Determinants of uptake of whole-body skin self-examination in older men

Auster, Josephine F., Hurst, Cameron, Neale, Rachel E., Youl, Phillipa , Whiteman, David C., Baade, Peter, & Janda, Monika (2013) Determinants of uptake of whole-body skin self-examination in older men. Behavioral Medicine: relating behavior and health, 39(2), pp. 36-43.

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Early detection through whole-body Skin Self-Examination (wbSSE) may decrease mortality from melanoma. Using the Health Action Process Approach (HAPA) or Health Belief Model (HBM) we aimed to assess determinants of uptake of wbSSE in 410 men 50 years of older who participated in the control group of a randomized trial. Overall, the HAPA was a significantly better predictor of wbSSE compared to the HBM (p < .001). The construct of self-efficacy in the HBM was a significant predictor of future wbSSE (p = .001), while neither perceived threat (p = .584) nor outcome expectations (p = .220) were. In contrast, self-efficacy, perceived threat, and outcome expectations predicted intention to perform SSE, which predicted behavior (p = .015). The HAPA construct volitional self-efficacy was also associated with wbSSE (p = .046). The use of the HAPA model for future SSE interventions for this population is warranted.

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ID Code: 61266
Item Type: Journal Article
Refereed: Yes
Additional URLs:
Keywords: melanoma, self-examination, early diagnosis, middle aged males, psychological theories
DOI: 10.1080/08964289.2013.782851
ISSN: 1940-4026 (online) 0896-4289 (print)
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Public Health & Social Work
Copyright Owner: Copyright 2013 Taylor & Francis Group, LLC
Deposited On: 11 Jul 2013 23:17
Last Modified: 15 Jul 2013 18:15

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