Determining Behavioral Preventive Factors of Blindness based on BASNEF Model in the Chaharborj Village, City of Esfarayen

• Main Authors: Elham Shrifian (Author), Fatemeh Estebsari (Author), Leila Haghjou (Author), Saharnaz Nedjat (Author), SeyedReza Majdzadeh (Author)
• Format: Book
• Published: Iranian Association of Health Education and Health Promotion, 2014-12-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 2345-3265; 2345-3265
• Keywords: basnef model; prevention; blindness; determinants; family; Medicine; R; Public aspects of medicine; RA1-1270
• Source: آموزش بهداشت و ارتقاء سلامت ایران, Vol 2, Iss 3, Pp 186-198 (2014)

Background and objectives: Vision impairment yields significant social and economic burden around the world. The initial step in the prevention of blindness is recognizing its current situation and main causes. The prevalence of blindness is 1. 1% in the village of Chaharborj which is located in the northeastern part of Iran. This study aimed to identify the behavioral preventive factors of blindness in a village of Esfarayen city based on BASNEF model. Methods: In this cross-sectional study, the number of 330 samples aged 15 to 64 selected from the residents of the Chaharborj village through multi stage sampling method. Participants were classified into three groups: single, married after diagnostic tests and married before testing the existence of blindness gene. Study participants completed a questionnaire which developed based on the BASNEF mod elthrough interviews. The validity and reliability of the questionnaire were confirmed. Data were analyzed using SPSS software version 16 applying the Pearson statistical test, Chi-square test, independent t-test and analysis of variance with the significance level of p<0.05. Results: scores of awareness and other constructs of the BASNEF model for prevention of blindness were not favorable. Remoteness of laboratory and lack of desire in the people outside of the village to marry with Chaharborj residents due to the fear of blindness were the main determinant factors in prevention of blindness. The most influential subjective norms were advisedby physicians and health staff. Awareness was significantly correlated with attitude and in turn, the attitude was correlated with enabling factors among three study groups. In the first group, there was a significant and direct correlation between awareness, attitude and intention to behavior. In the second study group, knowledge and enabling factors were significantly correlated with awareness and enabling factors. Conclusions: Training of village residents and beyond about the mechanisms of blindness should lead to create preventive norms, attitude and intention to prevent behavior and considering blindness as a preventable disease. Due to the important role of providing facilities in adoption of behavior,accessible conciseexamination should be considered in the national policies and programs. Paper Type: Research Article