PERCEIVED BARRIERS TO PREVENTIVE HEALTH CARE (BLOOD PRESSURE CHECK, DENTAL PROPHYLAXIS).
Contributors: University of Rochester.
Published: 1985
Number of pages: 152
Subjects: Health Sciences, Nursing.
Description: This research developed a measure of the concept "perceived barriers to care" as defined in the Health Belief Model as proposed by Rosenstock, and incorporated it as a determinant of secondary preventive health behavior in a test of the Health Belief Model. The purposes of the research were to explore the concept of perceived barriers to care, to differentiate it from access to care and to test it as a determinant of preventive health behavior. Two randomly selected samples of well adults were surveyed regarding their health beliefs, demographic characteristics and their recent utilization of a particular preventive service; one group was asked about preventive blood pressure check and the other about dental prophylaxis. The measurement model for perceived barriers was developed using both exploratory and confirmatory factor analysis. Five factors were extracted; the provider-consumer relationship, cost, access, inconvenience and fear. Using covariance structure modelling, the effects of perceived barriers and other determinants of health behavior were estimated for each of the two study groups. Perceived barriers were found to have as much effect on utilization as the other belief variables. Substantive differences in the effect of the determinants for the two different preventive behaviors were found, leading to the conclusion that preventive behavior is not a unitary phenomenon. It was further concluded that perceived barriers to care is distinct from access to care, and that it contributes to understanding the dynamics of secondary preventive health behavior.
Notes: Source: Dissertation Abstracts International, Volume: 46-08, Section: B, page: 2625.

Thesis (PH.D.)--THE UNIVERSITY OF ROCHESTER, 1985.

School code: 0188.