scholarly journals Changing trends of mental and behavioral responses and associations during the COVID-19 epidemic in China: a panel study

2021 ◽  
Vol 36 (2) ◽  
pp. 151-158
Author(s):  
Xiaozhao Yousef Yang ◽  
Sihui Peng ◽  
Tingzhong Yang ◽  
Randall R Cottrell

Abstract This prospective observational study examined changing trends in mental and behavioral responses, and their association with perceived risk, severity, self-efficacy and isolation status during the Chinese COVID-19 epidemic. There were five waves of interviews. Descriptive statistics and non-parametric test methods were used for data analysis. Participants numbered 150 for the linkable baseline survey and 102 completed all 5 survey waves and were included in the analysis. Mental stress, emotional status and lifestyle manifested a statistically significant downwards trend across the total period of this panel study. The number of reported new confirmed patients perceived high risk and perceived severity were positively associated with mental stress, emotional status and lifestyle. Self-efficacy was negatively associated with each type of mental and behavioral response. The more time people were confined to their home, the more serious the emotional and lifestyle problems. Dose-response relationships were noted between the number of reported new confirmed patients and mental stress, emotional status and lifestyle during the five observation points. This study yielded new information about mental and behavioral responses among Chinese people during the COVID-19 epidemic. Policy changes and health education are essential for minimizing the adverse health effects of these responses.

2020 ◽  
Author(s):  
Xiaozhao Yousef Yang ◽  
Sihui peng ◽  
Tingzhong Yang ◽  
Ian R.H. Rockett

Abstract Objective This prospective observational study examined changing trends of excess self-protective behavior (EPB), and its association with perceived risk, severity and belief in prevention myths during the Chinese COVID-19 epidemic. Methods The study employed a longitudinal design. Participants were recruited for an online panel survey from chat groups on social media platforms. Descriptive statistics and the CATMOD program were used for data analysis. Findings Participants numbered 150 for the linkable baseline survey and 102 for the final survey. There were 5 waves of interviews. The prevalence of participants perceiving a personal risk of contracting COVID-19, and severe consequences of the disease, was 18.6% and 25.5%, respectively. Their prevalence had declined to 4.9% and 17.6%, respectively, by the last observation point. The 5 selected EPBs also manifested a decreasing trend. Belief in COVID-19 prevention myths trended upwards. Perceived risk was positively associated with each EPB, and perceived severity with disinfection of clothes and hoarding of products. Myth adherence was positively associated with disinfection of clothes and both hand washing and sanitization. Conclusion This study yielded new information about EPB among the public during the COVID-19 epidemic. Policy and health education modifications are essential for minimizing the adverse health effects of subscribing to prevention myths.


2021 ◽  
Author(s):  
Sihui Peng ◽  
Xiaozhao Yousef Yang ◽  
Tingzhong Yang ◽  
Weifang Zhang ◽  
Randall R Cottrell

Objective: This prospective observational study examined changing trends of mental responses and prevention patterns, and their impact from uncertainty stress during the transition in China from the COVID 19 epidemic to sporadic infection. Setting: A prospective longitudinal observation design was utilized in this study. Participants: We recruited participants for an online panel survey from chat groups on Chinese social media platforms. Data collection: There were 7 waves of interviews. Data were obtained by an online survey. A special administrative WeChat group was established to manage the follow up data collection. Measures: Several mental responses and prevention patterns were each measured by single questionnaire items. Uncertainty stress was measured by 5-point scale. An irrational beliefs about prevention variable was comprised 5 common misconceptions, which manifested during the COVID 19 epidemic in China. Analysis: Sixty two participants completed all observation points and were included in the study. The Mann Kendall Test was used to assess changing trends across the seven observation points. The nonparametric linear mixed effects model was used to examine the association between uncertainty stress and mental and behavioral responses. Results: The mean uncertainty stress did not change significantly over the observation period (T:-0.911, P>0.05). This trend was also true for perceived risk (T: -0.141, P>0.05), perceived severity (T: 1.010, P>0.05), self efficacy for prevention (T: 0.129, P>0.05), and prevention behavior (T: 0.728, P>0.05). There was a statistically significant downwards trend in irrational beliefs about prevention (T: -4.993, p < 0.01), sleep (T: -2.499, p < 0.05), emotions (T: -5.650, p < 0.01), and lifestyle (T: -5.978, p < 0.01). The results showed that uncertainty stress was positively associated with irrational beliefs (beta: 0.16298, p<0.01). The more uncertainty stress, the worse was their sleep (beta: 0.02070, p<0.05), emotions (beta: 0.03462, p<0.01), and lifestyle(beta: 0.02056, p<0.05). High levels of uncertainty stress was negatively associated with self-efficacy for prevention and prevention behavior, beta value was =-1.33210 (p<0.01) and -0.82742 (p<0.01), respectively. Conclusion: As the COVID-19 virus spreads around the globe, it is currently in epidemic status in some countries, in sporadic status in another countries, and it will eventually transition to sporadic infection status. This study provides new information on changing trends of mental responses and prevention patterns from the COVID-19 epidemic as the transition to a sporadic infection period takes place. These results may have important policy and disease prevention in post-epidemic times.


2021 ◽  
Vol 45 (2) ◽  
pp. 334-341
Author(s):  
Sihui Peng ◽  
Xiaozhao Yousef Yang ◽  
Tingzhong Yang ◽  
Weifang Zhang ◽  
Randall R. Cottrell

Objectives: We examined changing trends of uncertainty stress, and its impact on disease fear and prevention behaviors during the Chinese COVID-19 epidemic, using a prospective observational study. Methods: We employed a longitudinal design. We recruited participants for an online panel survey from chat groups on social media platforms. There were 5 waves of interviews. Information on uncertainty stress and related variables were collected via the online survey. Descriptive statistics and the GIM program were used for data analysis. Results: Participants numbered 150 for the linkable baseline survey and 102 (68%) for the final survey. Uncertainty stress (β = -.047, SE = .118, p > .05) did not show a statistically significant temporal change trend over the observation period. Disease fear manifested a statistically significant downwards trend (β = -.342, SE = .157, p < .05), and prevention behaviors indicated an upwards trend (β = .048, SE = .021, p < .05) during the observation period. Uncertainty stress was positively associated with disease fear (β = .45046, SE = .05964, p < .001), and negatively associated with self-efficacy (β = -.6698, SE = .01035, p < .001), and prevention behaviors (β = -.02029, SE = .00876, p =.021). Conclusion: This study yielded new information about uncertainty stress among Chinese people during the COVID-19 epidemic. Policy changes and public education are essential for minimizing the negative effects of uncertainty stress in disease prevention.


2016 ◽  
Vol 8 (1) ◽  
pp. 50-62 ◽  
Author(s):  
Yi-Fen Chen ◽  
Chia-Wen Tsai ◽  
Yen-Fang Tseng

The emerging online economy in recent years has facilitated the rapid growth of e-commerce, such as Internet bank, e-wallet, and electronic bidding. Network fellowship auction is a collective effort by people who network and pool their money together by Internet in order to invest in and support efforts initiated by other people or organizations. Network fellowship auction has replaced conventional fellowship auction by offering a new safer and faster financial instrument. This research investigated the determinants of network fellowship auction user acceptance, including consumer perceived risk, perceived value, computer self-efficacy, and product involvement. An online survey was used with a sample of 446 respondents. Structural equation models (SEM) were used to examine hypotheses in the theoretical framework. The results showed that consumer perceived risk substantially negatively influenced perceived ease of use and intention; consumer perceived value positively influenced perceived usefulness; consumer computer self-efficacy positively influenced perceived ease of use. Additionally, consumer perceived usefulness, perceived ease of use, and product involvement positively influenced consumer intention.


2008 ◽  
Vol 11 (1) ◽  
pp. 8-16 ◽  
Author(s):  
DN Cox ◽  
G Evans ◽  
HJ Lease

AbstractObjectivesTo elicit predictors of variation in likelihood to purchase foods rich in long-chain omega-3 fatty acids.Design, setting and subjectsResponses from a community sample (n = 220) were elicited using a computer-administered questionnaire based on an adaptation of Protection Motivation Theory including measures of perceived risk and vulnerability to coronary heart disease (CHD). Other measures included health status, body mass index (BMI), perceived risk/benefits of novel technologies and sociodemographics. Descriptions of model products were presented, including farmed fish fed fishmeal (FFFF); farmed fish fed genetically modified (GM) oilseed (FFFGM); bread, milk and supplements containing fish oil (SFO) or GM oilseed. It was hypothesised that perceived vulnerability to CHD would enhance acceptance of GM products (H1). Furthermore, information describing the benefits of LCO3FA, limitations to fish supply and potential alternatives was given to a treatment group (50%) and hypothesised to have a positive effect on the acceptance of GM products (H2).ResultsNo evidence was found to support H1 or H2. FFFF was most likely to be purchased (P < 0.01), followed by SFO and FFFGM. Multivariate regression analysis identified significant (P < 0.05) predictors (standardised β) for likelihood to purchase FFFF: self-efficacy 0.56; behaviour (product) efficacy 0.19; belief that fishmeal is unnatural −0.14 (R2 = 0.44) and for FFFGM: self-efficacy 0.65; perceived severity of CHD 0.15; BMI −0.13; significant other has/had arthritis 0.11; belief that GM oilseed is unnatural 0.11 (R2 = 0.49).ConclusionsSelf-efficacy (confidence to consume) was the most important predictor of likelihood to purchase all products.


The Condor ◽  
2020 ◽  
Author(s):  
Conor C Egan ◽  
Bradley F Blackwell ◽  
Esteban Fernández-Juricic ◽  
Page E Klug

Abstract Wildlife managers have recently suggested the use of unmanned aircraft systems or drones as nonlethal hazing tools to deter birds from areas of human-wildlife conflict. However, it remains unclear if birds perceive common drone platforms as threatening. Based on field studies assessing behavioral and physiological responses, it is generally assumed that birds perceive less risk from drones than from predators. However, studies controlling for multiple confounding effects have not been conducted. Our goal was to establish the degree to which the perception of risk by birds would vary between common drone platforms relative to a predator model when flown at different approach types. We evaluated the behavioral responses of individual Red-winged Blackbirds (Agelaius phoeniceus) to 3 drone platforms: a predator model, a fixed-wing resembling an airplane, and a multirotor, approaching either head-on or overhead. Blackbirds became alert earlier (by 13.7 s), alarm-called more frequently (by a factor of 12), returned to forage later (by a factor of 4.7), and increased vigilance (by a factor of 1.3) in response to the predator model compared with the multirotor. Blackbirds also perceived the fixed-wing as riskier than the multirotor, but less risky than the predator model. Overhead approaches mostly failed to elicit flight in blackbirds across all platform types, and no blackbirds took flight in response to the multirotor at either overhead or head-on approaches. Our findings demonstrate that birds perceived drones with predatory characteristics as riskier than common drone models (i.e. fixed-wing and multirotor platforms). We recommend that drones be modified with additional stimuli to increase perceived risk when used as frightening devices, but avoided if used for wildlife monitoring.


Nutrients ◽  
2019 ◽  
Vol 11 (2) ◽  
pp. 311 ◽  
Author(s):  
Mireille NM van Poppel ◽  
Judith G.M. Jelsma ◽  
David Simmons

A better understanding of what drives behaviour change in obese pregnant overweight women is needed to improve the effectiveness of lifestyle interventions in this group at risk for gestational diabetes (GDM). Therefore, we assessed which factors mediated behaviour change in the Vitamin D and Lifestyle Intervention for GDM Prevention (DALI) Lifestyle Study. A total of 436 women, with pre-pregnancy body mass index ≥29 kg/m2, ≤19 + 6 weeks of gestation and without GDM, were randomised for counselling based on motivational interviewing (MI) on healthy eating and physical activity, healthy eating alone, physical activity alone, or to a usual care group. Lifestyle was measured at baseline, and at 24–28 and 35–37 weeks of gestation. Outcome expectancy, risk perception, task self-efficacy and social support were measured at those same time points and considered as possible mediators of intervention effects on lifestyle. All three interventions resulted in increased positive outcome expectancy for GDM reduction, perceived risk to the baby and increased task self-efficacy. The latter mediated intervention effects on physical activity and reduced sugared drink consumption. In conclusion, our MI intervention was successful in increasing task self-efficacy, which was related to improved health behaviours.


2016 ◽  
Vol 22 (14) ◽  
pp. 1780-1788 ◽  
Author(s):  
Isaac M Lipkus ◽  
Devon Noonan

College waterpipe tobacco smokers who feel more ambivalence, that is, conflicted about its use, may have a stronger desire to quit. Using baseline survey data of 315 college waterpipe smokers, we examined this relationship. While frequency of feeling ambivalence was low, greater ambivalence was related with desire to quit ( r = .46, p < .001). This relationship remained significant after accounting for several correlates of desire to quit (e.g. perceived risk and worries about harm and addiction). Findings suggest that ambivalence may be an important independent variable linked with desire to quit and should be explored further as a factor influencing waterpipe tobacco use.


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