scholarly journals Attitudes about COVID-19 Testing among Black Adults in the United States

2021 ◽  
Vol 31 (4) ◽  
pp. 519-526
Author(s):  
Sarah Schaffer DeRoo ◽  
Rachel G. Torres ◽  
Sivan Ben-Maimon ◽  
Jennifer Jiggetts ◽  
Linda Y. Fu
Keyword(s):  
Disease Transmission ◽  
Self Efficacy ◽  
Black Americans ◽  
Health Belief ◽  
The United States ◽  
Mitigation Strategies ◽  
Test Accuracy ◽  
Structured Interviews ◽  
Kappa Score ◽  
Belief Model

Purpose: Black Americans are dispropor­tionately affected by coronavirus disease 2019 (COVID-19) hospitalizations and deaths. Decreasing health disparities requires widespread uptake of COVID-19 testing, but attitudes about COVID-19 testing among Black Americans have not been studied. We aimed to characterize knowledge, attitudes, and beliefs about COVID-19 testing among Black parents.Methods: Semi-structured interviews were conducted and analyzed using a phenom­enology approach with 26 self-identified Black parents after telemedicine visits with a children’s health center. Interviews were recorded and transcribed; 65% were double coded with a resultant free-marginal inter­rater kappa score of 86.8%.Results: Most participants were women, spent time inside the homes of friends or family members, and almost half knew someone diagnosed with COVID-19. Three central themes emerged regarding COVID-19 testing decision making, includ­ing: 1) perceived COVID-19 disease suscep­tibility; 2) barriers to testing, with subthemes including trust in test accuracy and safety, perceived stigma of a positive test result, and impact of racism on self-efficacy; and 3) cues to action.Conclusions: When considering these themes as constructs of the Health Belief Model, we are better able to understand Black Americans’ views of COVID-19 test­ing and motivations for accessing testing. Culturally responsive educational campaigns delivered by trusted community members should aim to improve understanding about disease transmission and types of tests avail­able. Importantly, framing testing as a means to ensure safety may improve self-efficacy to obtain testing. Lastly, the health community should learn from these conversations with Black Americans so that disease prevention and mitigation strategies prioritize health equity. Ethn Dis. 2021;31(4):519-526; doi:10.18865/ed.31.4.519

scholarly journals Sociodemographic and Health Belief Model Factors Associated with Nonadherence to COVID-19 Mitigation Strategies in the United States

2021 ◽  
Author(s):  
Hoda Badr ◽  
Abiodun Oluyomi ◽  
LeChauncy Woodard ◽  
Xiaotao Zhang ◽  
Syed Ahsan Raza ◽  
...  
Keyword(s):  
Public Health ◽  
Health Belief Model ◽  
Health Belief ◽  
The United States ◽  
Population Based ◽  
Mitigation Strategies ◽  
Individual Risk ◽  
Perceived Threat ◽  
Linear Regression Models ◽  
Belief Model

Abstract Background and Purpose Virus mitigation strategies such as adhering to stay-at-home orders, practicing social distancing, and engaging in personal protective behaviors are central to slowing the spread of COVID-19. This population-based cohort study sought to identify sociodemographic characteristics and Health Belief Model factors that are associated with nonadherence to COVID-19 mitigation strategies with the goal of informing public health messaging campaigns. Methods An online population-based survey was distributed via social media over an 8-week period from April 13, 2020, to June 8, 2020. Results Data were derived from 2,222 adults (57% female; 40% racial/ethnic minorities). Univariate analyses revealed that men, younger aged (18–30 years) and unmarried adults, and noncollege educated individuals had lower levels of perceived threat, control, and knowledge about COVID-19 (p ≤ .001). Multivariable linear regression models further revealed that male gender was significantly associated with reporting lower levels of adherence to COVID-19 mitigation strategies (p < .001), and that higher levels of perceived threat, perceived control, and knowledge about how to keep oneself and others safe from COVID-19 were significantly associated with reporting higher levels of adherence to COVID-19 mitigation strategies (p < .01). Conclusions Findings suggest that public health appeals that target men, emphasize individual risk, and provide clear, consistent guidance on what individuals can do to decrease their risk for COVID-19 may be effective in motivating increased mitigation adherence.

scholarly journals Users’ Beliefs Toward Physical Distancing in Facebook Pages of Public Health Authorities During COVID-19 Pandemic in Early 2020

2021 ◽  
pp. 109019812110144
Author(s):  
Soon Guan Tan ◽  
Aravind Sesagiri Raamkumar ◽  
Hwee Lin Wee
Keyword(s):  
Public Health ◽  
Health Belief Model ◽  
United States Public Health ◽  
Health Belief ◽  
The United States ◽  
Health Authorities ◽  
Public Health Authorities ◽  
Control And Prevention ◽  
Belief Model ◽  
The Health Belief Model

This study aims to describe Facebook users’ beliefs toward physical distancing measures implemented during the Coronavirus disease (COVID-19) pandemic using the key constructs of the health belief model. A combination of rule-based filtering and manual classification methods was used to classify user comments on COVID-19 Facebook posts of three public health authorities: Centers for Disease Control and Prevention of the United States, Public Health England, and Ministry of Health, Singapore. A total of 104,304 comments were analyzed for posts published between 1 January, 2020, and 31 March, 2020, along with COVID-19 cases and deaths count data from the three countries. Findings indicate that the perceived benefits of physical distancing measures ( n = 3,463; 3.3%) was three times higher than perceived barriers ( n = 1,062; 1.0%). Perceived susceptibility to COVID-19 ( n = 2,934; 2.8%) was higher compared with perceived severity ( n = 2,081; 2.0%). Although susceptibility aspects of physical distancing were discussed more often at the start of the year, mentions on the benefits of intervention emerged stronger toward the end of the analysis period, highlighting the shift in beliefs. The health belief model is useful for understanding Facebook users’ beliefs at a basic level, and it provides a scope for further improvement.

Qualitative Analysis of the Cognition and Flow (CoGFlowS) Study: An Individualized Approach to Cognitive Training for Dementia Is Needed

2021 ◽  
pp. 1-17
Author(s):  
Lucy Beishon ◽  
Victoria Haunton ◽  
Hari Subramaniam ◽  
Elizabeta B. Mukaetova-Ladinska ◽  
Ronney B. Panerai ◽  
...  
Keyword(s):  
Cognitive Training ◽  
Controlled Trial ◽  
Cognitive Disorders ◽  
Health Belief ◽  
Analytical Framework ◽  
Structured Interviews ◽  
Home Based ◽  
Individualized Approach ◽  
Belief Model ◽  
Severity Of Dementia

Background: Cognitive training (CT) may have benefits for both healthy older adults (HC) and those with early cognitive disorders [mild cognitive impairment (MCI) and dementia]. However, few studies have qualitatively evaluated home-based, computerized CT programs. Objective: We present the qualitative arm of a feasibility randomized controlled trial evaluating a CT program for HC and people living with MCI or dementia. Methods: Participants underwent semi-structured interviews after 12 weeks of CT. Where possible, participants were interviewed with their carers. The interview schedule and analysis were underpinned by the health belief model. Interviews were audio-recorded, transcribed, open-coded, and categorized into themes. The analytical framework was developed, and themes were condensed under five major categories: benefits, barriers, threat, self-efficacy, and cues to action. Results: 37 participants underwent interviews. CT was feasible and acceptable to participants. Benefits included: enjoyment, improved awareness, benchmarking cognitive function, reassurance of abilities and giving back control. Barriers were more prevalent among those with dementia: problems with technology, frustration, conflict between patients and carers, apathy and lack of insight, anxiety or low mood, and lack of portability. HC and MCI perceived the severity of dementia risk as high, partially mitigated by CT. Participants living with dementia valued a more individualized approach to training, accounting for baseline characteristics. Conclusion: CT was a feasible intervention for HC and people living with dementia and MCI. Benefits were present, but the identified barriers need to be addressed for CT to be implemented successfully.

scholarly journals Enhancing Self Efficacy Of Prolanis Group On Self Assesment Of Diabetic Foot Early Detection Based On Health Belief Model Theory And Bandura’s Self Efficacy

2020 ◽  
Vol 9 (2) ◽  
pp. 950-953
Author(s):  
Didik Susetiyanto Atmojo ◽  
Heny Kristanto ◽  
Hengky Irawan
Keyword(s):  
Diabetic Foot ◽  
Self Efficacy ◽  
Health Belief ◽  
Outcome Expectations ◽  
Wilcoxon Test ◽  
P Value ◽  
Self Assessment ◽  
Efficacy Outcome ◽  
Post Test ◽  
Belief Model

Diabetes Mellitus (DM) complications are serious problems for patients and their families. . The purpose of this study was to improve Self Efficacy on the ability to detect the risk of diabetic foot injury.The research design used was pre-experimental research with a one group pre-post test design approach. Respondents of this study were the Clinic Prolanis Group dr. Chreslina Subagyo, Kediri City  Collecting data with clinical questionnaire sheet self-efficacy skills in order to determine the increase in self-efficacy. Based on the Wilcoxon test above, the p value = 0.000, which means that action given caused a changed or increased in a person's self-assessment This study revealed that the potential impact of self-efficacy, outcome expectations considered in the education program for patients. Therefore, the use of self-efficacy theory when designing patient education interventions could enhance diabetes self-care      

scholarly journals Determinants of Breast Self-Examination Practice among Women in Surabaya, Indonesia: An Application of the Health Belief Model

2019 ◽  
Author(s):  
Triana Kesuma Dewi ◽  
Karlijn Massar ◽  
Robert A.C. Ruiter ◽  
Tino Leonardi
Keyword(s):  
Breast Cancer ◽  
Health Belief Model ◽  
Self Efficacy ◽  
Health Belief ◽  
Perceived Barriers ◽  
Perceived Benefits ◽  
Breast Self Examination ◽  
Cues To Action ◽  
Belief Model ◽  
Self Examination

Background. Breast cancer has become one of the most prevalent causes of mortality among Indonesian women. Better prognosis of breast cancer will be achieved if it is diagnosed in an earlier stage, thus efforts to detect breast cancer earlier are important. Breast Self-Examination (BSE) is considered as an important first step to encourage women to actively be responsible for their own health, especially for women in developing countries with limited resources and access to other forms of preventive healthcare. The present study aimed to predict BSE behavior among women in Surabaya, Indonesia using the HBM. Methods. This investigation was a cross-sectional survey which was distributed among 1,967 women aged 20-60 years. The Indonesian version of Champion’s Health Belief Model Scale (I-CHBMS) was used to explain self-reported BSE practice. Logistic regression analysis was used to examine the association of HBM variables with BSE practice.Results Almost half of the sample (44.4%) had performed BSE. Further, the results indicated that the HBM variables were significantly associated with BSE practice. Specifically, higher perceived benefits and self-efficacy, lower perceived barriers and less cues to action were unique correlates of BSE behavior. The result also showed that perceived severity and susceptibility were not associated with BSE behavior. Conclusion. This study indicated that several HBM constructs significantly associated with BSE behavior among Indonesian women, suggesting that BSE health education programs should emphasize the perceived benefits of BSE, focus on increasing women’s self-efficacy to address and overcome perceived barriers in performing BSE, and help them in identifying personally relevant cues to action.

scholarly journals Factors Affecting the Use of Antenatal Care in Semarang, Central Java: Application of Health Belief Model

2020 ◽  
Author(s):  
◽  
Eti Poncorini Pamungkasari ◽  
Bhisma Murti ◽  
◽  
Keyword(s):  
Antenatal Care ◽  
Health Belief Model ◽  
Self Efficacy ◽  
Health Belief ◽  
Perceived Susceptibility ◽  
Central Java ◽  
Perceived Benefit ◽  
Perceived Seriousness ◽  
Cues To Action ◽  
Belief Model

ABSTRACT Background: In the field of health-care education, theories and models help us to explain and predict behaviors to conduct effective health-care educational programs for changing behaviors. The Health Belief Model (HBM) contains several primary concepts by which individuals evaluate themselves to take action to change their behaviors, including antenatal care uptake in pregnant women. This study aimed to examine factors affecting the use of antenatal care. Subjects and Method: A cross sectional study was carried out in Semarang, Central Java, from June to August 2020. A sample of 250 pregnant women was selected by simple random sampling. The dependent variable was antenatal care. The independent variables were attitude, knowledge, information, self-efficacy, perceived seriousness, perceived susceptibility, perceived barrier, perceived benefit, cues to action, husband support, and facilities. The data were collected by questionnaire and analyzed by a multiple logistic regression. Results: Complete antenatal care increased with strong support (OR= 38.97; 95% CI= 3.19 to 476.53; p= 0.004), high knowledge (OR= 16.44; 95% CI= 2.54 to 106.60; p= 0.003), positive attitude (OR= 29.88; 95% CI= 2.88 to 309.92; p= 0.004), high information toward antenatal care (OR= 31.42; 95% CI= 4.07 to 242.41; p= 0.001), strong self-efficacy (OR= 7.85; 95% CI= 1.50 40.99; p= 0.015), strong cues to action (OR= 11.97; 95% CI= 2.01 to 71.36; p= 0.006), high perceived seriousness (OR= 32.99; 95% CI= 3.93 to 276.98; p= 0.001), high perceived susceptibility (OR= 24.29; 95% CI= 2.50 to 235.78; p= 0.006), high perceived benefit (OR= 30.43; 95% CI= 2.99 to 308.80; p= 0.004), high perceived barrier (OR= 0.07; 95% CI= 0.01 to 0.57; p= 0.013) and complete facilities (OR= 63.52; 95% CI= 3.62 to 1115.08; p= 0.005). Conclusion: Complete antenatal care increases with strong support, high knowledge, positive attitude, high information toward antenatal care, strong self-efficacy, strong cues to action, high perceived seriousness, high perceived susceptibility, high perceived benefit, high perceived barrier and complete facilities. Keywords: antenatal care, health facility, Health Belief Model Correspondence: Widyawati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6285742919076. DOI: https://doi.org/10.26911/the7thicph.03.117

Factors affecting community pharmacist’s service for women with chronic diseases during pregnancy and breastfeeding: application of the Health Belief Model

2019 ◽  
Vol 30 (6) ◽  
Author(s):  
Septi Anggraini ◽  
Wahyu Utami ◽  
Elida Zairina
Keyword(s):  
Health Belief Model ◽  
Chronic Diseases ◽  
Self Efficacy ◽  
Information Service ◽  
Health Belief ◽  
Community Pharmacists ◽  
Information Services ◽  
Medication Information ◽  
Belief Model ◽  
The Health Belief Model

Abstract Background Pharmacists are known as health care professionals who are responsible for the safety and efficacy of medicine to achieve optimal therapeutic results. Community pharmacists have an opportunity to provide direct services including giving an active medication information service in women during pregnancy and breastfeeding. This study aimed to determine the factors associated with the practice of community pharmacists for actively giving the drug information service for women with chronic diseases during pregnancy and breastfeeding based on the Health Belief Model. Methods About 300 community pharmacists were randomly chosen to participate in the study. All participants were asked to complete questionnaires that were designed based on the theory of the Health Belief Models. The questionnaires measured the community pharmacists’ knowledge, beliefs, cues to action, and practice for actively giving medication information services. Results About 267 pharmacists in the community agreed to participate in this study. Nearly 80% of the participants were female pharmacists (n = 213). The results show that pharmacists’ knowledge had significant influences towards perceived threat (p = 0.009), perceived benefit (p = 0.011), and pharmacists’ self-efficacy (p < 0.001). The self-efficacy factor was the most influential factor in the practice of pharmacists to give medication information service actively (p < 0.001). Conclusions The findings of the study indicate that self-efficacy is the most important factor for pharmacist to be able to provide the medication information services successfully particularly in women during pregnancy and breastfeeding. Providing continuous learning programs through seminars and training related to medication use during pregnancy and breastfeeding to pharmacists is needed to optimise the confidence and the ability of pharmacists in providing the services.

scholarly journals The unbooked maternity patient in an academic hospital in Durban

Curationis ◽  
1992 ◽  
Vol 15 (3) ◽  
Author(s):  
R. Gcaba ◽  
H.B. Brookes
Keyword(s):  
Health Services ◽  
Service Failure ◽  
Health Belief ◽  
Interaction Model ◽  
Academic Hospital ◽  
Structured Interviews ◽  
Case Study Methodology ◽  
Study Methodology ◽  
Belief Model ◽  
The Health Belief Model

This paper examines the unbooked maternity patient in an academic hospital in Durban, Natal; This hospital is the biggest hospital serving the underprivileged population of this area. Of the 16000 annual deliveries in this hospital, about 12% are unbooked patients. The health belief model of Rosenstock, as interpreted by Mikhail and Cox’s interaction model of client health behaviour were used as a theoretical framework for this research. A qualitative case study methodology was undertaken and semi-structured interviews were conducted with unbooked mothers who had utilized appropriate health services in a previous pregnancy. The aim of such interviews was to explore reasons given by mothers for non-use of facilities in the current pregnancy. The basic trends reflected in the findings regarding non-utilization of health services were client instability, health service failure and socio-cultural constraints, The study is innovative and addresses the problem from a social-cultural and midwifery perspective.

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