Preventive behaviors of COVID-19 in the Iranian adult population during the pandemic: Integrated effect of the health belief model and the planned behavior intention using causal path analysis.

Pub Date : 2024-01-01 DOI:10.22088/cjim.15.1.13
Erfaneh Hajian-Tilaki, Karimollah Hajian-Tilaki, Afsaneh Bakhtiari
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Abstract

Background: This study aimed to investigate the integration of the health belief model (HBM) and the theory of intention to plan preventive behavior for COVID-19 during the pandemic.

Methods: In a cross-sectional study, a sample of 480 adult participants from different outpatient clinics were recruited in the study. The participant responded by self-report; the health belief model (HBM) scale, preventive behavior scale, subjective norms scale, the intention of planned behavior scale, and perceived control behavior scale were measured. The hypothesized causal path models were examined using SEM analysis.

Results: The HBM had significant effects on perceived behavior control (β=0.60, P=0.001), the intended preventive behavior (β=0.32, P=0.001), and subjective norm (β=0.53, P=0.001). Subsequently, the intention of preventive behavior (β==0.39, P=0.001) and subjective norms (β=0.27, P=0.001) significantly affected the performance of preventive behaviors. The estimated fitting criteria showed that the hypothesized model fits relatively well.

Conclusion: The health belief model with the integration of subjective norms, perceived control behavior and mediation by the intention of planned behavior in a pathway relationship explains well the preventive behavior of COVID-19. The findings present a deeper understanding of how integrating HBM and intended planned behavior enhances people's preventive behavior against COVID-19.

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大流行期间伊朗成年人的 COVID-19 预防行为:利用因果路径分析法分析健康信念模式和计划行为意向的综合影响。
研究背景本研究旨在探讨健康信念模式(HBM)与意向理论的整合,以计划大流行期间的 COVID-19 预防行为:在一项横断面研究中,研究人员从不同的门诊诊所招募了 480 名成年参与者。受试者通过自我报告的方式进行回答,并测量了健康信念模型量表、预防行为量表、主观规范量表、计划行为意向量表和感知控制行为量表。采用 SEM 分析方法对假设的因果路径模型进行了检验:HBM对感知行为控制(β=0.60,P=0.001)、计划预防行为(β=0.32,P=0.001)和主观规范(β=0.53,P=0.001)有显著影响。随后,预防行为意向(β==0.39,P=0.001)和主观规范(β=0.27,P=0.001)显著影响预防行为的表现。估计的拟合标准显示,假设模型的拟合效果相对较好:整合了主观规范、感知控制行为和计划行为意向中介的健康信念模型可以很好地解释 COVID-19 的预防行为。研究结果更深入地揭示了健康管理与计划行为意向的结合如何增强人们对 COVID-19 的预防行为。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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