ABSTRACT

This study, which employed HBM, showed that perceived susceptibility and self-efficacy among other HBM variables were found to be the only predictive variables with direct effect on tuberculosis preventive behavior intention in Korea. However, the effect of perceived susceptibility is minimal, insufficient to explain tuberculosis preventive behavior intention. Consequently, self-efficacy was found to be the only significant variable that can predict tuberculosis preventive behavior intention in Korea, among perceived severity, perceived susceptibility, perceived benefit, perceived barrier and self-efficacy, which were known to be predictive variables for HBM. In contrast to the precedent studies both home and abroad, this study showed that perceived severity and perceived susceptibility-the major HBM variables - as well as perceived benefit and perceived barrier that continued to be supported as predictive variables did not have direct effect on health preventive behavior intention. Cues to action was also found to have no direct effect on tuberculosis preventive behavior intention. However, perceived severity, perceived susceptibility, perceived benefit, perceived barrier and cues to action had indirect effect, rather than direct, on tuberculosis preventive behavior intention. Perceived severity and perceived susceptibility affected tuberculosis preventive behavior intention by way of fear, while perceived benefit and perceived barrier had effect by way of self-efficacy. This study showed that perceived severity and perceived susceptibility as cognitive factors have indirect, rather than direct, effect on tuberculosis preventive behavior intention by way of fear. This indicates that predicting health preventive behavior intention with only cognitive variables of perceived severity and perceived susceptibility toward certain diseases, without fear, has its limitations. Thus it is necessary for the future health communication studies to actively consider fear and other emotional factors.

KEYWORD

Health belief model(HBM), tuberculosis(TB) preventive behavior intention, cognitive factors, emotional factors, fear

REFERENCES(52)open

  1. [jounal] 김영옥 / 1994 / Health Belief Model(건강신념모델)의 이론적 분석 및 간호학적 유용성평가 / 瑞江大論文集 13 : 417 ~ 437

  2. [book] 김희진 / 2003 / 우리나라의 결핵근절을 위한 범국민 결핵 홍보 및 교육프로젝트 개발 / 대한결핵협회

  3. [other] 대한결핵협회 / 2009 / 대한결핵협회 연보

  4. [report] 대한결핵협회 / 1993 / 결핵에 대한 지식, 태도 및 실천도 조사보고서

  5. [jounal] 박정의 / 2003 / 의학보도가 공중의 인지,감성,행동에 미치는 영향력 연구: 인구사회학적 변인을 중심으로 / 한국언론학보 47 (5) : 8 ~ 221

  6. [jounal] 유석조 / 2010 / 신종 인플루엔자 예방 접종 의도에 대한 영향요인들 및 백신 부작용 보도의 영향 분석 : 건강신념모델과 계획된 행동 이론 간 비교 / 한국광고홍보학보 12 (3) : 283 ~ 320

  7. [jounal] 유선욱 / 2010 / 신종플루 메시지에 대한 심리적 반발과 공포감이 예방행동의도에 미치는 영향 / 한국언론학보 54 (3) : 27 ~ 53

  8. [jounal] 이병관 / 2008 / 행위단서로서의 미디어 캠페인이 인플루엔자예방행동에 미치는 영향 : 건강신념모델의 확장을 중심으로 / 한국광고홍보학보 10 (4) : 108 ~ 138

  9. [jounal] 조성은 / 2011 / 위험지각태도와 규범이 자궁경부암 예방행동의도에 미치는 영향에 대한 연구 -우리나라 여대생을 대상으로 한 RPA 모델 적용을 중심으로- / 홍보학연구 15 (1) : 58 ~ 98

  10. [jounal] 조희숙 / 2004 / 건강신념 모형을 적용한 한국인 건강관련 행동 연구에 대한 메타분석 / 한국심리학회지: 건강 9 (1) : 69 ~ 84

  11. [jounal] 조성은 / 2011 / 위험지각태도와 규범이 자궁경부암 예방행동의도에 미치는 영향에 대한 연구 -우리나라 여대생을 대상으로 한 RPA 모델 적용을 중심으로- / 홍보학연구 15 (1) : 58 ~ 98

  12. [web] / 질병관리본부

  13. [jounal] 차동필 / 2008 / 고혈압·당뇨병 관리 PR 캠페인 전략개발 사례연구 / 한국광고홍보학보 10 (1) : 140 ~ 164

  14. [jounal] 손영곤 / 2010 / 유아의 구강건강 실천행동 의도의 사회인지적예측변인에 대한 탐구: 건강신념모델과 계획된 행동이론의 비교를 중심으로 / 한국광고홍보학보 12 (1) : 84 ~ 120

  15. [jounal] Armitage, C. J. / 2001 / social cognition models and health behavior : A structured review / British Journal of Social Psychology 40 : 471 ~ 499

  16. [jounal] Bagozzi, Mahesh / 1994 / Public Service Advertisements: Emotions and Empathy Guide Prosocial Behavior / Journal of Marketing 58 : 56 ~ 70

  17. [jounal] Basen-Engquist, K. / 1992 / Psychosocial predictors of"safer sex"behaviors in young adults / AIDS Education & Prevention 4 : 120 ~ 134

  18. [jounal] Becker, M. H. / 1980 / Strategies for enhansing patient compliance / Journal of Community Health 6 (2) : 113 ~ 135

  19. [jounal] Brown, L. K. / 1991 / HIV prevention for adolescents : Utility of the health belief model / AIDS Education and Prevention 3 : 50 ~ 59

  20. [jounal] Carpenter, C. J. / 2010 / A meta-analysis of the effectiveness of Health Belief Model Variables in Predicting Behavior / Health Communication 25 (8) : 661 ~ 669

  21. [jounal] Cummings, K. M. / 1979 / Psychosocial determinants of immunization behavior in a swine influenza campaign / Medical Care 17 : 639 ~ 649

  22. [book] Glanz, K. / 2002 / Health Behavior and Health Education: Theory, Research and Practice / Wiley & Sons

  23. [jounal] Gore, T. / 2005 / Testing the theoretical design of a health risk message : Re-examining the major tenets of the extended parallel process model / Health Education & Behavior 32 (1) : 27 ~ 41

  24. [jounal] Harrison, J. A. / 1992 / A Meta-Analysis of Studies of the Health Belief Model / Health Education Research 7 : 107 ~ 116

  25. [jounal] Hochbaum, G. / 1956 / Why People Seek Diagnostic X-rays / Public Health Reports 71 : 377 ~ 380

  26. [jounal] Janz, N. K. / 1984 / The Health Belief Model : A Decade Later / Health Education Quarterly 11 : 1 ~ 47

  27. [jounal] Larson, E. B. / 1982 / Do postcard reminders improve influenza vaccination compliance? : A prospective trial of different postcard"cues" / Medical Care 20 (6) : 639 ~ 648

  28. [jounal] Lau, J. T. F. / 2006 / Prevalence of influenza vaccination and associated factors among community-dwelling Hong Kong residents of age 65 or above / Vaccine 24 : 5526 ~ 5534

  29. [jounal] Lazarus, R. S. / 1991 / Progress on a cognitive-motivational-relational theory of emotion / American Psychologist 46 : 819 ~ 834

  30. [confproc] Lee, B. / 2005 / The Effectiveness of Entertainment-Education as Media Health Campaigns: The Effects of Entertainment Narrative and Identification on HIV/AIDS Preventive Behavior / Paper presented to the 55th annual convention of the International Communication Association

  31. [book] Leventhal, H. / 1970 / Findings and theory in the study of fear communications, In Advances in experimental social psychology, 5 / Academic Press : 119 ~ 186

  32. [jounal] Lin, P. / 2005 / The health belief model, sexual behaviors, and HIV risk among Taiwanese immigrants / AIDS Education and Prevention 17 (5) : 469 ~ 483

  33. [jounal] Mattson, M. / 1999 / Toward a reconceptualization of communication cues to action in health belief model : HIV test counselling / Communication Monographs 66 : 240 ~ 265

  34. [jounal] Mok, E. / 2006 / Prevalence of influenza vaccination and correlates of intention to be vaccinated among Hong Kong Chinese / Public Health Nursing 23 (6) : 506 ~ 515

  35. [jounal] Mullen, P. D. / 1987 / Health Behavior Models Compared / Social Science and Medicine 24 : 973 ~ 981

  36. [jounal] Nabi, R. L. / 1999 / A Cognitive-Functional Model for the Effects of Discrete Negative Emotions on Information Processing, Attitude Change, and Recall / Communication Theory 9 (3) : 292 ~ 320

  37. [jounal] Petosa, R. / 1991 / Using the health belief model to predict safer sex intentions among adolescents / Health Education Quarterly 18 : 463 ~ 476

  38. [jounal] Rimal. R. N. / 2003 / Understanding the Influence of Perceived Norms on Behaviors / Communication Theroy 13 (3) : 184 ~ 203

  39. [jounal] Rodriguez-Reimann, D. I. / 2004 / Acculturation and health beliefs of Mexican Americans regarding Tuberculosis prevention / Journal of Immigrant Health 6 (2) : 51 ~ 62

  40. [book] Rogers, R. W. / 1983 / Cognitive and physiological processes in fear appeals and attitude change: A revised theory of protection motivation, In Social Psychophysiology / Guilford Press : 153 ~ 176

  41. [jounal] Rosenstock, I. M. / 1966 / Why People Use Health Services / Milbank Memorial Fund Quarterly 44 : 94 ~ 124

  42. [book] Rosenstock, I. M. / 1974 / Historical Origin of the Health Belief Model, In The Health Belief Model and personal health behavior / Charles B. Slack, Inc : 1 ~ 8

  43. [book] Rosenstock, I. / 1994 / The health belief model and HIV risk behavior, In Preventing AIDS: Theories and methods of behavioral interventions / Plenum Press : 5 ~ 22

  44. [book] Sheeran, P. / 2001 / The health belief model. Predicting health behaviour / Open University Press : 23 ~ 61

  45. [book] Strecher, V. J. / 1997 / The Health Belief Model, In Health Behavior and Health Education: Theory, Research, and Practice / Jossey-Bass

  46. [jounal] Winfield, E.B. / 2002 / A comprehensive test of the Health Belief Model in the prediction of condom use among African American college students / Journal of Black Psychology 28 : 330 ~ 346

  47. [jounal] Witte, K. / 1992 / Putting the fear back into fear appeals : The extended parallel process model / Communication Monographs 59 : 329 ~ 349

  48. [jounal] Witte, K. / 1994 / Fear control and danger control : An empirical test of the extended parallel process model / Communication Monographs 61 : 113 ~ 134

  49. [jounal] Witte, K. / 1998 / How to motivate protective action / Health Risk Communicator 2 (1) : 1 ~ 2

  50. [jounal] Witte, K. / 2000 / A meta-analysis of fear appeals : Implications for effective public health campaigns / Health and Education Behavior 27 : 591 ~ 615

  51. [web] Witte, K. / Effective health risk Mssa-ges, A step-by-step guide

  52. [jounal] Zimmerman, R. S. / 1994 / Model of preventive health behaviour: comparison, critique, and meta-analysis / Advances in Medical Sociology 4 : 45 ~ 7