Influence of Health Beliefs on Adherence to COVID-19 Preventative Practices: International, Social Media–Based Survey Study

Autor: Monika Thomas-Uribe, C. Jason Wang, Jasmin Ma, Julianna C. Hsing, Alejandra Barrero-Castillero, Bea-Jane Lin, Uma Palam Pulendran, Shilpa G. Jani
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Adult
Male
behavior change
Adolescent
020205 medical informatics
Cross-sectional study
social media
COVID-19 pandemic
Health Informatics
handwashing
02 engineering and technology
Logistic regression
lcsh:Computer applications to medicine. Medical informatics
Young Adult
03 medical and health sciences
0302 clinical medicine
Surveys and Questionnaires
Disease Transmission
Infectious
0202 electrical engineering
electronic engineering
information engineering
Humans
health belief model
cross-sectional study
Health belief model
Social media
030212 general & internal medicine
Pandemics
Original Paper
SARS-CoV-2
Social distance
lcsh:Public aspects of medicine
Behavior change
social distancing
COVID-19
Social environment
lcsh:RA1-1270
Odds ratio
Middle Aged
preventative health behaviors
Cross-Sectional Studies
international
lcsh:R858-859.7
Female
online survey
Psychology
Demography
Zdroj: Journal of Medical Internet Research, Vol 23, Iss 2, p e23720 (2021)
Journal of Medical Internet Research
ISSN: 1438-8871
Popis: Background Health behavior is influenced by culture and social context. However, there are limited data evaluating the scope of these influences on COVID-19 response. Objective This study aimed to compare handwashing and social distancing practices in different countries and evaluate practice predictors using the health belief model (HBM). Methods From April 11 to May 1, 2020, we conducted an online, cross-sectional survey disseminated internationally via social media. Participants were adults aged 18 years or older from four different countries: the United States, Mexico, Hong Kong (China), and Taiwan. Primary outcomes were self-reported handwashing and social distancing practices during COVID-19. Predictors included constructs of the HBM: perceived susceptibility, perceived severity, perceived benefits, perceived barriers, self-efficacy, and cues to action. Associations of these constructs with behavioral outcomes were assessed by multivariable logistic regression. Results We analyzed a total of 71,851 participants, with 3070 from the United States, 3946 from Mexico, 1201 from Hong Kong (China), and 63,634 from Taiwan. Of these countries, respondents from the United States adhered to the most social distancing practices (χ23=2169.7, P Conclusions Social media recruitment strategies can be used to reach a large audience during a pandemic. Self-efficacy was the strongest predictor for handwashing and social distancing. Policies that address relevant health beliefs can facilitate adoption of necessary actions for preventing COVID-19. Our findings may be explained by the timing of government policies, the number of cases reported in each country, individual beliefs, and cultural context.
Databáze: OpenAIRE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje