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Published in: Population and Environment 4/2020

20-05-2020 | Original Paper

Using the theory of planned behavior to identify key beliefs underlying heat adaptation behaviors in elderly populations

Authors: Pierre Valois, Denis Talbot, David Bouchard, Jean-Sébastien Renaud, Maxime Caron, Magalie Canuel, Natacha Arrambourg

Published in: Population and Environment | Issue 4/2020

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Abstract

As the literature on heat tolerance suggests that the elderly are generally more heat-intolerant and suffer more from the substantial impacts of excessive heat on human health, exacerbated by their higher rate of chronic diseases, it is important to learn how to better protect this vulnerable population. Moreover, many studies have shown that, despite their vulnerability, the elderly do not necessarily perceive themselves as being at risk or see heat waves as a danger to their health. This lower risk perception could hinder their adoption of adaptive behavior. Thus, using the theory of planned behavior and the health belief model, this study aimed at developing a more thorough understanding of what motivates older people from the province of Quebec, Canada, to adopt pro-adaptive behaviors to protect themselves from the heat, to better predict and explain their self-reported heat adaptation behaviors, and to identify their most important beliefs. In this quantitative study, a telephone sample of 1002 persons was used to explore the decision-making process of seniors in a way that led us to illustrate specific variables that could be targeted for awareness raising. All three variables of the theory of planned behavior (i.e., attitude, perceived social pressure, and perceived behavioral control) had a statistically significant impact on intention to adapt, while intention itself was linked to adoption of adaptive behaviors. This shows that increasing elderly people’s intention to adapt can have a positive impact on their adaptation to heat, which could help prevent this at-risk population from suffering the dangerous effects of heat waves.

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Footnotes
1
The study was reviewed and approved by the Laval University Human Research Ethics Committee.
 
Literature
go back to reference Ajzen, I. (1985). From intentions to actions: a theory of planned behavior. In J. Kuhl & J. Beckman (Eds.), Action-control: from cognition to behavior (pp. 11–39). Heidelberg: Springer.CrossRef Ajzen, I. (1985). From intentions to actions: a theory of planned behavior. In J. Kuhl & J. Beckman (Eds.), Action-control: from cognition to behavior (pp. 11–39). Heidelberg: Springer.CrossRef
go back to reference Ajzen, I. (2005). Attitudes, personality, and behavior. McGraw-Hill Education (UK). Ajzen, I. (2005). Attitudes, personality, and behavior. McGraw-Hill Education (UK).
go back to reference Ajzen, I. (2012). The theory of planned behavior. In P. A. M. Lange, A. W. Kruglanski, & E. T. Higgins (Eds.), Handbook of theories of social psychology (Vol. 1, pp. 438–459). London: Sage.CrossRef Ajzen, I. (2012). The theory of planned behavior. In P. A. M. Lange, A. W. Kruglanski, & E. T. Higgins (Eds.), Handbook of theories of social psychology (Vol. 1, pp. 438–459). London: Sage.CrossRef
go back to reference Bandalos, D. L., & Finney, S. J. (2001). Item parceling issues in structural equation modeling. In New developments and techniques in structural equation modeling (pp. 269–296). Mahwah: Lawrence Erlbaum Associates Publishers. Bandalos, D. L., & Finney, S. J. (2001). Item parceling issues in structural equation modeling. In New developments and techniques in structural equation modeling (pp. 269–296). Mahwah: Lawrence Erlbaum Associates Publishers.
go back to reference Bélanger, D., Séguin, J., & Canada (Eds.). (2008). Human health in a changing climate: a Canadian assessment of vulnerabilities and adaptive capacity. Ottawa: Health Canada. Bélanger, D., Séguin, J., & Canada (Eds.). (2008). Human health in a changing climate: a Canadian assessment of vulnerabilities and adaptive capacity. Ottawa: Health Canada.
go back to reference Bélanger, D., Gosselin, P., Valois, P., & Abdous, B. (2014). Perceived adverse health effects of heat and their determinants in deprived neighbourhoods: a cross-sectional survey of nine cities in Canada. International Journal of Environmental Research and Public Health, 11(11), 11028–11053. https://doi.org/10.3390/ijerph111111028.CrossRef Bélanger, D., Gosselin, P., Valois, P., & Abdous, B. (2014). Perceived adverse health effects of heat and their determinants in deprived neighbourhoods: a cross-sectional survey of nine cities in Canada. International Journal of Environmental Research and Public Health, 11(11), 11028–11053. https://​doi.​org/​10.​3390/​ijerph111111028.CrossRef
go back to reference Blachère, J.-C., & Perreault, S. (2011). Médicaments du système nerveux central et canicules: rapport et recommandations. Direction de la santé environnementale et de la toxicologie, Institut national de santé publique du Québec. Blachère, J.-C., & Perreault, S. (2011). Médicaments du système nerveux central et canicules: rapport et recommandations. Direction de la santé environnementale et de la toxicologie, Institut national de santé publique du Québec.
go back to reference Bustinza, R., Lebel, G., Dubé, M., & Institut national de santé publique du Québec, & Direction de la santé environnementale et de la toxicologie. (2017). Évaluation de la performance des avertissements de chaleur extrême émis par le système SUPREME au Québec de 2010 à 2016: changements extrêmes. Montréal: Institut national de santé publique du Québec http://www.santecom.qc.ca/Bibliothequevirtuelle/INSPQ/9782550792178.pdf. Accessed 24 January 2020. Bustinza, R., Lebel, G., Dubé, M., & Institut national de santé publique du Québec, & Direction de la santé environnementale et de la toxicologie. (2017). Évaluation de la performance des avertissements de chaleur extrême émis par le système SUPREME au Québec de 2010 à 2016: changements extrêmes. Montréal: Institut national de santé publique du Québec http://​www.​santecom.​qc.​ca/​Bibliothequevirt​uelle/​INSPQ/​9782550792178.​pdf. Accessed 24 January 2020.
go back to reference Byrne, B. M. (2012). Internationalizing courses in testing and assessment. In F. T. L. Leong, W. E. Pickren, M. M. Leach, & A. J. Marsella (Eds.), Internationalizing the psychology curriculum in the United States (pp. 131–155). New York: Springer. Byrne, B. M. (2012). Internationalizing courses in testing and assessment. In F. T. L. Leong, W. E. Pickren, M. M. Leach, & A. J. Marsella (Eds.), Internationalizing the psychology curriculum in the United States (pp. 131–155). New York: Springer.
go back to reference Canada, & Department of National Health and Welfare. (2011). Communicating the health risks of extreme heat events: toolkit for public health and emergency management officials. Ottawa: Health Canada. Canada, & Department of National Health and Welfare. (2011). Communicating the health risks of extreme heat events: toolkit for public health and emergency management officials. Ottawa: Health Canada.
go back to reference Conner, M., & Norman, P. (2005). Predicting health behaviour. Maidenhead, Berkshire: Open University Press. Conner, M., & Norman, P. (2005). Predicting health behaviour. Maidenhead, Berkshire: Open University Press.
go back to reference Gérardin, V., & McKenney, D. (2001). Une classification climatique du Québec à partir de modèles de distribution spatiale de données climatiques mensuelles : vers une définition des bioclimats du Québec. Direction du patrimoine écologique et du développement durable, ministère de l’Environnement, Québec. Gérardin, V., & McKenney, D. (2001). Une classification climatique du Québec à partir de modèles de distribution spatiale de données climatiques mensuelles : vers une définition des bioclimats du Québec. Direction du patrimoine écologique et du développement durable, ministère de l’Environnement, Québec.
go back to reference Hancock, G. R., & Mueller, R. O. (Eds.). (2013). Structural equation modeling: a second course (2nd ed.). Charlotte: Information Age Publishing, Inc.. Hancock, G. R., & Mueller, R. O. (Eds.). (2013). Structural equation modeling: a second course (2nd ed.). Charlotte: Information Age Publishing, Inc..
go back to reference Herrmann, A., & Sauerborn, R. (2018). General practitioners’ perceptions of heat health impacts on the elderly in the face of climate change—a qualitative study in Baden-Württemberg, Germany. International Journal of Environmental Research and Public Health, 15(5), 843. https://doi.org/10.3390/ijerph15050843.CrossRef Herrmann, A., & Sauerborn, R. (2018). General practitioners’ perceptions of heat health impacts on the elderly in the face of climate change—a qualitative study in Baden-Württemberg, Germany. International Journal of Environmental Research and Public Health, 15(5), 843. https://​doi.​org/​10.​3390/​ijerph15050843.CrossRef
go back to reference Hox, J. J., & Bechger, T. M. (1998). An introduction to structural equation modeling. Hox, J. J., & Bechger, T. M. (1998). An introduction to structural equation modeling.
go back to reference INSPQ. (2006). Vagues de chaleur, îlot thermique urbain et santé: Examen des initiatives actuelles d’adaptation aux changements climatiques au Québec (p. 15). INSPQ. (2006). Vagues de chaleur, îlot thermique urbain et santé: Examen des initiatives actuelles d’adaptation aux changements climatiques au Québec (p. 15).
go back to reference IPCC. (2014). Climate change 2014: impacts, adaptation, and vulnerability. Part A: global and sectoral aspects. Contribution of Working Group II to the Fifth Assessment Report of the Intergovernmental Panel on Climate Change. Cambridge and New York: Cambridge University Press. IPCC. (2014). Climate change 2014: impacts, adaptation, and vulnerability. Part A: global and sectoral aspects. Contribution of Working Group II to the Fifth Assessment Report of the Intergovernmental Panel on Climate Change. Cambridge and New York: Cambridge University Press.
go back to reference Kline, R. (2011). Principles and practice of structural equation modeling (3rd ed.). New York: Guildford Publications. Kline, R. (2011). Principles and practice of structural equation modeling (3rd ed.). New York: Guildford Publications.
go back to reference Kline, R. B. (2015). Principles and practice of structural equation modeling. Guilford Publications. Kline, R. B. (2015). Principles and practice of structural equation modeling. Guilford Publications.
go back to reference Lebel, G., Dubé, M., & Bustinza, R. (2019). Surveillance des impacts des vagues régionales de chaleur extrême sur la santé au Québec à l’été 2018. Publication INSPQ. Lebel, G., Dubé, M., & Bustinza, R. (2019). Surveillance des impacts des vagues régionales de chaleur extrême sur la santé au Québec à l’été 2018. Publication INSPQ.
go back to reference Lee, J., Little, T. D., & Preacher, K. J. (2011). Methodological issues in using structural equation models for testing differential item functioning. In E. Davidov, P. Schmidt, & J. Billiet (Eds.), Cross-cultural analysis: methods and applications (pp. 55–85). Routledge. Lee, J., Little, T. D., & Preacher, K. J. (2011). Methodological issues in using structural equation models for testing differential item functioning. In E. Davidov, P. Schmidt, & J. Billiet (Eds.), Cross-cultural analysis: methods and applications (pp. 55–85). Routledge.
go back to reference Marsh, H. W. (2007). Application of confirmatory factor analysis and structural equation modeling in sport and exercise psychology. In Handbook of sport psychology (3rd ed., pp. 774–798). Hoboken. Marsh, H. W. (2007). Application of confirmatory factor analysis and structural equation modeling in sport and exercise psychology. In Handbook of sport psychology (3rd ed., pp. 774–798). Hoboken.
go back to reference Millsap, E. (2011). Statistical methods for studying measurement invariance. Abingdon: Taylor and Francis. Millsap, E. (2011). Statistical methods for studying measurement invariance. Abingdon: Taylor and Francis.
go back to reference Muthén, L. K., & Muthén, B. O. (1998). Mplus: the comprehensive modeling program for applied researchers: user’s guide (version 1.0.). Los Angeles: Muthén & Muthén. Muthén, L. K., & Muthén, B. O. (1998). Mplus: the comprehensive modeling program for applied researchers: user’s guide (version 1.0.). Los Angeles: Muthén & Muthén.
go back to reference Muthén, L. K., & Muthén, B. O. (2015). Mplus user’s guide (7th ed.). Los Angeles: Muthén & Muthén. Muthén, L. K., & Muthén, B. O. (2015). Mplus user’s guide (7th ed.). Los Angeles: Muthén & Muthén.
go back to reference Oke, T. R. (1982). The energic basis of Urban Heat Island. Journal of the Royal Meteorological Society, 108(455), 1–24. Oke, T. R. (1982). The energic basis of Urban Heat Island. Journal of the Royal Meteorological Society, 108(455), 1–24.
go back to reference Richard, L., Kosatsky, T., & Renouf, A. (2011). Correlates of hot day air-conditioning use among middle-aged and older adults with chronic heart and lung diseases: the role of health beliefs and cues to action. Health Education Research, 26(1), 77–88. https://doi.org/10.1093/her/cyq072.CrossRef Richard, L., Kosatsky, T., & Renouf, A. (2011). Correlates of hot day air-conditioning use among middle-aged and older adults with chronic heart and lung diseases: the role of health beliefs and cues to action. Health Education Research, 26(1), 77–88. https://​doi.​org/​10.​1093/​her/​cyq072.CrossRef
go back to reference Sautory, O. (1993). La macro CALMAR: Redressement d’un échantillon par calage sur marges (No. F9310) (pp. 1–51). Paris: Direction des Statistiques Démographiques et Sociales. Sautory, O. (1993). La macro CALMAR: Redressement d’un échantillon par calage sur marges (No. F9310) (pp. 1–51). Paris: Direction des Statistiques Démographiques et Sociales.
go back to reference Schmeltz, M. T., Sembajwe, G., Marcotullio, P. J., Grassman, J. A., Himmelstein, D. U., & Woolhandler, S. (2015). Identifying individual risk factors and documenting the pattern of heat-related illness through analyses of hospitalization and patterns of household cooling. PLoS One, 10(3), e0118958. https://doi.org/10.1371/journal.pone.0118958.CrossRef Schmeltz, M. T., Sembajwe, G., Marcotullio, P. J., Grassman, J. A., Himmelstein, D. U., & Woolhandler, S. (2015). Identifying individual risk factors and documenting the pattern of heat-related illness through analyses of hospitalization and patterns of household cooling. PLoS One, 10(3), e0118958. https://​doi.​org/​10.​1371/​journal.​pone.​0118958.CrossRef
go back to reference Sterling, S. (2011). Transformative learning and sustainability: sketching the conceptual ground. Learning and Teaching in Higher Education, 5, 17–33. Sterling, S. (2011). Transformative learning and sustainability: sketching the conceptual ground. Learning and Teaching in Higher Education, 5, 17–33.
go back to reference United Nations, Department of Economic and Social Affairs, Population Division. (2015). World population ageing 2015 (No. ST/ESA/SET. A/390) (p. 164). New York, NY: United Nations New York, NY. United Nations, Department of Economic and Social Affairs, Population Division. (2015). World population ageing 2015 (No. ST/ESA/SET. A/390) (p. 164). New York, NY: United Nations New York, NY.
go back to reference Valois, P., Talbot, D., Carrier, M.-P., Renaud, J.-S., & Caron, M. (2016). Adaptation des personnes âgées à la chaleur l’été : identification des croyances dominantes. Québec: OQACC. Valois, P., Talbot, D., Carrier, M.-P., Renaud, J.-S., & Caron, M. (2016). Adaptation des personnes âgées à la chaleur l’été : identification des croyances dominantes. Québec: OQACC.
go back to reference Valois, P., Talbot, D., Caron, M., Carrier, M.-P., Morin, A. J. S., Renaud, J.-S., et al. (2017). Development and validation of a behavioural index for adaptation to high summer temperatures among urban dwellers. International Journal of Environmental Research and Public Health, 14(7), e14070820. https://doi.org/10.3390/ijerph14070820.CrossRef Valois, P., Talbot, D., Caron, M., Carrier, M.-P., Morin, A. J. S., Renaud, J.-S., et al. (2017). Development and validation of a behavioural index for adaptation to high summer temperatures among urban dwellers. International Journal of Environmental Research and Public Health, 14(7), e14070820. https://​doi.​org/​10.​3390/​ijerph14070820.CrossRef
go back to reference Zoellner, J. M., Porter, K. J., Chen, Y., Hedrick, V. E., You, W., Hickman, M., & Estabrooks, P. A. (2017). Predicting sugar-sweetened behaviours with theory of planned behaviour constructs: outcome and process results from the SIPsmartER behavioural intervention. Psychology & Health, 32(5), 509–529. https://doi.org/10.1080/08870446.2017.1283038.CrossRef Zoellner, J. M., Porter, K. J., Chen, Y., Hedrick, V. E., You, W., Hickman, M., & Estabrooks, P. A. (2017). Predicting sugar-sweetened behaviours with theory of planned behaviour constructs: outcome and process results from the SIPsmartER behavioural intervention. Psychology & Health, 32(5), 509–529. https://​doi.​org/​10.​1080/​08870446.​2017.​1283038.CrossRef
Metadata
Title
Using the theory of planned behavior to identify key beliefs underlying heat adaptation behaviors in elderly populations
Authors
Pierre Valois
Denis Talbot
David Bouchard
Jean-Sébastien Renaud
Maxime Caron
Magalie Canuel
Natacha Arrambourg
Publication date
20-05-2020
Publisher
Springer Netherlands
Published in
Population and Environment / Issue 4/2020
Print ISSN: 0199-0039
Electronic ISSN: 1573-7810
DOI
https://doi.org/10.1007/s11111-020-00347-5

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