¶ … Theorists Health issues are critical to human life and quality of human life. Many theories have been presented over time to discuss behavior, cause, environment and propagation of the disease. Health related problems often start with little triggers but end up complex. A sick person, who is continuously diseased, gets psychologically...
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¶ … Theorists Health issues are critical to human life and quality of human life. Many theories have been presented over time to discuss behavior, cause, environment and propagation of the disease. Health related problems often start with little triggers but end up complex. A sick person, who is continuously diseased, gets psychologically disturbed too (Public Health Agencies, 2009). Two basic health related theories are discussed here namely health belief model and theory of reasoned action.
Health Belief Model The health belief model is one of the oldest models designed in the mid of 1900. Scholars like Rosenstock, Hochbaum, and Kegels researched on U.S. Public Health Service. These scholars studied health screening program for tuberculosis (the Health Belief Model, n.d). On the basis of their general and specific findings, they developed HB Model. The model is still widely accepted as social cognition models.
Theory of Reasoned Action The theory of reasoned action, developed by Ajzen and Fishbein, is based on three constructs that include BI, a and SN. BI is the behavioral intention construct, a is the attitude and SN is subjective norm. The theory presents the equation where the behavioral intention of an individual is based on his attitude regarding behavior and subjective norms. Thus BI = a + SN. A person's intention to do something will most likely end into that behavior.
Theorist of HB Model and TRA Model The health believes model was developed by Hochbaum, Rosenstock, and Kegels while Ajzen and Fishbein were the main researchers behind theory of reasoned action. The theories were developed after extensive research. Ajzen and Fishbein were trying to assess the inconsistency between attitude and behavior when they developed this model. The TRA model deals with voluntary behavior while Health belief model discusses problem behaviors.
Basic Tenets Health Belief Model The model was initially developed in mid of 1900's yet changes have been made in it till 1988. Initial efforts were made to use the model for predicting behavioral response to treatment given to the patient. The theory can however be used to foretell general health behaviors (Health Belief Model (HBM), 2009). The theory suggests that a patient's belief in a personal threat and his belief in effectiveness suggest likelihood of that behavior for example depression.
The model suggests that individuals respond suitably to health promotion messages in four conditions: Belief that individual has risk of getting a health problem. Belief that the risk is serious with undesirable consequences. Belief that behavior change will help cope the risk. Belief that barriers to the behavior change can be overcome. Hence the main determinants of the person's behavior are percieved intensity about potential helath problem, the acceptability of disease, advantages of preventive action and barriers to that behavior or action (Health Belief Model (HBM), 2009).
Basic Tenets of Theory of Reasoned Action The theory of reasoned action, as disused, tells how the intention towards a behavior guides and to that behavior. Behavioral intention is relative strength of intention of an individual to carry out that behavior (Theory of Planned Behavior / Reasoned Action, 2013). Attitude is about beliefs regarding results of behavior. SA or subjective norm is mix of perceived expectations from and intentions.
The theory can be summarized in following diagram: Figure 1: Theory of reasoned action diagrammatic display (Theory of Planned Behavior / Reasoned Action, 2013) Analyze and assess the relationship between HB Model and TRA Model The health related models here discuss the behavior of a person towards the potential disease or illness. Both the theories suggest and try to explain why a person will or will not adopt a certain behavior to treat or prevent a disease.
The HB model tries to explain a person's four believes and how do they affect treatment acceptance while Theory of reasoned action says that intentions are major source behind acceptance or rejection of a treatment. Importance of HB Model and TRA Model The medical science takes into account medical history and reports to treat a person. Social and psychological theories on the other hand explain how social and psychological factors can affect behavior.
In discussing depression among minority, the models can help find how the depression is caused, how it can be treated and what behaviors favor or hinder the treatment. Depression is such a disease that it can affect the body, behavior and life of an individual. About 19 million Americans are falling into depression and that makes them vulnerable to mental illness. The theories can help identify which set of beliefs and behaviors will support the treatment. Depression Depression is caused by a variety of factors.
It can arise from cognitive problems like negative thinking or biological and genetic factors, gender orientation, the responsibility status of family, drugs and medications, prolonged diseases etc. Some people might not have any apparent reason for depression. The clinical depression is treatable. It can be identified by selecting the population i.e. African-Americans and then analyzing their moods, weight, appetite, physical symptoms, irritability, restlessness, fatigue, decision making problems etc.
It is found that black minority men, the African-American blacks, have high levels of depression (Louis, Graham, Robert, Aronson, Tracy, Charles, Stephens, and Scott, 2011). Depression in Minority Men African-Americans Being minority often raises prejudice and racial hatred among people. A research by Louis et al. (2011) suggests that Black sexual minority men can have more depression than their Black female and white minority counterparts. The factors causing psychosocial health of African-Americans are not known fully. However, it is proved that ethnic orientation has a considerable impact on the depression.
Since in original African families, the men are supposed to be the bread winners, men have more responsibilities (Depression and African-Americans, 2013). They are expected to feed family hence this responsibility combined with the work place discrimination can cause more depression in them. Other factors discussed in the study include harassment, violence and low self-esteem. The research discusses how sexual orientation particularly causes.
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