PMID- 31167866
OWN - NLM
STAT- MEDLINE
DCOM- 20200617
LR  - 20200617
IS  - 2044-6055 (Electronic)
IS  - 2044-6055 (Linking)
VI  - 9
IP  - 6
DP  - 2019 Jun 4
TI  - The utility of health belief model to explain self-protective behaviour against 
      pneumoconiosis in Chinese underground coal miners: a cross-sectional study.
PG  - e026772
LID - 10.1136/bmjopen-2018-026772 [doi]
LID - e026772
AB  - OBJECTIVES: Coal workers' pneumoconiosis is caused by exposure to respirable coal 
      mine dust. The self-protection of underground coal miners (UCM) plays an 
      irreplaceable role against this threat. The purpose of this study was to evaluate 
      the predictors of self-protective behaviour (SPB) in Chinese UCM based on the 
      health belief model (HBM). METHODS: A cross-sectional study was conducted among 
      341 UCM in January 2016 in Pingdingshan City, Henan Province, People's Republic 
      of China. Data was collected using a self-reported questionnaire, which included 
      questions on sociodemographic characteristics, HBM variables and SPB. An 
      exploratory factor analysis of the principal components with varimax rotation was 
      carried out on the HBM-related items. Pearson's correlation and multiple linear 
      regression analysis were used to assess the relationship between sociodemographic 
      characteristics, HBM variables and SPB. RESULTS: Multiple regression analysis 
      demonstrated the monthly income (B=0.403, p=0.001), the internal cues to action 
      (B=0.380, p<0.001) and external cues to action (B=0.401, p<0.001) as the 
      predictors of UCM's SPB, accounting for 24.8% of total variance (F=34.96, 
      p<0.001), while the cognition variables of HBM were not significantly associated 
      with SPB. CONCLUSION: The results suggested that both internal and external cues 
      to action were powerful predictors for SPB. These findings highlight that further 
      efforts are required to provide the UCM with periodic health check-up reports and 
      promote the active role of doctors and family members in miners' decision-making 
      to simulate them for better SPB. ETHICS APPROVAL: All data collection procedures 
      received ethical approval from the Ethics Committee of Xuhui District Centre for 
      Disease Control and Prevention (XHHEC-2016-7).
CI  - (c) Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No 
      commercial re-use. See rights and permissions. Published by BMJ.
FAU - Liu, Qiong
AU  - Liu Q
AD  - Key Laboratory of Health Technology Assessment of Ministry of health, School of 
      Public Health, Fudan University, Shanghai, China.
AD  - School of Basic Medical Sciences, Fudan University, Shanghai, China.
FAU - Chen, Wanli
AU  - Chen W
AD  - Key Laboratory of Health Technology Assessment of Ministry of health, School of 
      Public Health, Fudan University, Shanghai, China.
FAU - Qi, Renjie
AU  - Qi R
AD  - Key Laboratory of Health Technology Assessment of Ministry of health, School of 
      Public Health, Fudan University, Shanghai, China.
FAU - Geng, Yang
AU  - Geng Y
AD  - Key Laboratory of Health Technology Assessment of Ministry of health, School of 
      Public Health, Fudan University, Shanghai, China.
FAU - Liu, Ya
AU  - Liu Y
AD  - Key Laboratory of Health Technology Assessment of Ministry of health, School of 
      Public Health, Fudan University, Shanghai, China.
FAU - Zhou, Ying
AU  - Zhou Y
AD  - Key Laboratory of Health Technology Assessment of Ministry of health, School of 
      Public Health, Fudan University, Shanghai, China.
FAU - Zhang, Chenggang
AU  - Zhang C
AD  - Shanghai Xuhui Centre for Disease Control and Prevention, Shanghai, China.
FAU - Wang, Xian
AU  - Wang X
AD  - Shanghai Xuhui Centre for Disease Control and Prevention, Shanghai, China.
FAU - Wang, Jiwei
AU  - Wang J
AD  - Key Laboratory of Health Technology Assessment of Ministry of health, School of 
      Public Health, Fudan University, Shanghai, China.
FAU - Yu, Jinming
AU  - Yu J
AD  - Key Laboratory of Health Technology Assessment of Ministry of health, School of 
      Public Health, Fudan University, Shanghai, China.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20190604
PL  - England
TA  - BMJ Open
JT  - BMJ open
JID - 101552874
SB  - IM
MH  - Adult
MH  - China/epidemiology
MH  - *Coal Mining/statistics & numerical data
MH  - Cross-Sectional Studies
MH  - Health Knowledge, Attitudes, Practice
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Miners/psychology/*statistics & numerical data
MH  - Occupational Diseases/*epidemiology
MH  - Occupational Exposure/*statistics & numerical data
MH  - Pneumoconiosis/*epidemiology
MH  - Protective Clothing/*statistics & numerical data
MH  - Self Care/psychology/*statistics & numerical data
MH  - Surveys and Questionnaires
MH  - Young Adult
PMC - PMC6561464
OTO - NOTNLM
OT  - health belief model
OT  - self-protective behavior
OT  - underground coal miners
COIS- Competing interests: None declared.
EDAT- 2019/06/07 06:00
MHDA- 2020/06/18 06:00
PMCR- 2019/06/04
CRDT- 2019/06/07 06:00
PHST- 2019/06/07 06:00 [entrez]
PHST- 2019/06/07 06:00 [pubmed]
PHST- 2020/06/18 06:00 [medline]
PHST- 2019/06/04 00:00 [pmc-release]
AID - bmjopen-2018-026772 [pii]
AID - 10.1136/bmjopen-2018-026772 [doi]
PST - epublish
SO  - BMJ Open. 2019 Jun 4;9(6):e026772. doi: 10.1136/bmjopen-2018-026772.