Mediational effects of self-efficacy dimensions in the relationship between knowledge of dengue and dengue preventive behaviour with respect to control of dengue outbreaks: a structural equation model of a cross-sectional survey.
Mediational effects of self-efficacy dimensions in the relationship between knowledge of dengue and dengue preventive behaviour with respect to control of dengue outbreaks: a structural equation model of a cross-sectional survey.
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DOI：
10.1371/journal.pntd.0002401
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发表时间：
2013
影响因子：
3.8
通讯作者：
Hunter PR
中科院分区：
文献类型：
--
作者：
Isa A;Loke YK;Smith JR;Papageorgiou A;Hunter PR
登革热在马来西亚是地方病，在城市地区经常爆发重大疫情。主要的控制战略依赖于旨在鼓励人们减少靠近住所的蚊子滋生点的健康宣传运动。然而，此类运动并不总是100%有效。自我效能的概念是一个日益引起研究兴趣的领域，目的是了解如何才能最有效地促进健康。本文研究了自我效能感对登革热知识和登革热预防行为的影响。我们从马来西亚东海岸登加努州的27个疫情后村庄招募了280名成年人。通过面对面访谈和问卷调查，获得疾病暴发期间的健康促进和教育干预活动措施、传播方式、登革热知识水平、自我效能感水平和强度以及登革热预防行为。对结构方程模型进行了检验，得到了较好的拟合结果(χ2 = 71.659，DF = 40，p = 0.002，RMSEA = 0.053，CFI = 0.973，TLi = 0.963)。大众媒体、当地接触和直接信息提供会议显著预测了登革热的知识水平。自我效能感的水平和强度完全中介了登革热知识和登革热预防行为之间的关系。自我效能感在登革热知识与登革热预防行为之间的关系中起部分中介作用。为了通过行为措施控制和预防登革热暴发，暴发期间的健康促进和教育干预现在应侧重于那些最有可能提高自我效能水平和强度的方法。登革热是热带地区增长最快的媒介传播疾病之一。目前还没有治疗方法，也没有疫苗，因此疾病的控制取决于控制蚊子媒介。不幸的是，旨在鼓励人们减少蚊子滋生地点的健康促进运动并不总是100%有效。自我效能感是一个日益引起研究兴趣的领域，可以被认为是人们对自己从事健康行为能力的信心。我们报告了一项关于自我效能对登革热预防行为的影响的研究。我们在马来西亚登加努州受登革热疫情影响的村庄进行了面对面的采访。对结构方程模型进行了检验，与数据进行了较好的拟合。大众媒体、当地接触和直接信息提供会议显著预测了登革热的知识水平。然而，自我效能感完全中介了登革热知识与登革热预防行为之间的关系。我们的结论是，社区登革热控制方案的教育部分应侧重于干预措施。
Dengue fever is endemic in Malaysia, with frequent major outbreaks in urban areas. The major control strategy relies on health promotional campaigns aimed at encouraging people to reduce mosquito breeding sites close to people's homes. However, such campaigns have not always been 100% effective. The concept of self-efficacy is an area of increasing research interest in understanding how health promotion can be most effective. This paper reports on a study of the impact of self-efficacy on dengue knowledge and dengue preventive behaviour. We recruited 280 adults from 27 post-outbreak villages in the state of Terengganu, east coast of Malaysia. Measures of health promotion and educational intervention activities and types of communication during outbreak, level of dengue knowledge, level and strength of self-efficacy and dengue preventive behaviour were obtained via face-to-face interviews and questionnaires. A structural equation model was tested and fitted the data well (χ2 = 71.659, df = 40, p = 0.002, RMSEA = 0.053, CFI = 0.973, TLI = 0.963). Mass media, local contact and direct information-giving sessions significantly predicted level of knowledge of dengue. Level and strength of self-efficacy fully mediated the relationship between knowledge of dengue and dengue preventive behaviours. Strength of self-efficacy acted as partial mediator in the relationship between knowledge of dengue and dengue preventive behaviours. To control and prevent dengue outbreaks by behavioural measures, health promotion and educational interventions during outbreaks should now focus on those approaches that are most likely to increase the level and strength of self-efficacy. Dengue fever is one of the most rapidly increasing vector-borne diseases of humans in the tropics. There is currently no treatment and no vaccine, so control of the disease depends on controlling the mosquito vector. Unfortunately health promotional campaigns aimed at encouraging people to reduce mosquito breeding sites have not always been 100% effective. Self-efficacy is an area of increasing research interest and can be thought of as people's confidence in their ability to engage in health behaviours. We report a study of the impact of self-efficacy on dengue preventive behaviour. We conducted face to face interviews in villages in the state of Terengganu, Malaysia that had been affected by dengue outbreaks. A structural equation model was tested and fitted the data well. Mass media, local contact and direct information-giving sessions significantly predicted level of knowledge of dengue. However, self-efficacy fully mediated the relationship between knowledge of dengue and engagement in dengue preventive behaviours. We conclude that educational components of community dengue control programmes should focus on interventions.
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影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
DOI：
10.2307/3088258
发表时间：
2002-09-01
期刊：
INTERNATIONAL FAMILY PLANNING PERSPECTIVES
影响因子：
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作者：
Agha, S;Van Rossem, R
通讯作者：
Van Rossem, R
影响因子：
3.1
作者：
FLAY, BR;RYAN, KB;ZANNA, MP
通讯作者：
ZANNA, MP
影响因子：
3
作者：
CUMMINGS, KM;JETTE, AM;HAEFNER, DP
通讯作者：
HAEFNER, DP
DOI：
10.1186/1479-5868-7-25
发表时间：
2010-03-29
影响因子：
8.7
作者：
Baranowski, Tom;Watson, Kathleen B.;Riz, Anna-Maria Siega
通讯作者：
Riz, Anna-Maria Siega