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Health Belief Model (HBM)
Weitz pgs Examples
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Orientation Social Psychological Developed by social psychologists
Hochbaum, Rosenstock and Kegels 1950's
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Application Developed in U.S. Public Health System
Original Purpose: Explaining compliance, or lack thereof, in TB screening program Adaptations: Many, especially popular with sexual risk,HIV/AIDS
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Core Assumptions 1) individual will act if he/she feels that a negative health condition can be avoided. 2) individual expects that the recommended action will enable him or her avoid the negative health condition. 3) individuals thinks that he/she can successfully take the recommended action (self-efficacy).
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Perceived Susceptibility
Key Elements Perceived Susceptibility Perceived Severity Perceived Benefits Perceived Barriers Cues to Action Self-Efficacy
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Perceived Susceptibility
Q: How likely am I to get this condition? Am I part of a population(s) at risk? Is my own behavior risky? YES: I believe I can get pregnant or get an STD because I’m sexually active. NO: No, that won’t happen to me. We’re careful and we’re monogamous.
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Q: Is getting pregnant bad? How serious and treatable are STDs?
Perceived Severity Q: Is getting pregnant bad? How serious and treatable are STDs? YES: If I get pregnant, it will ruin all my life plans. And if I get a STD, it could be really bad. It would be embarrassing to go to the doctors and to tell my parents. Some STDs could make me infertile or even kill me. NO: It wouldn’t be so bad if I got pregnant. Lots of girls do and if I get a STD, they can give me some pills at the clinic. It’s not that big of a deal.
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Perceived Benefits Q. Will using birth control reduce my risk of getting pregnant or of getting a STD? YES: If I use birth control, I’m less likely to get pregnant, especially if I use the pill. I’d have to use a condom too to protect against STDs. NO: Birth control doesn’t always work. Condoms break and sometimes the pill doesn’t work.
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Perceived Barriers Q: I think I’d feel OK using the pill, but I don’t know about condoms. YES: I can use the pill and I guess I could get used to using a condom if my boyfriend was OK about it. NO: I don’t know if I can get the pills without my parents finding out I’m having sex and my boyfriend doesn’t like condoms.
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Cues to Action Q. How can I get the pills without my parents knowing I’m having sex and where can I get condoms? YES: The clinic at school has a poster that says I can go there to get pills and condoms. NO: I don’t know who to ask. I can’t ask my family doctor because she’ll probably tell my folks.
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Self-Efficacy Q: Can I do this?
YES: I can get the pills and the condoms at the clinic and I don’t want to get a STD and I really don’t want to get pregnant so my boyfriend is just going to have to go with the new plan. NO: Even if I could get the pills, which I don’t really know about, I can’t get my boyfriend to use a condom. So, whatever….
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Health Lifestyle Theory Factors
How might class, age, sex, ethnicity, sexual orientation, disability status, etc. affect… Perceived Susceptibility Perceived Severity Perceived Benefits Perceived Barriers Cues to Action Self-Efficacy
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Health Lifestyle Theory Factors
How might cultural memberships, such as religious, social, and political affiliations affect… Perceived Susceptibility Perceived Severity Perceived Benefits Perceived Barriers Cues to Action Self-Efficacy
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Health Lifestyle Theory Factors
How might living conditions , such as housing, food, neighborhood safety, etc. affect… Perceived Susceptibility Perceived Severity Perceived Benefits Perceived Barriers Cues to Action Self-Efficacy
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Health Lifestyle Theory Factors
How might socialization and life experiences affect… Perceived Susceptibility Perceived Severity Perceived Benefits Perceived Barriers Cues to Action Self-Efficacy
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Health Lifestyle Theory Factors
How might other healthy and unhealthy lifestyle factors affect…. Perceived Susceptibility Perceived Severity Perceived Benefits Perceived Barriers Cues to Action Self-Efficacy
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Social Stress Status: A position occupied in a social institution. Role: The expected behaviors associated with a status. Role Conflict: Conflicting role expectations associated with two or more statuses. Role Strain: Conflicting role expectations within a single status.
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How might acute or chronic role strain and role conflict affect…
Social Stress How might acute or chronic role strain and role conflict affect… Perceived Susceptibility Perceived Severity Perceived Benefits Perceived Barriers Cues to Action Self-Efficacy
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