Faculty of Public Health, Burapha University, Chonburi, Thailand.
J Prev Med Public Health. 2021 Nov;54(6):431-440. doi: 10.3961/jpmph.21.457. Epub 2021 Nov 16.
The aim of this study was to predict rabies protective behaviors (RPB) based on protection motivation theory (PMT) among fourth-grade students at schools in Chonburi Province, Thailand.
This cross-sectional study was conducted from December 2020 to February 2021. A multistage sampling technique was used for sample selection. The questionnaire was divided into socio-demographic data and questions related to PMT and RPB. Descriptive statistical analysis was conducted using the EpiData program and inferential statistics, and the results were tested using the partial least squares model with a significance level of less than 5%.
In total, 287 subjects were included, of whom 62.4% were girls and 40.4% reported that YouTube was their favorite media platform. Most participants had good perceived vulnerability, response efficacy, and self efficacy levels related to rabies (43.9, 68.6, and 73.2%, respectively). However, 54.5% had only fair perceived severity levels related to rabies. Significant positive correlations were found between RPB and the PMT constructs related to rabies (β, 0.298; p<0.001), and the school variable (S4) was also a predictor of RPB (β, -0.228; p<0.001). Among the PMT constructs, self efficacy was the strongest predictor of RPB (β, 0.741; p<0.001).
PMT is a useful framework for predicting RPB. Future RPB or prevention/protection intervention studies based on PMT should focus on improving self efficacy and response efficacy, with a particular focus on teaching students not to intervene with fighting animals. The most influential PMT constructs can be used for designing tools and implementing and evaluating future educational interventions to prevent rabies in children.
本研究旨在根据保护动机理论（PMT）预测泰国春武里府四年级学生的狂犬病保护行为（RPB）。
这是一项横断面研究，于 2020 年 12 月至 2021 年 2 月进行。采用多阶段抽样技术进行样本选择。问卷分为社会人口统计学数据和与 PMT 和 RPB 相关的问题。使用 EpiData 程序进行描述性统计分析和推断性统计，使用偏最小二乘法模型进行结果检验，显著水平小于 5%。
共纳入 287 名受试者，其中 62.4%为女孩，40.4%表示他们最喜欢的媒体平台是 YouTube。大多数参与者对狂犬病的感知易感性、反应效果和自我效能水平较好（分别为 43.9%、68.6%和 73.2%）。然而，仅有 54.5%的人对狂犬病的感知严重程度较好。RPB 与狂犬病相关的 PMT 结构（β，0.298；p<0.001）呈显著正相关，且学校变量（S4）也是 RPB 的预测因素（β，-0.228；p<0.001）。在 PMT 结构中，自我效能是 RPB 的最强预测因素（β，0.741；p<0.001）。
PMT 是预测 RPB 的有用框架。未来基于 PMT 的 RPB 或预防/保护干预研究应重点提高自我效能和反应效果，特别要教育学生不要干预动物打架。最具影响力的 PMT 结构可用于设计工具，并实施和评估未来预防儿童狂犬病的教育干预措施。
