Chung-Ying Lin1, Sonia Oveisi2, Andrea Burri3, Amir H Pakpour4. 1. Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong. 2. Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Shahid Bahonar Blvd, Qazvin 3419759811, Iran. 3. Health and Rehabilitation Research Institute, Auckland University of Technology, New Zealand; Waitemata Pain Service, Department of Anaesthesia and Perioperative Medicine, North Shore Hospital, New Zealand. 4. Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Shahid Bahonar Blvd, Qazvin 3419759811, Iran; Department of Nursing, School of Health and Welfare, Jönköping University, Jönköping, Sweden. Electronic address: Pakpour_Amir@yahoo.com.
Abstract
PURPOSE: To apply the Theory of Planned Behavior (TPB) and the two additional concepts self-stigma and perceived barriers to the help-seeking behavior for sexual problems in women with epilepsy. METHODS: In this 18-month follow-up study, TPB elements, including attitude, subjective norm, perceived behavioral control, and behavioral intention along with self-stigma and perceived barriers in seeking help for sexual problems were assessed in n=818 women with epilepsy (94.0% aged ≤40years). The basic TPB model (model 1) and the TPB model additionally including self-stigma and perceived barriers (Model 2) were analyzed using structural equation modeling (SEM). RESULTS: Both SEM models showed satisfactory model fits. According to model, attitude, subjective norms, perceived behavioral control, and intention explained 63.1% of the variance in help-seeking behavior. Variance was slightly higher (64.5%) when including self-stigma and perceived barriers (model 2). In addition, the fit indices of the models were better highlighting the importance of self-stigma and perceived barriers in help-seeking behavior for sexual problems. CONCLUSION: Theory of Planned Behavior is useful in explaining help-seeking behavior for sexual problems in women with epilepsy. Self-stigma and perceived barriers are additional factors that should be considered in future interventions aiming to adopt TPB to improve help-seeking behavior for sexual problems.
PURPOSE: To apply the Theory of Planned Behavior (TPB) and the two additional concepts self-stigma and perceived barriers to the help-seeking behavior for sexual problems in women with epilepsy. METHODS: In this 18-month follow-up study, TPB elements, including attitude, subjective norm, perceived behavioral control, and behavioral intention along with self-stigma and perceived barriers in seeking help for sexual problems were assessed in n=818 women with epilepsy (94.0% aged ≤40years). The basic TPB model (model 1) and the TPB model additionally including self-stigma and perceived barriers (Model 2) were analyzed using structural equation modeling (SEM). RESULTS: Both SEM models showed satisfactory model fits. According to model, attitude, subjective norms, perceived behavioral control, and intention explained 63.1% of the variance in help-seeking behavior. Variance was slightly higher (64.5%) when including self-stigma and perceived barriers (model 2). In addition, the fit indices of the models were better highlighting the importance of self-stigma and perceived barriers in help-seeking behavior for sexual problems. CONCLUSION: Theory of Planned Behavior is useful in explaining help-seeking behavior for sexual problems in women with epilepsy. Self-stigma and perceived barriers are additional factors that should be considered in future interventions aiming to adopt TPB to improve help-seeking behavior for sexual problems.
Authors: Wen-Li Hou; Chung-Ying Lin; Yu-Ming Wang; Ying-Hua Tseng; Bih-Ching Shu Journal: Int J Environ Res Public Health Date: 2020-02-02 Impact factor: 3.390
Authors: Chung-Ying Lin; Mike K T Cheung; Anchor T F Hung; Peter K K Poon; Sam C C Chan; Chetwyn C H Chan Journal: Ther Adv Endocrinol Metab Date: 2020-01-06 Impact factor: 3.565
Authors: Noélle de Oliveira Freitas; Carlos García Forero; Marina Paes Caltran; Jordi Alonso; Rosana A Spadoti Dantas; Monica Sarto Piccolo; Jayme Adriano Farina; John W Lawrence; Lidia A Rossi Journal: PLoS One Date: 2018-01-30 Impact factor: 3.240
Authors: Chung-Ying Lin; Meng-Che Tsai; Chih-Hsiang Liu; Yi-Ching Lin; Yi-Ping Hsieh; Carol Strong Journal: Int J Environ Res Public Health Date: 2019-11-11 Impact factor: 3.390
Authors: Xavier C C Fung; Amir H Pakpour; Ya-Ke Wu; Chia-Wei Fan; Chung-Ying Lin; Hector W H Tsang Journal: Int J Environ Res Public Health Date: 2019-12-20 Impact factor: 3.390