methods This investigation was a cross-sectional survey which was distributed among 1967 women aged 20–60 years. The Indonesian version of Champion’s Health Belief Model Scale (I-CHBMS) was used to explain self-reported BSE practice. Logistic regression analysis was used to examine the association of HBM variables with BSE practice. Results 44.4% of the respondents indicated they had performed BSE. Further, the results indicated that the HBM variables were significantly associated with BSE practice. Specifically, higher perceived benefits and self-efficacy, lower perceived barriers and less cues to action were unique correlates of BSE practice. The result also showed that perceived severity and susceptibility were not associated with BSE practice. Conclusion This study indicated that several HBM constructs significantly associated with BSE practice among Indonesian women, suggesting that BSE health education programs should emphasize the perceived benefits of BSE, focus on increasing women’s self-efficacy to address and overcome perceived barriers in performing BSE, and help them in identifying personally relevant cues to action.

Predictive Factors for the Care and Control of Hypertension based on the Health Belief Model among hypertensive patients during the COVID-19 epidemic in Sirjan, Iran

2021 ◽  
Vol 17 ◽  
Author(s):  
Reza Sadeghi ◽  
Mahmood Reza Masoudi ◽  
Athina Patelarou ◽  
Narges Khanjani
Keyword(s):  
Linear Regression ◽  
Health Belief Model ◽  
Pearson Correlation ◽  
Health Belief ◽  
Correlation Coefficients ◽  
Perceived Barriers ◽  
Hypertensive Patients ◽  
Belief Model ◽  
And Control ◽  
The Health Belief Model

Background: Hypertension is a leading risk factor for morbidity and mortality around the world. Preventing this health problem is considered an important priority. The aim of this study was to investigate the predictive factors for care and control of hypertension (CCH) according to the health belief model (HBM) in patients with hypertension during the COVID-19 epidemic in Sirjan, Iran. Methods: In this cross-sectional study, participants were chosen by simple random sampling. Data were collected by a valid and reliable researcher-made questionnaire from 200 patients with high blood pressure aged 30-60 years. Data were analyzed by SPSS21 and analysis based on descriptive statistics, Pearson correlation coefficients and linear regression were conducted. Results: The results of Pearson correlation coefficients showed that there was a significant correlation between almost all constructs of Health Belief Model (HBM), but the strongest correlations were between self-efficacy and perceived susceptibility (r = 0.940, P ≤ 0.001), and between perceived barriers with perceived benefits (r = -0.615, P ≤ 0.001). According to linear regression, perceived barriers (β = -0.291), cues to action (β = -0.590), and knowledge (β = 0.973) predicted more than 26% of CCH variability. Knowledge had a stronger role than other variables. Conclusions: The results of this study show that the constructs of the Health Belief Model can predict CCH in hypertensive patients. This model can be used as a tool for designing and implementing educational interventions to increase CCH among hypertensive patients.

scholarly journals Physicians' Attitudes Toward Discussing Motor Vehicle Safety With Their Patients

2020 ◽  
Vol 29 (3) ◽  
Author(s):  
Juliane Domigan ◽  
Tavis Glassman ◽  
Patrick Mulrow ◽  
Diana Reindl ◽  
Aaron Diehr
Keyword(s):  
Health Belief Model ◽  
Motor Vehicle ◽  
Health Belief ◽  
Perceived Barriers ◽  
Vehicle Safety ◽  
Motor Vehicle Safety ◽  
Belief Model ◽  
The Health Belief Model ◽  
Training Physicians ◽  
Current Curriculum

This investigation used constructs from the Health Belief Model to examine physicians’ attitudes toward educating patients about motor vehicle safety.  The setting was a community in the Midwest. Participants (n=188) indicated they lack the time and expertise to counsel their patients in certain areas. Perceived barriers and self-efficacy predicted 40% of the variance in physicians counseling on this subject. However, perceived benefits were not statistically significant. Training physicians on motor vehicle safety via in-services, conference seminars, or as an addition to their current curriculum may result in decreased fatalities and injuries from car crashes.

Use of Health Belief Model to Predict Condom Use among University Students in Nigeria

1994 ◽  
Vol 15 (1) ◽  
pp. 3-14 ◽  
Author(s):  
Christiana Udo Edem ◽  
S. Marie Harvey
Keyword(s):  
University Students ◽  
Condom Use ◽  
Health Belief Model ◽  
Health Belief ◽  
Male Gender ◽  
Perceived Barriers ◽  
Cues To Action ◽  
Belief Model ◽  
The Health Belief Model ◽  
Self Administered Questionnaire

The purpose of this study is to use the concepts of the Health Belief Model (HBM) to predict self-reported condom use among university students in Nigeria. A sample of 395 students enrolled in a required course at a University in Nigeria completed a self-administered questionnaire. The HBM guided instrument design. Regression analyses were used to test the HBM variables (susceptibility to and severity of AIDS; benefits and barriers to condom use; cues to action; AIDS knowledge; and demographics) in predicting condom use, past and intended. The results indicate that condom benefit beliefs, condom barrier beliefs, cues to action, knowledge and male gender were significant predictors of past condom use. Perceived barriers to condom use, perceived benefits of condoms use, and male gender were significant predictors of intentions to use condoms. These findings have important implications for the design of interventions to increase condom use among young adults in Nigeria.

scholarly journals Using the Health Believe Model to Explain the Patient’s Compliance to Anti-hypertensive Treatment in Three District Hospitals - Dar Es Salaam, Tanzania: A Cross Section Study

2019 ◽  
Author(s):  
Angelina Alphonce Joho ◽  
Sebalda Leshabari
Keyword(s):  
Health Belief Model ◽  
Health Belief ◽  
Treatment Compliance ◽  
Dar Es Salaam ◽  
Perceived Barriers ◽  
District Hospitals ◽  
Elderly Hypertensive ◽  
Belief Model ◽  
Study Participants ◽  
The Health Belief Model

Abstract Background Hypertension is one of the most important cardiovascular risk factors; but compliance to anti-hypertensive medications remains to be a public health challenge worldwide. Health belief model have been used to explain adoption of preventive measures to health problems. This study used the health belief model as a framework to explain the compliance to anti-hypertensive drugs among elderly hypertensive patients. The study aimed at finding the influence of health belief model in treatment compliance among elderly hypertensive patients in three district hospitals in Dar es Salaam, Tanzania. Methods We conducted an analytical cross- sectional study in three District hospitals in Dar es Salaam Region. We included patients who were on antihypertensive medications. Simple random sampling was used to enrol study participants. Data were collected using structured questionnaires. Data were analysed using SPSS. Frequency distribution and Multivariate analysis was done using Linear Multiple Regression to identify variables which are strongest predictor of treatment compliance among variables of Health Believe Model. Results: A total of 135 participants were enrolled, 56% were compliant to treatment. Multiple linear regression was used to operationalize the Health Belief Model with treatment compliance being dependant variable. The predictor variables were perceived benefit, perceived barriers and cues to action. Multivariate analysis indicated significant model fit for the data (F = 11.19 and P value < 0.001). The amount of variance in treatment compliance that is explained by the predictors is 30.3% (R² = 0.303) with perceived barrier being the strongest predictor of treatment compliance (β = -0.477; p < 0.001). A negative beta coefficient indicates a negative association between perceived barriers and treatment compliance. Other predictor variables were not statistically associated with treatment compliance. Conclusion: The study showed that almost half of study participants had hypertensive treatment compliance, with the use of health believe model the important strongest variable was perceived barrier to treatment. An innovative strategy on improving patients’ perception of barrier to treatment is recommended to increase treatment compliance. Key words: Hypertension, Treatment compliance, lifestyle

scholarly journals Predictors of COVID-19 preventive behaviors based on the health belief model among pregnant women

2021 ◽  
Author(s):  
Roghieh Bayrami ◽  
Alireza Didarloo ◽  
Sima Masudi ◽  
Homeira Nournezhad
Keyword(s):  
Pregnant Women ◽  
Health Belief Model ◽  
Self Efficacy ◽  
Pearson Correlation ◽  
Self Care ◽  
Health Belief ◽  
Perceived Barriers ◽  
Perceived Severity ◽  
Belief Model ◽  
The Health Belief Model

Abstract Background COVID-19 is an infectious disease caused by the new coronavirus, and its widespread epidemic has caused many deaths and health, social, and economic consequences in the world. The purpose of this study was to explain self-care behaviors against COVID-19 based on the health belief model (HBM) in pregnant women. Method The present study was conducted using a descriptive-analytical approach with the participation of 230 pregnant women referred to health centers in Urmia in 2021. The participants were selected using multi-stage random sampling. The data were collected using a valid and reliable questionnaire including participants’ demographic characteristics, the HBM items, and items relating to self-care behaviors against COVID-19. The data were analyzed using descriptive and inferential statistical methods (frequency, mean, standard deviation, Pearson correlation coefficient, and linear regression) in SPSS software (version 25). Results The results of this study showed that the rate of self-care behaviors against COVID-19 in the pregnant women participating in the present study was not very favorable. It was also shown that among the constructs of the HBM, awareness, self-efficacy, perceived barriers, and perceived severity were the most important predictors of self-care behaviors with a variance of 24% change among the pregnant women. Conclusion Awareness, self-efficacy, perceived barriers, and perceived severity were found in this study as the strongest predictors of self-care behaviors among pregnant women. The results of the study can be useful in planning educational and behavioral interventions to increase the adoption of self-care behaviors against COVID-19 and institutionalize health-promoting behaviors in women.

scholarly journals Investigating the health belief model structures regarding the preventive factors from the occurrence of accidents and injuries in children under 5 years of age in Fasa city

2019 ◽  
Author(s):  
Seyedeh Samaneh Dehghani ◽  
Saeedeh Jafarzadeh ◽  
Fatemeh Azadkhah ◽  
Mohammad-Rafi Bazrafshan ◽  
Pouyan Afzali Harsini ◽  
...  
Keyword(s):  
Health Belief Model ◽  
Self Efficacy ◽  
Health Belief ◽  
Perceived Barriers ◽  
Perceived Benefits ◽  
Perceived Susceptibility ◽  
Belief Model ◽  
The Health Belief Model ◽  
Model Structures ◽  
Children Under 5

Injuries caused by the accidents are one of the major causes of death in children under 5 years of age. One of the important indexes of the development and health optimization in countries is the mortality rate of children under age 5. Aim: The purpose of this study is investigating the health belief model structures regarding the preventive factors from the occurrence of accidents and injuries in children under age 5. Material and methods: Present cross sectional descriptive study has been conducted on 270 mothers having a child under 5 years of age who have referred to the health centers in Fasa city in 2017. Based on the health belief model, the information are collected via questionnaires and the obtained data are analyzed by the multiple regression SPSS-20. Results and discussion: The predictive structures of this study are the perceived barriers, perceived susceptibility, perceived benefits and self-efficacy. The average score of perceived barriers is 62.24, perceived susceptibility is 45.25, the perceived benefits is 61.22 and the self-efficacy is 50.49. Therefore, the studied variables predict 33.6% of whole performance. Also, except the perceived barriers, a significant and direct relationship is observed between the structure of mothers performance and other structures (P < 0.05). Conclusions: According to the average scores of awareness and performance of mothers and other health belief model structures, it is suggested that, training programs in the form of training packages be performed based on this model in order to develop the preventive behaviors from the occurrence of accidents and injuries in children.

scholarly journals Using the health belief model to identify barriers to seasonal influenza vaccination among Australian adults in 2019

2020 ◽  
Author(s):  
Mallory Trent ◽  
Daniel Salmon ◽  
C. Raina MacIntyre
Keyword(s):  
Influenza Vaccine ◽  
Influenza Vaccination ◽  
Health Belief Model ◽  
Seasonal Influenza ◽  
Health Belief ◽  
Perceived Barriers ◽  
Vaccine Uptake ◽  
Seasonal Influenza Vaccination ◽  
Belief Model ◽  
The Health Belief Model

Background: Tens of thousands of Australians become ill with influenza annually, causing thousands of severe infections that require hospitalisation. However, only 40% of adults receive the annual influenza vaccine. We surveyed Australian adults to provide up-to-date data on the predictors and barriers of seasonal influenza vaccination. Methods: We administered an online survey to a nationally representative sample of Australian adults. We designed survey questions using the constructs of the health belief model. Using simple and multivariable Poisson regression, we identified attitudes and beliefs associated with influenza vaccination in 2019. Results: Among 1,444 respondents, 51.7% self-reported influenza vaccination in 2019. We estimated vaccine coverage to be 44% for adults under 45, 46% for adults aged 45 to 64, and 77% for adults aged 65 and over. The strongest individual predictors of self-reported vaccination were believing the vaccine is effective at preventing influenza (APR = 3.71; 95% CI = 2.87-4.80), followed by recalling their doctor recommending the vaccine (APR = 2.70; 95%CI = 2.31-3.16). Common perceived barriers that predicted self-reported vaccination included believing the vaccine could give you influenza (APR = 0.59; 95% CI = 0.52-0.67), believing the vaccine can make you ill afterwards (APR = 0.68; 95% CI = 0.62-0.74), and preferring to develop immunity “naturally” (APR = 0.38; 95% CI = 0.32-0.45). Conclusion: Although vaccine uptake in 2019 appears to be higher than previous years, there are perceived barriers which may limit uptake among Australians. Tailored interventions are needed to combat widespread influenza vaccine hesitancy, particularly among high risk grou

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