<\/span><\/h2>\nHBM ra \u0111\u1eddi kh\u00f4ng ph\u1ea3i t\u1eeb m\u1ed9t ph\u00f2ng th\u00ed nghi\u1ec7m y\u00ean t\u0129nh, m\u00e0 t\u1eeb m\u1ed9t th\u1ea5t b\u1ea1i th\u1ef1c t\u1ebf v\u00e0o nh\u1eefng n\u0103m 1950. Khi \u0111\u00f3, c\u00e1c nh\u00e0 khoa h\u1ecdc x\u00e3 h\u1ed9i t\u1ea1i D\u1ecbch v\u1ee5 Y t\u1ebf C\u00f4ng c\u1ed9ng Hoa K\u1ef3 (Hochbaum, Rosenstock v\u00e0 Kegels) \u0111\u00e3 b\u1ed1i r\u1ed1i khi ng\u01b0\u1eddi d\u00e2n t\u1eeb ch\u1ed1i ch\u1ee5p X-quang ph\u1ed5i mi\u1ec5n ph\u00ed \u0111\u1ec3 t\u1ea7m so\u00e1t lao \u2013 m\u1ed9t c\u0103n b\u1ec7nh ch\u1ebft ng\u01b0\u1eddi th\u1eddi b\u1ea5y gi\u1edd.<\/p>\n
H\u1ecd nh\u1eadn ra r\u1eb1ng, \u0111\u1ec3 m\u1ed9t ng\u01b0\u1eddi thay \u0111\u1ed5i, c\u1ea7n ph\u1ea3i th\u1ecfa m\u00e3n 3 gi\u1ea3 \u0111\u1ecbnh c\u1ed1t l\u00f5i<\/b>:<\/p>\n\n- C\u00e1 nh\u00e2n \u0111\u00f3 ph\u1ea3i tin r\u1eb1ng m\u00ecnh c\u00f3 th\u1ec3 tr\u00e1nh \u0111\u01b0\u1ee3c t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe ti\u00eau c\u1ef1c.<\/li>\n
- H\u1ecd ph\u1ea3i tin r\u1eb1ng h\u00e0nh \u0111\u1ed9ng c\u1ee5 th\u1ec3 (nh\u01b0 \u0111i ch\u1ee5p X-quang) s\u1ebd c\u00f3 hi\u1ec7u qu\u1ea3 trong vi\u1ec7c ng\u0103n ch\u1eb7n nguy c\u01a1 \u0111\u00f3.<\/li>\n
- H\u1ecd ph\u1ea3i tin r\u1eb1ng m\u00ecnh c\u00f3 kh\u1ea3 n\u0103ng th\u1ef1c hi\u1ec7n h\u00e0nh \u0111\u1ed9ng \u0111\u00f3 th\u00e0nh c\u00f4ng.<\/li>\n<\/ol>\n
Ch\u00ednh t\u1eeb nh\u1eefng th\u1ea5t b\u1ea1i n\u00e0y, HBM \u0111\u00e3 tr\u1edf th\u00e0nh n\u1ec1n t\u1ea3ng \u0111\u1ec3 thi\u1ebft k\u1ebf c\u00e1c chi\u1ebfn d\u1ecbch y t\u1ebf c\u1ed9ng \u0111\u1ed3ng hi\u1ec7n \u0111\u1ea1i, t\u1eeb ph\u00f2ng ch\u1ed1ng HIV \u0111\u1ebfn ki\u1ec3m so\u00e1t b\u1ec7nh tim m\u1ea1ch.<\/p>\n
<\/span>3. \u0110i\u1ec3m b\u1ea5t ng\u1edd 3: Tr\u1eadn chi\u1ebfn c\u00e2n n\u00e3o gi\u1eefa “L\u1ee3i \u00edch” v\u00e0 “R\u00e0o c\u1ea3n”<\/span><\/h2>\nM\u1ecdi h\u00e0nh vi s\u1ee9c kh\u1ecfe \u0111\u1ec1u l\u00e0 m\u1ed9t ph\u00e9p t\u00ednh kinh t\u1ebf trong t\u00e2m tr\u00ed: L\u1ee3i \u00edch nh\u1eadn th\u1ee9c (Perceived Benefits)<\/b> \u0111\u1ed1i \u0111\u1ea7u v\u1edbi R\u00e0o c\u1ea3n nh\u1eadn th\u1ee9c (Perceived Barriers)<\/b>.<\/p>\n
M\u1ed9t minh ch\u1ee9ng \u0111i\u1ec3n h\u00ecnh l\u00e0 nghi\u00ean c\u1ee9u n\u0103m 2012 tr\u00ean 204 gia \u0111\u00ecnh t\u1ea1i Abadeh, Iran v\u1ec1 vi\u1ec7c ph\u00f2ng ch\u1ed1ng b\u1ec7nh d\u1ea1i. Nghi\u00ean c\u1ee9u n\u00e0y ch\u1ec9 ra r\u1eb1ng h\u00e0nh \u0111\u1ed9ng b\u1ea3o v\u1ec7 t\u1ef7 l\u1ec7 thu\u1eadn v\u1edbi t\u1ed5ng ki\u1ebfn th\u1ee9c m\u00e0 h\u1ecd c\u00f3. Tuy nhi\u00ean, ngay c\u1ea3 khi bi\u1ebft l\u1ee3i \u00edch c\u1ee7a vi\u1ec7c ti\u00eam ph\u00f2ng cho v\u1eadt nu\u00f4i, nhi\u1ec1u ng\u01b0\u1eddi v\u1eabn ch\u1ea7n ch\u1eeb do r\u00e0o c\u1ea3n v\u1ec1 “kh\u00f4ng gian nu\u00f4i nh\u1ed1t”. H\u1ecd c\u1ea3m th\u1ea5y vi\u1ec7c thi\u1ebfu di\u1ec7n t\u00edch \u0111\u1ec3 gi\u1eef \u0111\u1ed9ng v\u1eadt c\u00e1ch ly v\u1edbi m\u00f4i tr\u01b0\u1eddng s\u1ed1ng l\u00e0 m\u1ed9t tr\u1edf ng\u1ea1i qu\u00e1 l\u1edbn so v\u1edbi l\u1ee3i \u00edch nh\u1eadn \u0111\u01b0\u1ee3c.<\/p>\n
T\u01b0\u01a1ng t\u1ef1, trong t\u1ea7m so\u00e1t ung th\u01b0 v\u00fa (mammography), r\u00e0o c\u1ea3n c\u00f3 th\u1ec3 l\u00e0 s\u1ef1 thi\u1ebfu h\u1ee5t b\u1ea3o hi\u1ec3m ho\u1eb7c kho\u1ea3ng c\u00e1ch \u0111\u1ecba l\u00fd \u0111\u1ebfn ph\u00f2ng kh\u00e1m, d\u00f9 ng\u01b0\u1eddi ph\u1ee5 n\u1eef bi\u1ebft r\u00f5 vi\u1ec7c ph\u00e1t hi\u1ec7n s\u1edbm s\u1ebd c\u1ee9u s\u1ed1ng ch\u00ednh m\u00ecnh.<\/p>\n
<\/span>4. \u0110i\u1ec3m b\u1ea5t ng\u1edd 4: Nh\u1eefng “C\u00fa h\u00edch” v\u00f4 h\u00ecnh (Cues to Action)<\/span><\/h2>\n\u0110\u00f4i khi, nh\u1eadn th\u1ee9c l\u00e0 ch\u01b0a \u0111\u1ee7, ch\u00fang ta c\u1ea7n nh\u1eefng t\u00e1c nh\u00e2n k\u00edch th\u00edch \u0111\u1ec3 chuy\u1ec3n t\u1eeb \u00fd \u0111\u1ecbnh sang h\u00e0nh \u0111\u1ed9ng. HBM g\u1ecdi \u0111\u00e2y l\u00e0 c\u00e1c T\u00edn hi\u1ec7u h\u00e0nh \u0111\u1ed9ng (Cues to Action)<\/b>.<\/p>\n
Nh\u1eefng “c\u00fa h\u00edch” n\u00e0y c\u00f3 th\u1ec3 \u0111\u1ebfn t\u1eeb b\u00ean ngo\u00e0i nh\u01b0: m\u1ed9t chi\u1ebfn d\u1ecbch gi\u00e1o d\u1ee5c tr\u00ean truy\u1ec1n th\u00f4ng, \u00e1p l\u1ef1c t\u1eeb b\u1ea1n b\u00e8, ho\u1eb7c m\u1ed9t l\u1eddi nh\u1eafc nh\u1edf \u0111\u1ecbnh k\u1ef3 tr\u00ean m\u1ea1ng x\u00e3 h\u1ed9i v\u1ec1 vi\u1ec7c quan h\u1ec7 t\u00ecnh d\u1ee5c an to\u00e0n. N\u00f3 c\u0169ng c\u00f3 th\u1ec3 \u0111\u1ebfn t\u1eeb b\u00ean trong, ch\u1eb3ng h\u1ea1n nh\u01b0 khi b\u1ea1n ch\u1ee9ng ki\u1ebfn m\u1ed9t ng\u01b0\u1eddi th\u00e2n m\u1eafc b\u1ec7nh (nh\u01b0 ti\u1ec1n s\u1eed gia \u0111\u00ecnh c\u00f3 ng\u01b0\u1eddi b\u1ecb ung th\u01b0 v\u00fa), c\u00fa s\u1ed1c \u0111\u00f3 s\u1ebd th\u00fac \u0111\u1ea9y b\u1ea1n \u0111i ki\u1ec3m tra ngay l\u1eadp t\u1ee9c.<\/p>\n
<\/span>5. \u0110i\u1ec3m b\u1ea5t ng\u1edd 5: “Ni\u1ec1m tin v\u00e0o b\u1ea3n th\u00e2n” m\u1edbi l\u00e0 m\u1ea3nh gh\u00e9p quy\u1ebft \u0111\u1ecbnh<\/span><\/h2>\nD\u00f9 b\u1ea1n bi\u1ebft b\u1ec7nh nguy hi\u1ec3m v\u00e0 thu\u1ed1c c\u00f3 l\u1ee3i, nh\u01b0ng n\u1ebfu b\u1ea1n kh\u00f4ng tin m\u00ecnh c\u00f3 th\u1ec3 l\u00e0m \u0111\u01b0\u1ee3c, b\u1ea1n s\u1ebd kh\u00f4ng bao gi\u1edd b\u1eaft \u0111\u1ea7u. \u0110\u00e2y l\u00e0 kh\u00e1i ni\u1ec7m N\u0103ng l\u1ef1c t\u1ef1 th\u00e2n (Self-efficacy)<\/b>.<\/p>\n
Trong c\u00e1c nghi\u00ean c\u1ee9u y t\u1ebf, c\u00e1c chuy\u00ean gia \u0111o l\u01b0\u1eddng y\u1ebfu t\u1ed1 n\u00e0y r\u1ea5t c\u1ee5 th\u1ec3 qua c\u00e1c cu\u1ed9c kh\u1ea3o s\u00e1t. V\u00ed d\u1ee5, \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng th\u1ef1c hi\u1ec7n h\u00e0nh vi tr\u00e1nh thai, ng\u01b0\u1eddi ta th\u01b0\u1eddng h\u1ecfi: “Tr\u00ean thang \u0111i\u1ec3m t\u1eeb 1 \u0111\u1ebfn 5 (v\u1edbi ‘1’ l\u00e0 kh\u00f4ng th\u00e0nh th\u1ea1o v\u00e0 ‘5’ l\u00e0 r\u1ea5t th\u00e0nh th\u1ea1o), b\u1ea1n c\u1ea3m th\u1ea5y m\u00ecnh th\u00e0nh th\u1ea1o \u0111\u1ebfn m\u1ee9c n\u00e0o trong vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p tr\u00e1nh thai nh\u01b0 bao cao su hay thu\u1ed1c h\u1ed7 tr\u1ee3?”<\/i>. N\u1ebfu m\u1ed9t ng\u01b0\u1eddi ch\u1ea5m \u0111i\u1ec3m th\u1ea5p, h\u1ecd \u0111ang thi\u1ebfu ni\u1ec1m tin v\u00e0o n\u0103ng l\u1ef1c c\u1ee7a m\u00ecnh, v\u00e0 \u0111\u00e2y ch\u00ednh l\u00e0 \u0111i\u1ec3m m\u1ea5u ch\u1ed1t c\u1ea7n can thi\u1ec7p h\u01a1n l\u00e0 ch\u1ec9 cung c\u1ea5p th\u00eam ki\u1ebfn th\u1ee9c.<\/p>\n<\/span>6. \u0110i\u1ec3m b\u1ea5t ng\u1edd 6: T\u1ea1i sao HBM kh\u00f4ng ph\u1ea3i l\u00e0 “chi\u1ebfc \u0111\u0169a th\u1ea7n”<\/span><\/h2>\nM\u1eb7c d\u00f9 m\u1ea1nh m\u1ebd, nh\u01b0ng HBM v\u1eabn c\u00f3 nh\u1eefng “\u0111i\u1ec3m m\u00f9” m\u00e0 c\u00e1c chuy\u00ean gia truy\u1ec1n th\u00f4ng c\u1ea7n l\u01b0u \u00fd:<\/p>\n
\n- B\u1ecf qua \u0111\u1ed9ng l\u1ef1c x\u00e3 h\u1ed9i:<\/b> N\u00f3 ch\u01b0a t\u00ednh \u0111\u1ebfn c\u00e1c h\u00e0nh vi \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n v\u00ec s\u1ef1 ch\u1ea5p nh\u1eadn c\u1ee7a x\u00e3 h\u1ed9i (social acceptability) thay v\u00ec l\u00fd do s\u1ee9c kh\u1ecfe.<\/li>\n
- Y\u1ebfu t\u1ed1 m\u00f4i tr\u01b0\u1eddng:<\/b> M\u00f4 h\u00ecnh \u0111\u00f4i khi b\u1ecf qua c\u00e1c r\u00e0o c\u1ea3n th\u1ef1c t\u1ebf t\u1eeb m\u00f4i tr\u01b0\u1eddng s\u1ed1ng c\u00f3 th\u1ec3 ng\u0103n ch\u1eb7n h\u00e0nh vi ngay c\u1ea3 khi c\u00e1 nh\u00e2n c\u00f3 ni\u1ec1m tin m\u1ea1nh m\u1ebd.<\/li>\n
- Gi\u1ea3 \u0111\u1ecbnh v\u1ec1 th\u00f4ng tin:<\/b> HBM m\u1eb7c \u0111\u1ecbnh m\u1ecdi ng\u01b0\u1eddi \u0111\u1ec1u ti\u1ebfp c\u1eadn \u0111\u01b0\u1ee3c l\u01b0\u1ee3ng th\u00f4ng tin nh\u01b0 nhau.<\/li>\n
- R\u00e0o c\u1ea3n kinh t\u1ebf – x\u00e3 h\u1ed9i:<\/b> Thu nh\u1eadp, h\u1ecdc v\u1ea5n v\u00e0 \u0111i\u1ec1u ki\u1ec7n s\u1ed1ng l\u00e0 nh\u1eefng bi\u1ebfn s\u1ed1 m\u00e0 m\u00f4 h\u00ecnh n\u00e0y ch\u01b0a ph\u1ea3n \u00e1nh \u0111\u1ea7y \u0111\u1ee7.<\/li>\n
- Thi\u1ebfu h\u01b0\u1edbng d\u1eabn th\u1ef1c h\u00e0nh:<\/b> HBM gi\u1ea3i th\u00edch t\u1ea1i sao<\/i> ch\u00fang ta thay \u0111\u1ed5i, nh\u01b0ng l\u1ea1i kh\u00f4ng ch\u1ec9 ra c\u1ee5 th\u1ec3 c\u00e1ch th\u1ee9c<\/i> t\u1eebng b\u01b0\u1edbc \u0111\u1ec3 thay \u0111\u1ed5i.<\/li>\n<\/ul>\n
V\u00ec l\u00fd do n\u00e0y, c\u00e1c chuy\u00ean gia th\u01b0\u1eddng k\u1ebft h\u1ee3p HBM v\u1edbi M\u00f4 h\u00ecnh Sinh th\u00e1i x\u00e3 h\u1ed9i (Socio-Ecological Model)<\/b> \u0111\u1ec3 t\u1ea1o ra m\u1ed9t chi\u1ebfn l\u01b0\u1ee3c to\u00e0n di\u1ec7n, t\u00e1c \u0111\u1ed9ng t\u1eeb c\u00e1 nh\u00e2n \u0111\u1ebfn c\u1ed9ng \u0111\u1ed3ng v\u00e0 m\u00f4i tr\u01b0\u1eddng.<\/p>\n<\/span>L\u1eddi k\u1ebft v\u00e0 Suy ng\u1eabm<\/span><\/h2>\nM\u00f4 h\u00ecnh Ni\u1ec1m tin S\u1ee9c kh\u1ecfe cho ch\u00fang ta th\u1ea5y con ng\u01b0\u1eddi kh\u00f4ng ph\u1ea3i l\u00e0 nh\u1eefng c\u1ed7 m\u00e1y logic kh\u00f4 khan. H\u00e0nh \u0111\u1ed9ng c\u1ee7a ch\u00fang ta l\u00e0 s\u1ef1 giao thoa gi\u1eefa n\u1ed7i s\u1ee3, ni\u1ec1m tin, s\u1ef1 t\u00ednh to\u00e1n v\u00e0 c\u1ea3 nh\u1eefng t\u00edn hi\u1ec7u t\u1eeb m\u00f4i tr\u01b0\u1eddng. Hi\u1ec3u \u0111\u01b0\u1ee3c HBM l\u00e0 b\u01b0\u1edbc \u0111\u1ea7u ti\u00ean \u0111\u1ec3 ch\u00fang ta ng\u1eebng tr\u00e1ch m\u00f3c b\u1ea3n th\u00e2n v\u1ec1 s\u1ef1 tr\u00ec ho\u00e3n v\u00e0 b\u1eaft \u0111\u1ea7u thi\u1ebft k\u1ebf nh\u1eefng “c\u00fa h\u00edch” th\u00f4ng minh h\u01a1n cho ch\u00ednh m\u00ecnh.<\/p>\n
H\u00e3y th\u1eed nh\u00ecn l\u1ea1i m\u1ed9t th\u00f3i quen s\u1ee9c kh\u1ecfe m\u00e0 b\u1ea1n \u0111ang b\u1ecf ng\u1ecf: R\u00e0o c\u1ea3n l\u1edbn nh\u1ea5t \u0111ang ng\u0103n c\u00e1ch b\u1ea1n v\u1edbi m\u1ed9t l\u1ed1i s\u1ed1ng l\u00e0nh m\u1ea1nh h\u01a1n l\u00e0 g\u00ec? Sau khi ph\u00e2n t\u00edch 6 y\u1ebfu t\u1ed1 tr\u00ean, b\u1ea1n c\u00f3 th\u1ea5y r\u00e0o c\u1ea3n \u0111\u00f3 th\u1ef1c s\u1ef1 l\u1edbn nh\u01b0 b\u1ea1n t\u1eebng ngh\u0129 kh\u00f4ng?<\/b><\/p>\n","protected":false},"excerpt":{"rendered":"
\u0110\u00e3 bao gi\u1edd b\u1ea1n t\u1ef1 h\u1ecfi t\u1ea1i sao ch\u00fang ta bi\u1ebft r\u00f5 t\u00e1c h\u1ea1i c\u1ee7a thu\u1ed1c l\u00e1 nh\u01b0ng v\u1eabn kh\u00f3 b\u1ecf, hay bi\u1ebft t\u1ea7m quan tr\u1ecdng c\u1ee7a vi\u1ec7c kh\u00e1m s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3 nh\u01b0ng l\u1ea1i lu\u00f4n c\u00f3 l\u00fd do \u0111\u1ec3 tr\u00ec ho\u00e3n? Trong t\u00e2m l\u00fd h\u1ecdc h\u00e0nh vi, \u0111\u00e2y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 “kho\u1ea3ng c\u00e1ch gi\u1eefa […]\n","protected":false},"author":1,"featured_media":290,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[37,21],"tags":[58,60,59],"class_list":["post-289","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-c7-mo-hinh-niem-tin-suc-khoe","category-hoc-ve-y-te-cong-cong","tag-hbm","tag-health-belief-model-hbm","tag-niem-tin-suc-khoe"],"yoast_head":"\n
Ngh\u1ecbch l\u00fd c\u1ee7a s\u1ef1 hi\u1ec3u bi\u1ebft: T\u1ea1i sao ch\u00fang ta "bi\u1ebft m\u00e0 kh\u00f4ng l\u00e0m" v\u1edbi ch\u00ednh s\u1ee9c kh\u1ecfe c\u1ee7a m\u00ecnh? - Mr.YTCC<\/title>\n<meta name=\"description\" content=\"M\u00f4 h\u00ecnh Ni\u1ec1m tin S\u1ee9c kh\u1ecfe (Health Belief Model - HBM) l\u00e0 chi\u1ebfc ch\u00eca kh\u00f3a gi\u00fap ch\u00fang ta hi\u1ec3u th\u1ea5u nh\u1eefng \u0111\u1ed9ng l\u1ef1c th\u1ea7m k\u00edn v\u00e0 nh\u1eefng r\u00e0o c\u1ea3n v\u00f4 h\u00ecnh chi ph\u1ed1i m\u1ecdi quy\u1ebft \u0111\u1ecbnh ch\u0103m s\u00f3c b\u1ea3n th\u00e2n c\u1ee7a con ng\u01b0\u1eddi.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/mrytcc.com\/index.php\/2026\/04\/11\/nghich-ly-cua-su-hieu-biet-tai-sao-chung-ta-biet-ma-khong-lam-voi-chinh-suc-khoe-cua-minh\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ngh\u1ecbch l\u00fd c\u1ee7a s\u1ef1 hi\u1ec3u bi\u1ebft: T\u1ea1i sao ch\u00fang ta "bi\u1ebft m\u00e0 kh\u00f4ng l\u00e0m" v\u1edbi ch\u00ednh s\u1ee9c kh\u1ecfe c\u1ee7a m\u00ecnh? 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