Document Type : Original Article
Authors
- . Hadi Alizadeh-Siuki
- . Hadi Tehrani
- . Mehdi Gholian-Aval
- . Hossein Ebrahimipour
- . Mohammad Vahedian-Shahroodi
Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
Abstract
INTRODUCTION: Brucellosis is one of the common diseases between humans and animals. The
purpose of this study was to investigate behavioral determinants of brucellosis incidence among
stockbreeders and their family members in a rural area based on the PRECEDE model.
MATERIALS AND METHODS: This cross-sectional study was carried out among 540 stockbreeders
and their family members in Northeastern Iran in 2019. Sampling was done in two stages including
stratified sampling and random sampling method. Data collection was conducted by a valid and
reliable questionnaire developed based on the PRECEDE model. Data were analyzed using SPSS16
through Pearson correlation coefficient, independent t-test, and ANOVA. Furthermore IBM SPSS
AMOS version 20 was used for the path analysis.
RESULTS: The mean age of the participants was 39.02 ± 16.41 years, of whom 53.1% and 46.9%
were men and women, respectively. About 23.9% of the participants had a history of brucellosis in
their families. Enabling factors were the most important determinant of self-efficacy and self-efficacy
was the most important determinants of behavior. Evaluation of the chi-square indicators, chi-square
ratio to degree of freedom, root mean square error of approximation, adjusted goodness of fit index,
parsimony comparative fit index, comparative fit index, incremental fit index, and parsimonious normed
fit index indices indicated that the model was well fitted and there was a positive and significant
relationship between the predisposing, enabling, and reinforcing factors on the one hand and behavior
on the other. chi-square indicators, chi-square ratio to degree of freedom, root mean square error
of approximation, adjusted goodness of fit index, parsimony comparative fit index, comparative fit
index, incremental fit index, and parsimonious normed fit index
CONCLUSION: Designing and implementing health plans based on the PRECEDE model with more
emphasis on self-efficacy as the most important behavioral determinants can bring about a positive
effect on enhancing the brucellosis preventing behaviors.
Keywords
and Practices Associated with Brucellosis in Livestock Owners in
Jordan. Am J Trop Med Hyg 2015;93:1148-55.
2. Mufinda FC, Boinas F, Nunes C. Prevalence and factors associated
with human brucellosis in livestock professionals. Rev Saude
Publica 2017;51:57.
3. Musallam II, Abo-Shehada MN, Hegazy YM, Holt HR, Guitian FJ.
Systematic review of brucellosis in the Middle East: Disease
frequency in ruminants and humans and risk factors for human
infection. Epidemiol Infect 2016;144:671-85.
4. Rahmanian V, Rahmanian K, Mansoorian E, Jahromi AS, Madani
A. Epidemiological characteristics and temporal trend of human
and bovine brucellosis cases, Southern Iran, 2009-2016. Pak J Med
Health Sci 2018;12:488-95.
5. von Bargen K, Gorvel JP, Salcedo SP. Internal affairs: Investigating
the Brucella intracellular lifestyle. FEMS Microbiol Rev
2012;36:533-62.
6. Sofian M, Aghakhani A, Velayati AA, Banifazl M, Eslamifar A,
Ramezani A. Risk factors for human brucellosis in Iran: A casecontrol study. Int J Infect Dis 2008;12:157-61.
7. Jahangiry L, Nadrian H, Mahdavi B, Allahverdipour H, Kousha A.
Primary development and psychometric properties of PRECEDE
model-based scales for brucellosis prevention among an Iranian
rural population. Arch Clin Infect Dis 2017;12:629-57.
8. Farahani S, Shah Mohamadi S, Navidi I, Sofian S. An investigation
of the epidemiology of brucellosis in Arak City, Iran, (2001-2010).
J Arak Uni Med Sci 2012;14:49-56.
9. Jahangiry L, Khazaee-Pool M, Mahdavi B, Ponnet K, Sarbakhsh P.
Preventive factors related to brucellosis among rural population
using the PRECEDE model: An application of path analysis. Trop
Anim Health Prod 2019;51:419-28.
10. Piroozi B, Moradi G, Safari H, Mohamadi P, Alinia C, Shirzadi MR,
et al. Incidence, mortality, and burden of human brucellosis and its
geographical distribution in Iran during 2009-2015. Iran J Public
Health 2019;48:20-7.
11. Kafil HS, Baha Hosseini S, Sohrabi M, Asgharzadeh M. Brucellosis:
Presence of zoonosis infection 3500 years ago in North of Iran.
Asian Pac J Trop Dis 2014;4:684-6.
12. Nicoletti P. Brucellosis: Past, present and future. Prilozi
2010;31:21-32.
13. Sharifi H, Abbasi M, Eybpoosh S, Akbarein H. Risk Factors of
human brucellosis in the Northeast of Iran. Can J Infect Dis Med
Microbiol 2016;4:20-4.
14. Eskandari Z, Bashirian S, Barati M, Soltanian AR, Hazavehi SM.
The effect of educational program based on the health belief model
on brucellosis preventive behaviors among traditional ranchers
in rural areas of Hamadan Province. J Educ Community Health
2017;3:16-23.
15. Galińska EM, Zagórski J. Brucellosis in humans-etiology,
diagnostics, clinical forms. Ann Agric Environ Med 2013;20:233-8.
16. Zeng H, Wang Y, Sun X, Liu P, Xu Q, Huang D, et al. Status
and influencing factors of farmers’ private investment in the
prevention and control of sheep brucellosis in China: A crosssectional study. PLoS Negl Trop Dis 2019;13:e0007285.
17. Singh B, Dhand NK, Gill J. Economic losses occurring due
to brucellosis in Indian livestock population. Prev Vet Med
2015;119:211-5.
18. Buzgan T, Karahocagil MK, Irmak H, Baran AI, Karsen H,
Evirgen O, et al. Clinical manifestations and complications in
1028 cases of brucellosis: A retrospective evaluation and review
of the literature. Int J Infect Dis 2010;14:e469-78.
19. Sharifi-Mood B, Metant MM, Mardani M. Algvhay inappropriate
nutritional and behavioral therapy-Bavrhay wrong: the major
risk factors associated with the disease brucellosis in Sistan and
Baluchestan. Iran J Infect Dis 2007;12:59-62.
20. Oruogi M, Bayt Asghari A, Charkazi A, Jvaheri J. Survey on
effect of health education intervention on reduction of brucellosis
incidence in rural areas of Khomein based on PRECED framework.
J Health 2012;3:50-8.
21. Glanz K, Rimer BK, Viswanath K. Health Behavior and Health
Education: Theory, Research, and Practice. San Francisco: John
Wiley & Sons; 2008.
22. Noviana C, Wibawan I, Sudarnika E. Knowledge, attitude, and
practises of breeding kennel owner regarding canine brucellosis
prevention and controlling on imported dogs. J Vet 2016;17:265-73.
23. Aligol M, Nasirzadeh M, Bakhtiari MH, Eslami AA. The effects
of education on promoting knowledge, beliefs and preventive behaviors on brucellosis among women: Applying a health belief
model. Jundishapur J Health Sci 2014;6:343-9.
24. Zendehtalab H. The effect of a program designed based on
PRECEDE- PROCEED model on adolescents health and their
parents participation. Evid Based Care J 2012;2:45-54.
25. Henry JW, Stone RW. A structural equation model of end-user
satisfaction with a computer-based medical information system.
Inf Resour Manag J1994;7:21-33.
26. Lomax RG, Schumacker RE. A Beginner’s Guide to Structural
Equation Modeling. Ohio State University, USA: Psychology
Press; 2004.
27. Schreiber JB, Nora A, Stage FK, Barlow EA, King J. Reporting
structural equation modeling and confirmatory factor analysis
results: A review. J Educ Res 2006;99:323-38.
28. Byrne BM. Testing for the factorial validity, replication, and
invariance of a measuring instrument: A paradigmatic application
based on the Maslach Burnout Inventory. Multivariate Behav Res
1994;29:289-311.
29. Glantz K, Rimer B, Viswanath K. The scope of health behavior
and health education. Health Behavior and Health Education:
Theory, Research, and Practice. 4th ed. San Francisco: Jossey-Bass;
2008. p. 3-22.
30. Lindahl E, Sattorov N, Boqvist S, Magnusson U. A study of
knowledge, attitudes and practices relating to brucellosis among
small-scale dairy farmers in an urban and peri-urban area of
Tajikistan. PLoS One 2015;10:e0117318.
31. Cloete A, Gerstenberg C, Mayet N, Tempia S. Brucellosis
knowledge, attitudes and practices of a South African communal
cattle keeper group. Onderstepoort J Vet Res 2019;86:e1-e10.
32. Migisha R, Dan Nyehangane, Boum Y, Page AL, Zúñiga-Ripa A,
Conde-Álvarez R, et al. Prevalence and risk factors of brucellosis
among febrile patients attending a community hospital in South
Western Uganda. Sci Rep 2018;8:15465.
33. Malik GM. A clinical study of brucellosis in adults in the
Asir region of southern Saudi Arabia. Am J Trop Med Hyg
1997;56:375-7.
34. Ragan V, Vroegindewey G, Babcock S. International standards
for brucellosis prevention and management. Rev Sci Tech
2013;32:189-98.
35. Shang D. Progress in the study of prevention and control of
Brucellosis in China in last 50 years. Zhonghua Liu Xing Bing
Xue Za Zhi 2000;21:55-7.
36. Hajari A, Shams M, Afrooghi S, Fadaei Nobari R,
Abaspoor Najafabadi R. Using the precede-proceed model in
needs assessment for the prevention of Brucellosis in rural areas
of Isfahan, Iran. Armaghane Danesh 2016;21:396-409.
37. R e y e s M i l i á n P E , P e l á e z M a r t í n e z R V ,
García Martín D, Pacheco Limonta E. Educational intervention
to elevate the level of knowledges in elderly diagnosed with
high blood pressure in the Popular Medical Clinic “Las Flores”,
Bolivarian Republic of Venezuela. Mediciego 2016;22:23-30.
38. Vahedian-Shahroodi M, Tehrani H, Robat-Sarpooshi D,
GHolian-Aval M, Jafari A, Alizadeh-Siuki H. The impact of
health education on nutritional behaviors in female students:
An application of health belief model. Int J Health Promot Educ
2019;58:1-13.
39. Tukana A, Gummow B. Dairy farm demographics and
management factors that played a role in the re-emergence of
brucellosis on dairy cattle farms in Fiji. Trop Anim Health Prod
2017;49:1171-8.
40. Earhart K, Vafakolov S, Yarmohamedova N, Michael A, Tjaden J,
Soliman A. Risk factors for brucellosis in Samarqand Oblast,
Uzbekistan. Int J Infect Dis 2009;13:749-53.
41. Meky FA, Hassan EA, Abd Elhafez AM, Aboul Fetouhl AM,
El-Ghazali SM. Epidemiology and risk factors of brucellosis in
Alexandria governorate. East Mediterr Health J 2007;13:677-85.
42. Salman MD, Meyer ME. Epidemiology of bovine brucellosis
in the coastal region of Baja California Norte, Mexico: Results
of path analyses in an area of high prevalence. Prev Vet Med
1987;4:485-502.
43. Babazadeh T, Nadrian H, Ranjbaran S, Rezakhani-Moghaddam
H, Aghemiri M. Cognitive factors associated with brucellosis
preventive behaviours among diagnosed patients: An application
of Empowerment Model. East Mediterr Health J 2019;25:567-74.