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Lee AR, Gonzalez A, Garcia JM, Martinez LS, Oren E. COVID-19 risk perceptions, self-efficacy, and prevention behaviors among California undergraduate students. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2024; 72:1707-1716. [PMID: 35816746 PMCID: PMC9837940 DOI: 10.1080/07448481.2022.2089843] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/16/2021] [Revised: 04/27/2022] [Accepted: 06/09/2022] [Indexed: 06/15/2023]
Abstract
OBJECTIVE College students play a major role in the transmission of SARS-CoV-2, the viral agent responsible for COVID-19. We aim to understand risk perceptions, self-efficacy, and adoption of prevention behaviors in this population to inform prevention strategies. PARTICIPANTS Undergraduate students attending a large public university. METHODS A convenience sample of students were surveyed (April-June 2020). Participants self-reported risk perceptions, perceived risk of contracting COVID-19, self-efficacy, and prevention behavior engagement. RESULTS A total of 1,449 students were included in the analysis. The majority were women (71.2%) and aged 18-24 (86.6%). Freshmen had the lowest risk and threat perceptions, as did men; men also had lower self-efficacy. Women engaged significantly more in prevention behaviors compared to men. CONCLUSIONS Perceived risk of contracting COVID-19 was low, but overall adoption of prevention behaviors was high due to local mandates. Freshmen men were identified as having the greatest need for changing perceptions and behaviors.
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Affiliation(s)
- Adrienne R. Lee
- School of Public Health, Division of Epidemiology, San Diego State University, 5500 Campanile Dr, San Diego, CA, USA 92182
- Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, 9500 Gilman Dr, La Jolla, CA, USA 92093
| | - Alex Gonzalez
- School of Public Health, Division of Epidemiology, San Diego State University, 5500 Campanile Dr, San Diego, CA, USA 92182
- College of Letters and Arts, Division of Latin American Studies, San Diego State University, 5500 Campanile Dr, San Diego, CA, USA 92182
| | - Jenna M. Garcia
- School of Public Health, Division of Epidemiology, San Diego State University, 5500 Campanile Dr, San Diego, CA, USA 92182
| | - Lourdes S. Martinez
- School of Communication, San Diego State University, 5500 Campanile Dr, San Diego, CA, USA 92182
| | - Eyal Oren
- School of Public Health, Division of Epidemiology, San Diego State University, 5500 Campanile Dr, San Diego, CA, USA 92182
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Gong X, Xu J, He Y, Zou G, Liu J. Socioeconomic inequalities in human papillomavirus knowledge and vaccine uptake: evidence from a cross-sectional study in China. Front Public Health 2024; 12:1399192. [PMID: 38993697 PMCID: PMC11236539 DOI: 10.3389/fpubh.2024.1399192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2024] [Accepted: 06/14/2024] [Indexed: 07/13/2024] Open
Abstract
Objective Providing the human papillomavirus (HPV) vaccine is effective to eliminate the disparity in HPV-related cancers. It is unknown regarding inequality in the distribution of HPV vaccination in China since the vaccine was licensed and approved for use in 2016. This study aimed to examine socioeconomic inequalities in HPV-related knowledge and vaccination and identified factors associated with such inequalities. Methods Self-administered questionnaires measuring HPV-related knowledge and vaccine uptake were completed by 1,306 women through online survey platform. HPV knowledge was assessed using a 12-item question stem that covered the hazards of HPV infection, HPV vaccine dosage, benefits, and protection. Cluster analysis by combining monthly household income, educational level, and employment status was used to identify socioeconomic status (SES) class. The concentration index (CI) was employed as a measure of socioeconomic inequalities in HPV-related knowledge and vaccination. Linear regression and logistic regression were established to decompose the contributions of associated factors to the observed inequalities. Results The CI for HPV-related knowledge and vaccine uptake was 0.0442 and 0.1485, respectively, indicating the higher knowledge and vaccination rate were concentrated in groups with high SES. Education and household income made the largest contribution to these inequalities. Age, residency and cervical cancer screening were also important contributors of observed inequalities. Conclusion Socioeconomic inequalities in HPV-related knowledge and vaccination uptake are evident in China. Interventions to diffuse HPV-related information for disadvantaged groups are helpful to reduce these inequalities. Providing low or no-cost HPV vaccination and ensuring accessibility of vaccines in rural areas are also considered to be beneficial.
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Affiliation(s)
- Xiaoqian Gong
- Administrative Office, Yuebei People's Hospital, Medical College, Shantou University, Shaoguan, Guangdong, China
| | - Jing Xu
- Quality Management Department, Yuebei People's Hospital, Medical College, Shantou University, Shaoguan, Guangdong, China
| | - Yuzhen He
- Nursing Department, Yuebei People's Hospital, Medical College, Shantou University, Shaoguan, Guangdong, China
| | - Guofang Zou
- Gynecology Department, Yuebei People's Hospital, Medical College, Shantou University, Shaoguan, Guangdong, China
| | - Jing Liu
- Administrative Office, Yuebei People's Hospital, Medical College, Shantou University, Shaoguan, Guangdong, China
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Perrey C, Mailles A, Septfons A, Charmet T, Cheny O, Von Platen C, Huet P, Lévy-Bruhl D, Galmiche S, Fontanet A, Jauffret-Roustide M. Contributions of the qualitative Qualicor study embedded in a cohort study on the circumstances of SARS-CoV 2 infection in France. Infect Dis Now 2024; 54:104943. [PMID: 38936477 DOI: 10.1016/j.idnow.2024.104943] [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: 01/23/2024] [Revised: 06/20/2024] [Accepted: 06/24/2024] [Indexed: 06/29/2024]
Abstract
OBJECTIVES This study aims to understand a major result of ComCor, an online epidemiological study conducted to identify the circumstances of COVID-19 infection in France from 2020 to 2022: One third of respondents reported ignoring the circumstances of their infection. METHODS We conducted a qualitative study through semi-structured interviews, diagnosed in spring or summer 2021. Interviews were audio recorded, transcribed, and thematically analyzed. RESULTS Fifty interviews were conducted. Half of the participants in Qualicor were able to identify several at-risk situations, most often involving their entourage (family, friends, colleagues), but were uncertain as to which specific situation was the source of infection. Less than one quarter strongly suspected a specific situation without certainty, a similar proportion were unable to identify any circumstances, and only two people were certain about the origin of the infection. Several factors contributed to this lack of knowledge: a desire to conceal these circumstances (in a few rare cases), limitations of the questionnaire, lack of knowledge about how the virus is transmitted, selective perception of at-risk situations, co-existence of several possible sources of infection, and the difficulty of taking an objective view of certain circumstances of transmission. CONCLUSION Our study shows the benefits of a mixed approach designed to better understand the perception of Covid 19 contamination circumstances in the French population. It also highlights the need to strengthen or improve communication on modes of virus transmission, especially airborne transmission, and the importance of maintaining certain preventive behaviors after vaccination.
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Affiliation(s)
| | | | | | - Tiffany Charmet
- Emerging Diseases Epidemiology Unit, Institut Pasteur, Université Paris Cité, Paris, France
| | - Olivia Cheny
- Center for Translational Research, Institut Pasteur, Université Paris Cité, Paris, France
| | - Cassandre Von Platen
- Center for Translational Research, Institut Pasteur, Université Paris Cité, Paris, France
| | | | | | - Simon Galmiche
- Emerging Diseases Epidemiology Unit, Institut Pasteur, Université Paris Cité, Paris, France; Sorbonne Université, Ecole Doctorale Pierre Louis de Santé Publique, Paris, France
| | - Arnaud Fontanet
- Emerging Diseases Epidemiology Unit, Institut Pasteur, Université Paris Cité, Paris, France; Unité PACRI, Conservatoire National des Arts et Métiers, Paris, France
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Liu T, Song X, Zhu Q. Exploring the relationship between older adults' online health information seeking, negative emotions and prevention behaviors in the pandemic context: a two-wave longitudinal study. Front Public Health 2024; 12:1377017. [PMID: 38932787 PMCID: PMC11199787 DOI: 10.3389/fpubh.2024.1377017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2024] [Accepted: 05/27/2024] [Indexed: 06/28/2024] Open
Abstract
Introduction During the COVID-19 pandemic, older adults were facing more mental health issues that may cause complex impacts on pandemic prevention, and turning to the internet for health information is a double-edged sword for them. This study aimed to investigate the reciprocal relationship between negative emotions and prevention behaviors in older adults, as well as the direct and moderating effects of online health information seeking (OHIS) on negative emotions and prevention behaviors. Methods Based on the common-sense model of self-regulation (CSM) and a sample of more than 20,000 participants from the Survey of Health, Aging and Retirement in Europe (SHARE), this study first used an autoregressive cross-lagged panel model (CLPM) to analyze the longitudinal effect of negative emotions on prevention behaviors. Second, the study used ordinary least squares (OLS) regression to explore the influence of OHIS usage frequency changes on negative emotions and prevention behaviors. Third, the study used multigroup analysis to examine the moderating effect of OHIS usage frequency changes on the CLPM. Results The findings indicate a significant longitudinal association where initial negative emotions predicted later prevention behaviors (β = 0.038, p < 0.001), and increased OHIS frequency was linked to positive changes in prevention behavior (β = 0.109, p < 0.001). Multigroup analysis revealed that the connection between negative emotions or increased negative emotions and prevention behaviors remained significant for those with no change or an increase in OHIS frequency but not for those with a decrease. Conclusion This study suggested that negative emotions may drive older adults to engage more in prevention behaviors and that OHIS can augment this effect. These results underscore the importance of addressing mental health and providing reliable online health information to support older adults in managing infectious disease risks.
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Affiliation(s)
- Tianchang Liu
- School of Information Management, Nanjing University, Nanjing, China
| | - Xiaokang Song
- School of Management, Xuzhou Medical University, Nanjing, China
| | - Qinghua Zhu
- School of Information Management, Nanjing University, Nanjing, China
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Lee JJ, Kim J, Lee SK. Trends of fear and anger on YouTube during the initial stage of the COVID-19 outbreak in South Korea. BMC Public Health 2024; 24:1496. [PMID: 38835010 DOI: 10.1186/s12889-024-19023-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2023] [Accepted: 05/31/2024] [Indexed: 06/06/2024] Open
Abstract
BACKGROUND The COVID-19 pandemic has been the most widespread and threatening health crisis experienced by the Korean society. Faced with an unprecedented threat to survival, society has been gripped by social fear and anger, questioning the culpability of this pandemic. This study explored the correlation between social cognitions and negative emotions and their changes in response to the severe events stemming from the COVID-19 pandemic in South Korea. METHODS The analysis was based on a cognitive-emotional model that links fear and anger to the social causes that trigger them and used discursive content from comments posted on YouTube's COVID-19-related videos. A total of 182,915 comments from 1,200 videos were collected between January and December 2020. We performed data analyses and visualizations using R, Netminer 4.0, and Gephi software and calculated Pearson's correlation coefficients between emotions. RESULTS YouTube videos were analyzed for keywords indicating cognitive assessments of major events related to COVID-19 and keywords indicating negative emotions. Eight topics were identified through topic modeling: causes and risks, perceptions of China, media and information, infection prevention rules, economic activity, school and infection, political leaders, and religion, politics, and infection. The correlation coefficient between fear and anger was 0.462 (p < .001), indicating a moderate linear relationship between the two emotions. Fear was the highest from January to March in the first year of the COVID-19 outbreak, while anger occurred before and after the outbreak, with fluctuations in both emotions during this period. CONCLUSIONS This study confirmed that social cognitions and negative emotions are intertwined in response to major events related to the COVID-19 pandemic, with each emotion varying individually rather than being ambiguously mixed. These findings could aid in developing social cognition-emotion-based public health strategies through education and communication during future pandemic outbreaks.
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Affiliation(s)
- Jae-Joon Lee
- Sookmyung Research Institute of Humanities, Sookmyung Women's University, 100 Cheongparo 47 gel, Yongsan-gu, Seoul, 04310, South Korea
| | - Jongwoo Kim
- BK21Four Program, Department of Sociology, Yonsei University, 3-101, 84 Mapo-daero 11 gil, Mapo-gu, Seoul, 04133, South Korea
| | - Soo-Kyoung Lee
- Seoul National University, Bigdata Convergence and Open Sharing System 1, Gwanak-ro, Gwanak-gu, Seoul, 08826, South Korea.
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Duong HT, Sun Y, Van Nguyen LT, Nguyen KT, Popova L. Before Omicron's Arrival: Effects of Negative Emotions and Comparative Optimism on COVID-19 Protection and Detection Behaviors. HEALTH COMMUNICATION 2024; 39:1429-1443. [PMID: 37264526 DOI: 10.1080/10410236.2023.2218141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
This study examined the associations of emotions, cognitions, and behavioral intentions in response to exposure to news stories reporting on the arrival of Omicron variant in Vietnam. Outcomes included fear, anxiety, anger, comparative optimism, intentions to conduct prevention behavior (wash hands with soap), detection behavior (test for Omicron infection), and share health information. Two experiments were conducted with participants being randomized to either low-risk or high-risk condition that contained information promoting hand-washing with soap (Experiment 1, N = 303), or information promoting COVID-19 testing (Experiment 2, N = 303). Results indicated that viewing high-risk news stories led to higher fear, anxiety, and anger than low-risk news stories. Fear fully mediated the effect of news exposure on intentions to test for Omicron infection and share health information. Comparative optimism moderated the indirect effect of news exposure on intentions to wash hands with soap and share information about COVID-19 testing. Theoretical and practical implications were discussed.
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Affiliation(s)
- Hue Trong Duong
- Department of Communication, College of Arts and Sciences, Georgia State University
| | - Yixin Sun
- Department of Communication, College of Arts and Sciences, Georgia State University
| | | | - Khai The Nguyen
- Faculty of Business Administration, Ho Chi Minh City Open University
| | - Lucy Popova
- School of Public Health, Georgia State University
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Xue H, Li X, Yang Y, Liu Y, Geng X. Social media heterogeneity and preventive behaviours during the COVID-19 outbreak: a survey on online shopping. BMC Public Health 2024; 24:1193. [PMID: 38679720 PMCID: PMC11057092 DOI: 10.1186/s12889-024-18253-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2023] [Accepted: 03/01/2024] [Indexed: 05/01/2024] Open
Abstract
BACKGROUND Residents' adoption of preventive behaviours proved beneficial in preventing the large-scale transmission of the virus during the early stages of the COVID-19 outbreak. It is critical to investigate how social media triggers residents' preventive behaviour decisions during the COVID-19 outbreak. METHODS This paper selected online shopping as a specific preventive behaviour for empirical investigation. An online cross-sectional survey was conducted through the Sojump website from 1 to 15 March 2020, and a total of 1,289 valid questionnaires were collected from China. This paper uses multiple regression analysis to investigate the heterogeneous impacts of different information sources on residents' online shopping willingness and online shopping behaviour and the heterogeneous impacts of different information content in social media on the transformation of residents' online shopping willingness and online shopping behaviour. RESULTS The findings indicate that both official-media and self-media positively promote residents' online shopping willingness and behaviour, with official-media having a stronger promotional effect than self-media. Furthermore, official-media and self-media can collaboratively promote residents' online shopping willingness and online shopping behaviour. The ease-of-use and usefulness of information significantly promoted the transformation of residents' online shopping willingness. CONCLUSIONS This study analyses the heterogeneous impacts of social media on residents' preventive behaviours from the perspectives of information source differentiation and information content differentiation, which enriches related studies and provides feasible paths for promoting residents' preventive behaviours.
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Affiliation(s)
- Hu Xue
- College of Economics and Management, Nanjing Agricultural University, Nanjing, 210095, China
| | - Xiaoning Li
- College of Economics and Management, Nanjing Agricultural University, Nanjing, 210095, China
| | - Yuye Yang
- School of Basic Medicine, Naval Medical University, Shanghai, 200433, China
| | - Ying Liu
- College of Economics and Management, Nanjing Agricultural University, Nanjing, 210095, China
| | - Xianhui Geng
- College of Economics and Management, Nanjing Agricultural University, Nanjing, 210095, China.
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Gunawardhana G, Rokonuzzaman SM, Islam S, Alarm N, Ferdous TE, Kirkwood EK, Raynes-Greenow C, Billah SM. Knowledge, Attitude, and Practices Towards COVID-19 Among Pregnant and Postpartum Women in Rural Bangladesh: A Cross-Sectional Study. Matern Child Health J 2024; 28:758-766. [PMID: 38294606 DOI: 10.1007/s10995-024-03900-y] [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] [Accepted: 12/19/2023] [Indexed: 02/01/2024]
Abstract
OBJECTIVE To identify knowledge, attitudes, and practices toward COVID-19 among pregnant and postpartum women in rural Bangladesh, and to assess any association with antenatal care attendance (ANC). METHODS This cross-sectional study was conducted in Northern Bangladesh's Sherpur district with a sample of pregnant and post-partum women enrolled in 'Poriborton', a community-based cluster Randomised Controlled Trial. Knowledge, attitude, and practices toward COVID-19, and any association with antenatal care practices were assessed through face-to-face interviews using a structured questionnaire. Composite measures for knowledge, attitude, and practices of COVID-19 were generated. Specific knowledge on COVID-19 and the association of antenatal care were presented as descriptive statistics. An adjusted odds ratio was used to examine the association between categorical variables. RESULTS Out of 4835 women, 34.0% correctly identified five or more COVID-19 symptoms, 31.8% knew three or more modes of coronavirus transmission, and 57.0% knew five or more preventive measures. Most (90.1%) had a "more positive attitude to testing" and 65.1% reported adequate practice of preventive measures. Women with adequate knowledge of COVID-19 were more likely to report both a positive attitude to testing (OR:2.96; 95% CI: 1.38-6.37) and adopt adequate practices of preventive measures (OR: 4.30;95% CI: 2.90-6.36). Education and being employed influenced KAP related to COVID-19. Only 14.9% were satisfied with their knowledge of COVID-19. Television was the main source of COVID-19-related specific information. CONCLUSIONS We found that improved knowledge was associated with positive attitudes and behaviours that lead to the adoption of preventive measures. There was no association with ANC practices as attendance was very low in this region. The findings could be utilised to develop communication strategies for future public health emergencies in similar settings.
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Affiliation(s)
- Gayani Gunawardhana
- Sydney School of Public Health, The University of Sydney, Camperdown, Australia.
| | | | - Sajia Islam
- Maternal and Child Health Division, ICDDR, Dhaka, Bangladesh
| | - Neeloy Alarm
- Sydney School of Public Health, The University of Sydney, Camperdown, Australia
| | | | | | | | - Sk Masum Billah
- Sydney School of Public Health, The University of Sydney, Camperdown, Australia
- Maternal and Child Health Division, ICDDR, Dhaka, Bangladesh
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Mays KK, Paik S, Trifiro B, Katz JE. Coping during COVID-19: how attitudinal, efficacy, and personality differences drive adherence to protective measures. JOURNAL OF COMMUNICATION IN HEALTHCARE 2024; 17:30-43. [PMID: 37092755 DOI: 10.1080/17538068.2023.2202009] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/25/2023]
Abstract
INTRODUCTION COVID-19 has had a devastating impact on people's lives since its initial outbreak and global spread in 2020. While the U.S. government and public health officials have recommended best practices such as social distancing, wearing a mask, and avoiding large public gatherings, these orders have been met with varying levels of acceptance from the public. Given the disparate compliance, this study builds on Social Cognitive Theory (SCT) to explore individual differences and personal motivation factors in order to better understand what may influence one's likelihood to adhere to COVID-19 protective measures. METHODS A U.S. national survey (N = 2,049) was conducted April-May 2020, roughly one month after stay-at-home orders were issued in some states. Participants were asked to report their likelihood of taking individual and community protective measures. Multivariate hierarchical linear regressions were run to analyze the extent to which participants' concerns about COVID-19's impact, individual and collective self-efficacy, coping behaviors, and personality traits influenced the dependent variables. RESULTS Findings showed that COVID-19-related health concerns, collective efficacy, and proactive coping strategies were positively related to participants' likelihood of taking protective measures. Those with greater concerns about their general well-being and the economy, adverse coping strategies like denial and joking, as well as sensation-seeking personalities, were less likely to take protective measures. CONCLUSION The discussion considers how individual differences fit into broader global efforts to stem COVID-19. Practical implications for public health messaging are that communication may focus on facilitating efficacy in order to boost compliance with protective measures.
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Affiliation(s)
- Kate K Mays
- Maxwell School of Citizenship and Public Affairs, Syracuse University, Autonomous Systems Policy Institute, Syracuse, NY, USA
| | - Sejin Paik
- College of Communication, Division of Emerging Media Studies, Boston University, Boston, MA, USA
| | - Briana Trifiro
- College of Communication, Division of Emerging Media Studies, Boston University, Boston, MA, USA
| | - James E Katz
- College of Communication, Division of Emerging Media Studies, Boston University, Boston, MA, USA
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Ding Y, Wu L, Peng Z, Liu B. Temporal and Spatial Analysis of Negative Emotions in China during the COVID-19 Pandemic. Behav Sci (Basel) 2024; 14:113. [PMID: 38392466 PMCID: PMC10886170 DOI: 10.3390/bs14020113] [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: 12/15/2023] [Revised: 01/28/2024] [Accepted: 01/31/2024] [Indexed: 02/24/2024] Open
Abstract
This research aims to explore the spatiotemporal distribution patterns of negative emotions in mainland China during different stages of the COVID-19 pandemic and the external factors influencing this clustering. Using Baidu Index data for 91 negative emotion keywords, a retrospective geographic analysis was conducted across Chinese provinces from 14 October 2019 to 7 July 2022. Four spatial analysis methods (Global Moran's Index, Local Moran's Index, Bivariate Global Moran's Index, and Bivariate Local Moran's Index) are employed to identify potential clustering patterns and influencing factors of negative emotions at different stages. The results indicate that the COVID-19 pandemic significantly intensified the clustering effect of negative emotions in China, particularly with a more pronounced radiation effect in northwestern provinces. Spatial positive correlations are observed between pandemic-related Baidu indices (pandemic Baidu index, government Baidu index, nucleic acid Baidu index) and negative emotions. These findings contribute to understanding the spatiotemporal distribution characteristics of negative emotions in China post the COVID-19 outbreak and can guide the allocation of psychological resources during emergencies, thereby promoting social stability.
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Affiliation(s)
- Yating Ding
- School of Sociology, Wuhan University, Wuhan 430072, China
| | - Lin Wu
- School of Sociology, Wuhan University, Wuhan 430072, China
| | - Zijian Peng
- School of Sociology, Wuhan University, Wuhan 430072, China
| | - Bo Liu
- School of Philosophy and Sociology, Jilin University, Changchun 130012, China
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Marine BT, Mengistie DT. An Analysis of Various Factors Underlying Covid-19 Prevention Practice and Strategy in Jigjiga Town, Northeast Ethiopia. Infect Drug Resist 2024; 17:187-206. [PMID: 38283111 PMCID: PMC10813233 DOI: 10.2147/idr.s441538] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2023] [Accepted: 01/18/2024] [Indexed: 01/30/2024] Open
Abstract
Background COVID-19, a severe respiratory illness, is caused by the SARS-CoV-2 virus. The pandemic has devastated public health, economies, and social structures worldwide. In Ethiopia, the government and health authorities have implemented various COVID-19 prevention strategies to contain the spread of the virus. This study aims to investigates the factors influencing the implementation and effectiveness of COVID-19 prevention strategies in Jigjiga Town, Ethiopia. Methods A community-based cross-sectional study was conducted from April 2022 to December 2022, involving 593 participants in Jigjiga town. Multi-stage sampling techniques were used, and data was collected using a structured questionnaire covering demographic characteristics, socioeconomic status, attitude, knowledge, prevention practices, misconceptions, and COVID-19 prevention strategies. A multivariate model was developed to control for confounding, using variables suitable for multivariate logistic regression analysis with p-values less than 0.25. A variable is considered significant in multivariable logistic regression analysis if its p-value is less than 0.05. Results The study found that only 12.2% of participants used COVID-19 prevention strategies. Those with a bachelor's degree or higher had a strong association with prevention strategies (AOR: 20.08, 95% CI: 2.13-188.85). Participants informed about COVID-19 prevention were 6.886 times more likely to use strategies (95% CI: 2.975-15.938). People who received the COVID-19 vaccine were 1.14 times more likely to engage in reasonable preventive measures compared to those who did not get vaccinated. Conclusion The study reveals low COVID-19 prevention practices among participants, with only 12.2% utilizing preventive strategies. The covariate, the kinds of information received on COVID-19 prevention mechanisms, participants with a favorable attitude toward COVID-19, educational level, mask-wearing, social distancing, vaccination, hand hygiene, public health communication, and household income were significantly associated with COVID-19 prevention strategies. The COVID-19 vaccination promotes preventive practices, reduces infection risk, protects against severe illness, and decreases community spread.
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Affiliation(s)
- Buzuneh Tasfa Marine
- Department of Epidemiology, Faculty of Public Health, Jimma University, Jimma, Ethiopia
| | - Dagne Tesfaye Mengistie
- Department of Statistics, College of Natural and Computational Science, Jigjiga University, Jigjiga, Ethiopia
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Yang YP, Pan SJ, Zhang MX, Chen HX, Tung TH. The impact of COVID-19 pandemic on healthcare workers under the "Ten New Guidelines" in Taizhou, China. Prev Med Rep 2024; 37:102550. [PMID: 38179442 PMCID: PMC10765108 DOI: 10.1016/j.pmedr.2023.102550] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2023] [Revised: 12/06/2023] [Accepted: 12/07/2023] [Indexed: 01/06/2024] Open
Abstract
Purpose We explored the influence of the "Ten new guidelines" on healthcare workers' preparedness, work impact, personal life impact, concerns, and support in Taizhou, China. Methods A hospital-based self-administered online survey was conducted to investigate the levels of COVID-19 related experience among healthcare workers in December 2022. In total, 472 out of 2080 healthcare workers (22.7 % response rate) completed the questionnaires with valid responses. Stepwise linear regression was used to investigate the independence of factors associated with preparedness, work impact, personal life impact, concerns, and support. Results The results revealed that working position (p < 0.001), pressure (p = 0.005), and negative affect (p < 0.001) were significantly associated with preparedness. Working position (p = 0.015), number of children (p = 0.040), working years (p = 0.019), COVID-19 risk perception (p < 0.001), work overload (p < 0.001), and negative affect (p < 0.001) were significantly associated with work impact. In addition, COVID-19 risk perception (p < 0.001), work overload (p < 0.001), pressure (p = 0.002), history of COVID-19 infection (p = 0.008), and awareness of possible infectious time (p = 0.031) were significantly associated with personal life impact. COVID-19 risk perception (p < 0.001), negative affect (p < 0.001), and work overload (p = 0.020) were significantly associated with concerns. Sex (p = 0.020) and negative affect (p = 0.016) were significantly associated with support. Conclusion Negative affect was the most significant factor associated with COVID-19 related questions among healthcare workers under "Ten new guidelines" during COVID-19 pandemic.
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Affiliation(s)
- Yu-Pei Yang
- Department of Hematology, Taizhou Hospital of Zhejiang Province, Wenzhou Medical University, Linhai, Zhejiang, China
| | - Shuang-Jun Pan
- Department of Neurosurgery, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Linhai, Zhejiang, China
| | - Mei-Xian Zhang
- Evidence-Based Medicine Center, Taizhou Hospital of Zhejiang Province, Wenzhou Medical University, Linhai, Zhejiang, China
| | - Hai-Xiao Chen
- Department of Orthopedics, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Linhai, Zhejiang 317000, China
| | - Tao-Hsin Tung
- Evidence-Based Medicine Center, Taizhou Hospital of Zhejiang Province, Wenzhou Medical University, Linhai, Zhejiang, China
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Ilyas U, Aslam F, Fatima M, Tariq Z, Hotiana U. Health Anxiety, Fear of COVID-19, Nosophobia, and Health-protective Behaviors Among Healthcare Professionals. INNOVATIONS IN CLINICAL NEUROSCIENCE 2024; 21:31-35. [PMID: 38495611 PMCID: PMC10941862] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 03/19/2024]
Abstract
Objective This study examined fear of COVID-19, nosophobia, health anxiety, and health-protective behaviors among healthcare professionals during the COVID-19 pandemic. Methods A cross-sectional, correlational research design was used in this study. The data of healthcare professionals (N=300) from three disciplines of medicine (Bachelor of Medicine and Bachelor of Surgery [MBBS], Bachelor of Dental Surgery [BDS], Doctor of Physiotherapy [DPT]) were collected using a purposive sampling technique. The Fear of COVID-19 Scale (FCV-19S), Medical Student Disease Perception and Distress Scale (MSD), Short Health Anxiety Inventory (SHAI), and Health Protective Behavior Scale (HBPS) were used as assessment measures. Statistical Package of Social Sciences (SPSS) version 22 was used to analyze the data obtained. Results Of the 300 participants, 132 (44%) were male and 168 (56%) were female. A total of 199 participants (63.3%) had a MBBS degree, 59 (19.7%) had a BDS degree, and 41 (14%) had a DPT degree. The findings revealed a significant positive correlation between nosophobia, health anxiety, and fear of COVID-19, whereas health-protective behavior showed a negative association with health anxiety. Sex, health anxiety, and nosophobia were significant predictors of health-protective behaviors among medical professionals. Conclusion The fear related to COVID-19 is associated with nosophobia and health anxiety among medical professionals, which has a substantial impact on health, work performance, and vulnerability to developing psychological distress if left unmonitored.
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Affiliation(s)
- Uzma Ilyas
- Ms. Ilyas is Principal Lecturer, Psychology Department, University of Central Punjab in Lahore, Pakistan
| | - Farwa Aslam
- Ms. Aslam is with Iqra University in Islamabad, Pakistan
| | - Muqadas Fatima
- Ms. Fatima is with University of Central Punjab in Lahore, Pakistan
| | - Zarmin Tariq
- Ms. Tariq is with University of Management and Technology in Lahore, Pakistan
| | - Usman Hotiana
- Prof. Dr. Hotiana is Head of Behavioral Sciences & Psychiatry Department, Rashid Latif Medical & Dental College in Lahore, Pakistan
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Xu J, Tian G, He J, Deng F, Chen F, Shi Q, Liu J, Zhang H, Zhang T, Wu Q, Kang Z. The Public's Self-Avoidance and Other-Reliance in the Reporting of Medical Insurance Fraud: A Cross-Sectional Survey in China. Risk Manag Healthc Policy 2023; 16:2869-2881. [PMID: 38149180 PMCID: PMC10750483 DOI: 10.2147/rmhp.s438854] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Accepted: 12/17/2023] [Indexed: 12/28/2023] Open
Abstract
Purpose To understand the public's self-willingness to report medical insurance fraud and their expectations on others, to provide a reference for the government to do a good job in medical insurance anti-fraud. Methods Data were obtained from a questionnaire survey of 846 respondents in China. Descriptive statistical analyses and multinomial logistic regression were used to analyze the different subjective attitudes of the public toward different subjects when faced with medical insurance fraud and the influencing factors. Results 511 (60.40%) respondents were willing to report medical insurance fraud, while 739 (87.35%) respondents expected others to report it. 485 (57.33%) respondents were willing and expected others to report medical insurance fraud, followed by those who were not willing but expected others to report it (254, 30.02%). Compared to those who were unwilling to report themselves and did not want others to report, those who believe their reporting is useless (OR=3.13, 95% CI=1.15-8.33) and those who fear for their safety after reporting (OR=2.96, 95% CI=1.66-5.26) were more likely to expect others to report. Self-reporting willingness was stronger among the public who were satisfied with the government's protective measures for the safety of whistleblowers (OR=4.43, 95% CI=1.38-14.17). The public who believe that both themselves and others have responsibilities to report medical insurance fraud were willing to report and expect others to do the same. Conclusion The public had a "self-avoidance" and "other-reliance" mentality in medical insurance anti-fraud. The free-rider mentality, lack of empathy, concerns about own risk after reporting, and the interference of decentralized responsibility were important factors contributing to this public mentality. At this stage, the government should prevent the public's "collective indifference" in medical insurance anti-fraud efforts. Improving the safety and protection of whistleblowers and making everyone feel more responsible and valued may be effective incentives to enhance the public's willingness to report.
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Affiliation(s)
- Jinpeng Xu
- School of Health Management, Harbin Medical University, Harbin, People’s Republic of China
| | - Guomei Tian
- Department of Nuclear Medicine, the Fourth Hospital of Harbin Medical University, Harbin, People’s Republic of China
| | - Jingran He
- School of Health Management, Harbin Medical University, Harbin, People’s Republic of China
| | - Fangmin Deng
- School of Health Management, Harbin Medical University, Harbin, People’s Republic of China
| | - Fangting Chen
- School of Health Management, Harbin Medical University, Harbin, People’s Republic of China
| | - Qi Shi
- School of Health Management, Harbin Medical University, Harbin, People’s Republic of China
| | - Jian Liu
- School of Health Management, Harbin Medical University, Harbin, People’s Republic of China
| | - Hongyu Zhang
- School of Health Management, Harbin Medical University, Harbin, People’s Republic of China
| | - Ting Zhang
- School of Health Management, Harbin Medical University, Harbin, People’s Republic of China
| | - Qunhong Wu
- School of Health Management, Harbin Medical University, Harbin, People’s Republic of China
| | - Zheng Kang
- School of Health Management, Harbin Medical University, Harbin, People’s Republic of China
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15
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Peng Z, Namyalo PK, Chen X, Lv M, Coyte PC. What motivates individuals to share information with governments when adopting health technologies during the COVID-19 pandemic? BMC Public Health 2023; 23:2527. [PMID: 38110945 PMCID: PMC10726615 DOI: 10.1186/s12889-023-17437-2] [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: 07/12/2023] [Accepted: 12/07/2023] [Indexed: 12/20/2023] Open
Abstract
BACKGROUND While digital governance has been adopted by governments around the world to assist in the management of the COVID-19 pandemic, the effectiveness of its implementation relies on the collection and use of personal information. This study examines the willingness of individuals to engage in information-sharing with governments when adopting health technologies during the COVID-19 pandemic. METHODS Data were obtained from a cross-sectional survey of 4,800 individuals drawn from 16 cities in China in 2021. Tobit regression models were used to assess the impacts of an array of determinants on an individual's willingness to share information with governments when adopting health technologies. RESULTS Individuals who perceived a higher level of helpfulness, risk, expectations from others, weariness toward privacy issues, and were sensitive to positive outcomes were more willing to share information with governments when adopting health technologies during the COVID-19 pandemic. Across all the subgroups, self-efficacy only reduced the willingness to share information with governments for individuals who spent more than seven hours per day online. The negative impacts of being sensitive to negative outcomes on the willingness to share information were only found among females and the less educated group. CONCLUSIONS This study revealed the seemingly paradoxical behavior of individuals who perceived high risks of sharing information and a sense of fatigue toward privacy issues yet continued to be willing to share their information with their governments when adopting health technologies during the COVID-19 pandemic. This work highlighted significant differential motivations for sharing information with governments when using health technologies during a pandemic. Tailored policies that resonate with population sub-groups were suggested to be proposed to facilitate crisis management in future situations.
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Affiliation(s)
- Zixuan Peng
- School of Public Health, Southeast University, Nanjing, China
| | - Prossy Kiddu Namyalo
- Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada
| | - Xu Chen
- Zhejiang Provincial Philosophy and Social Sciences Pilot Laboratory, Hangzhou, China.
- Laboratory of Intelligent Society and Governance, Zhejiang Lab, Hangzhou, China.
| | - Mingjie Lv
- Zhejiang Provincial Philosophy and Social Sciences Pilot Laboratory, Hangzhou, China
- Laboratory of Intelligent Society and Governance, Zhejiang Lab, Hangzhou, China
| | - Peter C Coyte
- Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada
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16
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Ju Y, Lee M, You M. Comparing the Effect of Declarative vs. Procedural Knowledge on Health Behavior Moderated by Outrage Factors. HEALTH COMMUNICATION 2023; 38:3243-3251. [PMID: 36469571 DOI: 10.1080/10410236.2022.2145752] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
Knowledge's effect on behavioral responses in a health crisis has been a point of inquiry in many empirical studies that obtained significant findings. However, a variety of knowledge types has been considered in these studies rarely. This study compared the effect of declarative vs. procedural knowledge on behavioral responses to the COVID-19 pandemic. In addition, we examined whether outrage factors, which refer to perceived risk characteristics that are likely to elicit emotional responses, can moderate cognitive knowledge's effect. Data were collected with a survey conducted five months after the first COVID-19 case was confirmed in South Korea. A total of 1,000 respondents completed questions on the two types of knowledge, risk perception, and health behaviors in the pandemic crisis, and three different outrage factors. The results showed that procedural knowledge on how-to-do something was associated significantly with the health behaviors in the crisis, while the declarative knowledge that involves knowing that "something is the case" was not. Further, the outrage factors moderated knowledge's effect in such a way that procedural knowledge's influence on health behaviors diminished when the respondents perceived that the pandemic was uncontrollable. On the other hand, procedural knowledge's effect increased when the outrage factor of fairness was heightened. The implications are discussed in the context of studies of knowledge's effect and the outrage factors' moderation.
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Affiliation(s)
| | - Minjung Lee
- Institute of Health and Environment, Seoul National University
- Office of Dental Education, School of Dentistry, Seoul National University
| | - Myoungsoon You
- Institute of Health and Environment, Seoul National University
- The Department of Health Science in the Graduate School of Public Health, Seoul National University
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Yan S, Ibrahim RB. Exploring the Factors That Influence Stakeholder Participation in Decision-Making for the Moat System Restoration Project in Tianchang City, China. ScientificWorldJournal 2023; 2023:9969589. [PMID: 38021481 PMCID: PMC10657249 DOI: 10.1155/2023/9969589] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2023] [Revised: 09/27/2023] [Accepted: 10/18/2023] [Indexed: 12/01/2023] Open
Abstract
The driving factors have a critical effect on shaping stakeholder behavior toward participating in decision-making for river restoration initiatives. The participation of stakeholders is a vital determinant for increasing public confidence in the government and enhancing the acceptance of government decisions. Conversely, insufficient stakeholder participation in decision-making may lead to resistance to decisions on river restoration projects. Thus, the primary purpose of this investigation is to shed light on the complex interactions between the various drivers that underpin stakeholder participation in the context of the Moat System Restoration Project (MSRP). The extended Theory of Planned Behavior (TPB) describes the relationships between seven drivers that have positively influenced stakeholder participation behaviors: stakeholder attitude, priority, risk perception, trust in government decisions, motivation, intention, and knowledge. The empirical underpinning of this research was obtained through a questionnaire survey conducted in Tianchang, China, encompassing a sample size of 473. The empirical findings discern that stakeholder attitudes vis-à-vis the MSRP favorably influence stakeholder participation behaviors. Additionally, stakeholder motivation and intention have been discerned as catalysts for heightened stakeholder participation behavior. These findings promise to furnish invaluable insights, benefit forthcoming river restoration initiatives, and equip decision-makers with a profound understanding of strategies to enhance stakeholder participation.
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Affiliation(s)
- Shihua Yan
- Department of Landscape Architecture, Faculty of Design & Architecture, Universiti Putra Malaysia, Serdang 43400, Selangor, Malaysia
| | - Roziya Binti Ibrahim
- Department of Landscape Architecture, Faculty of Design & Architecture, Universiti Putra Malaysia, Serdang 43400, Selangor, Malaysia
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18
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Hwang J, Kim WH, Heo J. An association between individual's risk perceptions and delayed or foregone healthcare services during the COVID-19 pandemic in Korea. BMC Health Serv Res 2023; 23:850. [PMID: 37568127 PMCID: PMC10422804 DOI: 10.1186/s12913-023-09807-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2022] [Accepted: 07/11/2023] [Indexed: 08/13/2023] Open
Abstract
BACKGROUND Existing evidence highlights that the COVID-19 pandemic is associated with a large reduction in healthcare utilization for routine and less-urgent services around the world including Korea. During the COVID-19 pandemic, delayed and foregone healthcare are driven by various factors, and risk perception, a complex psychological construct, is one of them. The aim of this study was to examine how COVID-19 risk perceptions influence delayed and foregone care during the pandemic in Korea. METHODS The Koreans' Happiness Survey (KHS) 2020 was used to analyze responses from 13,491 individuals over 19 years of age residing in Korea. To assess delayed and foregone care, self-reported delayed or foregone care after the COVID-19 outbreak was used. COVID-19 risk perceptions were analyzed in terms of fear and severity of the pandemic based on responses from the participants. Logistic regression models, stratified by gender, were used to examine the relationship between COVID-19 risk perception and delayed/foregone healthcare. RESULTS Among the total 13,491 individuals included in the study, 4.0% (n = 541) reported delayed and foregone care in 2020. The results showed that higher level of fear of COVID-19 was associated with an increased likelihood of reporting delayed and foregone care in Korean adults (OR = 1.36, 95% CI = 1.08-1.73). The gender-stratified model revealed that greater fear of COVID-19 was associated with higher odds of delayed and foregone healthcare (OR = 1.71, 95%CI = 1.23-2.39) among women while the perceived severity did not have any association. However, the perceived severity was associated with a higher likelihood of delayed and foregone care in men (OR = 1.17, 95%CI = 1.04-1.32), but no association was found between fear of COVID-19 and delayed and foregone healthcare in men. CONCLUSIONS To ensure the timely use of any needed healthcare services, it is worth considering establishing policy interventions to mitigate unnecessary fear and worries about COVID-19. This can be achieved by providing accurate information on the virus, protective measures, and treatment.
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Affiliation(s)
- Jongnam Hwang
- Division of Social Welfare & Health Administration, Wonkwang University, Iksan, Korea
| | - Woong-Han Kim
- JW LEE Center for Global Medicine, Seoul National University College of Medicine, Seoul, Korea
- Department of Thoracic and Cardiovascular Surgery, College of Medicine, Seoul National University, Seoul, Korea
- Department of Human Systems Medicine, Seoul National University College of Medicine, Seoul, Korea
| | - Jongho Heo
- JW LEE Center for Global Medicine, Seoul National University College of Medicine, Seoul, Korea.
- Department of Human Systems Medicine, Seoul National University College of Medicine, Seoul, Korea.
- National Assembly Futures Institute, Seoul, Korea.
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19
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Welton-Mitchell C, Dally M, Dickinson KL, Morris-Neuberger L, Roberts JD, Blanch-Hartigan D. Influence of mental health on information seeking, risk perception and mask wearing self-efficacy during the early months of the COVID-19 pandemic: a longitudinal panel study across 6 U.S. States. BMC Psychol 2023; 11:203. [PMID: 37430351 DOI: 10.1186/s40359-023-01241-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Accepted: 06/30/2023] [Indexed: 07/12/2023] Open
Abstract
BACKGROUND Understanding factors that influence information seeking, assessment of risk and mitigation behaviors is critical during a public health crises. This longitudinal study examined the influence of self-reported mental health during the early months of the COVID-19 pandemic on information seeking, risk perception and perceived mask wearing ability. Mental health screener items included fear, anger, and hopelessness in addition to avoidance, diminished functional ability and global distress. Theoretical models inform hypotheses linking mental health items and outcomes. METHODS The research employed a longitudinal 6-state 3-wave online panel survey, with an initial sample of 3,059 participants (2,232 included in longitudinal analyses). Participants roughly represented the states' age, race, ethnicity, and income demographics. RESULTS Women, those who identified as Hispanic/Latinx, Black Americans and lower income participants reported higher overall rates of distress than others. Information seeking was more common among older persons, Democrats, retirees, those with higher education, and those who knew people who had died of COVID-19. Controlling for such demographic variables, in multivariable longitudinal models that included baseline mental health measures, distress and fear were associated with increased information seeking. Distress and fear were also associated with increased risk perception, and feelings of hopelessness were associated with lower reported mask-wearing ability. CONCLUSIONS Results advance understanding of the role mental health can play in information seeking, risk perception and mask wearing with implications for clinicians, public health practitioners and policy makers.
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Affiliation(s)
- Courtney Welton-Mitchell
- Colorado School of Public Health, University of Colorado, Mail Stop, 13001 E 17th Pl B119, Aurora, CO, 80045, USA.
| | - Miranda Dally
- Colorado School of Public Health, University of Colorado, Mail Stop, 13001 E 17th Pl B119, Aurora, CO, 80045, USA
| | - Katherine L Dickinson
- Colorado School of Public Health, University of Colorado, Mail Stop, 13001 E 17th Pl B119, Aurora, CO, 80045, USA
| | - Lindsay Morris-Neuberger
- Communication Studies, West Virginia University, Armstrong Hall, 94 Beechurst Ave STE 108, Morgantown, WV, 26505, USA
| | - Jennifer D Roberts
- School of Public Health, University of Maryland, 4200 Valley Dr, College Park, MD, 20742, USA
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Abu Hatab A, Krautscheid L, Amuakwa-Mensah F. COVID-19 risk perception and public compliance with preventive measures: Evidence from a multi-wave household survey in the MENA region. PLoS One 2023; 18:e0283412. [PMID: 37428731 DOI: 10.1371/journal.pone.0283412] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Accepted: 03/08/2023] [Indexed: 07/12/2023] Open
Abstract
This study investigates the association between individuals' concern about contracting COVID-19 and their compliance with recommended preventive and mitigation measures, namely wearing face masks, maintaining social distancing and handwashing, in the context of the Middle East and North Africa (MENA) region. The empirical analysis is based on a panel dataset from the Combined COVID-19 MENA Monitor Household Survey, which was carried out in Jordan, Morocco, Sudan, Tunisia and Egypt. Applying a probit estimation technique, a positive and statistically significant association was found between the level of COVID-19 worries and individuals' compliance with the mitigation measures. Notably, the results revealed that this association followed a "first-up-then-down" trend, showing that compliance with the three mitigation measures rose as individuals' worries about contracting the virus increased, and then markedly decreased after they had been infected. Socio-demographic characteristics contributing to lower levels of compliance included being male, being over 60, having lower levels of education and having a lower household income. A cross-country analysis revealed remarkable differences between the five countries, with the strongest association between COVID-19 concerns and adherence to mitigation measures observed in Tunisia and Sudan, and the weakest association seen in Jordan and Morocco. Policy implications are outlined for effective risk communication and management during disease outbreaks and public health emergencies to encourage appropriate public health behaviours.
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Affiliation(s)
- Assem Abu Hatab
- Nordic Africa Institute, Uppsala, Sweden
- Department of Economics, Swedish University of Agricultural Sciences, Uppsala, Sweden
| | - Lena Krautscheid
- Department of Design Sciences, Faculty of Engineering LTH, Lund University, Lund, Sweden
| | - Franklin Amuakwa-Mensah
- Environment for Development, University of Gothenburg, Gothenburg, Sweden
- Department of Social Sciences, Technology and Arts, Luleå University of Technology, Luleå, Sweden
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21
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Igartua JJ, Rodríguez-Contreras L, Guerrero-Martín Í, Honorato-Vicente A. "It Happened to Me and It's Serious": Conditional Indirect Effects of Infection Severity Narrated in Testimonial Tweets on COVID-19 Prevention. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6254. [PMID: 37444105 PMCID: PMC10341756 DOI: 10.3390/ijerph20136254] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/28/2023] [Revised: 06/16/2023] [Accepted: 06/28/2023] [Indexed: 07/15/2023]
Abstract
The health crisis caused by COVID-19 resulted in societal breakdowns around the world. Our research is based on determining which features of testimonial messages are most relevant in increasing persuasive impact. An online experiment with a 2 (severity infection narrative: low vs. high) × 2 (infection target: narrative's protagonist vs. protagonist's father) between-subject factorial design was carried out. Young people between 18 and 28 years (N = 278) were randomly assigned to one of the four experimental conditions, where they were asked to read a narrative message in the form of a Twitter thread describing a COVID-19 infection (with mild or severe symptoms) that affected either the protagonist of the message (a 23-year-old young person) or their father. After reading the narrative message, the mediating and dependent variables were evaluated. A message describing a severe COVID-19 infection affecting their protagonist to increase the perception of personal risk increased the persuasive impact through an increase in cognitive elaboration and a reduction in reactance. Our study highlights that creating persuasive messages based on social media targeted at young people that describe a careless behavior resulting in a severe COVID-19 infection can be an appropriate strategy for designing prevention campaigns.
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Affiliation(s)
- Juan-José Igartua
- Department of Sociology and Communication, Faculty of Social Sciences, Campus Unamuno (Edificio FES), University of Salamanca, 37007 Salamanca, Spain; (L.R.-C.); (Í.G.-M.); (A.H.-V.)
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22
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Li Z, Qian S. The impact of COVID-19 on the intention of third-child in China: an empirical analysis based on survey data. BMC Public Health 2023; 23:1195. [PMID: 37340391 DOI: 10.1186/s12889-023-15944-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2022] [Accepted: 05/20/2023] [Indexed: 06/22/2023] Open
Abstract
BACKGROUND Against the grim background of declining intention to have children, the ravages of COVID-19 have pushed China and the world into a more complex social environment. To adapt to the new situation, the Chinese government implemented the three-child policy in 2021. OBJECTIVE COVID-19 pandemic indirectly affects the country's internal economic development, employment, fertility plans or intention, and other major issues related to the people's livelihood, while undermining the stable operation of society. This paper explores the question that will COVID-19 pandemic affect Chinese people's intention to have a third child. And What are the relevant factors inside? METHOD The data in this paper are from the Survey released by the Population Policy and Development Research Center of Chongqing Technology and Business University (PDPR-CTBU), including 10,323 samples from mainland China. This paper uses the logit regression model and KHB mediated effect model (a binary response model given by Karlson, Holm, and Breen) to investigate the impact of the COVID-19 pandemic and other factors on Chinese residents' intention to have a third child. RESULTS The results suggest that the COVID-19 pandemic has a negative effect on Chinese residents' intention to have a third child. In-depth research on the mediating effect of KHB shows that COVID-19 pandemic will further inhibit residents' intention to have a third child by affecting their childcare arrangements, increasing their childcare costs, and increasing their exposure to occupational hazards. CONTRIBUTION This paper is more pioneering in focusing on the impact of the COVID-19 epidemic on the intention to have three children in China. The study provides empirical evidence for understanding the impact of COVID-19 epidemic on fertility intentions, albeit in the context of policy support.
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Affiliation(s)
- Zi Li
- Department of Public Administration, Chongqing Technology and Business University, Chongqing, China
| | - Siwen Qian
- Department of Public Administration, Chongqing Technology and Business University, Chongqing, China.
- Department of Law and Sociology, Chongqing Technology and Business University, Chongqing, China.
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de Moura Brito Júnior V, de Magalhães HF, Albuquerque UP. Perception of health risks in contexts of extreme climate change in semiarid Northeastern Brazil: an analysis of the role of socioeconomic variables. JOURNAL OF ETHNOBIOLOGY AND ETHNOMEDICINE 2023; 19:24. [PMID: 37303045 DOI: 10.1186/s13002-023-00597-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/27/2023] [Accepted: 06/08/2023] [Indexed: 06/13/2023]
Abstract
BACKGROUND Global climate change poses a significant challenge in contemporary society, particularly affecting vulnerable populations like small farmers residing in arid and semiarid regions. This study aims to investigate the perception of health risks and adaptive responses in the semiarid region of Northeast Brazil (NEB). Four questions were formulated: (1) How do socioeconomic factors influence the perception of health risks during extreme climate events? (2) How do socioeconomic factors impact the adoption of adaptive responses to mitigate health risks during extreme weather events? (3) How does the perceived risk level affect the utilization of adaptive responses? (4) What is the influence of extreme climate events on the perceived risks and the adoption of adaptive responses? METHOD The research was conducted in the rural community of Carão, situated in the Agreste region of the State of Pernambuco, NEB. Semi-structured interviews were conducted with 49 volunteers aged 18 and above. The interviews aimed to gather socioeconomic information, including sex, age, income, access to healthcare services, family size, and education level. Additionally, the interviews explored the perceived risks and responses employed during different extreme climate events such as droughts or heavy rainfall. The perceived risks and adaptive responses data were quantified to address the research questions. Generalized linear models were employed to analyze the data for the first three questions, while the nonparametric Mann-Whitney test was used for the fourth question. RESULTS The study found no significant differences in the level of perceived risk and adaptive responses between the two climate extremes. However, the quantity of adaptive responses was found to be directly influenced by the perceived risks, regardless of the type of extreme climate event. CONCLUSION The study concludes that risk perception is influenced by various complex factors, including socioeconomic variables, and plays a critical role in the adoption of adaptive responses during extreme climate events. The findings suggest that specific socioeconomic variables have a more pronounced influence on how individuals perceive and adapt to risks. Furthermore, the results indicate a cause-and-effect relationship between perceived risks and the generation of adaptive responses. These findings contribute to a better understanding of the factors shaping risk perception and provide valuable insights for future studies in regions prone to extreme climate events.
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Affiliation(s)
- Valdir de Moura Brito Júnior
- Laboratório de Ecologia e Evolução de Sistemas Socioecológicos (LEA), Departamento de Botânica, Universidade Federal de Pernambuco, Av. Prof. Moraes Rego, 1235, Cidade Universitária, Recife, Pernambuco, 50670-901, Brazil
| | - Henrique Fernandes de Magalhães
- Laboratório de Ecologia e Evolução de Sistemas Socioecológicos (LEA), Departamento de Botânica, Universidade Federal de Pernambuco, Av. Prof. Moraes Rego, 1235, Cidade Universitária, Recife, Pernambuco, 50670-901, Brazil
| | - Ulysses Paulino Albuquerque
- Laboratório de Ecologia e Evolução de Sistemas Socioecológicos (LEA), Departamento de Botânica, Universidade Federal de Pernambuco, Av. Prof. Moraes Rego, 1235, Cidade Universitária, Recife, Pernambuco, 50670-901, Brazil.
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Wei L, Zeng W, Huang Y, Ye G, Chen Y, Yang L, Cai Y. COVID-19 vaccination coverage and its cognitive determinants among older adults in Shanghai, China, during the COVID-19 epidemic. Front Public Health 2023; 11:1163616. [PMID: 37333561 PMCID: PMC10272832 DOI: 10.3389/fpubh.2023.1163616] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2023] [Accepted: 05/09/2023] [Indexed: 06/20/2023] Open
Abstract
Objectives This study aimed to examine the coverage of coronavirus disease 2019 (COVID-19) vaccination and its cognitive determinants among older adults. Methods A cross-sectional study was conducted using a questionnaire to conduct a survey among 725 Chinese older adults aged 60 years and above in June 2022, 2 months after the mass COVID-19 outbreak in Shanghai, China. The questionnaire covered demographic characteristics, COVID-19 vaccination status, internal risk perception, knowledge, and attitude toward the efficacy and safety of COVID-19 vaccines. Results The vaccination rate was 78.3% among the surveyed individuals. Self-reported reasons for unwillingness to get vaccinated (multiple selections) were "concerns about acute exacerbation of chronic diseases after vaccination (57.3%)" and "concerns regarding vaccine side effects (41.4%)." Compared to the unvaccinated group, the vaccinated group tended to have a higher score in internal risk perception (t = 2.64, P < 0.05), better knowledge of COVID-19 vaccines (t = 5.84, P < 0.05), and a more positive attitude toward the efficacy and safety of COVID-19 vaccines (t = 7.92, P < 0.05). The path analysis showed that the cognitive effect on vaccination behavior is relatively large, followed by the internal risk perception, and then the attitude toward COVID-19 vaccines. The more knowledgeable the participants were about COVID-19 vaccines, the more likely they were to receive the COVID-19 vaccines. In the multivariate logistic regression, the increased coverage of COVID-19 vaccination was associated with reduced age (OR = 0.53 95% CI 0.43-0.66, P < 0.001), being a resident in other places than Shanghai (OR = 0.40, 95% CI 0.17-0.92, P < 0.05), a shorter time of lockdown (OR = 0.33, 95% CI 0.13-0.83, P < 0.05), a history of other vaccines (OR = 2.58, 95% CI 1.45-4.60, P < 0.01), a fewer number of chronic diseases (OR = 0.49, 95% CI 0.38-0.62, P < 0.001), better knowledge about COVID-19 vaccines (OR = 1.60, 95% CI 1.17-2.19, P < 0.01), and a positive attitude toward COVID-19 vaccines (OR = 9.22, 95% CI 4.69-18.09, P < 0.001). Conclusion Acquiring accurate knowledge and developing a positive attitude toward COVID-19 vaccines are important factors associated with COVID-19 vaccination. Disseminating informed information on COVID-19 vaccines and ensuring efficacious communication regarding their efficacy and safety would enhance awareness about COVID-19 vaccination among older adults and consequently boost their vaccination coverage.
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Affiliation(s)
- Lu Wei
- Department of Geriatrics, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Wu Zeng
- Department of Global Health, School of Health, Georgetown University, Washington, DC, United States
| | - Yangyang Huang
- Department of Geriatrics, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Guoxin Ye
- Department of Geriatrics, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Ying Chen
- Department of Geriatrics, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Ling Yang
- Department of Geriatrics, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
- Department of Geriatrics, Shanghai Fourth People's Hospital Affiliated to Tongji University, Shanghai, China
| | - Yuyang Cai
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
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Ma X, Zhang S, Zhu M, Wu T, He M, Cui H. Non-commuting intentions during COVID-19 in Nanjing, China: A hybrid latent class modeling approach. CITIES (LONDON, ENGLAND) 2023; 137:104341. [PMID: 37132012 PMCID: PMC10140732 DOI: 10.1016/j.cities.2023.104341] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/03/2022] [Revised: 02/25/2023] [Accepted: 04/11/2023] [Indexed: 05/04/2023]
Abstract
Non-commuting travel is essential for people to meet daily demands and regulate mental health, which is greatly disrupted due to the COVID-19 pandemic. To explore non-commuting intentions during COVID-19 across different groups of residents, this paper uses online survey data in Nanjing and constructs a hybrid latent class choice model that combines sociodemographic characteristics and psychological factors. Results showed that the respondents can be divided into two groups: the "cautious" group versus the "fearless" group. The "cautious" group with lower willingness to travel tend to be older, higher-income, higher-educated, female and full-time employees. Furthermore, the "cautious" group with higher perceived susceptibility is more obedient to government policies. In contrast, the "fearless" group is significantly affected by perceived severity and is more inclined to turn to personal protection against the pandemic. These results suggested that non-commuting trips were influenced not only by individual characteristics but also by psychological factors. Finally, the paper provides implications for the government to formulate COVID-19 management measures for the heterogeneity of different groups.
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Affiliation(s)
- Xinwei Ma
- School of Civil and Transportation Engineering, Hebei University of Technology, Tianjin 300401, China
| | - Shuai Zhang
- School of Civil and Transportation Engineering, Hebei University of Technology, Tianjin 300401, China
| | - Minqing Zhu
- School of Architecture and Art Design, Hebei University of Technology, Tianjin 300401, China
| | - Tao Wu
- Mental Health Education Center, Hebei University of Technology, Tianjin 300401, China
| | - Mingjia He
- School of Civil and Transportation Engineering, Hebei University of Technology, Tianjin 300401, China
- Department of Civil Engineering, Technology University of Delft, 2600 AA Delft, Netherlands
| | - Hongjun Cui
- School of Civil and Transportation Engineering, Hebei University of Technology, Tianjin 300401, China
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Bedewi J, Girum T, Tsegay T, Derese M, Yasin F, Kasahun A. Adherence to preventive behaviours and associated factors towards COVID-19 among adults in Gurage zone, Ethiopia, 2020: a community-based cross-sectional study. BMJ Open 2023; 13:e068090. [PMID: 37147102 PMCID: PMC10163332 DOI: 10.1136/bmjopen-2022-068090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/07/2023] Open
Abstract
OBJECTIVES People's adherence to preventive practices for COVID-19 is fundamental to controlling the transmission of the virus. Therefore, this study is aimed at assessing adherence to preventive practices for COVID-19 and associated factors among the general population in Gurage zone, Ethiopia. METHODS A community-based cross-sectional study was conducted to assess preventive practices and associated factors for COVID-19 among adults in the Gurage zone. The study is based on health belief model constructs. The study involved 398 participants. A multistage sampling technique was employed to recruit study participants. An interviewer-administered, close-ended, structured questionnaire was used to collect data. Binary and multivariable logistic regressions were used to identify independent predictors of the outcome variable. RESULTS The overall adherence to all recommended preventive behaviours of COVID-19 was 17.7%. The majority of respondents (73.1%) practice at least one of the recommended preventive behaviours for COVID-19. Among adults' COVID-19 preventive behaviours score, wearing a face mask was the highest (82.3%) and social distancing was the lowest (35.4%). Residence adjusted OR (AOR)) 3.42 (95% CI 1.6 to 7.31), marital status AOR 0.33 (95% CI (0.15 to 0.71)), knowledge of the absence/presence of the COVID-19 vaccine AOR 0.45 (95% CI (0.21 to 0.95)) and self-rated level of knowledge as poor AOR 0.052 (95% CI 0.036 to 0.18) and self-rated level of knowledge as not bad AOR 0.14 (95% CI 0.09 to 0.82) were significantly associated with social distancing practice. Factors affecting other COVID-19 preventive behaviours are described in the 'Results' section. CONCLUSION Prevalence of good adherence to recommended preventive behaviours for COVID-19 was very low. Residence, marital status, knowledge of vaccine presence, knowledge of curative drug presence, knowledge of the incubation period, the self-rated level of knowledge and perceived risk to be infected with COVID-19 are significantly associated factors with adherence to preventive behaviours.
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Affiliation(s)
- Jemal Bedewi
- Department of Public Health, Wolkite University, Welkite, Ethiopia
| | - Tadele Girum
- Department of Public Health, Wolkite University, Welkite, Ethiopia
| | | | - Mohamed Derese
- Department of Statistics, Wolkite University, Welkite, Ethiopia
| | - Fedila Yasin
- Department of Statistics, Wolkite University, Welkite, Ethiopia
| | - Abebaw Kasahun
- Department of Public Health, Wolkite University, Welkite, Ethiopia
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Kibe LW, Bazargan M, Bosah A, Schrode KM, Kuo Y, Andikrah E, Shaheen M. Diet Quality of Older African Americans: Impact of Knowledge and Perceived Threat of COVID-19. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:5274. [PMID: 37047890 PMCID: PMC10094625 DOI: 10.3390/ijerph20075274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Revised: 02/25/2023] [Accepted: 03/13/2023] [Indexed: 06/19/2023]
Abstract
Confusing health messages and environmental changes intended to prevent the spread of the COVID-19 virus have affected the dietary behavior of older African Americans. We investigated the impact of COVID-19-related factors on diet quality and the relationship between food access and diet quality. We surveyed 150 African Americans aged 55 years and above during the COVID-19 pandemic. The data obtained included socio-demographic and health information, and COVID-19-related knowledge and perceptions. Dietary intake data was obtained using the Diet History Questionnaire III. Analyses included bivariate and multivariable statistics. Overall, based on United States Department of Agriculture guidelines, the diet quality of older African Americans was poor. Lower knowledge and a lower perceived threat of COVID-19 were significantly associated with poor diet quality. Additionally, older African Americans with chronic diseases and food insecurity had poor diet quality. The COVID-19 pandemic has highlighted the fragility of diet quality. The combined impact of poor knowledge and perceived threat of COVID-19, chronic disease, and food insecurity contribute to poor diet quality in this population. This study adds to the well-known need for strategies to support the right to a healthy diet, particularly during COVID-19 and future pandemics. Proactive interventions to counteract the potential consequences of poor diets are needed.
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Affiliation(s)
- Lucy W. Kibe
- Physician Assistant Program, Charles R. Drew University of Medicine and Science (CDU), Los Angeles, CA 90059, USA
| | - Mohsen Bazargan
- Physician Assistant Program, Charles R. Drew University of Medicine and Science (CDU), Los Angeles, CA 90059, USA
- Department of Family Medicine, Charles R. Drew University of Medicine and Science (CDU), Los Angeles, CA 90059, USA
- Department of Family Medicine, University of California Los Angeles (UCLA), Los Angeles, CA 90095, USA
| | - Adaobi Bosah
- Physician Assistant Program, Charles R. Drew University of Medicine and Science (CDU), Los Angeles, CA 90059, USA
| | - Katrina M. Schrode
- Department of Psychiatry, Charles R. Drew University of Medicine and Science (CDU), Los Angeles, CA 90059, USA
| | - Yufu Kuo
- Physician Assistant Program, Charles R. Drew University of Medicine and Science (CDU), Los Angeles, CA 90059, USA
| | - Edward Andikrah
- Department of Internal Medicine, Charles R. Drew University of Medicine and Science (CDU), Los Angeles, CA 90059, USA
| | - Magda Shaheen
- Department of Internal Medicine, Charles R. Drew University of Medicine and Science (CDU), Los Angeles, CA 90059, USA
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Johnson BB, Kim B. Cross-temporal relations of conditional risk perception measures with protective actions against COVID-19. Soc Sci Med 2023; 324:115867. [PMID: 37040680 PMCID: PMC10029334 DOI: 10.1016/j.socscimed.2023.115867] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2022] [Revised: 02/21/2023] [Accepted: 03/20/2023] [Indexed: 03/24/2023]
Abstract
Two decades ago a research team clarified that cross-sectional associations of risk perceptions and protective behavior can only test an “accuracy” hypothesis: e.g., people with higher risk perceptions at Ti should also exhibit low protective behavior and/or high risky behavior at Ti. They argued that these associations are too often interpreted wrongly as testing two other hypotheses, only testable longitudinally: the “behavioral motivation” hypothesis, that high risk perception at Ti increases protective behavior at Ti+1, and the “risk reappraisal” hypothesis, that protective behavior at Ti reduces risk perception at Ti+1. Further, this team argued that risk perception measures should be conditional (e.g., personal risk perception if one's behavior does not change). Yet these theses have garnered relatively little empirical testing. An online longitudinal panel study of U.S. residents' COVID-19 views across six survey waves over 14 months in 2020–2021 tested these hypotheses for six behaviors (hand washing, mask wearing, avoiding travel to infected areas, avoiding large public gatherings, vaccination, and [for five waves] social isolation at home). Accuracy and behavioral motivation hypotheses were supported for both behaviors and intentions, excluding a few waves (particularly in February–April 2020, when the pandemic was new in the U.S.) and behaviors. The risk reappraisal hypothesis was contradicted—protective behavior at one wave increased risk perception later—perhaps reflecting continuing uncertainty about efficacy of COVID-19 protective behaviors and/or that dynamic infectious diseases may yield different patterns than chronic diseases dominating such hypothesis-testing. These findings raise intriguing questions for both perception-behavior theory and behavior change practice.
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Affiliation(s)
| | - Byungdoo Kim
- Department of Psychology, Norwegian University of Science and Technology, Norway
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Sattler S, Maskileyson D, Racine E, Davidov E, Escande A. Stigmatization in the context of the COVID-19 pandemic: a survey experiment using attribution theory and the familiarity hypothesis. BMC Public Health 2023; 23:521. [PMID: 36934221 PMCID: PMC10024019 DOI: 10.1186/s12889-023-15234-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2022] [Accepted: 02/07/2023] [Indexed: 03/20/2023] Open
Abstract
BACKGROUND The COVID-19 pandemic has created a global health crisis, leading to stigmatization and discriminatory behaviors against people who have contracted or are suspected of having contracted the virus. Yet the causes of stigmatization in the context of COVID-19 remain only partially understood. Using attribution theory, we examine to what extent attributes of a fictitious person affect the formation of stigmatizing attitudes towards this person, and whether suspected COVID-19 infection (vs. flu) intensifies such attitudes. We also use the familiarity hypothesis to explore whether familiarity with COVID-19 reduces stigma and whether it moderates the effect of a COVID-19 infection on stigmatization. METHODS We conducted a multifactorial vignette survey experiment (28-design, i.e., NVignettes = 256) in Germany (NRespondents = 4,059) in which we experimentally varied signals and signaling events (i.e., information that may trigger stigma) concerning a fictitious person in the context of COVID-19. We assessed respondents' cognitive (e.g., blameworthiness) and affective (e.g., anger) responses as well as their discriminatory inclinations (e.g., avoidance) towards the character. Furthermore, we measured different indicators of respondents' familiarity with COVID-19. RESULTS Results revealed higher levels of stigma towards people who were diagnosed with COVID-19 versus a regular flu. In addition, stigma was higher towards those who were considered responsible for their infection due to irresponsible behavior. Knowing someone who died from a COVID infection increased stigma. While higher self-reported knowledge about COVID-19 was associated with more stigma, higher factual knowledge was associated with less. CONCLUSION Attribution theory and to a lesser extent the familiarity hypothesis can help better understand stigma in the context of COVID-19. This study provides insights about who is at risk of stigmatization and stigmatizing others in this context. It thereby allows identifying the groups that require more support in accessing healthcare services and suggests that basic, factually oriented public health interventions would be promising for reducing stigma.
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Affiliation(s)
- Sebastian Sattler
- Faculty of Sociology, Bielefeld University, Bielefeld, Germany.
- Institute of Sociology and Social Psychology, University of Cologne, Cologne, Germany.
- Pragmatic Health Ethics Research Unit, Institut de Recherches Cliniques de Montréal, Quebec, QC, Canada.
| | - Dina Maskileyson
- Institute of Sociology and Social Psychology, University of Cologne, Cologne, Germany
| | - Eric Racine
- Pragmatic Health Ethics Research Unit, Institut de Recherches Cliniques de Montréal, Quebec, QC, Canada
- Department of Medicine, Université de Montréal, Quebec, QC, Canada
- Department of Neurology and Neurosurgery, McGill University, Quebec, Canada
| | - Eldad Davidov
- Institute of Sociology and Social Psychology, University of Cologne, Cologne, Germany
- University of Zurich and University Research Priority Program "Social Networks", Zurich, Switzerland
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Kairiza T, Kembo G, Chigusiwa L. Herding behavior in COVID-19 vaccine hesitancy in rural Zimbabwe: The moderating role of health information under heterogeneous household risk perceptions. Soc Sci Med 2023; 323:115854. [PMID: 36947991 PMCID: PMC10022463 DOI: 10.1016/j.socscimed.2023.115854] [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: 11/25/2022] [Revised: 03/09/2023] [Accepted: 03/17/2023] [Indexed: 03/19/2023]
Abstract
COVID-19 vaccine hesitancy poses a global health threat by potentially delaying the attainment of herd immunity to attenuate infection and transmission. Most governments across the world are engrossed with formulating strategies to surmount conservative group behavior such as vaccine hesitancy typical under risky and uncertain situations such as in the case of COVID-19. This paper examines herding behavior in vaccine hesitancy with a special focus on the moderating role of household access to health information from village health workers under different risk perceptions. We use the 2021 Zimbabwe Vulnerability Assessment Committee cross-section household national survey consisting of 13, 583 valid observations. Our major findings indicate that herding behavior plays a role in rural households' hesitancy to COVID-19 vaccine inoculation. Furthermore, whilst access to health information from village health workers reduces herding behavior in vaccine hesitancy, it does so more when the household perceives itself to be at high risk of contracting COVID-19. Analysing herding behavior in vaccine hesitancy can help policymakers develop more targeted vaccination strategies, such as promoting access to health information through channels like village health workers, especially for households at high risk of contracting COVID-19.
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Affiliation(s)
- Terrence Kairiza
- Department of Economics, Bindura University of Science Education, P. Bag 1020, Bindura, Zimbabwe.
| | - George Kembo
- Food and Nutrition Council of Zimbabwe, 1574 Alpes Road, Hatcliffe, Harare, Zimbabwe.
| | - Lloyd Chigusiwa
- Department of Economics, Bindura University of Science Education, P. Bag 1020, Bindura, Zimbabwe.
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31
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Venkateshan M, Mishra P, Mohanty S, Shetty AP, B G, Das PK, Pandey A, Behera A, Das DD. Risk Perception and Preventive Practice During the COVID-19 Pandemic in the General Population. Cureus 2023; 15:e36095. [PMID: 37065324 PMCID: PMC10097411 DOI: 10.7759/cureus.36095] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/11/2023] [Indexed: 03/16/2023] Open
Abstract
Background People's perceptions of the COVID-19 pandemic and its associated risk are very essential to prevent the spread of the infection. The awareness among individuals may contribute to preventing COVID-19 infections. Coronavirus disease is a serious public health issue. However, preventive practices toward COVID-19 are relatively unknown. The present study aims to survey the risk perception and preventive practice during the COVID-19 pandemic among the general population in Odisha. Method A cross-sectional online survey among 395 participants was conducted by adopting the convenience sampling technique. The tools used for the survey consist of three divisions: collection of sociodemographic data, assessment of risk perception toward COVID-19, and assessment of preventive practices during COVID-19 through an online survey method. Results The majority (83.29%) of the participants strongly agreed that social distancing is necessary to control the transmission of COVID-19, 65.82% strongly agreed that lockdown is relevant to control COVID-19 spread, 49.62% strongly agreed that wearing a mask protects from the infection, and 40.25% strongly agreed that they will be able to connect with healthcare professionals if they are infected with COVID-19 infection. The finding revealed that the highest number of participants are always practicing all the preventive measures such as maintaining hand hygiene (77.21%), wearing a mask (68.10%), avoiding shaking hands (87.59%), willingness to seek medical help (90.37%), avoiding going to the market or meeting friends (80.75%), discussing preventive measures related to COVID-19 with their family members (76.45%), and eating only homemade food (87.34%). Conclusion This study found that an average number of study participants who had the highest level of practice on preventive measures are those who had higher perceived risk among the general population. Expanding the knowledge regarding the infection and its ill effect on health through the proper channel can bring a drastic change in the attitude of the general public. As many people depend on television and social media for acquiring information about COVID-19, any information that reaches the public should be accurate and based on evidence. To avoid miscommunication and the further spread of COVID-19, health education and awareness have to be implemented to increase self-efficacy and risk identification among the general public, which eventually increases the practice of preventive measures.
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German JD, Ong AKS, Redi AANP, Prasetyo YT, Robas KPE, Nadlifatin R, Chuenyindee T. Classification modeling of intention to donate for victims of Typhoon Odette using deep learning neural network. ENVIRONMENTAL DEVELOPMENT 2023; 45:100823. [PMID: 36844910 PMCID: PMC9939386 DOI: 10.1016/j.envdev.2023.100823] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/19/2022] [Revised: 02/13/2023] [Accepted: 02/14/2023] [Indexed: 06/18/2023]
Abstract
The need for stability in the economy for world development has been a challenge due to the COVID-19 pandemic. In addition, the increase of natural disasters and their aftermath have been increasing causing damages to infrastructure, the economy, livelihood, and lives in general. This study aimed to determine factors affecting the intention to donate for victims of Typhoon Odette, a recent super typhoon that hit the Philippines leading to affect 38 out of 81 provinces of the most natural disaster-prone countries. Determining the most significant factor affecting the intention to donate may help in increasing the engagement of donations among other people to help establish a more stable economy to heighten world development. With the use of deep learning neural network, a 97.12% accuracy was obtained for the classification model. It could be deduced that when donors understand and perceive both severity and vulnerability to be massive and highly damaging, then a more positive intention to donate to victims of typhoons will be observed. In addition, the influence of other people, the holiday season when the typhoon happened, and the media as a platform have greatly contributed to heightening the intention to donate and control over the donor's behavior. The findings of this study could be applied and utilized by government agencies and donation platforms to help engage and promote communication among donors. Moreover, the framework and methodology considered in this study may be extended to evaluate intention, natural disasters, and behavioral studies worldwide.
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Affiliation(s)
- Josephine D German
- School of Industrial Engineering and Engineering Management, Mapúa University, Manila, Philippines. 658 Muralla St., Intramuros, Manila, 1002, Philippines
| | - Ardvin Kester S Ong
- School of Industrial Engineering and Engineering Management, Mapúa University, Manila, Philippines. 658 Muralla St., Intramuros, Manila, 1002, Philippines
| | | | - Yogi Tri Prasetyo
- Department of Industrial Engineering and Management, Yuan Ze University, 135 Yuan-Tung Road, Chung-Li, 32003, Taiwan
- International Bachelor Program in Engineering, Yuan Ze University, 135 Yuan-Tung Road, Chung-Li, 32003, Taiwan
| | - Kirstien Paola E Robas
- School of Industrial Engineering and Engineering Management, Mapúa University, Manila, Philippines. 658 Muralla St., Intramuros, Manila, 1002, Philippines
| | - Reny Nadlifatin
- Department of Information Systems, Institut Teknologi Sepuluh Nopember, Kampus ITS Sukolilo, Surabaya, 60111, Indonesia
| | - Thanatorn Chuenyindee
- Department of Industrial Engineering and Aviation Management, Navaminda Kasatriyadhiraj Royal Air Force Academy, Bangkok, 10220, Thailand
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Martin-Lapoirie D, d'Onofrio A, McColl K, Raude J. Testing a simple and frugal model of health protective behaviour in epidemic times. Epidemics 2023; 42:100658. [PMID: 36508954 PMCID: PMC9721169 DOI: 10.1016/j.epidem.2022.100658] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2022] [Revised: 07/09/2022] [Accepted: 09/01/2022] [Indexed: 12/12/2022] Open
Abstract
The COVID-19 epidemic highlighted the necessity to integrate dynamic human behaviour change into infectious disease transmission models. The adoption of health protective behaviour, such as handwashing or staying at home, depends on both epidemiological and personal variables. However, only a few models have been proposed in the recent literature to account for behavioural change in response to the health threat over time. This study aims to estimate the relevance of TELL ME, a simple and frugal agent-based model developed following the 2009 H1N1 outbreak to explain individual engagement in health protective behaviours in epidemic times and how communication can influence this. Basically, TELL ME includes a behavioural rule to simulate individual decisions to adopt health protective behaviours. To test this rule, we used behavioural data from a series of 12 cross-sectional surveys in France over a 6-month period (May to November 2020). Samples were representative of the French population (N = 24,003). We found the TELL ME behavioural rule to be associated with a moderate to high error rate in representing the adoption of behaviours, indicating that parameter values are not constant over time and that other key variables influence individual decisions. These results highlight the crucial need for longitudinal behavioural data to better calibrate epidemiological models accounting for public responses to infectious disease threats.
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Affiliation(s)
- Dylan Martin-Lapoirie
- École des Hautes Études en Santé Publique (EHESP), French School of Public Health, 35043 Rennes, France; UMR ARENES - Equipe de Recherche sur les Services et le Management en Santé (Univ Rennes, EHESP, CNRS 6051, INSERM 1309), 35043 Rennes, France.
| | - Alberto d'Onofrio
- Institut Camille Jordan, Université Claude Bernard - Lyon 1, 21 Av. Claude Bernard, 69100 Villeurbanne, France; Consiglio Nazionale delle Ricerche, Istituto di Analisi dei Sistemi e di Informatica Antonio Ruberti, Via dei Taurini 19, 00185 Roma, Italy
| | - Kathleen McColl
- École des Hautes Études en Santé Publique (EHESP), French School of Public Health, 35043 Rennes, France; UMR ARENES - Equipe de Recherche sur les Services et le Management en Santé (Univ Rennes, EHESP, CNRS 6051, INSERM 1309), 35043 Rennes, France
| | - Jocelyn Raude
- École des Hautes Études en Santé Publique (EHESP), French School of Public Health, 35043 Rennes, France; UMR ARENES - Equipe de Recherche sur les Services et le Management en Santé (Univ Rennes, EHESP, CNRS 6051, INSERM 1309), 35043 Rennes, France
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Shi X, Xiong D, Zhang X, Han M, Liu L, Wang J. Analysis of factors influencing the job satisfaction of medical staff in tertiary public hospitals, China: A cross-sectional study. Front Psychol 2023; 14:1048146. [PMID: 36818068 PMCID: PMC9932040 DOI: 10.3389/fpsyg.2023.1048146] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2022] [Accepted: 01/17/2023] [Indexed: 02/05/2023] Open
Abstract
Introduction Since the outbreak of the novel coronavirus pneumonia (COVID-19), China has entered normalization phase of its epidemic prevention and control measures that emphasizes 'precise prevention and control,' 'dynamic zeroing', and 'universal vaccination'. However, medical staff continue to face physical and mental stress. The present study aimed to investigate the job satisfaction of medical staff in China, as well as any associated factors. Methods 2,258 medical staff completed a questionnaire specially designed for this study. Independent samples t-tests, one-way analysis of variance, and binary logistic regression were used to analyze associated factors. Results Overall, 48.4% of the participants expressed satisfaction with their job; the highest-scoring dimension was interpersonal relationships (3.83 ± 0.73), while the lowest scoring dimension was salary and benefits (3.13 ± 0.94). The logistic regression model indicated that job satisfaction among medical staff is associated with being aged 40-49 years [odds ratio (OR) = 2.416] or > 50 years (OR = 2.440), having an above-undergraduate education level (OR = 1.857), holding a position other than doctor [i.e., nurse (OR = 3.696) or 'other' (OR = 2.423)], having a higher income (OR = 1.369), and having fewer monthly overtime shifts (OR = 0.735-0.543). Less than half of the medical staff expressed satisfaction with their job, indicating that the overall level is not high. Discussion This research enriches the study of medical workers' job satisfaction during periods when epidemic prevention and control has become familiar and routine. To improve medical workers' job satisfaction, administrators should seek to enhance medical staff's remuneration, reduce their work pressure, and meet their needs (where reasonable).
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Affiliation(s)
- Xiang Shi
- School of Health Management, Anhui Medical University, Hefei, Anhui, China
| | - Dekai Xiong
- School of Health Management, Anhui Medical University, Hefei, Anhui, China
| | - Xingmin Zhang
- School of Health Management, Anhui Medical University, Hefei, Anhui, China
| | - Miaomiao Han
- School of Health Management, Anhui Medical University, Hefei, Anhui, China
| | - Liu Liu
- Department of Scientific Research, The First Affiliated Hospital of Anhui University of Traditional Chinese Medicine, Hefei, Anhui, China,*Correspondence: Liu Liu, ✉
| | - Jinian Wang
- Department of Education, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China,Jinian Wang, ✉
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Zhang R, Wang C. Risk perception of COVID-19 and its related factors among centralized medical isolation groups in China. Front Psychol 2023; 14:1131076. [PMID: 36818133 PMCID: PMC9929357 DOI: 10.3389/fpsyg.2023.1131076] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2022] [Accepted: 01/13/2023] [Indexed: 02/04/2023] Open
Abstract
Objective Medical isolation is one of the most effective measures to slow the spread of the virus when dealing with a pandemic. Millions of people in China have undergone centralized medical isolation (CMI) during the COVID-19 pandemic. This study aims to assess the centralized medical isolation group's COVID-19 risk perception and to explore the influencing factors. Methods A total of 400 participants (200 who had experienced CMI and 200 who had not experienced) completed a questionnaire related to COVID-19 risk perceptions. The questionnaire was designed with the Cognitive-Experiential Self-Theory (CEST) and the Common Sense Model of Risk Perception (CSM). It adopted nine questions to measure risk perception in terms of Emotional feelings, Cognitive judgment, and Mental representation of unusual severity. Descriptive statistical analysis, correlation analysis, and multiple linear regression analysis were conducted with SPSS 26.0 software. Results The mean risk perception score for the CMI group was 30.75, with a standard deviation of 7.503, which was significantly higher than that in the non-centralized medical isolation (NCMI) group (risk perception score was 28.2, and the standard deviation was 7.129). The results show that risk perceptions were higher for older age, risk perceptions were higher for higher education, risk perceptions were higher for those who had received the COVID-19 vaccination, and risk perceptions were higher for those who lived in a family with children. Conclusion Risk perception is significantly higher in CMI groups than in NCMI groups. The government should draw more care to the risk perception and psychological wellbeing of the CMI group and provide extra support and assistance to the elderly and those raising younger children. In dealing with future pandemics like the COVID-19 outbreak, the government should actively guide the public to properly isolate at home and cautiously implement a CMI policy.
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Wei Z, Liu Y, Zhang L, Sun X, Jiang Q, Li Z, Wu Y, Fu C. Stages of HPV Vaccine Hesitancy Among Guardians of Female Secondary School Students in China. J Adolesc Health 2023; 72:73-79. [PMID: 36229401 PMCID: PMC9746349 DOI: 10.1016/j.jadohealth.2022.08.027] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/27/2022] [Revised: 08/31/2022] [Accepted: 08/31/2022] [Indexed: 11/05/2022]
Abstract
PURPOSE Female secondary school students are the primary recommended population for human papillomavirus (HPV) vaccines. However, vaccine hesitancy may affect uptake. In this study, we assessed the vaccine hesitancy levels among the guardians of female secondary school students in China. METHODS We developed a questionnaire and conducted cross-sectional surveys among guardians of secondary school girls aged 12-19 years in mainland China based on the Increasing Vaccination Model and the Precaution Adoption Process Model. RESULTS We collected 3,225 valid samples. Among the participating guardians, 53.9% were vaccine hesitant, although only 0.9% had refused HPV vaccines. Some individual characteristics of guardians (e.g. sex, education/income level) were associated with understanding HPV vaccines. Better knowledge of HPV vaccines and communication with reliable sources of information were associated with vaccine nonhesitancy. Practical barriers such as vaccine shortage and busy schedules prevented nonhesitant guardians from vaccinating their children. DISCUSSION A substantial proportion of the guardians surveyed were HPV vaccine hesitant. Promoting HPV knowledge and communication with reliable sources (e.g. clinical doctors) could help fight against vaccine hesitancy.
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Affiliation(s)
- Zheng Wei
- Institute of Infectious Disease and Vaccine, School of Public Health, Zhejiang Chinese Medical University, Hangzhou, China
| | - Yang Liu
- Department of Infectious Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, Bloomsbury, London, England, UK,Centre for Mathematical Modelling of Infectious Diseases, London School of Hygiene and Tropical Medicine, Bloomsbury, London, England, UK
| | - Liuren Zhang
- Institute of Infectious Disease and Vaccine, School of Public Health, Zhejiang Chinese Medical University, Hangzhou, China
| | - Xiu Sun
- Institute of Infectious Disease and Vaccine, School of Public Health, Zhejiang Chinese Medical University, Hangzhou, China
| | - Qijing Jiang
- Institute of Infectious Disease and Vaccine, School of Public Health, Zhejiang Chinese Medical University, Hangzhou, China
| | - Zhenwei Li
- Institute of Infectious Disease and Vaccine, School of Public Health, Zhejiang Chinese Medical University, Hangzhou, China
| | - Yue Wu
- Institute of Infectious Disease and Vaccine, School of Public Health, Zhejiang Chinese Medical University, Hangzhou, China
| | - Chuanxi Fu
- Institute of Infectious Disease and Vaccine, School of Public Health, Zhejiang Chinese Medical University, Hangzhou, China.
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Chen C, Sang X, Wu R, Feng Z, Long C, Ye Y, Yan Z, Sun C, Ji L, Tang S. Effects of negative emotions and information perceived value on residents' risk perception during the COVID-19 pandemic: An empirical survey from China. Front Public Health 2023; 11:980880. [PMID: 36891350 PMCID: PMC9986329 DOI: 10.3389/fpubh.2023.980880] [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: 06/29/2022] [Accepted: 01/23/2023] [Indexed: 02/22/2023] Open
Abstract
Background The COVID-19 pandemic has spread rapidly and heavily hit the globe, and the mutation and transmission speed of the coronavirus have accelerated so that the world is still in danger. Thus, this study aims to investigate the participants' risk perception and explore the associations of risk perception of COVID-19 with negative emotions, information value perception and other related dimensions. Methods A cross-sectional, population-based online survey was conducted from April 4 to 15, 2020, in China. A total of 3,552 participants were included in this study. A descriptive measure of demographic information was used in this study. Multiple regression models and moderating effect analysis were used to estimate the effect of potential associations of risk perceptions. Results Those who showed negative emotions (depressed, helplessness, loneliness) and perceived video information in social media to be useful were positively correlated with risk perception, whereas individuals who perceived experts' advice to be useful, shared risk information with friends and thought that their community made adequate emergency preparation reported lower risk perception. The moderating effect of information perceived value (β = 0.020, p < 0.001) on the relationship between negative emotion and perception of risk was significant. Conclusions Individual differences in risk cognition during the COVID-19 pandemic were observed in subgroups of age level. Furthermore, the role of negative emotional states, the perceived usefulness of risk information and the sense of security also contributed to improving the public's risk perception. It is crucial for authorities to focus on residents' negative emotions and to clarify misinformation in accessible and effective ways in a timely manner.
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Affiliation(s)
- Chaoyi Chen
- School of Medicine and Health Management, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China
| | - Xiaodong Sang
- Division of Strategy and Policy, China Biotechnology Development Center, Beijing, China
| | - Ruijun Wu
- Division of Strategy and Policy, China Biotechnology Development Center, Beijing, China
| | - Zhanchun Feng
- School of Medicine and Health Management, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China
| | - Chengxu Long
- School of Medicine and Health Management, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China
| | - Yisheng Ye
- School of Medicine and Health Management, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China
| | - Ziqi Yan
- School of Medicine and Health Management, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China
| | - Can Sun
- School of Medicine and Health Management, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China
| | - Lu Ji
- School of Medicine and Health Management, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China
| | - Shangfeng Tang
- School of Medicine and Health Management, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China
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Knowledge and vaccination intention of monkeypox in China's general population: A cross-sectional online survey. Travel Med Infect Dis 2022; 52:102533. [PMID: 36543284 PMCID: PMC9759477 DOI: 10.1016/j.tmaid.2022.102533] [Citation(s) in RCA: 22] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2022] [Revised: 12/03/2022] [Accepted: 12/16/2022] [Indexed: 12/23/2022]
Abstract
BACKGROUND Public awareness of monkeypox is critical in the fight against this infectious disease. However, at present a survey of the Chinese population on monkeypox is lacking. This study was conducted to compensate for the lack of knowledge and identify a vaccination intention assessment for monkeypox in China. METHODS The questionnaire comprised 20 items with the following three aspects: basic information, knowledge, and willingness to vaccinate or pay. For this study, 521 valid respondents were recruited. Utilizing logistic regression, the researchers identified the factors related with knowledge and vaccination intentions. RESULTS The average total score for knowledge of monkeypox was 5.6 (score range 0-10), and 309 (59.3%) participants were categorized as having greater knowledge based on a total score of 6. Most participants (76.4%) were willing to accept a monkeypox vaccination. The average acceptable cost of the monkeypox vaccine was CNY261.2. Factors such as level of education, and working within the healthcare profession were related to monkeypox knowledge. An increased knowledge of monkeypox was related to a higher willingness to vaccinate. Participants who were willing to pay more for vaccines included those with high incomes, who suffered from chronic diseases, and healthcare workers. CONCLUSIONS The Chinese population had relatively high knowledge of monkeypox and demonstrated a willingness to receive the vaccine.
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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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Zhang X, Wang L. Factors Contributing to Citizens' Participation in COVID-19 Prevention and Control in China: An Integrated Model Based on Theory of Planned Behavior, Norm Activation Model, and Political Opportunity Structure Theory. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:15794. [PMID: 36497869 PMCID: PMC9739160 DOI: 10.3390/ijerph192315794] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/03/2022] [Revised: 11/16/2022] [Accepted: 11/24/2022] [Indexed: 06/17/2023]
Abstract
Chinese citizens' participation in COVID-19 prevention and control has made great contributions to the successful fight against the pandemic. The factors that have impacted citizens' participation have rarely been reported based on both social-psychological and political environmental theories. This paper presented a study to explore the determinants of Chinese citizens' participation in COVID-19 prevention and control based on a combined model of the theory of planned behavior, the norm activation model, and political opportunity structure theory. A dataset involving 463 respondents from Harbin in northeast China was acquired and analyzed. The results showed that the comprehensive model explained 62.9% of the total variance in citizens' participation behavior. The openness to public participation not only significantly directly influenced citizens' participation but also indirectly affected participation behaviors through attitude and perceived behavioral control, both of which were important mediators and had the greatest overall impacts. The awareness of consequences and subjective norms were crucial antecedents to the activation of other influencing factors. Personal norms indirectly affected participation behavior through the mediation of attitude. The empirical results showed the comprehensiveness, effectiveness, and high explanatory power of the postulated model. The study also provides both new theoretical perspectives for explaining public participation and useful practical implications for future policy development in promoting citizens' participation in public health emergency management.
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Affiliation(s)
- Xiaojie Zhang
- Department of Public Administration, School of Humanities & Law, Northeastern University, Shenyang 110169, China
| | - Lili Wang
- Party School of Weihai Municipal Committee of Communist Party of China, Weihai 264213, China
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Bjørkheim S, Sætrevik B. Manipulating risk of infection and appeal to public benefit increase compliance with infection control measures in a hypothetical pandemic scenario. PLoS One 2022; 17:e0274024. [PMID: 36413543 PMCID: PMC9681092 DOI: 10.1371/journal.pone.0274024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Accepted: 08/19/2022] [Indexed: 11/23/2022] Open
Abstract
To limit an infectious outbreak, the public must be informed about the infection risk and be motivated to comply with infection control measures. Perceiving a situation as threatening and seeing benefits to complying may be necessary to motivate for compliance. The current study used a preregistered survey experiment with a 2-by-2 between-subject design to investigate if emphasizing high infection risk and appealing to societal benefits impacted intention to comply with infection control measures. The results from a representative Norwegian sample (N = 2533) show that describing a high (as opposed to low) personal risk scenario had a small main effect on compliance. Further, appealing to public (as opposed to self-interested) benefits also had a small main effect. There was no interaction between risk scenario and motivational emphasis. The results suggest that to maximize compliance, information about disease outbreak should emphasize the individual risk of contracting the disease, and could also underline the public value of limiting infection spread. These findings can inform health authorities about the motives underlying compliance with infection control measures during an infectious disease outbreak.
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Affiliation(s)
- Sebastian Bjørkheim
- Department for Psychosocial Science, Operational Psychology Research Group, Faculty of Psychology, University of Bergen, Bergen, Norway
- * E-mail:
| | - Bjørn Sætrevik
- Department for Psychosocial Science, Operational Psychology Research Group, Faculty of Psychology, University of Bergen, Bergen, Norway
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Gong Y, Li Y, Zhang L, Lee TM, Sun Y. Threats of COVID-19 arouse public awareness of climate change risks. iScience 2022; 25:105350. [PMID: 36267549 PMCID: PMC9556807 DOI: 10.1016/j.isci.2022.105350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Revised: 08/18/2022] [Accepted: 10/11/2022] [Indexed: 11/28/2022] Open
Abstract
Public climate change awareness is indispensable to dealing with climate change threats. Understanding whether and how the COVID-19 pandemic impacts on individuals’ climate change risk perception would thus be critical to green economic recovery. We conducted a longitudinal survey study in China when the pandemic was at its height and when it was mitigated. The cross-lagged analysis confirmed our assumed “arousal” effect of perceived COVID-19 risks on climate change risk awareness. We further tested and verified the proposed “dual-pathway” mechanisms of affective generalization (i.e., negative affective states aroused by COVID-19 “spillover” to the assessment of climate change risk) and cognitive association (i.e., the outbreak of COVID-19 awakens people’s recognition of the human-nature-climate issues) via multiple mediation analyses. Our results implied that climate policies could be integrated into pandemic control, and that the public should be more awakened to confront multiple crises with proper guidance. Public COVID-19 risk perception arouses their climate change awareness A longitudinal survey in China was conducted to verify this arousal effect Generalized negative affect states explain the effect Cognitive association also explains the effect
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Affiliation(s)
- Yuanchao Gong
- Key Laboratory of Behavioral Science, Institute of Psychology, Chinese Academy of Sciences, Yard 16, Lincui Road, Chaoyang District, Beijing 100101, China,Department of Psychology, University of Chinese Academy of Sciences, Beijing 100049, China
| | - Yang Li
- School of Business, Beijing Technology and Business University, Beijing 100048, China
| | - Linxiu Zhang
- Key Laboratory of Ecosystem Network Observation and Modeling, Institute of Geographic Sciences and Natural Resources Research, Chinese Academy of Sciences, 100101, Beijing, China,The United Nations Environment Programme – International Ecosystem Management Partnership, Beijing 100101, China
| | - Tien Ming Lee
- School of Life Sciences and School of Ecology, Sun Yat-sen University, Guangzhou, China
| | - Yan Sun
- Key Laboratory of Behavioral Science, Institute of Psychology, Chinese Academy of Sciences, Yard 16, Lincui Road, Chaoyang District, Beijing 100101, China,Department of Psychology, University of Chinese Academy of Sciences, Beijing 100049, China,Corresponding author
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Beca-Martínez MT, Romay-Barja M, Ayala A, Falcon-Romero M, Rodríguez-Blázquez C, Benito A, Forjaz MJ. Trends in COVID-19 Vaccine Acceptance in Spain, September 2020‒May 2021. Am J Public Health 2022; 112:1611-1619. [PMID: 36007207 PMCID: PMC9558192 DOI: 10.2105/ajph.2022.307039] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/07/2022] [Indexed: 11/04/2022]
Abstract
Objectives. To analyze factors associated with COVID-19 vaccine acceptance in Spain, over time. Methods. We used data from a national study that included 5 online surveys carried out every 2 months from September 2020 to May 2021. Each round recruited a sample of 1000 participants aged 18 years or older. We performed a multivariable logistic regression with vaccination acceptance as the dependent variable. We evaluated time trends through the interaction terms of each of the explanatory variables and the time. Results. Vaccination acceptance increased from 43.1% in September 2020 to 84.5% in May 2021. Sex, age, concerns about disease severity, health services overload, and people not wearing a face mask, together with adherence to preventive behavior, health literacy, and confidence in scientists, health care professionals' information, and adequacy of governmental decisions, were variables associated with vaccination acceptance. Conclusions. In a changing situation, vaccine acceptance factors and time trends could help in the design of contextualized public health messages. It is important to strengthen the population's trust in institutions, health care professionals, and scientists to increase vaccination rates, as well as to ensure easy access to accurate information for those who are more reluctant. (Am J Public Health. 2022;112(11):1611-1619. https://doi.org/10.2105/AJPH.2022.307039).
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Affiliation(s)
- María Teresa Beca-Martínez
- María Teresa Beca-Martínez is PhD student at the Universidad Nacional de Educación a Distancia, Madrid, Spain. María Romay-Barja and Agustín Benito are with the Centro Nacional de Medicina Tropical, Instituto de Salud Carlos III, Madrid. Alba Ayala is with the Instituto Universitario de Estudios de Género, Universidad Carlos III. María Falcon-Romero is with the Universidad de Murcia, Murcia, Spain. Carmen Rodríguez-Blázquez and João Forjaz are with the Centro Nacional de Epidemiología, Instituto de Salud Carlos III
| | - María Romay-Barja
- María Teresa Beca-Martínez is PhD student at the Universidad Nacional de Educación a Distancia, Madrid, Spain. María Romay-Barja and Agustín Benito are with the Centro Nacional de Medicina Tropical, Instituto de Salud Carlos III, Madrid. Alba Ayala is with the Instituto Universitario de Estudios de Género, Universidad Carlos III. María Falcon-Romero is with the Universidad de Murcia, Murcia, Spain. Carmen Rodríguez-Blázquez and João Forjaz are with the Centro Nacional de Epidemiología, Instituto de Salud Carlos III
| | - Alba Ayala
- María Teresa Beca-Martínez is PhD student at the Universidad Nacional de Educación a Distancia, Madrid, Spain. María Romay-Barja and Agustín Benito are with the Centro Nacional de Medicina Tropical, Instituto de Salud Carlos III, Madrid. Alba Ayala is with the Instituto Universitario de Estudios de Género, Universidad Carlos III. María Falcon-Romero is with the Universidad de Murcia, Murcia, Spain. Carmen Rodríguez-Blázquez and João Forjaz are with the Centro Nacional de Epidemiología, Instituto de Salud Carlos III
| | - María Falcon-Romero
- María Teresa Beca-Martínez is PhD student at the Universidad Nacional de Educación a Distancia, Madrid, Spain. María Romay-Barja and Agustín Benito are with the Centro Nacional de Medicina Tropical, Instituto de Salud Carlos III, Madrid. Alba Ayala is with the Instituto Universitario de Estudios de Género, Universidad Carlos III. María Falcon-Romero is with the Universidad de Murcia, Murcia, Spain. Carmen Rodríguez-Blázquez and João Forjaz are with the Centro Nacional de Epidemiología, Instituto de Salud Carlos III
| | - Carmen Rodríguez-Blázquez
- María Teresa Beca-Martínez is PhD student at the Universidad Nacional de Educación a Distancia, Madrid, Spain. María Romay-Barja and Agustín Benito are with the Centro Nacional de Medicina Tropical, Instituto de Salud Carlos III, Madrid. Alba Ayala is with the Instituto Universitario de Estudios de Género, Universidad Carlos III. María Falcon-Romero is with the Universidad de Murcia, Murcia, Spain. Carmen Rodríguez-Blázquez and João Forjaz are with the Centro Nacional de Epidemiología, Instituto de Salud Carlos III
| | - Agustín Benito
- María Teresa Beca-Martínez is PhD student at the Universidad Nacional de Educación a Distancia, Madrid, Spain. María Romay-Barja and Agustín Benito are with the Centro Nacional de Medicina Tropical, Instituto de Salud Carlos III, Madrid. Alba Ayala is with the Instituto Universitario de Estudios de Género, Universidad Carlos III. María Falcon-Romero is with the Universidad de Murcia, Murcia, Spain. Carmen Rodríguez-Blázquez and João Forjaz are with the Centro Nacional de Epidemiología, Instituto de Salud Carlos III
| | - Maria João Forjaz
- María Teresa Beca-Martínez is PhD student at the Universidad Nacional de Educación a Distancia, Madrid, Spain. María Romay-Barja and Agustín Benito are with the Centro Nacional de Medicina Tropical, Instituto de Salud Carlos III, Madrid. Alba Ayala is with the Instituto Universitario de Estudios de Género, Universidad Carlos III. María Falcon-Romero is with the Universidad de Murcia, Murcia, Spain. Carmen Rodríguez-Blázquez and João Forjaz are with the Centro Nacional de Epidemiología, Instituto de Salud Carlos III
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Zhang W, Li L, Mou J, Zhang M, Cheng X, Xia H. Mediating Effects of Attitudes, Risk Perceptions, and Negative Emotions on Coping Behaviors. J ORGAN END USER COM 2022. [DOI: 10.4018/joeuc.308818] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Based on the perspectives of social risk amplification and the knowledge-attitudes-practice model, this study aimed to test how the level of knowledge about COVID-19 and information sources can predict people's behavioral changes and to examine the effect mechanisms through the mediating roles of attitude, risk perception, and negative emotions in a survey of 498 older Chinese adults. The results showed that (1) older people had a lower level of factual knowledge regarding the variant strains and vaccines; (2) in the information sources-behavior, information sources had a critical influence on elderly individuals' coping behaviors; and (3) in the knowledge-behavior, factual knowledge had a significant effect on elderly individuals' coping behaviors. Specifically, for prevention behaviors, both risk perception and negative emotions played full mediating roles. The findings have significant implications for the development of an effective COVID-19 prevention program to older adults coping with pandemic conditions.
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Affiliation(s)
- Wei Zhang
- Central University of Finance and Economics, China
| | - Luyao Li
- Central University of Finance and Economics, China
| | - Jian Mou
- School of Business, Pusan National University, South Korea
| | - Mei Zhang
- Central University of Finance and Economics, China
| | | | - Hongwei Xia
- Chinese Center for Disease Control and Prevention, China
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Zhao T. Impact of COVID-19 Awareness on Protective Behaviors during the Off-Peak Period: Sex Differences among Chinese Undergraduates. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph192013483. [PMID: 36294065 PMCID: PMC9603291 DOI: 10.3390/ijerph192013483] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/06/2022] [Revised: 10/17/2022] [Accepted: 10/17/2022] [Indexed: 05/18/2023]
Abstract
COVID-19 remains an extreme threat in higher education settings, even during the off-peak period. Appropriate protective measures have been suggested to prevent the spread of COVID-19 in a large population context. Undergraduate students represent a highly vulnerable fraction of the population, so their COVID-19 protective behaviors play critical roles in enabling successful pandemic prevention. Hence, this study aims to understand what and how individual factors contribute to undergraduate students' protective behaviors. After building multigroup structural equation models using data acquired from the survey taken by 991 undergraduates at a large research university in eastern China, I found that students' COVID-19 awareness was positively associated with their protective behaviors, such as wearing a mask, using hand sanitizer, and maintaining proper social distance, but not with getting vaccinated. In addition, I found students with higher COVID-19 awareness were more likely to have more COVID-19 knowledge than those with less awareness. Furthermore, sex differences were observed in the mediation effects of COVID-19 awareness on wearing a mask and getting vaccinated, via COVID-19 knowledge, respectively. The results of this study have implications in helping higher education stakeholders enact effective measures to prevent the spread of the pandemic.
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Affiliation(s)
- Teng Zhao
- Zhejiang Academy of Higher Education, Hangzhou Dianzi University, Hangzhou 310018, China
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Wang MX, Pang J. The knowledge, attitudes and practices of hand, foot, and mouth disease prevention strategies amongst parents and educators of children under 5 years amidst COVID-19 pandemic: A cross-sectional study. Front Public Health 2022; 10:908004. [PMID: 36324457 PMCID: PMC9619192 DOI: 10.3389/fpubh.2022.908004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Accepted: 08/24/2022] [Indexed: 01/22/2023] Open
Abstract
Background Hand, foot, and mouth disease (HFMD) is endemic in Singapore. Prevention efforts have been ramped up since major outbreaks in the early 2000's. This study aims to assess the current knowledge, and attitudes towards and practise (KAP) levels of HFMD prevention strategies (HFMD-PS) amongst parents and teachers of children under 5 years amidst the COVID-19 pandemic. Methods and results A convenience sample of 240 teachers and 404 parents responded to a self-administered standardised questionnaire between mid-October and December 2020. A scoring framework was used to assess responses in the 'knowledge', 'attitude', and 'practice' domains. A multivariable analysis was adjusted for ethnicity and attitudes towards getting children to follow proper handwashing steps and regularly disinfecting children's toys amongst parents, knowledge about HFMD's infectious period, and the responses to a child turning symptomatic in the childcare centre amongst teachers. Existing levels of knowledge and attitudes of parents and teachers were not high, and only a small proportion practised high levels of prevention measures (99 parents and 28 teachers). Key facilitators for a higher practise level in parents include the following: (1) awareness of regular liquid soap's efficacy as a disinfectant, (2) toy cleaning before and after playtime, and (3) the cleaning agent used for this practise. Teachers had no significant factors associated with higher practise levels. Conclusion This study suggested potential gaps between positive knowledge and attitudes towards prevention strategies and their actual adoption levels in homes and childcare centres during COVID-19 pandemic. These evidences suggest the importance of continuous promotion of HFMD prevention practise in homes and childcare centres, even amidst pandemics.
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Affiliation(s)
- Min Xian Wang
- Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, Singapore,Centre for Infectious Disease Epidemiology and Research, National University of Singapore, Singapore, Singapore
| | - Junxiong Pang
- Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, Singapore,Centre for Infectious Disease Epidemiology and Research, National University of Singapore, Singapore, Singapore,*Correspondence: Junxiong Pang
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Longitudinal behavioral changes and factors related to reinforced risk aversion behavior among patients with chronic kidney disease during the COVID-19 pandemic. Sci Rep 2022; 12:15780. [PMID: 36138060 PMCID: PMC9493162 DOI: 10.1038/s41598-022-19787-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2021] [Accepted: 09/05/2022] [Indexed: 11/08/2022] Open
Abstract
In patients with chronic kidney disease (CKD), coronavirus disease 2019 (COVID-19) has a higher mortality rate than the general population; therefore, prevention is vital. To prevent COVID-19 infection, it is important to study individuals' risk aversion behavior. The objective of this study was to understand how the behavioral characteristics of physical distancing, hygiene practice, and exercise changed in patients with CKD during the COVID-19 pandemic and to identify the characteristics of patients who showed weakened or strengthened behavioral changes. We analyzed data from the Study on Kidney Disease and Environmental Chemicals (Clinical Trial No. NCT04679168), that examined a prospective cohort of patients with CKD. This cohort included patients with CKD who visited the participating hospitals for the first time between June and October 2020 and the second time between October 2020 and January 2021. Data on demographics, socio-economic details, and behavioral characteristics were collected through a questionnaire survey. Using a multivariable logistic regression model, we identified whether COVID-19 infection risk perception and previous strong behavioral changes affected behavioral changes during the first and second visits. A total of 277 patients (33.2% females) were included in the analysis. Nine out of 12 behaviors were reinforced at the first visit, and five out of nine reinforced behaviors were weakened at the second visit. A high-risk perception of COVID-19 infection was not associated with the tendency of overall behavioral reinforcement or maintaining behaviors in an enhanced state at the second visit. Strong behavioral changes at the patients' first visit to the hospital were associated with a tendency to strengthen or maintain reinforced behaviors at the second visit (adjusted odds ratio 1.99, 95% confidence interval 1.19-3.34; P = 0.009). Even if the initial COVID-19 risk perception is high, behavioral changes worsen over time. Individuals who showed more active behavioral changes at the beginning of the COVID-19 pandemic tended to maintain reinforced behavior over time. Continuous education and monitoring are needed to maintain changed behaviors, especially in patients with a high initial COVID-19 risk perception.
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Kim JH, Song HY, Park JH, Kang P, Lee HJ. A Study on the COVID-19 Preventive Behaviors of Automobile Manufacturing Workers in South Korea. Healthcare (Basel) 2022; 10:healthcare10101826. [PMID: 36292271 PMCID: PMC9602345 DOI: 10.3390/healthcare10101826] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2022] [Revised: 09/17/2022] [Accepted: 09/18/2022] [Indexed: 12/05/2022] Open
Abstract
The present study used a cross-sectional, descriptive survey design to investigate the influencing factors of COVID-19-related infection prevention behaviors of workers in the automobile manufacturing sector. An online survey was conducted on 157 workers in the automobile manufacturing sector of a company in Korea. We analyzed the collected data using SPSS to test whether there were significant differences in COVID-19 risk perception, crisis communication, health literacy, and infection prevention behaviors according to the general characteristics of the participants. An independent sample t-test and a one-way analysis of variance (ANOVA) were performed. A Pearson’s correlation analysis was performed to identify the correlations among COVID-19 risk perception, crisis communication, health literacy, and infection prevention behaviors. Multiple regression analysis was performed to identify the influencing factors of COVID-19 infection prevention behaviors. The regression model was found to be significant, and the employment period at current job, COVID-19 prevention education, source of information, COVID-19 risk perception, crisis communication, and health literacy were also found to be significant. Among the demographic variables, employment period at current job of 5−10 years showed a higher level of infection prevention behaviors than that of <5 years. Moreover, the level of infection prevention behaviors was also significantly higher when COVID-19-related information was acquired through the KDCA/health center. Higher COVID-19 risk perception, crisis communication, and health literacy were associated with significantly higher levels of infection prevention behaviors. Therefore, based on the results, health managers need to develop programs and educate and improve information comprehension and crisis communication skills in order to promote workers’ infection prevention behaviors of emerging infectious diseases in an era of global change.
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Al Mamun A, Hayat N, Dieu HTM, Zainol NR, Salameh AA. COVID-19 preventive behavior among university students in Southeast Asia: Effects of knowledge, concern, awareness, and perceived risk. Front Public Health 2022; 10:958021. [PMID: 36159302 PMCID: PMC9500200 DOI: 10.3389/fpubh.2022.958021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Accepted: 08/16/2022] [Indexed: 01/24/2023] Open
Abstract
The persistent rise of pandemics across the globe in recent times has led to the prescription of several collaborative preventive strategies to reduce the effect that the pandemic has on public health. Consistent monitoring and surveillance appear to be the only available approach to detecting and classifying the issues of public health threats. Global pandemic threats demand public co-operation to take preventive actions at a personal level so that the risk of infectious diseases can be contained. Said that, this study explored the influence of awareness of precaution measures (APM), concerns about coronavirus disease 2019 (COVID-19) (CAC), knowledge of COVID-19 (KOC), and perceived risk (PRK) on preventive behavior (PRB), as well as the effect of age and gender on the relationships among the studied variables. Quantitative data were collected from 551 university students across Malaysia and Vietnam through field survey and online survey, respectively. The data collection was performed from 13 March to 23 March 2020. Partial least square structural equation modeling (PLS-SEM) was employed for data analysis. The multiple group analysis (MGA) technique was applied to compare the data retrieved from the respondents based on age and gender. The results revealed that APM, CAC, KOC, and PRK on PRB significantly influenced PRB toward COVID-19. In light of the two personal factors, age and gender, significant variances were noted for age and KOC, while PRK on PRB on the PRB toward COVID-19. Based on the study outcomes, APM emerged as the most significant predictor of PRB, followed by PRK on PRB, and CAC. Since a large fraction of the world reside in rural areas and have high-level interaction with animals, the provision of education at all level can harness the attitude to adopt PRB toward COVID-19. As such, policymakers need to work with the young generation so that the latter may serve as change agents to spread the message of taking precautions and adopting effective PRB toward COVID-19.
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Affiliation(s)
- Abdullah Al Mamun
- UKM - Graduate School of Business, Universiti Kebangsaan Malaysia, Bangi, Malaysia,*Correspondence: Abdullah Al Mamun ;
| | - Naeem Hayat
- Global Entrepreneurship Research and Innovation Centre, Universiti Malaysia Kelantan, Kota Bharu, Malaysia
| | - Huynh Thi My Dieu
- UFM Graduate School, University of Finance and Marketing, Ho Chi Minh City, Vietnam
| | - Noor R. Zainol
- Global Entrepreneurship Research and Innovation Centre, Universiti Malaysia Kelantan, Kota Bharu, Malaysia
| | - Anas A. Salameh
- College of Business Administration, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia
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Wu F, Zhou M, Zhang Z. Can science fiction engagement predict identification with all humanity? Testing a moderated mediation model. Front Psychol 2022; 13:943069. [PMID: 36059753 PMCID: PMC9435529 DOI: 10.3389/fpsyg.2022.943069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2022] [Accepted: 07/04/2022] [Indexed: 11/17/2022] Open
Abstract
Identification with all humanity (IWAH) is viewed as a critical construct that facilitates global solidarity. However, its origins have rarely been explored in previous literature, and no study has yet investigated the role of pop-culture in cultivating IWAH. To address this gap, this study initially focuses on science fiction (sci-fi), a specific pop-culture genre with worldwide audiences, and examines its effect on IWAH. It hypothesized a direct association between sci-fi engagement and IWAH from the narrative persuasion approach, and an indirect association via abstract construal based on the cognitive-literary approach. Moreover, the moderating role of actively open-minded thinking (AOT) in the direct and indirect association was also assessed. Results were obtained through a cross-sectional survey conducted in China (n = 570) and showed that sci-fi engagement was positively associated with IWAH; this association was also partially mediated by abstract construal. Interestingly, and inconsistent with our hypotheses, AOT positively moderated the indirect effect but negatively moderated the direct effect. Theoretical and practical implications for cultivating IWAH from the media and pop-cultural perspective were discussed.
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Affiliation(s)
- Fuzhong Wu
- School of Journalism and Communication, Tsinghua University, Beijing, China
| | - Mingjie Zhou
- Institute of Psychology, Chinese Academy of Sciences, Beijing, China
- Department of Psychology, University of Chinese Academy of Sciences, Beijing, China
| | - Zheng Zhang
- School of Journalism and Communication, Tsinghua University, Beijing, China
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