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

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.