Alizadeh-Siuki Hadi, Tehrani Hadi, Gholian-Aval Mehdi, Ebrahimipour Hossein, Vahedian-Shahroodi Mohammad
Department of Health Education and Health Promotion, Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.
Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
J Educ Health Promot. 2020 Jul 28;9:166. doi: 10.4103/jehp.jehp_635_19. eCollection 2020.
Brucellosis is one of the common diseases between humans and animals. The purpose of this study was to investigate behavioral determinants of brucellosis incidence among stockbreeders and their family members in a rural area based on the PRECEDE model.
This cross-sectional study was carried out among 540 stockbreeders and their family members in Northeastern Iran in 2019. Sampling was done in two stages including stratified sampling and random sampling method. Data collection was conducted by a valid and reliable questionnaire developed based on the PRECEDE model. Data were analyzed using SPSS16 through Pearson correlation coefficient, independent -test, and ANOVA. Furthermore IBM SPSS AMOS version 20 was used for the path analysis.
The mean age of the participants was 39.02 ± 16.41 years, of whom 53.1% and 46.9% were men and women, respectively. About 23.9% of the participants had a history of brucellosis in their families. Enabling factors were the most important determinant of self-efficacy and self-efficacy was the most important determinants of behavior. Evaluation of the chi-square indicators, chi-square ratio to degree of freedom, root mean square error of approximation, adjusted goodness of fit index, parsimony comparative fit index, comparative fit index, incremental fit index, and parsimonious normed fit index indices indicated that the model was well fitted and there was a positive and significant relationship between the predisposing, enabling, and reinforcing factors on the one hand and behavior on the other. chi-square indicators, chi-square ratio to degree of freedom, root mean square error of approximation, adjusted goodness of fit index, parsimony comparative fit index, comparative fit index, incremental fit index, and parsimonious normed fit index.
Designing and implementing health plans based on the PRECEDE model with more emphasis on self-efficacy as the most important behavioral determinants can bring about a positive effect on enhancing the brucellosis preventing behaviors.
布鲁氏菌病是人和动物共患的常见疾病之一。本研究旨在基于PRECEDE模型调查农村地区牲畜饲养者及其家庭成员中布鲁氏菌病发病率的行为决定因素。
2019年在伊朗东北部对540名牲畜饲养者及其家庭成员开展了这项横断面研究。抽样分两个阶段进行,包括分层抽样和随机抽样方法。通过基于PRECEDE模型编制的有效且可靠的问卷收集数据。使用SPSS16通过Pearson相关系数、独立样本t检验和方差分析对数据进行分析。此外,使用IBM SPSS AMOS 20版进行路径分析。
参与者的平均年龄为39.02±16.41岁,其中男性占53.1%,女性占46.9%。约23.9%的参与者家庭中有布鲁氏菌病病史。促成因素是自我效能的最重要决定因素,而自我效能是行为的最重要决定因素。对卡方指标、卡方与自由度之比、近似均方根误差、调整拟合优度指数、简约比较拟合指数、比较拟合指数、增量拟合指数和简约规范拟合指数的评估表明,该模型拟合良好,一方面,易患因素、促成因素和强化因素与另一方面的行为之间存在正相关且显著的关系。卡方指标、卡方与自由度之比、近似均方根误差、调整拟合优度指数、简约比较拟合指数、比较拟合指数、增量拟合指数和简约规范拟合指数。
基于PRECEDE模型设计和实施健康计划,更加强调自我效能作为最重要的行为决定因素,可对增强布鲁氏菌病预防行为产生积极影响。