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Outline
To explore the applicability and interventional value of integrating transfer cognition and environmental factors into the health action process approach (HAPA) model for understanding hygienic dietary behaviors associated with echinococcosis among Tibetan adolescents.
Using cluster random sampling, four schools in Nagchu Prefecture, Tibet were selected. Students from these schools completed a self-designed questionnaire. Structural equation modeling was employed to analyze the HAPA model integrated with transfer cognition and environmental factors.
This study included 2 934 adolescents. The qualified rate for hygienic dietary behaviors was 52.4%. Mediation analysis revealed that the indirect effect of action self-efficacy → intention for hygienic dietary behavior → action planning → hygienic dietary behavior was the largest (β=0.060, P<0.05), followed by action self-efficacy →maintenance self-efficacy → action planning → hygienic dietary behavior (β=0.014, P<0.05). Transfer cognition could indirectly influence hygienic dietary behaviors by affecting behavioral intention (β=0.013, P<0.05), action planning (β=0.010, P<0.05), and maintenance self-efficacy (β=0.007, P<0.05). Environmental factors influenced hygienic dietary behaviors either indirectly through action planning (β=0.008, P<0.05) or directly (β=0.15, P<0.05).
The HAPA model integrated with transfer cognition and environmental factors is applicable for explaining hygienic dietary behaviors related to echinococcosis among Tibetan adolescents. This provides a theoretical basis for the prevention and control of echinococcosis in Tibetan areas.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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