Do health beliefs, personality traits, and interpersonal concerns predict TB prevention behavior among Japanese adults?

Despite public health measures and health-promotion efforts, the decline in tuberculosis (TB) morbidity in Japan has been slow, with a higher TB incidence rate relative to those observed in most developed countries. Because health behavior depends on multiple factors and is formulated within a social context, a theory-driven model would be necessary to increase TB prevention behavior. Based upon the Health Belief Model, this study examined the effects of health beliefs, personality traits, and social factors on TB prevention behavior among Japanese adults. A cross-sectional survey was carried out with a nationally representative sample (N = 911; 50.9% women; mean age 49.5, SD = 14.1). Path analyses gave empirical support for the hypothesized model, suggesting that TB prevention behaviors are influenced by not only perceived susceptibility to the illness but also social factors such as cues to action and one’s concern to benefit others. The findings have implications for research examini...

尽管已实施公共卫生措施与健康促进行动，日本结核病（tuberculosis, TB）发病率的下降进程仍较为缓慢，其结核病发病率仍高于多数发达国家水平。由于健康行为受多重因素共同影响且形成于特定社会情境之中，因此亟需构建基于理论的模型以有效推动结核病预防行为的提升。本研究基于健康信念模型（Health Belief Model），考察了健康信念、人格特质与社会因素对日本成年人群体结核病预防行为的影响效应。研究采用横断面调查设计，纳入了具有全国代表性的样本（N=911；女性占比50.9%；平均年龄49.5岁，标准差SD=14.1）。路径分析结果为所提出的假设模型提供了实证支持，表明结核病预防行为不仅受个体对疾病的感知易感性影响，还受行动线索、为他人健康的关切等社会因素的影响。本研究结果对相关研究具有启示意义……