健康信念模式与计划行为理论整合模型的验证  

Validation of the integration of health belief model and planned behavior theory

作　　者：孙昕霙[1] 郭岩[2] 孙静[3] 

机构地区：[1]北京大学公共卫生学院社会医学与健康教育学系 [2]北京大学公共卫生学院卫生政策与管理学系,北京100191 [3]中国疾病预防控制中心营养与食品安全所

出　　处：《北京大学学报（医学版）》2009年第2期129-134,共6页Journal of Peking University:Health Sciences

基　　金：全球营养改善联盟项目(NFA-CHN-FE-2003-01-00)资助~~

摘　　要：目的:建立并验证健康信念模式与计划行为理论的整合模型。方法:用北京城乡妇女铁强化酱油基线调查数据建立影响购买行为的通径模型,用追踪调查数据验证此模型。结果:价值观对行为认同/行为的态度有很强/较强的直接作用;行为认同对行为障碍有较强的直接作用;行为认同对行为意向有较强的直接或间接作用;控制信念是影响行为意向的重要外部因素;行为意向是影响实际行为的最直接也最重要的因素;购买的便利性是影响实际行为的重要外部因素。结论:健康信念模式和计划行为理论可以整合起来从而更好地解释行为,整合模型可以尝试应用到类似研究中。Objective：To establish and validate a new with theory of planned behavior（TPB）. Methods： Path model of health belief model （HBM） combined analysis was applied to set up a new model predicting iron-fortified soy sauce consumption behavior using baseline survey data among women in rural and urban areas in Beijing, and the model was validated in follow-up survey. Results： It was proved that health values had powerful direct effect on behavior identity and had relatively strong direct effect on attitudes towards behavior; behavior identity had strong effect on behavior barriers, mostly in a direct way, and on behavior intention in a direct or indirect way ; control belief was an important external factor influencing behavior intention ; behavior intention was the most direct and most important one of factors influencing actual behavior; and convenience to buy was an important external factor influencing actual behavior. Conclusion： The integrated model of TPB and HBM explains behavior better and may be attempted in other similar researches.

关 键 词：健康知识 态度 实践 健康教育 调味剂 铁 膳食 

分 类 号：R193[医药卫生—卫生事业管理]