Browsing by Subject "Health beliefs"

Now showing 1 - 4 of 4
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    Association between sociodemographic factors and health beliefs related to breast cancer screening behavior among Northern Thai women: a hospital-based study
    (Springer Nature, 2024-03-31) Jiraniramai, Surin; Pinyopornpanish, Kanokporn; Wongpakaran, Nahathai; Angkurawaranon, Chaisiri; Champion, Victoria L.; Chitapanarux, Imjai; Jiraporncharoen, Wichuda; Wongpakaran, Tinakon; School of Nursing
    Early diagnosis of breast cancer is crucial for reducing mortality rates. The purpose of this study is to determine the impact of demographics/social determinants of health on beliefs about the practice of self-breast examination, using mammogram and ultrasound in the context of breast cancer screening among Thai women in a hospital-based setting for implying program planning and future research. A cross-sectional study was conducted in two health centers in Chiang Mai Province from August 2021 to December 2021, involving 130 Thai women ages 40 to 70 years. Data were collected by a survey using a questionnaire to gather sociodemographic information, and health beliefs about breast cancer and screening behavior utilizing the modified Thai version of Champion's Health Belief Model Scale (MT-CHBMS). Descriptive statistics, t-tests, ANOVA, and linear regression models were employed for examining association between sociodemographic factors and health beliefs about the practice of self-breast examination (BSE), using mammogram (MG) and ultrasound (UTS). Health insurance schemes were associated with Benefit-MG, Barrier-BSE, Barrier-MG and Barrier-UTS subscales. Additionally, monthly income was associated with Barrier-MG and Barrier-UTS subscales. The most common barriers reported were "embarrassment", "worry", and "takes too much time". To enhance breast cancer screening in Thailand, program planning and future research should focus on health insurance schemes, especially women with social security schemes, as they may be the most appropriate target group for intervention.
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    COVID-19 vaccine behaviors and intentions among a national sample of United States adults ages 18–45
    (Elsevier, 2022) Brownstein, Naomi C.; Reddy, Harika; Whiting, Junmin; Kasting, Monica L.; Head, Katharine J.; Vadaparampil, Susan T.; Giuliano, Anna R.; Gwede, Clement K.; Meade, Cathy D.; Christy, Shannon M.; Communication Studies, School of Liberal Arts
    Background: Vaccination for SARS-CoV-2, the virus that causes COVID-19 illness, is an important public health tool to reduce hospitalizations and deaths. Purpose: This report focuses on intentions and behaviors related to COVID-19 vaccination among United States (U.S.) adults ages 18-45. Methods: From February 25-March 24, 2021, we conducted an online survey assessing COVID-19 vaccine intentions and behaviors, health beliefs, vaccine attitudes, and sociodemographic characteristics. Participants were adults aged 18-45, living throughout the U.S. with oversampling in Florida, panelists of a research panel company directly or via verified partners, and able to read, write, and understand English. Associations between COVID-19 vaccination uptake, intentions, and other study variables were examined through multivariable logistic and proportional odds regression analyses. Results: Among participants in the final analytic sample (n = 2722), 18% reported having received at least one dose of a COVID-19 vaccine. Approximately 31% of unvaccinated participants reported strong intentions to receive a COVID-19 vaccine in the next year, whereas 35% reported strong intentions to receive a COVID-19 vaccine if it were strongly recommended by a healthcare provider. All COVID-19 vaccination outcomes were associated with male gender, sexual minority status, higher levels of education, and previous influenza vaccination. All vaccination intention outcomes were associated with vaccine attitudes and geographic region. Vaccination status and intentions were differentially associated with multiple additional sociodemographic, attitudinal, and/or healthcare experience variables. Conclusions: Several demographic variables, vaccine attitudes, and healthcare experiences were found to contribute to COVID-19 vaccine receipt and intentions. Targeted efforts are necessary to increase uptake of the vaccine in the U.S.
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    The Role Of Worry and Health Beliefs in COVID-19 Protective Behaviors Among Lung Cancer Patients
    (2024-05) Burns, Marcia F.; Mosher, Catherine E.; Hirsh, Adam T.; Salyers, Michelle P.
    Coronavirus disease 2019 (COVID-19) is a serious public health threat, and lung cancer patients are at high risk of poor outcomes from COVID-19 relative to the general population. Little is known about lung cancer patients’ beliefs and emotions regarding COVID-19 and COVID-19 protective behaviors (i.e., mask wearing, social distancing, hand hygiene). Prior research has found that Health Belief Model (HBM) variables (i.e., perceived risk of acquiring the illness, perceived illness severity, perceived benefits of and barriers to the preventive health behavior) and worry are predictive of engagement in preventive health behaviors. Drawing upon the HBM and theories of the role of emotion in decision-making, the current study examined psychological correlates of lung cancer patients’ engagement in COVID-19 protective behaviors. Lung cancer patients (N = 191) were recruited from Indiana University Simon Comprehensive Cancer Center to participate in a one-time survey from August 2021 through May 2022. Descriptive statistics were used to characterize COVID-19 protective behaviors. Multiple hierarchical regression models were used to examine associations between HBM constructs and engagement in COVID-19 protective behaviors. Higher-order regression models were then used to examine whether worry about COVID-19 was associated with COVID-19 protective behaviors above and beyond the effects of HBM variables. In general, the present sample showed high rates of engagement in all COVID-19 protective behaviors. Fewer perceived barriers to mask wearing were associated with greater mask wearing, and greater worry about COVID-19 was associated with greater mask wearing above and beyond the effects of HBM variables. Greater perceived severity of COVID-19 was associated with more social distancing, and higher levels of worry about COVID-19 were associated with more social distancing above and beyond the effects of HBM variables. HBM constructs (i.e., perceived risk of COVID-19, perceived severity of COVID-19) and worry about COVID-19 were unrelated to hand hygiene. Most findings are in line with theories on the central role of emotion in health-related decision-making and warrant replication in longitudinal research. Results point to several potential intervention targets, including worry about COVID-19, perceived severity of COVID-19, and perceived barriers to mask wearing, to improve COVID-19 protective behaviors in lung cancer patients.
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    Validation of the Champion Health Belief Model Scale for an Investigation of Breast Cancer Screening Behaviour in Malaysia
    (MDPI, 2021-09-03) Htay, Mila Nu Nu; Schliemann, Désirée; Dahlui, Maznah; Cardwell, Christopher R.; Loh, Siew Yim; Tamin, Nor Saleha Binti Ibrahim; Somasundaram, Saunthari; Champion, Victoria; Donnelly, Michael; Su, Tin Tin; School of Nursing
    Breast cancer (BC) is the most common cancer among women globally, including in Malaysia. There is a need to assess women’s beliefs about BC and screening in different cultural settings. This study aimed to translate and validate an adapted version of the United States (US) Champion Health Belief Model Scale (CHBMS) for an investigation of predictors of BC screening in Malaysia. The CHBMS was adapted, and forward and backward translated into the Malay language. The validity and reliability of the CHBMS-BC-M (M for Malay language) was investigated in a community sample of 251 multi-ethnic Malay-speaking women. Principal component analysis with varimax rotation indicated that the structure of the adapted CHBMS-BC-M comprised three subscales with 21 items, and an Item-Content Validity Index (I-CVI) of 0.83 and above for all items. The explanatory factor analysis (EFA) showed acceptable to high factor loadings on items. Cronbach’s alpha for the subscales ranged from 0.59 to 0.87. The reproducibility of the scale was fair to high, with an Intraclass Correlation Coefficient (ICC) of 0.53 to 0.80 for the subscales. Overall, the analysis indicated that the translated CHBMS-BC-M is a valid and reliable scale to measure beliefs about BC and screening in the Malay-speaking ethnic population of Malaysia.