Pré-Publication, Document De Travail Année : 2025

Preventive Health Care Neglect: Brief review of research on motives and their underlying mechanisms

Ramesh Kumar
  • Fonction : Auteur
Catalin Barboianu
Carmen Garcia
  • Fonction : Auteur

Résumé

Understanding why individuals do not engage in recommended preventive or routine health behaviors is essential for designing effective interventions and improving public-health programs. Drawing on behavioral-psychology, decision-science, and social-ecological frameworks, this review synthesizes major findings on motives for health-neglect. Key theoretical frameworks (the Health Belief Model, Theory of Planned Behavior, COM-B) provide structure, while empirical evidence is drawn from screening uptake, blood-testing adherence, dental-care utilization, and broader preventive behaviors. Intervention evidence is reviewed, showing that multi-component, theory-based interventions are typically more effective than single-focus approaches. The principal conclusion is that motive-structures for not caring for health are multi-faceted and interactive: cognitive, motivational, affective, and structural factors combine; hence effective intervention must address multiple levels simultaneously. Limitations in the literature (heterogeneity, intention-behavior gap, equity issues) and interdisciplinary collaboration, as well as future research directions are discussed.

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hal-05383792 , version 1 (26-11-2025)

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  • HAL Id : hal-05383792 , version 1

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Ramesh Kumar, Catalin Barboianu, Carmen Garcia. Preventive Health Care Neglect: Brief review of research on motives and their underlying mechanisms. 2025. ⟨hal-05383792⟩
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