title: Structural Factors Affecting Health Examination Behavioral Intention.
abstract: Disease screening instruments used for secondary prevention can facilitate early determination and treatment of pathogenic factors, effectively reducing disease incidence, mortality rates, and health complications. Therefore, people should be encouraged to receive health examinations for discovering potential pathogenic factors before symptoms occur. Here, we used the health belief model as a foundation and integrated social psychological factors and investigated the factors influencing health examination behavioral intention among the public in Taiwan. In total, 388 effective questionnaires were analyzed through structural model analysis. Consequently, this study yielded four crucial findings: (1) The established extended health belief model could effectively predict health examination behavioral intention; (2) Self-efficacy was the factor that most strongly influenced health examination behavioral intention, followed by health knowledge; (3) Self-efficacy substantially influenced perceived benefits and perceived barriers; (4) Health knowledge and social support indirectly influenced health examination behavioral intention. The preceding results can effectively increase the acceptance and use of health examination services among the public, thereby facilitating early diagnosis and treatment and ultimately reducing disease and mortality rates.
authors.affiliation: Taiwan Adventist Hospital, Taipei 401, Taiwan. gih@tahsda.org.tw.
authors.forename: Hui-Ting
authors.initials: HT
authors.lastname: Huang
authors.affiliation: Department of Marketing and Distribution, Tzu Chi University of Science and Technology, Hualien 970, Taiwan. tzustu@gmail.com.
authors.forename: Yu-Ming
authors.initials: YM
authors.lastname: Kuo
authors.affiliation: Department of Business Administraiton, National Dong Hwa University, Hualien 974, Taiwan. shiang2216@gmail.com.
authors.forename: Shiang-Ru
authors.initials: SR
authors.lastname: Wang
authors.affiliation: Taiwan Adventist Hospital, Taipei 401, Taiwan. 116426@tahsda.org.tw.
authors.forename: Chia-Fen
authors.initials: CF
authors.lastname: Wang
authors.affiliation: Department of Health Administration, Tzu Chi University of Science and Technology, Hualien 974, Taiwan. tsairob@tcust.edu.tw.
authors.forename: Chung-Hung
authors.initials: CH
authors.lastname: Tsai
mesh_terms: D000328:Adult; D003469:Culture; D005260:Female; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D033182:Intention; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D013624:Taiwan
keywords: health belief model; health examination; health knowledge; self-efficacy; social support