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Xu J, Pan Y, Li Q. Influencing factors of health screening among retirees: an extended TPB approach. Front Public Health 2024; 12:1320920. [PMID: 38584918 PMCID: PMC10998445 DOI: 10.3389/fpubh.2024.1320920] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2023] [Accepted: 03/04/2024] [Indexed: 04/09/2024] Open
Abstract
Background Health screenings are promoted worldwide as they help detect and prevent overall health issues. Despite expanding coverage, the participation rate among the retired population has not significantly increased. Given the special role of health screenings in promoting health and healthy aging, understanding the behavioral intentions, and influencing factors of retirees' voluntary participation in health screenings is crucial. This study aims to explore the participation intentions in health screenings among the Chinese retired population by integrating the Theory of Planned Behavior (TPB) and Self-Efficacy (SE). Methods This study used a cross-sectional design to conduct an online questionnaire among 311 retirees in 2023. The questionnaire, tailored for the Chinese retired population, combines the TPB theory and Self-Efficacy theory, including demographic structure, the basic structure of TPB, and SE. Results A Structural Equation Modeling (SEM) approach was used to identify factors related to health screening behaviors. Of the respondents, 311 completed the survey (88.9% response rate). The most crucial determinant of health examination behavior was behavioral intention, with a correlation score of (1.524, p < 0.001). Significant correlates of behavioral intention included Subjective Norms (SN) and Self-Efficacy (SE), followed by Perceived Behavioral Control (PBC) and Attitude (AT), with correlation scores of (0.401, p < 0.001), (0.339, p < 0.001), (0.082, p < 0.001), and (0.060, p < 0.05), respectively. Conclusion This study provides insights for enhancing the willingness and behavior of retirees to participate in health screenings.
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Affiliation(s)
- Jiayi Xu
- Department of Smart Experience Design, Graduate School of Techno Design, Kookmin University, Seoul, Republic of Korea
| | - Younghwan Pan
- Department of Smart Experience Design, Graduate School of Techno Design, Kookmin University, Seoul, Republic of Korea
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Utami M, Setiawati F, Ahmad MS, Adiatman M. Correlates of dental visits in children with hearing loss: An application of the theory of planned behaviour. Int J Paediatr Dent 2022; 33:259-268. [PMID: 36336994 DOI: 10.1111/ipd.13036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Revised: 09/13/2022] [Accepted: 11/03/2022] [Indexed: 11/09/2022]
Abstract
BACKGROUND Maintenance of oral health of children with special needs requires the involvement of caregivers who are also responsible for ensuring adherence to professional recommendations, including dental visits. AIM This study aimed at exploring the correlates of dental visits of children with hearing loss (CWHL) in Indonesia using the theory of planned behaviour (TPB). DESIGN This cross-sectional study involved purposive sampling methods, conducted via an online survey administered to mothers of CWHL who were aged 5-12 years. Constructs of the TPB model were collected, including the mother's attitudes, subjective norms, perceived behaviour control (PBC) and intention towards dental visits for CWHL. Dental visits were measured by asking whether their children had a dental visit within the last 12 months. Data were analysed using SPSS for descriptive and bivariate analyses. The significance level was set as p < .05. Partial least square structural equation modelling (PLS-SEM) was used to analyse measurement and structural TPB models. RESULTS A total of 254 mothers participated in this study. The final TPB model explained 35.4% and 9.2% of the variance in mothers' intention and behaviour towards their children's dental visits, respectively. Of all the included constructs from the TPB model, only PBC was significantly associated with intention and behaviour (p < .05). The mother's attitude and subjective norms did not significantly predict intention (p > .05). Intention did not significantly predict the mother's behaviour towards children's dental visits (p > .05). CONCLUSION The TPB model revealed a construct associated with dental visit intention and behaviour in CWHL. This study suggested that effective promotion intervention should focus on the mother's PBC to increase parents' adherence to preventive dental visits in CWHL in Indonesia.
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Affiliation(s)
- Marina Utami
- Dental Public Health and Preventive Dentistry, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
| | - Febriana Setiawati
- Dental Public Health and Preventive Dentistry, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
| | | | - Melissa Adiatman
- Dental Public Health and Preventive Dentistry, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
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Rajeh MT. Modeling the theory of planned behavior to predict adults' intentions to improve oral health behaviors. BMC Public Health 2022; 22:1391. [PMID: 35858885 PMCID: PMC9297589 DOI: 10.1186/s12889-022-13796-4] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2022] [Accepted: 07/13/2022] [Indexed: 11/10/2022] Open
Abstract
Background The present study aimed to apply the theory of planned behavior (TPB) to identify predictors of adults’ intentions to improve oral health behaviors. Methods This cross-sectional study was conducted with 1,328 adults living in the Jeddah city, Saudi Arabia. A 64-item questionnaire that evaluated behavioral intention, oral health knowledge (OHK) and TPB constructs (attitudes, perceived behavioral control, and subjective norms) was distributed. Descriptive statistics and structural equation modeling (SEM) were used to describe the data and examine the associations among the variables. A p-value of < 0.05 was considered significant. Results The analysis revealed that the TPB model explained 72% of the variance in oral health behavioral intentions (OHBI), indicating a good model fit. The TPB constructs of attitudes (β = 0.299), subjective norms (β = 0.035), and perceived behavioral control (β = 0.144) were significant predictors of OHBI, whereas OHK was not. Attitude was the strongest predictor of intentions to improve oral health behaviors. Conclusions The findings suggest that this model could be a helpful framework for designing oral health promotion and intervention programs. Such programs should focus on changing adults’ attitudes, positive influences from close relationships, and improving self-efficacy of OHB to improve their oral health behavior.
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Affiliation(s)
- Mona Talal Rajeh
- Department of Dental Public Health, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.
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Utami M, Setiawati F, Ahmad MS, Adiatman M. Cross-cultural adaptation and psychometric properties of the Indonesian version of theory of planned behavior questionnaire to measure dental attendance of children with hearing loss: A pilot study. SPECIAL CARE IN DENTISTRY 2022; 42:516-523. [PMID: 35152463 DOI: 10.1111/scd.12702] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2021] [Revised: 01/21/2022] [Accepted: 01/22/2022] [Indexed: 11/29/2022]
Abstract
AIMS To translate and evaluate the validity and reliability of the Indonesian version of the Theory of Planned Behavior (TPB) questionnaire concerning mother's behavior related to children's dental attendance. METHODS AND RESULTS The cross-cultural adaptation was tested in mothers with children aged 5-12 years old who have hearing loss. The validity and reliability of the online questionnaire were measured among 31 mothers of children with hearing loss in communities and Special School for Children with Hearing Loss in several regions in Indonesia. All indicators of attitude, subjective norms, and perceived behavior control (PBC) on mothers' behavior towards children's attendance was valid (p < .05). The overall Cronbach's alpha of the questionnaire for internal consistency was 0.773. The test-retest reliability results were based on repeated administration in the same participant mother, measured at one-week interval; the interclass correlation coefficient (ICC) was 0.903. CONCLUSION The Indonesian version of the TPB questionnaire concerning mother's behavior related to children's oral health has shown adequate validity and reliability for investigating the dental attendance of children with hearing loss.
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Affiliation(s)
- Marina Utami
- Dental Public Health and Preventive Dentistry, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
| | - Febriana Setiawati
- Dental Public Health and Preventive Dentistry, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
| | | | - Melissa Adiatman
- Dental Public Health and Preventive Dentistry, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
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Ahmad M, Akhtar N, Jabeen G, Irfan M, Khalid Anser M, Wu H, Işık C. Intention-Based Critical Factors Affecting Willingness to Adopt Novel Coronavirus Prevention in Pakistan: Implications for Future Pandemics. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:6167. [PMID: 34200335 PMCID: PMC8200947 DOI: 10.3390/ijerph18116167] [Citation(s) in RCA: 39] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/27/2021] [Revised: 06/03/2021] [Accepted: 06/04/2021] [Indexed: 12/16/2022]
Abstract
Since human beings have a long tradition of coexistence with pandemics, which may profoundly impact them, adopting preventive measures is crucial for humankind's survival. This study explores the intention-based critical factors affecting the willingness of individuals to adopt pandemic prevention. To this end, a representative sample of 931 Pakistanis filled in an online questionnaire. However, only 828 questionnaires were found to be complete and valid for path modeling analysis. The core findings are as follows: Firstly, peer groups' beliefs, self-efficacy, perceived risk, pandemic knowledge, ease of pandemic prevention adoption, and risk-averse behavior are revealed as driving forces of the individuals' willingness to adopt pandemic prevention. Contrastingly, a lack of trust in political will and mythical attitude towards pandemics are uncovered as inhibitors. Nevertheless, moral values depict a neutral role. Secondly, the peer groups' beliefs are highest ranked, followed by the lack of trust in political will and a mythical attitude towards pandemic prevention. Finally, moral values are determined as the lowest-ranked critical factor. Based on these results, the government should promote awareness campaigns on lethality and fatality of the pandemic at both centralized and decentralized levels to win people's trust at the grass-roots level and overcome the mythical attitude of individuals at all societal levels. Besides, access to personal protective gears should be made feasible since an easier pandemic prevention adoption would increase the individuals' willingness to adopt such preventative measures.
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Affiliation(s)
- Munir Ahmad
- School of Economics, Zhejiang University, Hangzhou 310058, China;
| | - Nadeem Akhtar
- School of Urban Culture, Nanhai Campus, South China Normal University, Foshan 528225, China
- Pakistan Center, North Minzu University, Yinchuan 750001, China
| | - Gul Jabeen
- Research Institute of Business Analytics and Supply Chain Management, College of Management, Shenzhen University, Shenzhen 518060, China;
- School of Economics and Management, North China Electric Power University, Beijing 102206, China
| | - Muhammad Irfan
- School of Management and Economics, Beijing Institute of Technology, Beijing 100081, China; (M.I.); (H.W.)
- Center for Energy and Environmental Policy Research, Beijing Institute of Technology, Beijing 100081, China
| | - Muhammad Khalid Anser
- School of Public Administration, Xi’an University of Architecture and Technology, Xi’an 710000, China;
| | - Haitao Wu
- School of Management and Economics, Beijing Institute of Technology, Beijing 100081, China; (M.I.); (H.W.)
- Center for Energy and Environmental Policy Research, Beijing Institute of Technology, Beijing 100081, China
| | - Cem Işık
- Faculty of Tourism, Anadolu University, 26470 Tepebaşı-Eskişehir, Turkey;
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Zheng S, Zhao L, Ju N, Hua T, Zhang S, Liao S. Relationship between oral health-related knowledge, attitudes, practice, self-rated oral health and oral health-related quality of life among Chinese college students: a structural equation modeling approach. BMC Oral Health 2021; 21:99. [PMID: 33676475 PMCID: PMC7936478 DOI: 10.1186/s12903-021-01419-0] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2020] [Accepted: 02/01/2021] [Indexed: 12/11/2022] Open
Abstract
Background This study aimed to evaluate the associations among oral health-related knowledge, attitudes, practice (KAP), self-rated oral health and oral health-related quality of life (OHRQoL) among Chinese college students. Methods Of the 2000 participants, 1751 (87.55%) students answered an online questionnaire between October 2019 and January 2020. The questionnaire included demographic characteristics, knowledge, attitudes, and practice related to oral health, self-rated oral health, and OHRQoL. Structural equation modelling was applied to assess the associations among study variables. Results Among the total students, oral health-related knowledge and attitudes were satisfactory, while the oral health practice was not optimistic. The final model showed satisfactory fitness to the data. Oral health knowledge was associated with attitudes directly and positively. Attitudes toward oral health had a direct and positive effect on practice. Oral health knowledge had an indirect effect on practice through attitudes. Oral health practice was directly associated with self-rated oral health. Oral health knowledge, practice, and self-rated oral health all affected OHRQoL directly and positively, while attitudes had a direct negative impact on OHRQoL. Conclusions OHRQoL was influenced by oral health knowledge, attitudes, practice, and self-rated oral health. Our findings support the KAP theory. Limitations of the KAP model were also found.
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Affiliation(s)
- Suge Zheng
- School of Medical Imaging, Bengbu Medical College, Bengbu, 233030, Anhui, China
| | - Lili Zhao
- Department of Stomatology, First Affiliated Hospital of Bengbu Medical College, Bengbu, 233004, Anhui, China
| | - Nianting Ju
- School of Medical Imaging, Bengbu Medical College, Bengbu, 233030, Anhui, China
| | - Tiantian Hua
- School of Medical Imaging, Bengbu Medical College, Bengbu, 233030, Anhui, China
| | - Shunhua Zhang
- School of Medical Imaging, Bengbu Medical College, Bengbu, 233030, Anhui, China.
| | - Shengkai Liao
- Department of Stomatology, First Affiliated Hospital of Bengbu Medical College, Bengbu, 233004, Anhui, China.
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Ahmad M, Iram K, Jabeen G. Perception-based influence factors of intention to adopt COVID-19 epidemic prevention in China. ENVIRONMENTAL RESEARCH 2020; 190:109995. [PMID: 32739626 PMCID: PMC7384406 DOI: 10.1016/j.envres.2020.109995] [Citation(s) in RCA: 65] [Impact Index Per Article: 16.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/29/2020] [Revised: 07/21/2020] [Accepted: 07/23/2020] [Indexed: 05/15/2023]
Abstract
BACKGROUND The researches investigating the influence factors of epidemic prevention are not only scarce, but also provide a gap in the domain of perception-based influence factors of intention to adopt COVID-19 epidemic prevention. OBJECTIVE This work has attempted to examine the perception-based influence factors of individuals' intention to adopt COVID-19 epidemic prevention in a modified behavioral framework. THEORETICAL FRAMEWORK A behavioral framework composed of the theory of reasoned action and the theory of planned behavior is developed to incorporate some additional perception-based influence factors. METHODS A partial least square-based path analysis has been employed to estimate the path coefficients of those factors in terms of drivers, barriers, and neutral factors based on questionnaire data of 302 respondents from six universities and two hospitals in China. RESULTS Among the perception-based influence factors, governments' guidelines on epidemic prevention is found to be the most important and influential factor, which was followed by risk perception. Finally, attitude towards epidemic prevention exhibited the least degree of impact on individuals' intention to adopt epidemic prevention. Moral norms did not show any contribution to individuals' intention to adopt epidemic prevention. CONCLUSION Concerning importance ranking, the governments' guidelines on epidemic prevention, risk perception, and epidemic knowledge are revealed as the top three drivers of individuals' intention to adopt epidemic prevention, while the perceived feasibility to adopt epidemic prevention is found to be a barrier. Moreover, moral norms is identified to have an insignificant influence on individuals' intention to adopt epidemic prevention. Given the empirical results, dissemination of Governments' guidelines on epidemic prevention, proper risk perception, and knowledge about epidemic would help prevent the COVID-19 pandemic outbreak within China and worldwide.
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Affiliation(s)
- Munir Ahmad
- School of Economics, Zhejiang University, Hangzhou, 310058, China.
| | - Khadeeja Iram
- The Aga Khan University, National Stadium Rd, Aga Khan University Hospital, Karachi, Karachi City, 74000, Sindh, Pakistan
| | - Gul Jabeen
- School of Economics and Management, North China Electric Power University, Beijing, 102206, China.
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