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건강 관련 행동의 예측을 위한 사회인지이론의 유용성 국내 건강신념모델 연구의 메타분석
이병관 ( Byoung Kwan Lee ),손영곤 ( Young Kon Sohn ),이상록 ( Sang Lok Lee ),윤문영 ( Mun Young Yoon ),김민희 ( Min Hee Kim ),김채린 ( Chae Rin Kim ) 한국PR학회 2014 PR연구 Vol.18 No.2
This study is a meta-analytic review on the studies of health belief model(HBM) in Korea, which is a socio-cognitive theory of decision making to individual health-related behaviors. From a database of 54 independent studies published in major academic journals in Korea up to the end of 2013, the HBM accounted for 24.5% and 25.0% of the variance in health behavior and behavioral intention, respectively. The results showed that both health behavior and behavioral intention were positively associated with all variables of HBM (perceived susceptibility, perceived severity, perceived benefits, and self-efficacy) except for perceived barriers. Although the effect size of perceived barriers was not statistically significant, it was negatively associated with both health behavior and behavioral intention. The largest effect size was found in the relationship with self-efficacy, and other variables of HBM showed relatively low effect size. Since the analysis indicated the heterogeneity of the results, subsequent analyses were performed to test moderating effects of behavioral type (screening, preventive behavior, sick role behavior), measurement, and subjects of study. Overall, these findings provide an empirical evidence that HBM is still a useful model to explain and predict individuals’ health related behavior although the magnitudes of its effect sizes was relatively low. With the implications and limitations of the meta-analytic review, the directions of future research were discussed.