Babazadeh Towhid, Nadrian Haidar, Ranjbaran Soheila, Rezakhani-Moghaddam Hamed, Aghemiri Mehran
Department of Public Health, Sarab Faculty of Medical Sciences, Sarab, Islamic Republic of Iran.
Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Islamic Republic of Iran.
East Mediterr Health J. 2019 Oct 7;25(8):567-574. doi: 10.26719/emhj.18.062.
Brucellosis is an endemic disease in many countries, especially in the Mediterranean region, as well as countries such as the Islamic Republic of Iran. Despite the preventive measures against brucellosis adopted in different countries throughout the world, the disease is still a public health concern.
Our aim in the present study was to examine the cognitive factors associated with Brucellosis Preventive Behaviours (BPBs) among diagnosed patients utilizing Empowerment Model.
In 2013, applying a cross-sectional study, all 238 patients with brucellosis in Chaldoran County, Islamic Republic of Iran, were recruited to answer a researcher-made EM-based questionnaire and BPBs Scale through interview.
Hierarchical multiple linear regressions were performed with BPBs as the outcome variable. Predictors for this variable, according to their natures, were classified in two different blocks. In the first block, significant effect was found on BPBs by demographic variables (ΔR2 = 0.301). In the second block, the level of education, knowledge, and self-efficacy were significant predictors (P < 0.001) of BPBs (ΔR2 = 0.808).
The Empowerment Model was found as a helpful framework in predicting the risk factors of BPBs. Health care providers in low- and middle-income countries should consider the patients' knowledge on the disease and their level of self-efficacy to perform BPBs as the core categories of empowerment while designing brucellosis prevention programmes.
布鲁氏菌病在许多国家是一种地方病，特别是在地中海地区以及伊朗伊斯兰共和国等国家。尽管世界各国都采取了预防布鲁氏菌病的措施，但该疾病仍然是一个公共卫生问题。
我们在本研究中的目的是利用赋权模型研究确诊患者中与布鲁氏菌病预防行为（BPB）相关的认知因素。
2013年，采用横断面研究，招募了伊朗伊斯兰共和国查尔多兰县的所有238名布鲁氏菌病患者，通过访谈回答研究人员编制的基于赋权模型的问卷和BPB量表。
以BPB作为结果变量进行分层多元线性回归。根据其性质，该变量的预测因素分为两个不同的组块。在第一个组块中，人口统计学变量对BPB有显著影响（ΔR2 = 0.301）。在第二个组块中，教育水平、知识和自我效能是BPB的显著预测因素（P < 0.001）（ΔR2 = 0.808）。
赋权模型被发现是预测BPB危险因素的一个有用框架。低收入和中等收入国家的医疗保健提供者在设计布鲁氏菌病预防计划时，应将患者对疾病的知识及其执行BPB的自我效能水平视为赋权的核心类别。
