Preventive factors related to brucellosis among rural population using the PRECEDE model: an application of path analysis

Abstract

The purpose of this model-based study was to identify behavioral and environmental prevention factors for brucellosis and to determine the causal linkage among these factors in a rural area with high prevalence of the disease. A multi-stage random sampling method was used to select villages in Ahar County, located in East Azerbaijan Province, Iran. Participants (n = 400) were recruited from these villages. Data was collected in accordance with the PRECEDE model established in March 2016. This model consists of four phases intended to assess each participant's health and quality of life. Standardized, structured questionnaires exploring different aspects of brucellosis prevention (predisposing, reinforcing, enabling, environmental, and behavioral factors) were used. Path analysis was applied to assess the pathway structure of the PRECEDE model. Overall, the model fitted the data well (χ2/df = 1.10; RMSEA = .016 (CI 95%: 0.00-0.07), SRMR = .02, CFI = .99). Significant positive associations were found among predisposing, reinforcing, and enabling factors on the one hand, and behavior, on the other hand. The predisposing factors showed significant positive associations with general health, and the reinforcing factors and general health showed significant positive associations with health-related quality of life (HRQOL). The results of this study support the use of the PRECEDE model for brucellosis prevention, and suggest that a high level of general health, in combination with reinforcing factors can increase HRQOL in an area with a high prevalence of brucellosis.

Risk perception and preventive behaviors related to brucellosis among Iranian livestock farmers

“…In some studies positive and significant relationship between the attitude and behaviors of brucellosis prevention were reported. 19,20 Another study also showed that a positive attitude toward non-pasteurized foods is one of the significant determinants of brucellosis-related behaviors. 2 One benefit of the significant association between knowledge and attitudes with preventive behaviors is that they are strongly influenced by education.…”

“…Another predisposing factor is attitude, in this study, three attitudinal aspects were examined, and among them Attitudes toward prevention was significant in the regression model. In some studies positive and significant relationship between the attitude and behaviors of brucellosis prevention were reported 19,20 . Another study also showed that a positive attitude toward non‐pasteurized foods is one of the significant determinants of brucellosis‐related behaviors 2 .…”

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

“…This is because it acts as an independent part of his basic skills;” this is in line with the results of the study conducted by Jahangiry in Iran. [ 9 ]…”

“…Estimates of the frequency of brucellosis in Iran range from 0.5%–10.9%, depending on the area. [ 9 10 ] Human brucellosis was first diagnosed in 1932 in Iran, and the animal vaccination program began in 1949 in this country. [ 11 ]…”

Physical Activity and its Influencing Factors in Community-Dwelling Older Adults With Dementia: A Path Analysis

“…The calculation of the priori sample size in this study was based on the recommendation that a sample size be more than 20 times the number of parameters in the path analysis (Jahangiry et al, 2019). According to the hypothesis model (see Figure 1), we had six paths and thus the calculated minimum sample size was 120 (i.e., 6 × 20).…”