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Application of the Modified Health Belief Model to Establish the Likelihood of Undergoing Oral Mucosal Examination Predictive Model for Different Health Risk Groups-A case of Taiwan’s Community Residents Free from Betel Quid Chewing
|Authors:||郭 鐘 隆|
Health Belief Model
Oral mucosal examination
Different health risk groups
Structural equation modeling
一、本研究依據Rosenstock, Strecher 與Becker (1988)之修正型HBM藉由SEM建立台灣地區成人接受口腔黏膜健康檢查可能性適配度良好，預測力為37%。
四、本研究提出的修正型健康信念模式可預測高、中與低風險組接受口腔黏膜健康檢查可能性分別為 50%、37%&30 %，並顯示不同健康風險組影響接受口腔黏膜健康檢查可能性之路徑模式有顯著性差異。
六、修正型健康信念模式對男性組與女性組之解釋力分別為 38%與 35%。男性組之知覺罹患性與知覺行動利益可直接且正向影響接受口腔黏膜健康檢查之可能性。
Oral mucosal examination (OME) is an effective measure to detect oral cancer, which is the fourth leading cause of cancer deaths among males in Taiwan. Nonetheless, there is a lack of literature concerning the likelihood of undergoing OME among different health risk groups based on individuals’ habits of drinking alcohol, chewing betel quid, and smoking cigarettes. This study applied modified Health Belief Modeling (HBM) to explore the likelihood of undergoing OME among a sample of individuals participating in a “Community Free from Betel Quid Chewing＂Campaign. Eight-hundred and sixty-six participants completed questionnaires measuring demographic characteristics, alcohol drinking, betel quid chewing, cigarette smoking and health beliefs, cues to action, self-efficacy, and likelihood of undergoing OME. This study used structural equation modeling (SEM) to investigate the direct and indirect paths to predict the likelihood of undergoing OME across three different health risk groups. Classification of participants into groups with high, moderate, and low risk of developing oral cancer was based on the whether or not the participants drank alcohol, chewed betel quid, and smoked cigarettes. Results: 1. Results indicate that the modified HBM model fit the data well and successfully explained substantial variance in the likelihood of undergoing an OME for adults in Taiwan. 2. Cues to action and Self-efficacy as mediate the association between health beliefs and Likelihood of undergoing an OME. 3. Significant differences were found among the three groups in demographic characteristics, health beliefs, cues to action, self-efficacy, and paths influencing the likelihood of undergoing an OME. 4. The modified HBM demonstrated good fit among the high-, moderate-, and low-risk groups and explained 50%, 37%, and 30% of the variance of undergoing OME, respectively. The direct and indirect paths influencing the likelihood of undergoing OME varied significantly among the three groups. 5. The modified HBM demonstrated good fit among the male-, and female groups and explained 38%, and 35% of the variance of undergoing OME, respectively. The male’ perceived susceptibility and perceived benefits positively and directly influenced the likelihood of undergoing OME. 6. The results indicated that, when we excluded participants with OCSE from the three groups, the accounted variance for the high-risk group improved from 50% to 61%; As a result, we suggest that cues to action play an critical role between perceived susceptibility and the likelihood of undergoing an OME in the model of participants with OCSE. Based on the interpretation of the results, this study recommended responsive interventions to improve the effectiveness of the betel quid-free campaign.
|Appears in Collections:||學位論文|
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