湖北医药学院学报2024，Vol.43Issue(3)：256-260,265,6.DOI:10.13819/j.issn.2096-708X.2024.03.006
基于计划行为理论的肝癌高危人群监测意愿及影响因素研究
Intention for Liver Cancer Surveillance and Its Influencing Factors Among High-risk Populations Based on the Theory of Planned Behavior
摘要
Abstract
Objective To explore the intention to surveillance and its influencing factors among high-risk populations emplo-ying structural equation modeling based on the theory of planned behavior(TPB).Methods A cross-sectional study was carried out from July to November 2022 on patients with chronic liver diseases at the Affiliated Hospital of North Sichuan Medical College.A self-administered questionnaire was used to collect data on the sociodemographic characteristics and TPB dimensions of the patients and their intention for liver cancer surveillance.The reliability and validity of the question-naire were verified through Cronbach's α coefficients and confirmatory factor analysis.Structural equation modeling was used to analyze the associations between patients'attitudes,subjective norms,perceived behavioral control,and the inten-tion for liver cancer surveillance.Results Among the 375 patients studied,approximately 80%had cirrhosis and hepatitis B.The questionnaire showed good internal consistency,with attitudes(α=0.90,95%CI:0.88～0.91),subjective norms(α=0.87,95%CI 0.85～0.89),perceived behavioral control(α=0.84,95%CI:0.81～0.86),and the intention for sur-veillance(α=0.89,95%CI:0.87～0.91).The structural equation model demonstrated a good fit(χ2/df=2.883,RMSEA=0.078,GFI=0.901,TLI=0.903,PGFI=0.646,PNFI=0.751).Subjective norms(β=0.32,P＜0.01)and perceived behavioral control(β=0.58,P＜0.01)were significantly and positively related to the patients' intention for liver cancer surveillance.Conclusion Intention for liver cancer surveillance among high-risk populations is closely associated with their subjective norms and perceived behavioral control.Patients with stronger perceived control over their actions and positive in-fluences from healthcare professionals,family,and friends had a stronger intention for surveillance.关键词
肝癌/监测意愿/计划行为理论/结构方程模型Key words
Liver cancer/Surveillance intention/Theory of planned behavior/Structural equation modeling引用本文复制引用
于艳,朱志武,范杰,贾志伟,刘畅,赵军..基于计划行为理论的肝癌高危人群监测意愿及影响因素研究[J].湖北医药学院学报,2024,43(3):256-260,265,6.基金项目
"十四五"湖北省高等学校优势特色学科群(公共卫生与健康)项目(2024PHXK01) （公共卫生与健康）
湖北省教育厅人文社会科学研究项目(21Y168) （21Y168）
