Behavioral determinants of brucellosis incidence among stockbreeders and their family members in rural area based on PRECEDE model

نویسندگان

1 Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

2 Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

3

4 Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

5 Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

doi
چکیده

INTRODUCTION: Brucellosis is one of the common diseases between humans and animals. Thepurpose of this study was to investigate behavioral determinants of brucellosis incidence amongstockbreeders and their family members in a rural area based on the PRECEDE model.MATERIALS AND METHODS: This cross-sectional study was carried out among 540 stockbreedersand their family members in Northeastern Iran in 2019. Sampling was done in two stages includingstratified sampling and random sampling method. Data collection was conducted by a valid andreliable questionnaire developed based on the PRECEDE model. Data were analyzed using SPSS16through Pearson correlation coefficient, independent t-test, and ANOVA. Furthermore IBM SPSSAMOS version 20 was used for the path analysis.RESULTS: The mean age of the participants was 39.02 ± 16.41 years, of whom 53.1% and 46.9%were men and women, respectively. About 23.9% of the participants had a history of brucellosis intheir families. Enabling factors were the most important determinant of self-efficacy and self-efficacywas the most important determinants of behavior. Evaluation of the chi-square indicators, chi-squareratio to degree of freedom, root mean square error of approximation, adjusted goodness of fit index,parsimony comparative fit index, comparative fit index, incremental fit index, and parsimonious normedfit index indices indicated that the model was well fitted and there was a positive and significantrelationship between the predisposing, enabling, and reinforcing factors on the one hand and behavioron the other. chi-square indicators, chi-square ratio to degree of freedom, root mean square errorof approximation, adjusted goodness of fit index, parsimony comparative fit index, comparative fitindex, incremental fit index, and parsimonious normed fit indexCONCLUSION: Designing and implementing health plans based on the PRECEDE model with moreemphasis on self-efficacy as the most important behavioral determinants can bring about a positiveeffect on enhancing the brucellosis preventing behaviors.