Indicators of modern health attitudes in an urban setting: An exploration of the attitude — Behavior relationship

This paper explores the components and determinants of health attitudes that have accompanied the process of modernization in Accra. Due to the numerous failures to predict behavior from unidimensional measures of attitudes, a multidimensional approach to health attitudes was used. Factor analysis of the components revealed that this multidimensional tripartite structure of health attitudes is theoretically meaningful. Both the simple correlational and multivariate analysis of responses form a sample interview survey of 1000 women show that social, structural and community factors are important determinants of modern health attitudes; and that the influence of modern health attitudes on utilization behavior is independent of the effects of education and general modernity. The implications of these for health care delivery are discussed.