• Title/Summary/Keyword: 건강신념모형

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Related Factors to Health Behavior by Patients With Hyperlipidemia Based on Health Belief Model (건강신념모형에 기초한 고지혈증 환자의 건강행태 관련요인)

  • Lee, Eun-Sun;Na, Baeg-Ju;Lee, Moo-Sik;Lee, Jin-Yong;Hong, Jee-Young;Lim, Young-Shil
    • Proceedings of the KAIS Fall Conference
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    • 2011.05b
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    • pp.1057-1060
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    • 2011
  • 본 연구는 건강신념모형의 주요 변수와 고지혈증 환자의 건강행태와의 관계를 파악하여 고지혈증 환자의 건강행태를 촉진하고 더 나아가 만성질환 보건사업 및 교육프로그램을 계획하는데 기초 자료를 제공하고자 시도되었다. 자료는 2009년 07월부터 2010년 9월까지 총콜레스테롤이 240mg/dl 이상이고, 중성지방이 200mg/dl 이상으로 고지혈증을 진단받은 20세 이상의 성인 남녀 146명을 대상으로 구조화된 설문지를 이용하여 조사하였으며, SPSS WIN(14.0 한글판) 프로그램을 이용하여 Chronbach's alpha의 신뢰성 분석, 요인분석, 단변량 및 다변량 분석을 시행하였다. 본 연구의 결과는 다음과 같다. 첫째, 본 연구에서는 LDL-cholesterol, HDL-cholesterol, TG에 대한 인지수준 중 TG에 대한 인지가 가장 높았고, 3가지 모두를 인지한 경우는 28.08%였다. 또한 9가지 항목에 대한 고지혈증 지식수준은 9점 만점에 평균 6.51이었으며, 지식수준이 높을수록 건강행태수준도 높았다. 둘째, 요인분석을 통하여 10개의 건강행태를 2개 요인으로 재분류 하였다. 그 결과, 건강행태 요인 1은 '식이, 운동 습관 및 고지혈증 검사 및 관련 검사요인', 건강행태 요인 2는 '흡연, 음주 습관 및 고지혈증 치료 관련 요인'이었다. 건강행태 요인1에 유의한 관련성이 있는 건강신념변수는 심각성, 이득, 장애로 나타났고, 취약성은 상관 관계가 없는 것으로 나타났다. 각 신념 요인들과 건강행태 간의 상관되는 순서는 이득(r =.455), 심각성 (r=.38), 장애(r=-.244) 순으로 나타나 고지혈증에 대한 이득 인식이 건강행태 요인1과 가장 관련성이 높은 것으로 파악되었다. 그러나, 건강행태 요인2는 건강신념변수와 관련성이 없는 것으로 나타났다. 셋째, 행동계기에 따른 건강행태의 관계를 살펴보면, 교육을 받았을 때 건강행태 요인1과 요인2에 모두 유의한 차이를 보이는 것으로 나타나, 교육이 고지혈증 환자의 건강행태에 중요한 영향을 미치는 것을 보여 주었다. 넷째, 다중회귀분석 결과 고지혈증 건강행태 요인1에 영향을 미치는 요인 중 유의한 요인으로 인지된 심각성 및 이점 신념요인, 교육여부, 보건소 교육정도 이었다. 건강행태 요인2에서는 성별, 연령, 교육여부가 유의한 영향을 미치는 요인으로 나타났다. 이상의 결과를 종합하면 건강신념모형이 고지혈증 건강행태를 예측하는데 적합한 모형이라고 판단 할 수 있으며, 건강행태 요인 특성에 따라 건강신념변수 중 고지혈증 예방에 대한 이득을 높이 인식할 수 있도록 프로그램과 교육목표를 설정하면 보다 효과적인 교육이 될 것이라 생각된다.

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A Study on Countermeasures for Pandemic Influenza of Some High School Students based on Health Belief Model (건강신념모형을 이용한 일부 고교생의 신종인플루엔자 예방행동 연구)

  • Park, Eun-Jin;Na, Baeg-Ju;Lee, Moo-Sik;Lee, Jin-Yong;Hong, Jee-Young;Hwang, Hye-Jeong;Lee, Bo-Woo
    • Proceedings of the KAIS Fall Conference
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    • 2010.11b
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    • pp.665-668
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    • 2010
  • 본 연구는 건강신념모형의 주요 변수와 신종인플루엔자 예방행동과의 관계를 파악하여 고등학생의 신종인플루엔자 예방행동에 대한 교육적 지도방안과 신종인플루엔자 예방프로그램 개발의 기초 자료를 제공하고자 시도되었다. 자료는 2009년 11월 1일에서 11월 24일까지 일부 광역시에 위치한 고등학교 4개교를 무작위 추출하여 1, 2학년 학생 총 683명을 대상으로 구조화된 설문지를 이용하여 조사하였다. 본 연구에서 심각성은 16점 만점에 평균점수 12.15(${\pm}$2.56), 감수성은 12점 만점에 평균점수9.34(${\pm}$1.90), 이득은 12점 만점에 평균점수 8.33(${\pm}$2.00), 장애는 12점 만점에 평균점수 8.63(${\pm}$1.87), 자기 효능감은 8점 만점에 평균점수 5.67(${\pm}$1.40), 예방행동은 36점 만점에 평균점수 21.02(${\pm}$4.73)이었다. 신종인플루엔자 예방행동에 유의하게 영향을 미치는 건강신념변수는 심각성, 감수성, 이득, 자기효능감으로 나타났고, 장애는 상관관계가 없는 것으로 나타났다. 각 변수들과 예방행동 간의 상관되는 순서는 이득(r=.303), 자기효능감(r =.271), 심각성(r =.222), 감수성(r =.206), 장애(r =-.007)순으로 나타났다. 지식이 높을수록(p<0.05), 예방교육을 받았던 대상자 일수록(p<0.05), 예방접종을 받을수록(p<0.05) 지각된 이득에 더 유의한 영향을 주는 것으로 나타났다. 본인의 건강상태가 좋다고 생각할수록(p<0.05), 지식이 높을수록(p<0.05), 예방교육을 받았던 대상자 일수록(p<0.05), 예방접종을 받을수록(p<0.05) 자기효능감이 높은 것으로 나타났으며, 건강신념변수들 간 상관관계에서 개인의 지각된 자기효능감과 지각된 이득 두 변수가 가장 높은 상관관계를 보였다(p<0.01). 위계적 회귀분석 결과 신종인플루엔자 예방행동에 영향을 미치는 요인 중 유의한 요인으로 인지된 이득(${\beta}$ =.179), 학년(${\beta}$ =.173), 자기효능감(${\beta}$ =.154), 인지된 심각성(${\beta}$ =.140), 예방교육경험(${\beta}$ =.111), 건강상태(${\beta}$ =.097)의 순으로 나타났다. 이상의 결과를 종합하면 건강신념모형이 신종인플루엔자 예방행동을 예측하고 교육목표와 내용을 결정하는데 있어 적합한 모형이라고 판단 할 수 있다. 건강신념모형 변수 중 이득과 자기효능감을 높일 수 있도록 프로그램과 교육목표를 설정하면 보다 효과적인 예방교육이 될 것이라 생각된다.

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Exploring What Effects on Vaccination for Covid-19: Converging Health Locus of Control and Health Belief Model (코로나 19 백신 접종영향 요인의 탐색: 건강통제소재와 건강신념모형의 융합)

  • Joo, Jihyuk
    • Journal of the Korea Convergence Society
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    • v.12 no.11
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    • pp.347-357
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    • 2021
  • Since the outbreak of Covid-19, many countries have tried to defense Covid-19 to protect their people and as an influential and reliable policy as of now, they have recommended vaccinating. Thus, this research explored what influences the intention to vaccinate against Covid-19 with three health locus of control from multi-dimension health locus of control (MHLC) and perceived susceptibility and severity from health belief model (HBM) through PLS path modeling. Consequently, chance locus of control (CHLC) influence indirectly intention to vaccinate against Covid-19 mediating with susceptibility perception. It implies that the more fatalistic people attitude toward Covid-19, the more susceptible they perceived to the disease, and then, the stronger intention to vaccinate they would have. Thus, the health promotion authorities should motivate to activate people's susceptibility perception toward the disease through utilizing a variety of policies and consider that the fatalistic tendency toward the disease of people could play an antecedent role in the process.

Study on Relation between Dental Health Beliefs and Dental Health Behavior in the High Grade Students of Elementary School (초등학교 고학년의 구강건강신념과 구강건강행동간의 관련성에 관한 연구)

  • Chang, Bun-Ja
    • Journal of dental hygiene science
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    • v.8 no.3
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    • pp.163-168
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    • 2008
  • Purpose: The purpose of this study was to analyze relation between dental health beliefs and dental health behavior in the high grade students of elementary school, so importance of dental health beliefs has been emphasized as a factor affecting dental health behavior. Methods: The subjects in this study were 490 students of 4, 5 and 6th grade students from elementary school in Daegu areas. The data was collected through a structured questionnaire on June 26, 2006. For data analysis, One-way ANOVA, T-test and Pearson's correlation test were utilized. Result: 1) Frequency of visit at dental clinic for one years was significantly correlated with academic years, also frequency of toothbrushing one day was significant difference with sex distinction. 2) Frequency of toothbrushing one day was significantly correlated with their's susceptibility and barrier. 3) Frequency of visit at dental clinic for one years was significantly correlated with their's susceptibility and seriousness. 4) Frequency of intake cariogenic food for one day was significantly correlated with their's susceptibility, seriousness, benefit and barrier. Conclusions: We found that student's dental health beliefs was significantly correlated with dental health behavior, so school health educators should encourage students to have properly dental care habits for lifelong dental health with practical education.

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A Study on the Structural Equation Model for Determinants of Oral Health Practice in Adults Aged 20 Years or Older (20세 이상 성인의 구강건강실천 결정요인에 관한 구조방정식 모형연구)

  • Heo, Seong-Eun
    • Journal of the Korea Convergence Society
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    • v.8 no.9
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    • pp.161-174
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    • 2017
  • This study aimed to provide basic data for oral health promotion in adults by analyzing causal relationships for oral health practice determinants. A total of 204 questionnaires obtained from adults living in Busan and Gyeongnam area were analyzed to verify the study model with the Smart PLS v2.0 M2 software. Among oral health belief factors, the severity of and susceptibility to oral disease and benefit of oral care behavior affected oral health-related self-efficacy. The self-efficacy on ordinary oral health care behavior significantly affected overall oral health practice. The severity of and susceptibility to oral disease and benefit of oral disease prevention behavior affected toothbrushing habit and oral examination and training through toothbrushing-related self-efficacy. Therefore, the increased oral health-related self-efficacy through strategic efforts, including various training media development, with improved awareness of oral health belief by continuous oral health care program development will lead to continuous oral health practice in adults.

Scale Development for Youth Obesity Prevention and Unified Validity Test through the Health Belief Model-I (건강신념모형을 적용한 청소년 비만예방척도개발과 통합적 타당도검증-I)

  • Kim, Eung-Joon;Ko, Byoung-Goo;Cho, Eun-Hyung
    • 한국체육학회지인문사회과학편
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    • v.58 no.1
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    • pp.295-308
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    • 2019
  • The purpose of the present study is to apply a health belief model to the serious perception of an increase in youth obesity, and to develop and validate a measurement tool for youth obesity prevention among this group who are experiencing increasing rates of obesity. The specific goals of this study are to 1) apply a health belief model to develop a measurement tool for obesity prevention among youth who are seeing rising rates of obesity, and 2) provide an integrated validation procedure and foundation for developing this measurement tool. A total of 1801 high school students[sample1: 902(male:464,female:438); sample2: 899(male:464,female:438)] were recruited and collected data from 12 high school in Seoul and Kyonggi area. For this study the analytic framework of unified validity was developed which can comprehensively reflect unified validity be Messick(1995), framework for conducting a strong program of construct validation by Benson(1998), the unified validity implementation method of Rasch model suggested by Wolfe and Smith(2007a, 2007b). Furthermore, after dividing the developed analytic framework into each stage(the substantive domain), the evidence of validity of Youth Obesity Prevention Scale(YOPS) applying Health Belief Model was systematically suggested. The YOPS suggested the evidence about the substantive domain of unified validity. The developed YOPS was consist of Susceptibility, Severity, Benefits, Barriers and Cues to Action. After 3 stage in substantive domain, the components of YOPS(5factors and 28items) satisfied the unidimensionality, and the 5 point Likert scale had the significant discrimination of the respondents' response.

A Study on Effective Food Safety Communication Based on Health Belief Model (건강신념모형에 기반한 효과적인 식품안전 정보제공 방안 연구)

  • Choi, Sung-Hee;Hahm, Tae-Shik;Lee, Tae-Yeon
    • Journal of Food Hygiene and Safety
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    • v.33 no.4
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    • pp.259-265
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    • 2018
  • Since Korean housewives are responsible for the dietary practices of family at home, it is important to know what information will make them to buy safe food. This study was designed to determine the role of perceived threats, behavioral assessments, and self-efficacy factors known to promote healthy behavior in health belief models (HBM) based on food safety awareness and behavior of housewives. This study involved 191 housewives, based on key variables such as perceived severity, perceived susceptibility, perceived benefits, perceived barriers, self-efficacy, and purchase behavior. The results showed that higher levels of education and urbanization increased the threat perception and the likelihood of buying safe food. The correlation analysis showed that increased awareness and knowledge of safe foods and interest in health contributed to higher relative benefit or self-efficiency of food, and thus, ensured food safety. The conceptual model of food safety behavior based on the HBM was verified via structural equation analysis. The findings suggest that a suitable model showcasing knowledge levels and relative benefits resulted in a greater impact on purchasing behavior than perceived threats. This study suggests that it is more effective for housewives to provide more preventive information than risk information to purchase safe food.

A study of nursing students practicing nursing at public health centers on preventive health behavior research on COVID-19: Focusing on the health belief model (보건소를 실습한 간호대학생의 코로나19에 대한 예방적 건강행위 연구: 건강신념 모형을 중심으로)

  • KIM, EUN JAE
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.5
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    • pp.297-306
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    • 2022
  • This study In relationship between knowledge, health beliefs, and preventive health behavior of corona 19 was made for the purpose of the investigation of nursing college students in health care practice.,The survey target was 231 persons, and the data collected from October 27, 2021 to November 4, 2021 was analyzed using the SPSS23.0 program.,In order to examine factors affecting preventive health behavior of nursing college students for corona 19, hierarchical regression analysis was carried out.,The degree of regression model fitness (F=9.71, p<.005) was related to major satisfaction (β=.18, p=.009), corona 19 knowledge (β=.20, p=.001), corona 19 health belief (β=.36, p=.000) and the descriptive power was 30.6%.,Therefore, it is necessary to develop a strategy of the health education program to promote preventive health behavior for corona 19 of nursing college students.

A Study on the Effect of Info Seeking on Breast Cancer Screening Intention: Focusing on HBM and Autonomous Motives (건강 정보 추구가 유방암 검진행동에 미치는 영향 연구: 건강신념모형과 자율적 동기를 중심으로)

  • Ku, Yunhee;Noh, Ghee Young
    • Journal of Digital Contents Society
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    • v.19 no.7
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    • pp.1381-1387
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    • 2018
  • This study was conducted to find ways to improve people's perceptions to prevent and detect breast cancer. Health belief model(HBM) was used to examine the relationship between. risk perception of breast cancer, and benefit perception, and information seeking. In addition, the role of autonomous motives was included in the model. The results shows that the more people perceived cancer as dangerous, or perceived cancer screeing as beneficial, the more likely they seek relavant health information. Also, high autonomous motives showed positive effects on info seeking. Information seeking behaviors also had a positive impact on health screening intentions.