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  • Using the health beliefs model to explore children's attitudes and beliefs on air pollution

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    Ware497716-Accepted.pdf (310.5Kb)
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    Accepted Manuscript (AM)
    Author(s)
    Le, HTCH
    Dang, TN
    Ware, R
    Phung, D
    Thai, PK
    Sly, PD
    Le An, P
    Griffith University Author(s)
    Ware, Robert
    Phung, Dung T.
    Year published
    2021
    Metadata
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    Abstract
    OBJECTIVES: Traffic-related air pollution (TRAP) negatively impacts children's health. Self-protective measures are available, but population uptake is variable. It is essential to understand human beliefs and behaviours related to air pollution in order to understand the lack of self-protection in communities. As a prelude to undertaking a comprehensive assessment of children's attitudes and beliefs on the health effects of TRAP exposure, we sought to develop and validate an appropriate instrument. STUDY DESIGN: This study used exploratory sequential mixed methods. METHODS: This instrument, based on the constructs of the ...
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    OBJECTIVES: Traffic-related air pollution (TRAP) negatively impacts children's health. Self-protective measures are available, but population uptake is variable. It is essential to understand human beliefs and behaviours related to air pollution in order to understand the lack of self-protection in communities. As a prelude to undertaking a comprehensive assessment of children's attitudes and beliefs on the health effects of TRAP exposure, we sought to develop and validate an appropriate instrument. STUDY DESIGN: This study used exploratory sequential mixed methods. METHODS: This instrument, based on the constructs of the health belief model (HBM), aimed to determine factors predicting wearing a mask to protect against TRAP exposure. An initial literature-based questionnaire was modified using in-depth interviews, focus group discussions, and a quantitative survey pilot. This study included 121 school students and nine professional experts in Vietnam. The questionnaire was tested for content validity, agreement, test-retest reliability, and internal consistency. RESULTS: The concordance of questionnaire items between two repeated assessments ranged from 47.2% to 78.3%, intraclass correlation coefficients ranged from 0.16 to 0.87 and Cronbach's internal reliability coefficient for the instrument was 0.60. CONCLUSION: The self-administered instrument, based on the HBM, is suitable to understand health attitudes and beliefs related to self-protective behaviours to reduce TRAP exposure.
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    Journal Title
    Public Health
    Volume
    196
    DOI
    https://doi.org/10.1016/j.puhe.2021.04.026
    Copyright Statement
    © 2021 The Royal Society for Public Health. Published by Elsevier Ltd. . Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence (http://creativecommons.org/licenses/by-nc-nd/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
    Subject
    Health services and systems
    Public health
    Children
    Health belief model
    Instrument development
    Traffic-related air pollution
    Publication URI
    http://hdl.handle.net/10072/405640
    Collection
    • Journal articles

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