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Environmental Health and Preventive Medicine
Published in: Environmental Health and Preventive Medicine 1/2018

Open Access 01-12-2018 | Research article

Predicting vitamin E and C consumption intentions and behaviors among factory workers based on protection motivation theory

Authors: Sahar Mohammad Nabizadeh, Parvaneh Taymoori, Mohammad Saleh Hazhir, Mehra Shirazi, Daem Roshani, Behzad Shahmoradi

Published in: Environmental Health and Preventive Medicine | Issue 1/2018

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Abstract

Background

Study of antioxidant vitamin consumption behavior, especially in high-risk groups with high exposure to toxic metals to reduce metal toxicity, is emphasized. This study aims to examine the structural relationships between knowledge, protection motivation theory constructs, and vitamin E and C consumption behavior among cement factory workers.

Methods

Protection motivation theory and food frequency questionnaires were completed by 420 factory workers. Data were subjected to structural equation modeling to examine associations between knowledge, protection motivation theory constructs, and vitamin E and C consumption behavior. Efficacy of current recommended models was also explored.

Results

Structural equation modeling showed high explained variance within the constructs of protection motivation theory for vitamin E and C consumption behavior and intention (56–76%). The overall fit of the structural models was acceptable for both vitamin E and C behavior. Knowledge, self-efficacy, response efficacy, and perceived vulnerability predicted intention, which in turn predicted vitamin consumption behavior. Significant relationships between knowledge and self-efficacy, response efficacy, perceived vulnerability, and perceived severity were also found, while self-efficacy and response efficacy showed significant relationships with vitamin E and C consumption behavior.

Conclusions

Considering that response efficacy, self-efficacy, and intention showed as strong predictors of vitamin E and C consumption behavior, specific attention should be paid to coping appraisals and intention when designing intervention plans. Additionally, establishing the predicting role of knowledge for protection motivation theory constructs and protective behaviors should be integrated into intervention programs.
Literature
1.
Bermudez GM, Moreno M, Invernizzi R, Plá R, Pignata ML. Heavy metal pollution in topsoils near a cement plant: the role of organic matter and distance to the source to predict total and HCl-extracted heavy metal concentrations. Chemosphere. 2010;78:375–81.CrossRef
2.
Babalola OO, Babajide S. Selected heavy metals and electrolyte levels in blood of workers and residents of industrial communities. Afr J Biochem Res. 2009;3:37–40.
3.
Salh DM, Mohammed SM, Salih LO. Some biochemical and hematological parameters among petroleum and cement factory workers in Sulaimaniyah city/Kurdistan/Iraq. Chem. Mater Res. 2014;6:29–32.
4.
Mohammadnabizadeh S, Afshari R, Pourkhabbaz A. Metal concentrations in marine fishes collected from Hara biosphere in Iran. Bull Environ Contam Toxicol. 2013;90:188–93.CrossRef
5.
Das K, Jargar KG, Hattiwale JH, Yendigeri SM, Das S, Dhundasi SA. Serum vitamin E (α-tocopherol) estimation: a potential biomarker of antioxidant status evaluation on heavy metal toxicities. Recent Patents on Biomarkers. 2013;3:36–43.CrossRef
6.
Onunkwor B, Dosumu O, Odukoya O, Arowolo T, Ademuyiwa O. Biomarkers of lead exposure in petrol station attendants and auto-mechanics in Abeokuta, Nigeria: effect of 2-week ascorbic acid supplementation. Environ Toxicol Pharmacol. 2004;17:169–76.CrossRef
7.
Zhai Q, Narbad A, Chen W. Dietary strategies for the treatment of cadmium and lead toxicity. Nutrients. 2015;7:552–71.CrossRef
8.
Allen L, Organization WH. Guidelines on food fortification with micronutrients: World Health Organization; 2006. p. 341.
9.
Omidvar N, Ghazi-Tabatabaie M, Eghtesadi S, Harrison GG, Minaie S. Psychosocial correlates of low fruit and vegetable intake among adolescent boys and girls in Tehran. Iran Ecol Food Nutr. 2003;42:385–97.CrossRef
10.
Cox D, Evans G, Lease H. Australian consumers’ preferences for conventional and novel sources of long chain omega-3 fatty acids: a conjoint study. Food Qual Prefer. 2008;19:306–14.CrossRef
11.
Gaston A, Prapavessis H. Using a combined protection motivation theory and health action process approach intervention to promote exercise during pregnancy. J Behav Med. 2014;37:173–84.CrossRef
12.
Dowd AJ, Jung ME, Chen MY, Beauchamp MR. Prediction of adherence to a gluten-free diet using protection motivation theory among adults with coeliac disease. J Hum Nutr Diet. 2016;29:391–8.CrossRef
13.
Floyd DL, Prentice-Dunn S, Rogers RW. A meta-analysis of research on protection motivation theory. J Community Appl Soc Psychol 2000;30:407–429.CrossRef
14.
Tulloch H, Reida R, D'Angeloa MS, Plotnikoff RC, Morrina L, Beatona L, et al. Predicting short and long-term exercise intentions and behaviour in patients with coronary artery disease: a test of protection motivation theory. Psychol Health. 2009;24:255–69.CrossRef
15.
Milne S, Sheeran P, Orbell S. Prediction and intervention in health-related behavior: a meta-analytic review of protection motivation theory. Br J Health Psychol. 2000;30:106–43.
16.
Sainsbury K, Mullan B, Sharpe L. A randomized controlled trial of an online intervention to improve gluten-free diet adherence in celiac disease. Am J Gastroenterol. 2013;108:811–7.CrossRef
17.
Calder SC, Davidson GR, Ho R. Intentions to consume Omega-3 fatty acids: a comparison of protection motivation theory and ordered protection motivation theory. Journal of Dietary Supplements. 2011;8:115–34.CrossRef
18.
Sainsbury K, Mullan B. Measuring beliefs about gluten free diet adherence in adult coeliac disease using the theory of planned behaviour. Appetite. 2011;56:476–83.CrossRef
19.
Tunner JF, Day E, Crask MR. Protection motivation theory: an extension of fear appeals theory in communication. J Bus Res. 1989;19:267–76.CrossRef
20.
Munro BH. Statistical methods for health care research. Philadelphia: Lippincott Williams & Wilkins; 2005.
21.
El Kinany K, Garcia-Larsen V, Khalis M, Deoula MMS, Benslimane A, Ibrahim A, et al. Adaptation and validation of a food frequency questionnaire (FFQ) to assess dietary intake in Moroccan adults. Nutr J. 2018;17:61.CrossRef
22.
Mirmiran P, Esfahani FH, Mehrabi Y, Hedayati M, Azizi F. Reliability and relative validity of an FFQ for nutrients in the Tehran Lipid and Glucose Study. Public Health Nutr. 2010;13:654–62.CrossRef
23.
Asghari G, Rezazadeh A, Hosseini-Esfahani F, Mehrabi Y, Mirmiran P, Azizi F. Reliability, comparative validity and stability of dietary patterns derived from an FFQ in the Tehran Lipid and Glucose Study. Br J Nutr. 2012;108:1109–17.CrossRef
24.
Zekovic M, Djekic-Ivankovic M, Nikolic M, Gurinovic M, Krajnovic D, Glibetic M. Validity of the food frequency questionnaire assessing the folate intake in women of reproductive age living in a country without food fortification: application of the method of triads. Nutrients. 2017;9:128.CrossRef
25.
Movahedi A, Roosta R. Iranian food composition tables: Tehran: National Nutrition and Food Technology Research Institute Press; 2000.
26.
Bollen KA, Long JS. Tests for structural equation models: introduction. Sociol Methods Res. 1992;21:123–31.CrossRef
27.
Cox DN, Koster A, Russell CG. Predicting intentions to consume functional foods and supplements to offset memory loss using an adaptation of protection motivation theory. Appetite. 2004;43:55–64.CrossRef
28.
Plotnikoff RC, Lubans DR, Penfold CM, Courneya KS. Testing mediator variables in a physical activity intervention for women with type 2 diabetes. Psychol Sport Exerc. 2014;15:1–8.CrossRef
29.
Chin WW. Commentary: issues and opinion on structural equation modeling. MIS Q. 1998;22:7–16.
30.
Li X, Zhang L, Mao R, Zhao Q, Stanton B. Effect of social cognitive theory-based HIV education prevention program among high school students in Nanjing. China Health Education Research. 2011;26:419–31.CrossRef
31.
Eppright DR, Tanner JF, Hunt JB. Knowledge and the ordered protection motivation model: tools for preventing AIDS. J Bus Res. 1994;30:13–24.CrossRef
32.
McKinley CJ. Investigating the influence of threat appraisals and social support on healthy eating behavior and drive for thinness. Health Commun. 2009;24:735–45.CrossRef
33.
Gu C, Chan CW, He GP, Choi K, Yang SB. Chinese women’s motivation to receive future screening: the role of social-demographic factors, knowledge and risk perception of cervical cancer. Eur J Oncol Nurs. 2013;17:154–61.CrossRef
34.
Lubans DR, Foster C, Biddle SJ. A review of mediators of behavior in interventions to promote physical activity among children and adolescents. Prev Med 2008;47:463–470.CrossRef
35.
Earl R. Guidelines for dietary planning. In: Mahan LK, Escott–Stump S, editors. Krause’s food, nutrition, and diet therapy 11th edition. Philadelphia, Pennsylvania: Saunders Co; 2004. p. 364–412.
Metadata
Title
Predicting vitamin E and C consumption intentions and behaviors among factory workers based on protection motivation theory
Authors
Sahar Mohammad Nabizadeh
Parvaneh Taymoori
Mohammad Saleh Hazhir
Mehra Shirazi
Daem Roshani
Behzad Shahmoradi
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Environmental Health and Preventive Medicine / Issue 1/2018
Print ISSN: 1342-078X
Electronic ISSN: 1347-4715
DOI
https://doi.org/10.1186/s12199-018-0742-z

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