Evaluating the Health Belief Model Constructs in Adopting the HPV Preventive Behavior
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Solmaz Mohamadi
,
Zeinab Rabiei
,
Zahra sadat Pajohideh
,
Zahra Barati
,
Seyedeh Solmaz Talebi
,
Afsaneh Keramat
Abstract
Objective: Genital warts are a highly contagious sexually transmitted disease. It is caused by the human papillomavirus (HPV), which is transmitted through sexual contact. HPV is the most important cause of cervical cancer. This study aimed to evaluate the health belief model (HBM) constructs in adopting HPV preventive behavior in women referred to comprehensive health centers in Southwestern Iran.
Materials and methods: This descriptive-analytical study was performed on 1000 women referring to health centers in Ahvaz during 2019-2020 who were selected via a two-stage stratified random sampling technique. Data were collected using a valid and reliable researcher-made questionnaire based on the HBM. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and regression analysis in SPSS v.18, at a significance level lower than 0.05.
Results: Total scale reliability of the tool was very good (α=0.828), as the Intra-cluster correlation coefficient (ICC) was to be 0.86. The mean of preventive behavior using an ANOVA test was significantly different at different levels of education (P <0.05). The mean and standard deviation of knowledge about HPV and preventive behavior was moderate (11.45±3.4). Pearson correlation coefficient showed a significant direct relationship between preventive behavior with awareness, perceived sensitivity, and self-efficacy and inversely related to perceived barriers. Perceived sensitivity (0.01) and self-efficacy (<0.001) were identified as the final predictors of behavior in regression analysis.
Conclusion: As the results showed, designing programs to prevent HPV, considering the perceived role of perceived sensitivity and self-efficacy, increases the likelihood of effective interventions.
2. Manikandan S, Behera S, Naidu NM, Angamuthu V, Mohammed OFB, Debata A. Knowledge and Awareness Toward Cervical Cancer Screening and Prevention Among the Professional College Female Students. J Pharm Bioallied Sci. 2019 May;
11(Suppl 2):S314-S320.
3. Khan TM, Buksh MA, Rehman IU, Saleem A. Knowledge, attitudes, and perception towards human papillomavirus among university students in Pakistan. Papillomavirus Res. 2016;2:122-127.
4. Makwe CC, Anorlu RI, Odeyemi KA. Human papillomavirus (HPV) infection and vaccines: knowledge, attitude and perception among female students at the University of Lagos, Lagos, Nigeria.
J Epidemiol Glob Health. 2012;2:199-206.
5. Taebi M, Riazi H, Keshavarz Z, Afrakhteh M. Knowledge and Attitude Toward Human Papillomavirus and HPV Vaccination in Iranian Population: A Systematic Review. Asian Pac J Cancer Prev. 2019;20:1945-1949.
6. Fishbein M. The role of theory in HIV prevention. AIDS Care. 2000;12:273-8.
7. Donadiki EM, Jiménez-García R, Hernández-Barrera V, Sourtzi P, Carrasco-Garrido P, de Andrés AL, et al. Health Belief Model applied to non-compliance with HPV vaccine among female university students. Public health 2014; 128:268-73.
8. Fakor F, Mahfouzi L, Dalil Heirati SF, Graili S. Knowledge and attitudes of medical students about human papilloma virus (HPV) vaccination and associated factors. J Holist Nurs Midwifery 2016; 26:71-9.
9. Mehraban SSZ, Namdar A, Naghizadeh MM. Assessment of preventive behavior for cervical cancer with the health belief model. Asian Pacific journal of cancer prevention: APJCP 2018; 19(8):2155.
10. Ebadi A, Taghizadeh Z, Montazeri A, Shahvari Z, Tavousi M, Bagherzadeh R. Translation, development and psychometric properties of health related measures-Part 2: construct validity, reliability and responsiveness. Payesh (Health Monitor) 2017; 16(4):445-55.
11. Myklestad I, Rise J. Predicting willingness to engage in unsafe sex and intention to perform sexual protective behaviors among adolescents. Health Education & Behavior 2007; 34(4):686-99.
12. Nekooi MS, Ayazi S, Gandomi M, Moosavi SG, Fakhri A. Level of knowledge about human papillomavirus infection among women of Kashan city, Iran. International Archives of Health Sciences 2016; 3.
13. Green E.C, Murphy E.M, Gryboski K. The Health Belief Model. In The Wiley Encyclopedia of Health Psychology 2020; 211-4.
14. Jelastopulu E, Fafliora E, Plota A, Babalis V, et al. knowledge, behaviours and attitudes regarding HPV infection and its prevention in female students in West Greece. Eur Rev Med Pharmacol Sci. 2016;20(12):2622-9.
15. Dursun P, Altuntas B, Kuscu E, Ayhan A. Women's knowledge about human papillomavirus and their acceptance of HPV vaccine. Australian and New Zealand Journal of Obstetrics and Gynaecology 2009; 49(2):202-6.
16. Lee A, Ho M, Cheung CKM, Keung VM. Factors influencing adolescent girls' decision in initiation for human papillomavirus vaccination: a cross-sectional study in Hong Kong. BMC Public Health. 2014;14:925.
17. DiAngi YT, Panozzo CA, Ramogola-Masire D, Steenhoff AP, Brewer NT. A cross-sectional study of HPV vaccine acceptability in Gaborone, Botswana. PloS one 2011; 6(10):e25481.
18. Coleman MA, Levison J, Sangi-Haghpeykar H. HPV vaccine acceptability in Ghana, West Africa. Vaccine 2011; 29(23):3945-50.
19. Iriyama S, Nakahara S, Jimba M, Ichikawa M, Wakai S. AIDS health beliefs and intention for sexual abstinence among male adolescent students in Kathmandu, Nepal: A test of perceived severity and susceptibility. Public health 2007; 121(1):64-72.
20. Ghaffari M, Gharlipour Z, Rakhshanderou S. Related factors of the preventing behaviors of HIV/AIDS among young people: Applying the Extended Health Belief Model (EHBM). International Journal of Pediatrics 2016; 4(8):2317-28.
21. Guvenc G, Seven M, Akyuz A. Health belief model scale for human papilloma virus and its vaccination: adaptation and psychometric testing. Journal of pediatric and adolescent gynecology 2016; 29(3):252-8.
22. Cohen EL, Head KJ. Identifying knowledge-attitude-practice gaps to enhance HPV vaccine diffusion. Journal of health communication 2013; 18(10):1221-34.
23. Nielson CM, Harris RB, Nyitray AG, Dunne EF, Stone KM, Giuliano AR. Consistent condom use is associated with lower prevalence of human papillomavirus infection in men. The Journal of infectious diseases 2010; 202(3):445-51.
24. Manhart LE, Burgess-Hull AJ, Fleming CB, Bailey JA, Haggerty KP, Catalano RF. HPV vaccination among a community sample of young adult women. Vaccine 2011; 29(32):5238-44.
25. Larson HJ, Jarrett C, Eckersberger E, Smith DM, Paterson P. Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: A systematic review of published literature, 2007–2012. Vaccine 2014; 32(19):2150-9.
26. Karimy M, Gallali M, Niknami S, Aminshokravi F, Tavafian S. The effect of health education program based on Health Belief Model on the performance of Pap smear test among women referring to health care centers in Zarandieh. Journal of Jahrom University of Medical Sciences 2012; 10(1):53-9.
27. Ab Ab L, Kohan S, Taeri K, boroumandfar Z. Effect of educational intervention based on perceived benefits and barriers on human papillomavirus inoculation in vulnerable women: Application of health belief model. The Iranian Journal of Obstetrics, Gynecology and Infertility 2020; 23(7):78-87.
28. Boroumandfar Z, Kianpour M, Zargham A, Abdoli S, Tayeri K, Salehi M, et al. Changing beliefs and behaviors related to sexually transmitted diseases in vulnerable women: A qualitative study. Iranian journal of nursing and midwifery research 2017; 22(4):303.
29. Farshbaf Khalili A, Rezaie-chamani S, Seidi S, Ziyadi S. Preventive Behaviors Related to Women's Genital Tract Infections. Journal of Holistic Nursing and Midwifery 2016; 26(3):74-85.
30. Gerend MA, Shepherd JE. Predicting human papillomavirus vaccine uptake in young adult women: comparing the health belief model and theory of planned behavior. Annals of Behavioral Medicine 2012; 44(2):171-80.
| Files | ||
| Issue | Vol 17, No 1 (March 2023) | |
| Section | Original Articles | |
| DOI | https://doi.org/10.18502/jfrh.v17i1.11975 | |
| Keywords | ||
| Human Papillomavirus Health Belief Model Prevention Iran | ||
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