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Title page for ETD etd-11252013-220007

Type of Document Master's Thesis
Author Anderson, Marka Minette
Author's Email Address marka.anderson@vanderbilt.edu
URN etd-11252013-220007
Title Testing the Health Belief Model Using Prostate Cancer Screening Intention: Comparing Four Statistical Approaches Applied to Data from the 2008-09 Nashville Men’s Preventive Health Survey
Degree Master of Arts
Department Sociology
Advisory Committee
Advisor Name Title
Tony N. Brown, Ph.D. Committee Chair
C. André Christie-Mizell, Ph.D Committee Member
  • health belief model
  • prostate cancer screening
Date of Defense 2013-12-02
Availability unrestricted
Utility of prostate cancer screening is a hotly debated topic among medical professionals and health agencies. As such, men are often conflicted regarding whether to follow guidelines for screening. With data from the 2008-09 Nashville Men’s Preventive Health Survey (NMPHS), which sampled white and black men aged 40-70 years old living in Davidson County, TN, this study examines prostate cancer screening intention using the health belief model (HBM). This study also addresses methodological confusion regarding how to test the HBM by comparing results from four statistical approaches: (1) logistic regression, (2) logistic regression with interactions, (3) path analysis, and (4) structural equation modeling (SEM) with latent variables. Overall, little empirical support was found for the HMB in its current form. Even so, the present study recommends using path analysis as the standard to test the HBM. It also recommends that the HBM be revised. Revisions would include (1) adding a direct path from modifying factors to preventive health behavior and (2) adding a direct path from cues to action to preventive health behavior.
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