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Testing the Health Belief Model: LISREL Analysis of Alternative Models of Causal Relationships Between Health Beliefs and Preventive Dental Behavior
Meei-Shia Chen and Kenneth C. Land
Social Psychology Quarterly
Vol. 49, No. 1 (Mar., 1986), pp. 45-60
Published by: American Sociological Association
Stable URL: http://www.jstor.org/stable/2786856
Page Count: 16
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This study tests the causal relationships postulated in the Health Belief Model by using a causal modeling technique, the LISREL system. It analyzes causal relationships between American women's health beliefs and their preventive dental visists. Data are from a 1980 national family dental survey. Various causal models consistent with previous theory and research are specified and tested. A model that best fits the data shows that, in contrast to the one-way causal relationships from health beliefs to dental visits postulated in the original formulation of the Health Belief Model, four types of causal relationships exist. The findings are compared with previous studies. The importance of causal analysis is discussed. We conclude that a number of requirements must be completed before our final model can be accepted: (1) replication of this model on a new set of data; (2) longitudinal-prospective analyses exhibiting the hypothesized relationships through time; and (3) experimental testing by manipulation of one or more independent variables in experimental-clinical trials.
Social Psychology Quarterly © 1986 American Sociological Association