Huang Hui-Ting, Kuo Yu-Ming, Wang Shiang-Ru, Wang Chia-Fen, Tsai Chung-Hung
Taiwan Adventist Hospital, Taipei 401, Taiwan.
Department of Marketing and Distribution, Tzu Chi University of Science and Technology, Hualien 970, Taiwan.
Int J Environ Res Public Health. 2016 Apr 1;13(4):395. doi: 10.3390/ijerph13040395.
Disease screening instruments used for secondary prevention can facilitate early determination and treatment of pathogenic factors, effectively reducing disease incidence, mortality rates, and health complications. Therefore, people should be encouraged to receive health examinations for discovering potential pathogenic factors before symptoms occur. Here, we used the health belief model as a foundation and integrated social psychological factors and investigated the factors influencing health examination behavioral intention among the public in Taiwan. In total, 388 effective questionnaires were analyzed through structural model analysis. Consequently, this study yielded four crucial findings: (1) The established extended health belief model could effectively predict health examination behavioral intention; (2) Self-efficacy was the factor that most strongly influenced health examination behavioral intention, followed by health knowledge; (3) Self-efficacy substantially influenced perceived benefits and perceived barriers; (4) Health knowledge and social support indirectly influenced health examination behavioral intention. The preceding results can effectively increase the acceptance and use of health examination services among the public, thereby facilitating early diagnosis and treatment and ultimately reducing disease and mortality rates.
用于二级预防的疾病筛查工具可促进致病因素的早期判定和治疗，有效降低疾病发病率、死亡率和健康并发症。因此，应鼓励人们在症状出现前接受健康检查以发现潜在致病因素。在此，我们以健康信念模型为基础，整合社会心理因素，调查台湾地区公众健康检查行为意向的影响因素。通过结构模型分析，共分析了388份有效问卷。结果，本研究得出四个关键发现：（1）所建立的扩展健康信念模型能够有效预测健康检查行为意向；（2）自我效能是对健康检查行为意向影响最强的因素，其次是健康知识；（3）自我效能对感知利益和感知障碍有显著影响；（4）健康知识和社会支持间接影响健康检查行为意向。上述结果可有效提高公众对健康检查服务的接受度和使用率，从而促进早期诊断和治疗，并最终降低疾病和死亡率。
