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Measuring the Structures of the Health Belief Model Integrated With Health Literacy in Predicting University Students' Adoption of Smoking Preventive Behaviors Publisher Pubmed



Panahi R1 ; Hosseini N2 ; Ramezankhani A3 ; Anbari M4 ; Amjadian M5 ; Dehghankar L6 ; Niknami S7
Authors
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Authors Affiliations
  1. 1. Department of Health Education and Health Promotion, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran
  2. 2. School of Medical Sciences, Ahvaz University of Medical Sciences, Ahvaz, Iran
  3. 3. Department of Health Services, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  4. 4. Occupational Health Department, School of Public Health, Institute of Public Health Research, Tehran University of Medical Science, Tehran, Iran
  5. 5. Departments of Clinical Psychology and English Language, School of Medicine, Medical Sciences University of Kurdistan, Sanandaj, Iran
  6. 6. Department of Nursing, Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, School of Nursing & Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran
  7. 7. School of Health Sciences, Health Educalth Department, Tarbiat Modares University, Tehran, Iran

Source: Journal of Preventive Medicine and Hygiene Published:2022


Abstract

Objectives. One of the priorities of public health in reducing smoking is to prevent young people from becoming smokers. Health literacy (HL), smoking, and preventive behaviors are related. Moreover, HL has a potential impact on strengthening the Health Belief Model (HBM). Considering the high prevalence of smoking among university students, the current study was conducted to measure the structures of the HBM integrated with HL in predicting university students' adoption of smoking preventive behaviors. Methods. This was a cross-sectional descriptive study. Three hundred and forty dormitory students of Shahid Beheshti University of Medical Sciences (Teheran, Iran) in 2016, were selected through single-stage cluster sampling for the study. The data gathering tool was a researcher-made questionnaire based on the HBM and the HL inventory for adults (HELIA). The data were analyzed using the SPSS software version.16. Results. The multiple regression analysis showed that the application of health information from five dimensions of HL, perceived susceptibility, self-efficacy, and decision-making dimensions were the predictors of smoking prevention. Also, the structures of this integrated model were able to anticipate 36.5% of the behavioral changes. Conclusion. The HBM integrated with HL can be used as an appropriate framework for designing educational programs to encourage university students to adopt smoking preventive behaviors. © Copyright by Pacini Editore Srl, Pisa, Italy.
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