Normative Beliefs Research Articles

A qualitative exploration of exercise motivation among colorectal cancer survivors: an application of the theory of planned behavior.

The purpose of this qualitative study was to use semi-structured interviews and thematic analysis to elicit key influencing factors (i.e., behavioral, normative, and control beliefs) related to physical activity and exercise in colorectal cancer survivors. Colorectal cancer survivors (N = 17) were recruited from exercise programs designed for colorectal cancer survivors at the Yonsei Cancer Center, Seoul, South Korea. A purposive sampling method was used. Interview questions were informed by the theory of planned behavior (TPB). Semi-structured face-to-face interviews were conducted, and open-ended questions addressed the research question. Interviews were transcribed verbatim and analyzed using thematic analysis. Participants were on average 2.2years post-treatment. The mean age of the sample was 55.9years. Key behavioral, normative, and control beliefs emerged in the data. For behavioral beliefs, colorectal cancer survivors believed that exercise would result in physical and psychological improvements, and improve their bowel problems. For normative beliefs, most colorectal cancer survivors wanted their oncologists' approval for participation of exercise. Family members, more specifically the spouse, were also influencing factors for colorectal cancer survivors adopting physical activity. The most frequently mentioned control belief was that supervised exercise with an exercise specialist made exercise participation easier. Beliefs identified in this study can inform TPB-based physical activity interventions tailored for colorectal cancer survivors. While information alone may not lead to behavior change, integrating these beliefs with other influential factors can potentially enhance intervention efficacy and promote physical activity in this population.

Drivers of Pro-Ecological Behaviour Norms among Environmentalists, Hunters and the General Public

The processes of industrialisation and urbanisation have substantially severed our connection with nature, causing detrimental effects on our ecosystems that underline the urgent necessity for sustainability-driven transformations. However, the dedication to sustainable practices depends on various factors and differs among different groups. This study employs the Value–Belief–Norm Theory of Environmentalism to investigate the impact of the New Ecological Paradigm (NEP), Connectedness to Nature (CNS), agricultural land stewardship, age and gender identity on pro-ecological personal norms. Data collection took place in Malta, an island state characterised by competing pressures over its land use. To encompass diverse group viewpoints, purposive sampling techniques were utilised, engaging environmentalists, hunters, and representatives from the general public. The findings obtained from hierarchical multiple regression analysis highlight a noteworthy positive impact of NEP, CNS, agricultural land stewardship, and age, which collectively explain 40% of the variance in pro-ecological personal norms. The identification of these drivers can provide directions for facilitating the implementation of educational, environmental and legislative policies that can help nurture and foster a sustainable relationship between humans and nature.

Factors contributing to the rising prevalence of waterpipe smoking dependence among university students: a cross-sectional study

IntroductionWaterpipe smoking (WPS) has been associated with a variety of adverse health effects, consequences, and symptoms of nicotine dependence. This study aims to determine the prevalence of WPS dependence among Palestinian university waterpipe smoking students, their normative beliefs about WPS, and their relationship to dependence.MethodsA cross-sectional study of current WPS university students at five major Palestinian universities was conducted from September to December 2022. Participants were recruited using convenient sampling, and data collection was carried out via an interviewer-administered questionnaire. We assessed students’ WPS dependence using the Lebanese Waterpipe Dependence Scale. We used the Poisson regression model with robust variance to analyze factors independently associated with high WPS dependence.ResultsThe study included 746 current WPS university students. Results revealed a high prevalence of WPS dependence, with 69.4% (95%CI: 66.0-72.7%) exhibiting high dependence. Factors contributing to high WPS dependence included dual cigarette smoking (aPR: 1.18; 95%CI: 1.12–1.25), studying medical sciences (aPR: 1.13; 95%CI: 1.10–1.18), friends’ approval of WPS (aPR: 1.25; 95%CI: 1.17–1.34), daily WPS frequency (aPR: 1.98; 95%CI: 1.39–2.23), spending more than 50% of daily allowance on WPS (aPR: 1.37; 95%CI: 1.10–1.64), and morning WPS sessions (aPR: 1.97; 95%CI: 1.31–2.27). The study highlighted the influence of social factors, such as peers’ approval and perceived prevalence, on WPS dependence.ConclusionsWPS dependence is prevalent among university students, and it is associated with morning WPS, dual smoking, and increased WPS frequency. Notably, peer and cultural factors are essential primary motivators. As a result, it is critical to incorporate WPS considerations into Palestine’s antismoking health promotion program. Therefore, it is vital to incorporate WPS into the Palestinian antismoking health promotion policy, and the health education of adolescents regarding the dangers of WPS should coincide with antismoking initiatives.

A reasoned action approach to understanding anti-corruption intentions among MBA (accounting) students in Ghana

Drawing on the reasoned action approach theory, the study aimed to examine the logical pattern involved in the development and manifestation of anti-corruption (ethical) intentions among accounting students. Data were collected from 447 Master of Business Administration (MBA) (Accounting) students in Ghana, using an explanatory correlational design and a simple random sampling technique. The results indicated that the ethical attitude of MBA (Accounting) students is primarily influenced by mimetic, coercive beliefs, and religiosity, with normative belief showing no significant contribution to shaping ethical attitudes. The findings imply that ethical attitude in accounting serves as a pertinent precursor to the anti-corruption intentions of MBA (Accounting) students. The study recommends that institutions should allow accounting students to uphold their religious values, and that efforts to enhance ethical accounting attitudes should be promoted to foster anti-corruption behaviours among accounting students.

Participant‐driven salient beliefs regarding abortion: Implications for abortion attitude measurement

AbstractObjectiveGuided by the Reasoned Action Approach, we used a salient belief elicitation (SBE) to elicit participant‐generated beliefs regarding abortion. SBE is a formative research technique used to elicit people's control (i.e., perceived facilitators and barriers associated with a behavior), behavioral (i.e., perceived positive and negative consequences of doing a behavior), and normative (i.e., influence of important people/peers regarding a behavior) beliefs regarding a particular behavior (i.e., abortion).MethodsWe administered our SBE to English‐ and Spanish‐speaking U.S. adults (N = 608) from NORC's AmeriSpeak® panel. We used inductive content and thematic analyses to assess open‐ended questions.ResultsWe found that participants’ control and behavioral beliefs referenced circumstances used to assess abortion attitudes in polling item (e.g., rape) and reasons people seek abortion (e.g., financial reasons) as well as potential negative emotions (e.g., shame) and positive consequences (e.g., autonomy) associated with abortion. Participants indicated pregnant people's partners and people seeking abortion as salient referents.ConclusionParticipants mentioned several contexts reflected in common measures used to assess abortion attitudes by national polls and surveys. However, we also found other relevant circumstances not reflected in common measures and a range of salient referents. We recommend abortion attitudes measures account for these participant‐driven salient beliefs.

The Patient Perspective on Colectomy for Recurrent Diverticulitis: A Qualitative Study.

Understand the patient's decision-making process regarding colectomy for recurrent diverticulitis. The decision to pursue elective colectomy for recurrent diverticulitis is highly preference-sensitive. Little is known about the patient's perspective in this decision-making process. We performed a qualitative study utilizing focus groups of patients with recurrent diverticulitis at 3 centers across the United States. Using an iterative inductive/deductive approach, we developed a conceptual framework to capture the major themes identified in the coded data. From March 2019 to July 2020, 39 patients were enrolled across 3 sites and participated in 6 focus groups. After coding the transcripts using a hierarchical coding system, a conceptual framework was developed. Major themes identified included participants' beliefs about surgery, such as normative beliefs (eg, subjective, value placed on surgery), control beliefs (eg, self-efficacy, stage of change), and anticipated outcomes (eg, expectations, anticipated regret); the role of behavioral management strategies (eg, fiber, eliminate bad habits); emotional experiences (eg, depression, embarrassment); current symptoms (eg, severity, timing); and quality of life (eg, cognitive load, psychosocial factors). Three sets of moderating factors influencing patient choice were identified: clinical history (eg, source of diagnosis, multiple surgeries), clinical protocols (eg, pre-op and post-op education), and provider-specific factors (eg, specialty, choice of surgeon). Patients view the decision to undergo colectomy through 3 major themes: their beliefs about surgery, their psychosocial context, and moderating factors that influence participant choice to undergo surgery. This knowledge is essential both for clinicians counseling patients who are considering colectomy and for researchers studying the process to optimize care for recurrent diverticulitis.

Measurement of public acceptance of TDM policies using combination of public policy acceptance (PPA) and value belief norm (VBN) approach

One strategy to overcome the problem of imbalance between the demand and supply of road transportation that causes congestion is to apply transport demand management (TDM). TDM is a series of transportation policies aimed at achieving sustainable transportation by reducing the use of private vehicles and prioritizing public transport and/or non-motorized vehicles. The level of public acceptance of TDM largely determines the success of TDM implementation. Through the Value Belief Norm Theory approach, it can be seen that public acceptance of TDM policies will be influenced by how high the norm of community partiality towards the environment. The level of public acceptance of a TDM regulation can also be measured by the Public Policy Acceptance (PPA) Model. The results of the study proved that acceptance of TDM strategy implementation was quite significantly influenced by the pro-environment attitude of the community. The PPA model result showed that people tend to be skeptical of the implementation of TDM policies.

Determinan Niat Generasi Milenial di Indonesia Menggunakan Kosmetik Halal dengan Literasi Halal sebagai Variabel Moderasi

This research aims to investigate the influence of religious commitment and self-efficacy as internal variables on the purchasing behavior of Halal cosmetics among the Millennial Generation in Indonesia. Additionally, the study examines the moderating role of Halal literacy in the relationships between behavior, subjective norms, perceived behavioral control, and intentions to purchase Halal cosmetics. The research employs a quantitative method with Structural Equation Modeling analysis using SmartPLS 4.0 software. The findings reveal that religious commitment and self-efficacy significantly influence the purchasing behavior of the Millennial Generation regarding Halal cosmetics, and normative beliefs significantly affect subjective norms. Furthermore, attitude and subjective norms exhibit a significant relationship with the intention to purchase Halal cosmetics, while perceived behavioral control does not show significance. Moreover, Halal literacy has a positive moderating effect on behavior and subjective norms concerning the purchase intention. However, halal literacy does not moderate the relationship between perceived behavioral control the purchase intention.

Possibilities, representations, and norms of belief: remarks on David Hunter’s On Believing

ABSTRACT David Hunter’s On Believing is a rich and worthwhile defense of a distinctive view about the objects and nature of belief. In these comments, I discuss three aspects of the book. I agree with Hunter that the objects of belief are properties or (as I prefer to refer to them) states of affairs. But I argue that he has too narrow a view of the range of possible objects of belief. I defend the idea that belief is in part a matter of representing the world, an idea Hunter appears to criticize. And I defend the idea that one or another truthy property provides a norm for evaluating beliefs.

Theory of Planned Behavior applied to the choice of food with preservatives by owners and for their dogs.

Many pet owners make food choices for their pets that are similar to those they make for themselves, and food characteristics such as the presence of preservatives can influence this decision. The Theory of Planned Behavior (TPB) is a tool used to predict intentions and behavior and can be an important indicator for the pet food industry. The aim of this study was to investigate pet owner behavior regarding food with or without preservatives, based on the behavior prediction of TPB. A questionnaire was distributed with questions related to direct (attitude, subjective norms, and perceived behavioral control) and indirect (behavioral beliefs, normative beliefs, and intentions) measures for the analysis of TPB. For the statistical analysis the structural equation modeling (SEM) was used. The correlation between owner behavior and the behavior imposed on their dog's diet was evaluated by paired T test or paired Wilcoxon test according to variables' adherence or not to normality, respectively. A total of 1,021 answers were evaluated after the inclusion and exclusion criteria were applied. The results indicated that TPB was effective in predicting the intentions (r2 = 0.58 for dogs and r2 = 0.59 for owners) and behavior (r2 = 0.58 for dogs and r2 = 0.57 for owners) regarding the intake of diets without preservatives. It was observed that owners are more concerned with the diet of their dogs than their own and they believe that the intake of preservatives can be prejudicial to the health of their dogs (p<0.001). However, owners trust more in pet food manufacturers than human food manufacturers (p<0.001). Therefore, it can be concluded that TPB can be an important tool to understand consumer behavior towards their dog food, and that the industry should intensify its approach on safety of preservatives in pet food, since many owners still believe they can be prejudicial to dogs.

Barriers and facilitators to a task-shifted stroke prevention program for children with sickle cell anemia in a community hospital: a qualitative study

BackgroundChildren with sickle cell anemia (SCA) are at high risk for stroke. Protocols for stroke prevention including blood transfusions, screening for abnormal non-imaging transcranial Doppler (TCD) measurements, and hydroxyurea therapy are difficult to implement in low-resource environments like Nigeria. This study aimed to examine the contextual factors around TCD screening in a community hospital in Nigeria using qualitative interviews and focus groups.MethodsWe conducted a descriptive qualitative study in a community hospital in Kaduna, Nigeria, using focus groups and interviews. Interview guides and analysis were informed by the Consolidated Framework for Implementation Research (CFIR) framework and the Theory of Planned Behavior. Transcripts were coded and analyzed using an iterative deductive (CFIR)/Inductive (transcribed quotes) qualitative methodology.ResultsWe conducted two focus groups and five interviews with health care workers (nurses and doctors) and hospital administrators, respectively. Themes identified key elements of the inner setting (clinic characteristics, resource availability, implementation climate, and tension for change), characteristics of individuals (normative, control, and behavioral beliefs), and the implementation process (engage, implement, and adopt), as well as factors that were influenced by external context, caregiver needs, team function, and intervention characteristics. Task shifting, which is already being used, was viewed by providers and administrators as a necessary strategy to implement TCD screening in a clinic environment that is overstressed and under-resourced, a community stressed by poverty, and a nation with an underperforming health system.ConclusionTask shifting provides a viable option to improve health care by making more efficient use of already available human resources while rapidly expanding the human resource pool and building capacity for TCD screening of children with SCD that is more sustainable.Trial registrationNCT05434000.

Waste management behaviour in the most populated capital city of the world

PurposeA prime objective of the Swachh Bharat Abhiyan (SBA; Clean India Mission) is to motivate people to segregate their household waste. The purpose of this study is to assess the ground reality of waste management behaviour of Delhi residents with the help of a modified Value–Belief–Norm (VBN) model. Past researches point the need to include cost as a variable in the VBN model. This study fulfils this need and tests cost as one of the variables on the gathered data.Design/methodology/approachThe research data were gathered by interacting with the people and the civic staff in the jurisdiction of the three Delhi municipalities through a stratified sampling technique (N = 250). The structural equation modelling was used to analyse the collected data.FindingsThe modified VBN model explains the waste management behaviour, but the variables do not follow the exact causal chain. Values, awareness of consequences, ascription of responsibility and personal norms all explain the resident's waste management behaviour. However, cost limits the resident's waste management behaviour.Research limitations/implicationsThe study could only achieve a moderate model fit; its sample size was small; and data were collected through self-reported questionnaire.Practical implicationsThree main practical implications of the study are: (1) While designing waste management solutions, due importance must be given to the cost to be borne by people for adopting these solutions. (2) Design such interventions that target residents' values to convince them to make the desired behavioural change. (3) People need be educated about the ways to sort waste and made aware of the importance of waste segregation in eradicating the urban waste mess.Originality/valueThe paper is an original contribution to testing a modified VBN model in predicting waste management behaviour. The modified model includes cost as a variable missing in the previous research. This research is useful in the backdrop of the SBA and provides suggestions for policymakers and pro-environment researchers.

Perceptions of psychosocial safety behaviour (PSB): Qualitative insights on workplace psychosocial safety perceptions & actions within a policing context

Recent behaviour-based approaches to workplace safety have articulated the need to operationalise psychosocial safety behaviour (PSB) as a unique construct within the safety behaviour literature. Research has yet to operationalise PSB according to context-specific psychosocial hazards, nor to identify the individual, interpersonal and systemic enablers and barriers to PSB performance. The present study addresses this gap by identifying the day-to-day psychosocial safety-focused actions and perceptions of psychosocial hazards within a cohort of road policing officers. Semi-structured interviews were conducted in a sample of frontline officers, supervisors, and peer support officers to operationalise context-specific psychosocial safety behaviours. Officer attitudes, control and normative beliefs associated with psychosocial safety behaviour domains were examined according to Ajzen’s (1991) Theory of Planned Behaviour. While examples of both compliance and participatory safety behaviours were cited across all work roles, PSB enactment was more likely characterised as participatory and interpersonally driven in nature. Participant responses consistently referenced the intergenerational effects of PSB role modelling and positive supervisor attitudes towards mental health on PSB awareness and enactment. Positive attitudes towards mental health, perceptions of behavioural control and trust in leadership were nominated as salient factors influencing PSB enactment. The findings of our study extend the existing nomological network of PSB by considering the influences of socio- cognitive and workplace systems influences on psychosocial safety enactment.

Social norms that sustain transactional sex and associations with sexual health outcomes: A mixed-methods study in the Comarca Ngäbe-Buglé, a rural-Indigenous region of Panama.

The Comarca Ngäbe-Buglé (CNB), home to >200,000 Indigenous people, is one of the poorest regions in Panama. We describe transactional sex (TS) behaviours, normative beliefs and factors associated with TS among Indigenous adolescents(14-19years) in the CNB. We conducted a mixed-methods study in the CNB between January and November 2018, which included a qualitative study with participant observation and semi-structured interviews that focused on descriptive norms related to TS; and a cross-sectional study among public-school-going adolescents using self-administered questionnaire to report sexual behaviour and injunctive norms related to TS. Participants in the epidemiological study were also asked to submit samples for HIV, syphilis, chlamydia, and gonorrhoea testing. Qualitative thematic analysis was used to organise and analyse field notes and semi-structured interviews. Quantitative analysis included four models: TS experience and acceptance of a TS offer and the associations of these outcome variables with demographic and behavioural variables and HIV/STI infections. In the qualitative study among 20 adolescents, we found that people offering TS were reported to be from within and outside of the community, and included older men and women, and disturbingly, teachers. Participants reported feeling individual and collective agency in the decision to engage in TS and described little social sanctions for participation. In the quantitative study among 700 adolescents(309 girls[45.1%],379 boys[54.9%]), we found that girls(18.8%;58/309) and boys(15.5%;58/379) reported similar levels of having been offered TS, and of acceptance among those offered(girls 81.4% [35/43]; boys 77.8% [35/45]). TS was found to be associated with the reported forced sex and HIV/syphilis seropositivity. Due to widespread acceptance and feelings of agency, interventions would not be effective if they focused on eliminating the transactional component of sexual encounters. Instead, interventions should focus on individual and household economic stability, increasing violence reporting, bringing perpetrators to justice, and adopting condom use during all sexual encounters.

Using FLO text-messages to enhance health behaviours and self-management of long-term conditions in South-Asian patients.

Cultural and communication differences faced by South-Asian (SA) ethnic minority groups have led to challenges in the delivery of health care and complex management of long-term conditions (LTCs). We aim to explore the use of text-messaging in SA communities, through the Florence (FLO) health messaging system utilised within U.K. health sectors, to enhance positive health behaviours and self-management. A mixed-methods approach was used for this study involving two phases. Phase 1 includes the administration of the patient activation measure to assess SA patient level of skills, knowledge, and confidence to self-manage their LTC; whilst in Phase 2 semi-structured interviews were conducted, exploring the experiences of users and non-users of FLO text messaging to promote self-management behaviours. Forty participants (Florence users (n = 20) and non-users (n = 20)) completed the patient activation survey once after using FLO, and took part in interviews. Differences were noted to exist between the two groups (p < .01). Users appeared to have higher activation levels and better self-management behaviours (p < .01 (p = .00). Interviews elicit participants' perceptions of the text messaging system, along with key themes relative to behavioural constructs: socio-demographical factors; influencing behaviour changes, self-management, and uptake of text messages amongst SA ethnic minorities. Text messaging and mHealth are being extensively used amongst general populations to monitor and enhance health. The study of SA patient experiences and their use of text messages within the United Kingdom (UK) remains scarce. Therefore, results from the study identify health beliefs that influence patient engagement with digital health interventions and their self-management. Developing policies and culturally appropriate education guidelines for healthcare practitioners can allow for the provision of culturally sensitive interventions tailored in terms of normative, cultural, and religious beliefs; which in turn will address crucial aspects including SA patient information and educational needs supporting their self-management journey.

Religious beliefs and their reasons, according to Raymond Boudon

The sociologist Raymond Boudon sought to explain increasingly complex social phenomena. After studying collective actions, he focused on collective beliefs: he was first interested in positivist beliefs, such as science, and then turned to normative beliefs, such as morality or politics. At the end of his career, he increasingly homed in on religious beliefs. This article aims to bring together the elements of his final contribution. First, a modeling of each person’s reasons to believe is presented, along with a dynamic formulation of the rational evolution of religious beliefs. This then allows me to position this theory in relation to the theories it coincides with—those of classical sociologists such as Alexis de Tocqueville, Max Weber, and Émile Durkheim—and those it refutes, namely the naturalistic theories of suspicion from Jean-Jacques Rousseau, Auguste Comte, and Karl Marx to the most extreme neuroscientists. To enhance the analysis, I will contrast this theory with Peter Berger’s, who uses similar sources, and with the epistemology of religious beliefs, which criticizes the same opponents.

Factors that Influence Healthcare Professionals' Intentions towards Biosimilars.

Background: Physicians often prescribe original biologic products to patients who have not used them before and are reluctant to switch to biosimilars. Biosimilars are highly similar versions of already-approved biologics, but healthcare professionals typically hesitate to transition patients from the original products to biosimilars. This study aims to investigate the factors that influence U.S. healthcare professionals' intentions to use biosimilars. Methods: A cross-sectional study was conducted. 510 participants were eligible healthcare professionals (279 physicians and 231 pharmacists). The theory of planned behavior (TPB) is used to identify which factors affect healthcare professionals' intentions. Descriptive statistics, chi-square, and the logistic regression model tested the TPB constructs as predictors of intentions toward biosimilars. Results: Among 279 physicians, most were aged 61 and above, with high (n = 142) and low (n = 137) intentions. Male physicians constituted 71% of the population. Attending physicians (66.3%) showed consistent perceptions towards biosimilars, primarily in the private sector (76.3%). Pharmacists (n = 231), a higher percentage of females demonstrated higher intentions compared to males (35.5% vs. 28.1%); the majority were community pharmacists. Associations between years of practice and intentions were significant. Positive correlations existed between beliefs and intentions, except for normative beliefs. Conclusions: This study revealed diverse attitudes among healthcare professionals towards biosimilars in the USA. Pharmacists and physicians, especially those with limited experience, require ongoing education on biosimilar manufacturing pathways. This education supports the appropriate use of biosimilars and helps standardize federal and state legislation.

Exploring the Impact of Multiple Predictors on Teachers’ Willingness to Intervene in Relational Bullying: The Moderating Role of Victim-Blaming Tendency

ABSTRACT This study examined how normative beliefs, identification scores, perceived severity, self-efficacy in intervention, and victim-blaming tendencies impact teachers’ willingness to intervene in relational bullying. Two groups of Taiwanese teachers (145 and 541 participants) completed self-developed questionnaires. Reliability and validity were assessed using Rasch analysis for the first group, while the second group’s data were analyzed through hierarchical multiple regression. The results indicated that normative beliefs, perceived severity, victim-blaming tendencies, and self-efficacy significantly predicted teachers’ willingness to intervene. Additionally, victim-blaming tendencies moderated the relationship between intervention efficacy and willingness. Specifically, under conditions of low self-efficacy, a high victim-blaming tendency led to a significantly reduced willingness to intervene. This study underscores the importance of improving teachers’ awareness and skills in addressing relational bullying.

Differences in Normative Beliefs and Tobacco Product Use by Age Among Adults Who Smoke: Cross-Sectional Analysis of a Nationally Representative Sample.

The prevalence of combusted cigarette (CC) smoking among older adults is stagnant, with 0 declines attributable to e-cigarette (EC) use. Given that normative beliefs are associated with quitting and switching to ECs, we assessed cross-sectional associations between age, CC, and EC descriptive and injunctive norms and potential interactions with tobacco use behavior. Data are from people with current, established (≥100 lifetime CCs) CC use (n = 8072) at Wave 5 (2018-2019) of the adult Population Assessment of Tobacco and Health Study. We used adjusted multivariable logistic regressions to model social norms as a function of age (18-24, 25-34, 35-44, 45-54, 55-64, ≥65 years). We also dichotomized age (≥55 vs 18-54) to investigate interactions between age and social norms on past 12-month CC quit attempts and past-month EC use. Older age was positively associated with pro- and anti-CC norms and anti-EC norms. Significant interactive effects revealed that being advised to quit smoking by a healthcare provider was more strongly associated with CC quit attempts among adults ≥55 years (adjusted odds ratio [aOR] [95% CI]: 2.12 [1.66, 2.71]) than adults <55 years (aOR: 1.63 [1.34, 2.00]). Reporting people close to you use ECs was also more strongly associated with EC use among adults ≥55 years (aOR: 4.37 [3.35, 5.69]) than among adults <55 years (aOR: 3.43 [2.89, 4.08]). This study identified modifiable risk factors for tobacco use that may be particularly beneficial for older adults. Behavioral and communication interventions that target normative beliefs may maximize smoking cessation, or harm reduction when cessation is not possible.

Theory of Planned Behavior in Anti-Corruption Behavior of STKIP PGRI Situbondo Students

The main objectives of this research is to build and increase awareness so that there will be changes in behavior among students regarding anti-corruption behavior. This research is a qualitative and quantitative descriptive research with the subject of this research being the first semester economics class of the economics education study program with a sample size of 35 students in this research, namely 35 respondents. The measurement results obtained are control belief variables, normative beliefs, behavioral beliefs and behavioral variables. Of the four indicators above, the average agree and strongly agree was 57.76%. So that the impact of instilling values in this anti-corruption course is effective in the STKIP PGRI Situbondo campus environment and can be used as a solution to maintain behavior in society to avoid corruption. Preventing acts of corruption among students can also be prevented with positive affirmations during lectures. This is the first step so that students can control themselves through positive input or affirmation by lecturers who teach anti-corruption education courses. One of the things that is very important in an action is control beliefs which is an indicator in this research.