OJPM  Vol.5 No.2 , February 2015
Effective Factors in Urinary Tract Infection Prevention among Children: Application of Health Belief Model
ABSTRACT
Urinary Tract Infection (UTI) is one of the most common bacterial infections among children using preventive manipulations, especially among children less than 6 years old. This study aimed at exploring factors which could affect urinary tract infection prevention among children. A descriptive analytical study was conducted on 70 mothers who had children less than 6 years old in 2013. Multistage cluster sampling method was utilized in which each kindergarten was considered as a cluster and data were collected by a researcher-made questionnaire designed based on Health Belief Model (HBM). Validity and reliability of questionnaire were confirmed by a pilot study. ANOVA and Pearson Correlation Coefficient were conducted using SPSS, version 18. The mean and standard deviation of knowledge and practice were 6.96 ± 2.14 and 15.47 ± 1.54 respectively. Means and standard deviation of Health Belief Model constructs (perceived susceptibility, perceived severity, perceived benefits, perceived barriers and self-efficacy) were 17.64 ± 2.50, 22.02 ± 2.55, 20.90 ± 2.38, 27.56 ± 5.20 and 21.49 ± 3.18 respectively. More participants were in the moderate levels of knowledge (74.3%) and practice (45.7%). These findings revealed a significant relation between practice and perceived susceptibility (p = 0.02), perceived barriers (p = 0.001), self-efficacy (p = 0.014) and cues to action (p = 0.016). Based on the current study, the intervention based on Health Belief Model can be useful to improve preventive behaviors of Urinary Tract Infection.

Cite this paper
Hashemiparast, M. , Shojaeizadeh, D. , Aezam, K. and Tol, A. (2015) Effective Factors in Urinary Tract Infection Prevention among Children: Application of Health Belief Model. Open Journal of Preventive Medicine, 5, 72-77. doi: 10.4236/ojpm.2015.52008.
References
[1]   Oh, M., Cheon, J., Kang, S., et al. (2010) Predictive Factors for Acute Renal Cortical Scintigraphic Lesion and Ultimate Scar Formation in Children with First Febrile Urinary Tract Infection. The Journal of Urology, 183, 1146-1150. http://dx.doi.org/10.1016/j.juro.2009.11.051

[2]   Chen, J.J., Mao, W., Homayoonandgeorge, K. and Steinhardt, F. (2004) A Multivariate Analysis of Dysfunctional Elimination Syndrome, and Its Relationships with Gender, Urinary Tract Infection and Vesicoureteral Reflux in Children. The Journal of Urology, 171, 1907-1910.
http://dx.doi.org/10.1097/01.ju.0000120288.82950.a2

[3]   Craig, J., Simpson, J., Williams, G., et al. (2009) Antibiotic Prophylaxis and Recurrent Urinary Tract Infection in Children. The New England Journal of Medicine, 361, 1748-1759.
http://dx.doi.org/10.1056/NEJMoa0902295

[4]   Tanagho, E.A. and McAninch, J.W. (2008) Smith’s General Urology. McGraw-Hill Medical, New York.

[5]   Montini, G., Tullus, K. and Hewitt, L. (2011) Febrile Urinary Tract Infections in Children. The New England Journal of Medicine, 365, 239-250. http://dx.doi.org/10.1056/NEJMra1007755

[6]   Harmsen, M., Adang, E., Wolters, R., et al. (2009) Management of Childhood Urinary Tract Infections: An Economic Modeling Study. Value in Health, 12, 466-472.
http://dx.doi.org/10.1111/j.1524-4733.2008.00477.x

[7]   Bremberg, S.G. and Edström, S. (2001) Outcome Assessment of Routine Medical Practice in Handling Child Urinary tract Infections: Estimation of Renal Scar Incidence. Ambulatory Child Health, 7, 149-155.

[8]   Paschke, A.A., Zaoutis, T., Conway, P., et al. (2010) Previous Antimicrobial Exposure Is Associated with Drug-Resistant Urinary Tract Infections in Children. Pediatrics, 125, 664-672.
http://dx.doi.org/10.1542/peds.2009-1527

[9]   Butler, C.C., Dunstan, F., Heginbothom, M., et al. (2007) Containing Antibiotic Resistance: Decreased Antibiotic-Resistant Coliform Urinary Tract Infections with Reduction in Antibiotic Prescribing by General Practices. British Journal of General Practice, 57, 785-792.

[10]   Ghanesherbaf, F., Kharazme, A., Gharaeigomei, R., et al. (2011) Related Factors with Permanent Scar in Children with Urinary Tract Infections. Journal of North Khorasan University of Medical Sciences, 3, 57-67.

[11]   Harmsen, M., Wensing, M., Wouden, J. and Grol, R. (2007) Parents’ Awareness of and Knowledge about Young Children’s Urinary Tract Infections. Patient Education and Counseling, 66, 250-255.
http://dx.doi.org/10.1016/j.pec.2006.12.009

[12]   Owen, D., Vidal-Alaball, J., Mansour, M., Bordeaux, K., Jones, K.V. and Edwards, A. (2003) Parent’s Opinions on the Diagnosis of Children under 2 Years of Age with Urinary Tract Infection. Family Practice, 20, 531-537.
http://dx.doi.org/10.1093/fampra/cmg507

[13]   Hazavehei, S.M., Sharifirad, G. and Mohabi, S. (2007) The Effect of Educational Program Based on Health Belief Model on Diabetic Foot Care. International Journal of Diabetes in Developing Countries, 27, 18. http://dx.doi.org/10.4103/0973-3930.34753

[14]   Patrick, H. and Williams, G.C. (2012) Self-Determination Theory: Its Application to Health Behavior and Complementarity with Motivational Interviewing. International Journal of Behavioral Nutrition and Physical Activity, 9, 18. http://dx.doi.org/10.1186/1479-5868-9-18

[15]   Jones, P.K., Jones, S.L. and Katz, J. (1990) A Randomized Trial to Improve Compliance in Urinary Tract Infection Patients in the Emergency Department. Annals of Emergency Medicine, 19, 16-20.
http://dx.doi.org/10.1016/S0196-0644(05)82133-X

[16]   Glanz, K., Rimer, B. and Viswanath, K. (2008) Health Behavior and Health Education: Theory, Research, and Practice. John Wiley & Sons, Hoboken.

[17]   Cronbach, L.J. (1951) Coefficient Alpha and the Internal Structure of Tests. Psychometrika, 16, 297-334. http://dx.doi.org/10.1007/BF02310555

[18]   Baghiani, M.M., Shojaezade, D., Mohamadlo, A., Fallahzadeh, H. and Ranjbary, M. (2013) Evaluation of Preventive Behaviors of UTI Based on Health Belief Model in Mothers with Girls Younger than 6 Years Old. Journal of Toloo-E-Behdasht, 12, 78-88.

[19]   Saffari, M. and Shojaezade, D. (2009) Health Education and Promotion (Theories, Models & Methods). Sobhan Publication, Tehran, 55-57.

[20]   Mehri, A. and Mohaghegh, M. (2010) Utilizing the Health Belief Model to Predict Preventive Behaviors for Heart Diseases in the Students of Islamic Azad University of Sabzevar. Journal of Toloo-E-Behdasht, 9, 21-33.

[21]   Masodi, D., Baghiani, M.H., Sharifirad, G. and Falahzade, H. (2012) Evaluation of Preventive Behaviors of Addiction Based on Health Belief Model (HBM) among Male High School Students in Boroujen, Iran. Health System Research, 8, 237-246.

[22]   Niksadat, N., Solhi, M., Shojaezade, D. and Gohari, M. (2013) Effective Factors in Prevention of Self-Medication Based on Health Belief Model in Women Referring to the Health Homes in Tehran’s 3rd District, 2012. HealthMed, 7, 174.

 
 
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