What Sustains Mask-Wearing Behavior among Elders in a Rural Community in the Post-COVID-19 Era: An Exploratory Mixed-Methods Study

Autor: Sethapong Lertsakulbunlue, Pinyada Kittisarapong, Sirikorn Pikulkaew, Pree Pusayapaibul, Apisit Tangtongsoonthorn, Chanunpisut Wichaiboon, Fasai Amornchatchawankul, Suranuch Marsook, Supakrit Mahaisawariya, Nattasit Subwongcharoen, Phitchayut Petcharat, Bannawit Luksanasup, Thakornphong Lortharaprasert, Bavorn Tieantanyatip, Anupong Kantiwong, Kanlaya Jongcherdchootrakul
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Behavioral Sciences, Vol 13, Iss 8, p 678 (2023)
Druh dokumentu: article
ISSN: 2076-328X
DOI: 10.3390/bs13080678
Popis: The current study investigates the factors influencing face-mask-wearing practices among elderly individuals in rural Thailand. A mixed-methods approach was employed, involving qualitative interviews with 15 elderly participants and a subsequent survey of 201 elders. Seven subthemes were identified, including the perceived benefits of mask-wearing, the perceived threat of COVID-19, mask-wearing enhancing attractiveness and self-confidence, social norms, misconceptions about COVID-19 prevention tools, perceived barriers to mask-wearing, and resources to afford face masks. The developed themes, codes, and quotes were utilized for creating a questionnaire. The survey revealed the adherence of 81.1% of the participants to mask-wearing. Structural equation modeling (SEM) analysis demonstrated that motivation, comprising (1) the perceived threat of COVID-19, (2) alternative threats aside from COVID-19, and (3) the perceived benefits of a face mask strongly affected mask-wearing practices (β = 0.68, p < 0.001) and the willingness to wear a face mask (β = 0.61, p < 0.001). Social norms had a negative direct effect on the perceived barrier (β = −0.48, p < 0.001) and a positive direct effect on mask-wearing practices (β = 0.25, p = 0.001). This study highlights that motivation and social norms play pivotal roles in sustaining mask-wearing behavior among rural elderly populations. Encouraging local cooperative actions through community rules could initiate behavioral changes within the community. These findings contribute to the understanding of factors influencing mask-wearing and provide insights into designing effective interventions to promote mask-wearing among elderly individuals in rural areas.
Databáze: Directory of Open Access Journals
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