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Liu YW, Tang CC. Health Beliefs, Protective Behaviors, and Information-Seeking. Nurs Res 2024; 73:158-165. [PMID: 38193910 DOI: 10.1097/nnr.0000000000000712] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2024]
Abstract
BACKGROUND The outbreak of COVID-19 caused severe damage to public health globally and served as a stark reminder of the potential for future pandemics. Promoting protective behaviors to prevent the spread of any contagious disease thus remains a priority. Although research has shown that health beliefs can affect protective behaviors, few studies have examined the role of information-seeking in this relationship. OBJECTIVES On the basis of the health belief model, this research focused on whether health beliefs affect personal protective behaviors through health information-seeking behaviors. METHODS This cross-sectional study with a causal-comparative design used an online questionnaire to investigate the Taiwanese public's health beliefs, protective behaviors, and information-seeking behaviors during the COVID-19 pandemic. Data were analyzed using descriptive statistics and multiple regression analysis. RESULTS Between September 2021 and January 2022, 322 valid questionnaires were collected. The results revealed that the effects of two health beliefs-self-efficacy and perceived benefits-on handwashing, social distancing, practicing good cough etiquette, and keeping one's environment clean and well ventilated were partially mediated by the frequency of official information-seeking. DISCUSSION Results of this study support the regular and timely promotion of pandemic prevention measures through official sites. Promoting official information-seeking can help enhance protective behaviors.
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Tang CC, Chen H, Tsai SY, Wu WW. Factors Associated With Levels of Public Engagement in Protective Behaviors During the Early COVID-19 Pandemic: Causal-Comparative Study Based on the Health Belief Model. JMIR Hum Factors 2023; 10:e49687. [PMID: 38113083 PMCID: PMC10732231 DOI: 10.2196/49687] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Revised: 11/12/2023] [Accepted: 11/20/2023] [Indexed: 12/21/2023] Open
Abstract
BACKGROUND While the challenges of COVID-19 are still unfolding, the enhancement of protective behavior remains a top priority in global health care. However, current behavior-promoting strategies may be inefficient without first identifying the individuals with lower engagement in protective behavior and the associating factors. OBJECTIVE This study aimed to identify individuals with and potential contributing factors to low engagement in protective behavior during the COVID-19 pandemic. METHODS This is a causal-comparative study. A theory-based web-based survey was used to investigate individuals' protective behavior and potential associating factors. During June 2020, the distribution of the survey was targeted to 3 areas: Taiwan, Japan, and North America. Based on the theory of the health belief model (HBM), the survey collected participants' various perceptions toward COVID-19 and a collection of protective behaviors. In addition to the descriptive analysis, cluster analysis, ANOVA, and Fisher exact and chi-square tests were used. RESULTS A total of 384 responses were analyzed. More than half of the respondents lived in Taiwan, followed by Japan, then North America. The respondents were grouped into 3 clusters according to their engagement level in all protective behaviors. These 3 clusters were significantly different from each other in terms of the participants' sex, residency, perceived barriers, self-efficacy, and cues of action. CONCLUSIONS This study used an HBM-based questionnaire to assess protective behaviors against COVID-19 and the associated factors across multiple countries. The findings indicate significant differences in various HBM concepts among individuals with varying levels of behavioral engagement.
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Affiliation(s)
- Chia-Chun Tang
- School of Nursing, National Taiwan University College of Medicine, Taipei, Taiwan
- National Taiwan University Hospital, Taipei, Taiwan
| | - Hsi Chen
- School of Nursing, National Taiwan University College of Medicine, Taipei, Taiwan
| | - Shao-Yu Tsai
- School of Nursing, National Taiwan University College of Medicine, Taipei, Taiwan
- National Taiwan University Hospital, Taipei, Taiwan
| | - Wei-Wen Wu
- School of Nursing, National Taiwan University College of Medicine, Taipei, Taiwan
- National Taiwan University Hospital, Taipei, Taiwan
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Oz-Alcalay L, Elron E, Davidovich R, Chodick G, Osovsky M, Chen R, Ashkenazi-Hoffnung L. The association of neonatal SARS-CoV-2 anti-spike protein receptor-binding domain antibodies at delivery with infant SARS-CoV-2 infection under the age of 6 months: a prospective cohort study. Clin Microbiol Infect 2023:S1198-743X(23)00048-4. [PMID: 36739973 PMCID: PMC9897870 DOI: 10.1016/j.cmi.2023.01.023] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2022] [Revised: 01/24/2023] [Accepted: 01/29/2023] [Indexed: 02/05/2023]
Abstract
OBJECTIVES The aim of this study was to assess the association between neonatal SARS-CoV-2 antibody level at delivery and infant SARS-CoV-2 infection under the age of 6 months and to identify predictive factors for neonatal antibody level at delivery. METHODS In a prospective observational study, conducted between September 2021 and mid-February 2022, cord blood sera were tested for SARS-CoV-2 anti-spike receptor-binding domain antibodies after maternal BNT162b2 vaccination or infection. Infants were followed up for 6 months for SARS-CoV-2 infection. RESULTS Sixty-seven mother-infant dyads were enrolled; nine of those did not meet the eligibility criteria. Of the 58 mother-infant dyads included, 6-month follow-up data were available for 57 mother-infant dyads. The mean ± standard deviation log SARS-CoV-2 anti-spike antibody level at delivery was lower among infants who were COVID-19 positive versus negative during follow-up (3.41 ± 0.74 AU/mL, n = 12; vs. 3.87 ± 0.84 AU/mL, n = 46; p 0.036); a log titre of ≥4.07 AU/mL (11 750) at delivery was associated with a significantly lower likelihood of infant infection (1/26 vs. 11/32 in infants with antibody level of <4.07 log AU/mL, OR = 0.076 [95% CI, 0.076, 0.64], p 0.018). A spline curve model showed a linear decrease in antibody levels when the last dose was administered at ≤30 weeks of gestation (50 days before delivery), after which the antibody levels increased (R2 = 0.50). In multivariate analysis, more vaccine doses, prior maternal infection, and last administered dose at ≥31 weeks of gestation were associated with higher antibody levels at delivery. DISCUSSION Higher anti-spike antibodies at delivery were associated with decreased risk of COVID-19 at the age of <6 months; the antibody level decreased linearly when the last dose was administered at ≤30 weeks of gestation. Future research should assess the effectiveness of a second booster during pregnancy against infant infection.
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Affiliation(s)
- Lital Oz-Alcalay
- Department of Day Hospitalization, Schneider Children's Medical Center, Petach Tikva, Israel
| | - Eyal Elron
- Department of Day Hospitalization, Schneider Children's Medical Center, Petach Tikva, Israel
| | - Rotem Davidovich
- Department of Day Hospitalization, Schneider Children's Medical Center, Petach Tikva, Israel
| | - Gabriel Chodick
- Epidemiology and Database Research, Maccabi Healthcare Services, Israel,Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv, Israel
| | - Micky Osovsky
- Department of Neonatology, Rabin Medical Center-Beilinson Hospital, Petach Tikva, Israel
| | - Rony Chen
- Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv, Israel,Department of Obstetrics and Gynecology, Helen Schneider Hospital for Women, Rabin Medical Center-Beilinson Hospital, Petach Tikva, Israel
| | - Liat Ashkenazi-Hoffnung
- Department of Day Hospitalization, Schneider Children's Medical Center, Petach Tikva, Israel; Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv, Israel; Pediatric Infectious Diseases Unit, Schneider Children's Medical Center, Petach Tikva, Israel.
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Kucukkarapinar M, Karadag F, Budakoglu I, Aslan S, Ucar O, Pence AY, Timurcin U, Tumkaya S, Hocaoglu C, Kiraz I. The Relationship between COVID-19 Protection Behaviors and Pandemic-Related Knowledge, Perceptions, Worry Content, and Public Trust in a Turkish Sample. Vaccines (Basel) 2022; 10:vaccines10122027. [PMID: 36560437 PMCID: PMC9784616 DOI: 10.3390/vaccines10122027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2022] [Revised: 11/10/2022] [Accepted: 11/22/2022] [Indexed: 11/29/2022] Open
Abstract
Background: This study aimed to explore the effect of knowledge, COVID-19-related perceptions, and public trust on protective behaviors in Turkish people. Methods: Data were collected from an online survey (Turkish COVID-19 Snapshot Monitoring) conducted between July 2020 and January 2021. The recommended protective behaviors (hand cleaning, wearing a face mask, and physical distancing) to prevent COVID-19 were examined. The impacts of the following variables on protective behaviors were investigated using logistic regression analysis: knowledge, cognitive and affective risk perception, pandemic-related worry content, public trust, conspiracy thinking, and COVID-19 vaccine willingness. Results: Out of a total of 4210 adult respondents, 13.8% reported nonadherence to protection behavior, and 86.2% reported full adherence. Males and young (aged 18−30 years) people tend to show less adherence. Perceived self-efficacy, susceptibility, and correct knowledge were positively related to more adherence to protective behavior. Perceptual and emotional factors explaining protective behavior were perceived proximity, stress level, and worrying about the relatives who depended on them. Trust in health professionals and vaccine willingness were positive predictors, while conspiracy thinking and acquiring less information (<2, daily) were negative predictors. Unexpectedly, trust in the Ministry of Health showed a weak but negative association with protection behavior. Conclusions: Perceived stress, altruistic worries, and public trust seem to shape protection behaviors in addition to individuals’ knowledge and cognitive risk perception in respondents. Males and young people may have a greater risk for nonadherence. Reliable, transparent, and culture-specific health communication that considers these issues is required.
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Affiliation(s)
- Melike Kucukkarapinar
- Faculty of Medicine, Psychiatry Department, Gazi University, Ankara 06560, Turkey
- Neuroscience and Neurotechnology Center of Excellence (NÖROM), Ankara 06560, Turkey
- Correspondence:
| | - Filiz Karadag
- Faculty of Medicine, Psychiatry Department, Gazi University, Ankara 06560, Turkey
| | - Irem Budakoglu
- Faculty of Medicine, Department of Medical Education and Informatics, Gazi University, Ankara 06560, Turkey
| | - Selcuk Aslan
- Faculty of Medicine, Psychiatry Department, Gazi University, Ankara 06560, Turkey
| | - Onder Ucar
- Faculty of Medicine, Psychiatry Department, Gazi University, Ankara 06560, Turkey
| | - Aysegul Yay Pence
- Faculty of Medicine, Psychiatry Department, Gazi University, Ankara 06560, Turkey
| | - Utku Timurcin
- Faculty of Medicine, Gazi University, Phase VI, Ankara 06560, Turkey
| | - Selim Tumkaya
- Faculty of Medicine, Psychiatry Department, Pamukkale University, Denizli 20070, Turkey
| | - Cicek Hocaoglu
- Faculty of Medicine, Psychiatry Department, Recep Tayyip Erdogan University, Rize 53020, Turkey
| | - Ilknur Kiraz
- Faculty of Medicine, Psychiatry Department, Recep Tayyip Erdogan University, Rize 53020, Turkey
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Amoo OS, Tijani B, Onuigbo TI, Oraegbu JI, Kareithi DN, Obi JC, Adeniji ET, Dosunmu AA, Karera S, Filani T, Akinreni T, Ezike E, Owoseni K, Audu RA, Salako BL. Factors Affecting COVID-19 Testing Behaviours Among the Population in South Western Nigeria. Int J Public Health 2022; 67:1604993. [PMID: 36275434 PMCID: PMC9582156 DOI: 10.3389/ijph.2022.1604993] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Accepted: 09/23/2022] [Indexed: 11/13/2022] Open
Abstract
Objectives: The objective of this study was to assess the factors affecting testing behaviours amongst the population in Ondo and Lagos States. Methods: A cross-sectional study involving 704 individuals who were considered eligible for COVID-19 testing in 4 local governments in Lagos (307) and Ondo (397) states in Nigeria, was conducted from April-June 2021. Respondents were selected using simple random sampling. A close-ended questionnaire was administered using a digital survey platform known as SurveyCTO. Data were analyzed using R 4.1.0. Results: In Lagos state, 52.4% were females, 47.2% were males while in Ondo, 55.2% were females, 44.6% were male. Chi-square tests of association revealed that socio demographic factors significantly associated with testing patterns was education level in Lagos, and none in Ondo. Testing behavior associated with testing patterns included awareness of nearby COVID-19 testing centers, internet access, knowledge of preexisting conditions and having another member of the family testing positive at 5% significance level. Conclusion: Knowledge of pre-existing conditions, knowledge of COVID-19 symptoms, and knowing where to go when having symptoms were significantly associated with testing and willingness to test.
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Affiliation(s)
| | | | - Tochukwu Ifeanyi Onuigbo
- Nigerian Institute of Medical Research (NIMR), Lagos, Nigeria
- *Correspondence: Tochukwu Ifeanyi Onuigbo,
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Hyun WI, Son YH, Jung SO. Infection preventive behaviors and its association with perceived threat and perceived social factors during the COVID-19 pandemic in South Korea: 2020 community health survey. BMC Public Health 2022; 22:1381. [PMID: 35854280 PMCID: PMC9294775 DOI: 10.1186/s12889-022-13755-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2022] [Accepted: 07/07/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND This study examined why some individuals have not properly performed health prevention behavior during the coronavirus disease 2019 (COVID-19) pandemic. We used data from a community health survey conducted by public health centers in South Korea to identify factors affecting COVID-19 prevention behavior in urban and rural areas. Also, we examined whether individual-level demographic, socio-psychological, and structural variables affected COVID-19 prevention behavior by referring to a model explaining individuals' health prevention behavior. In particular, the study is significant as not many other measures were suggested besides compliance with personal quarantine rules during the early phase of the pandemic in 2020. We hope that the results of this study will be considered in further analysis of infection preventive behavior and in future health crises. METHODS Probability proportional and systematic sampling were used to collect data in 2020 from 229,269 individuals. After exclusion, the valid data from 141,902 adults (86,163 urban and 44,739 rural) were analyzed. We performed t-tests and analyses of variance to ascertain the differences in COVID-19 preventive behaviors according to demographic characteristics, and a post-hoc analysis was conducted using Scheffé's test. Factors that affected participants' COVID-19 preventive behaviors were analyzed using multiple regression analyses. RESULTS The variables significantly influencing COVID-19 preventive behaviors in urban areas were age, gender, living with two or more people, educational level, monthly household income, working status, influenza vaccination, daily life stress, and perceived threat. In rural areas, age, gender, living with two or more people, education level, influenza vaccination, daily life stress, perceived threat, and perceived social factors were significantly associated with increased COVID-19 preventive behaviors. CONCLUSIONS Several demographic characteristics were associated with urban and rural residents' COVID-19-related preventive behaviors. A different approach is needed for the two regions in future policy. Future studies should aim to improve the power of the model and include other factors that may be related to COVID-19 preventive behavior.
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Affiliation(s)
- Woo In Hyun
- College of Nursing, Ewha Woman's University, 52 Ewhayeodae-gil, Seodaemun-gu, Seoul, 03760, Republic of Korea
| | - Yoon Hee Son
- College of Nursing, Ewha Woman's University, 52 Ewhayeodae-gil, Seodaemun-gu, Seoul, 03760, Republic of Korea.
| | - Sun Ok Jung
- College of Nursing, Ewha Woman's University, 52 Ewhayeodae-gil, Seodaemun-gu, Seoul, 03760, Republic of Korea
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Okamoto Y, Hiyama T, Miyake Y, Yoshino A, Miyauchi S, Tanaka J. Attitudes and Behavior toward COVID-19 Vaccination in Japanese University Students: A Cross-Sectional Study. Vaccines (Basel) 2022; 10:vaccines10060863. [PMID: 35746471 PMCID: PMC9227836 DOI: 10.3390/vaccines10060863] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2022] [Revised: 05/15/2022] [Accepted: 05/25/2022] [Indexed: 12/10/2022] Open
Abstract
Background: It is said that safe and effective vaccination is an important tool to end the COVID-19 pandemic. However, recent studies have reported hesitation, especially in young adults. Promoting the vaccination of university students, who represent the young adults, will lead to infection prevention measures. The purpose of this study was to clarify to compare the vaccination rates, attitudes toward vaccines, and post-vaccination behavior of students and faculty members in order to understand the actual situation of young population. Methods: We conducted large-scale vaccination of Hiroshima University from 21 June to 18 September 2021. This cross-sectional survey was conducted via e-mail from 27 September to 3 October 2021. Results: The number of second inoculations was 10,833 /14,154 students (76.5%), and 2240/2583 staff members (86.7%). Regarding the impressions after vaccination, the most common answer was “I was able to prevent worsening of the disease even if I was infected”. Many students answered that their range of activities had expanded after vaccination. However, many students (n = 1799, 87.8%) answered as having “no change after vaccination” regarding infection prevention. Conclusion: The high vaccination rate in this survey was thought to be due to the increased sense of security and confidence in the vaccine. The fact that young adults who perform a wide range of activities are careful about infection prevention may be one of the factors that prevents the explosive spread of infection in Japan.
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Affiliation(s)
- Yuri Okamoto
- Health Service Center, Hiroshima University, 1-7-1 Kagamiyama, Higashihiroshima-city, Hiroshima 739-8514, Japan; (T.H.); (Y.M.); (A.Y.); (S.M.)
- Correspondence:
| | - Toru Hiyama
- Health Service Center, Hiroshima University, 1-7-1 Kagamiyama, Higashihiroshima-city, Hiroshima 739-8514, Japan; (T.H.); (Y.M.); (A.Y.); (S.M.)
| | - Yoshie Miyake
- Health Service Center, Hiroshima University, 1-7-1 Kagamiyama, Higashihiroshima-city, Hiroshima 739-8514, Japan; (T.H.); (Y.M.); (A.Y.); (S.M.)
| | - Atsuo Yoshino
- Health Service Center, Hiroshima University, 1-7-1 Kagamiyama, Higashihiroshima-city, Hiroshima 739-8514, Japan; (T.H.); (Y.M.); (A.Y.); (S.M.)
| | - Shunsuke Miyauchi
- Health Service Center, Hiroshima University, 1-7-1 Kagamiyama, Higashihiroshima-city, Hiroshima 739-8514, Japan; (T.H.); (Y.M.); (A.Y.); (S.M.)
| | - Junko Tanaka
- Department of Epidemiology, Infectious Disease Control and Prevention, Graduate School of Biomedical and Health Science, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8553, Japan;
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