scholarly journals Effects of Cognition and Affect on Preventive Behaviors During the COVID-19 Pandemic: A Cross-Sectional Study in China

2021 ◽  
Author(s):  
Fei Shen ◽  
Chen Min ◽  
Ye Lu ◽  
Yajie Chu
Keyword(s):  
Risk Perception ◽  
Preventive Measures ◽  
Negative Emotion ◽  
Explanatory Power ◽  
Behavioral Responses ◽  
Cognitive Variables ◽  
Preventive Behaviors ◽  
Health Crisis ◽  
Affective Factors ◽  
Affective Variables

Abstract Background: The global outbreak of COVID-19 has become an international public health crisis. Specific antiviral treatments for COVID-19 are not yet available, and prevention is of particular importance to fighting the virus. This study tends to explore and compare the roles of cognitive and affective factors in predicting preventive behavior adoption during the COVID-19 pandemic in China.Methods: An online survey using a quota sampling method to collect responses from 3,000 Chinese adults was conducted from March 2, 2020 to March 23, 2020. Questions included sociodemographic features, coronavirus knowledge, negative emotion, risk perception, and behavioral responses. Multiple regression analyses were conducted to examine the predictors of behavioral responses toward COVID-19.Results: On average, respondents had low levels of knowledge about COVID-19 (the overall correct response rate was 7.5 percent). Most respondents reported moderate to strong negative emotions towards the virus (3.47 out of 5). The average reported perceived chance of infection was 23.89%. For behavioral responses, respondents reported low frequencies of going out for activities (1.98 out of 4) and high frequencies of taking preventive measures (3.22 out of 4). Behavioral responses toward COVID-19 were found to be determined by cognitive and affective variables. Knowledge was negatively related to frequency of going out for activities (β=-0.11, p<.001). Negative emotion (β=0.34, p<.001), and risk perception (β=0.05, p=.007) were positively associated with going out for activities. The explanatory power of affective variables (ΔR2=12.1%) was greater than cognitive variables (ΔR2 =1.0%). For preventive behaviors, knowledge was positively associated with preventive behaviors (β=0.22, p<.001). Negative emotion (β=-0.28, p<.001) and risk perception (β=-0.05, p=.002) were all negatively associated with preventive measures. Affective variables still showed stronger explanatory power (ΔR2=8%) than cognitive variables (ΔR2=4.4%) in predicting preventive behaviors. Conclusions: After the rising period of the COVID-19 outbreak in mainland China, cognitive and affective variables still played important roles in predicting behavioral responses. Compared with cognitive factor, affective factors demonstrated stronger explanatory power in predicting behavioral responses towards COVID-19. The findings may have implications for enhancing individual compliance with guidelines of adopting preventive behaviors in response to COVID-19.

scholarly journals The effect of cognition and affect on preventive behaviors during the COVID-19 pandemic: a cross-sectional study in China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Fei Shen ◽  
Chen Min ◽  
Ye Lu ◽  
Yajie Chu
Keyword(s):  
Risk Perception ◽  
Preventive Measures ◽  
Negative Emotion ◽  
Explanatory Power ◽  
Behavioral Responses ◽  
Cognitive Variables ◽  
Preventive Behaviors ◽  
Health Crisis ◽  
Affective Factors ◽  
Affective Variables

Abstract Background The global outbreak of COVID-19 has become an international public health crisis. Specific antiviral treatments for COVID-19 are not yet available, and prevention is of particular importance to fight the virus. This study tends to explore and compare the roles of cognitive and affective factors in predicting preventive behavior adoption during the COVID-19 pandemic in China. Methods An online survey using a quota sampling method to collect responses from 3000 Chinese adults was conducted from March 2, 2020 to March 23, 2020. Questions included sociodemographic features, coronavirus knowledge, negative emotion, risk perception, and behavioral responses. Multiple regression analyses were conducted to examine the predictors of behavioral responses toward COVID-19. Results On average, respondents had low levels of knowledge about COVID-19 (the overall correct response rate was 7.5%). Most respondents reported moderate to strong negative emotions towards the virus (3.47 out of 5). The average reported perceived chance of infection was 23.89%. For behavioral responses, respondents reported low frequencies of going out for activities (1.98 out of 4) and high frequencies of taking preventive measures (3.22 out of 4). Behavioral responses toward COVID-19 were found to be determined by cognitive and affective variables. Knowledge was negatively related to frequency of going out for activities (β = − 0.11, p < .001). Negative emotion (β = 0.34, p < .001), and risk perception (β = 0.05, p = .007) were positively associated with going out for activities. The explanatory power of affective variables (ΔR2 = 12.1%) was greater than cognitive variables (ΔR2 = 1.0%). For preventive behaviors, knowledge was positively associated with preventive behaviors (β = 0.22, p < .001). Negative emotion (β = − 0.28, p < .001) and risk perception (β = − 0.05, p = .002) were all negatively associated with preventive measures. Affective variables still showed stronger explanatory power (ΔR2 = 8%) than cognitive variables (ΔR2 = 4.4%) in predicting preventive behaviors. Conclusions After the rising period of the COVID-19 outbreak in mainland China, cognitive and affective variables still played important roles in predicting behavioral responses. Compared with cognitive factors, affective factors demonstrated stronger explanatory power in predicting behavioral responses toward COVID-19. The findings may have implications for enhancing individual compliance with guidelines of adopting preventive behaviors in response to COVID-19.

scholarly journals The Role of Health Literacy in COVID-19 Preventive Behaviors and Infection Risk Perception: Evidence from a Population-Based Sample of Essential Frontline Workers during the Lockdown in the Province of Prato (Tuscany, Italy)

2021 ◽  
Vol 18 (24) ◽  
pp. 13386
Author(s):  
Vieri Lastrucci ◽  
Chiara Lorini ◽  
Marco Del Riccio ◽  
Eleonora Gori ◽  
Fabrizio Chiesi ◽  
...  
Keyword(s):  
Health Literacy ◽  
Risk Perception ◽  
Preventive Measures ◽  
Population Based ◽  
Control Measures ◽  
Preventive Behaviors ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Frontline Workers ◽  
Attitudes And Practices

Background: The effectiveness of pandemic control measures requires a broad understanding from the population. This study aimed to evaluate the role played by health literacy (HL) in influencing the adherence to COVID-19 preventive measures and risk perception of essential frontline workers during the lockdown period. Methods: A cross-sectional survey was conducted on a population-based sample of frontline workers from Prato Province (Italy). Data on knowledge, attitudes and practices towards COVID-19 preventive measures and risk perception were collected. HL was measured with the HLS-EU-Q6 tool. Multivariate linear regression analyses were performed. Results: A total of 751 people participated in this study, and 56% of the sample showed a sufficient level of HL. In the multivariate models, HL resulted in being positively correlated with both knowledge (beta 0.32 for sufficient HL, 0.11 for problematic HL) and attitudes (beta 0.33 for sufficient HL, 0.17 for problematic HL) towards the importance of COVID-19 preventive measures. The HL level was not associated with the adoption of preventive behaviors and COVID-19 risk perception. Conclusions: HL may play a key role in maintaining a high adherence to infection prevention behaviors and may be a factor to take into account in the implementation of public health interventions in pandemic times.

scholarly journals Attachment, Personality and Locus of Control: Psychological Determinants of Risk Perception and Preventive Behaviors for COVID-19

2021 ◽  
Vol 12 ◽  
Author(s):  
Sofia Tagini ◽  
Agostino Brugnera ◽  
Roberta Ferrucci ◽  
Ketti Mazzocco ◽  
Luca Pievani ◽  
...  
Keyword(s):  
Risk Perception ◽  
Locus Of Control ◽  
Perceived Risk ◽  
Psychological Factors ◽  
Preventive Measures ◽  
Linear Regression Analysis ◽  
Preventive Behaviors ◽  
Perception Of Risk ◽  
Cross Sectional Survey ◽  
Precautionary Measures

Background: The understanding of factors that shape risk perception is crucial to modulate the perceived threat and, in turn, to promote optimal engagement in preventive actions.Methods: An on-line, cross-sectional, survey was conducted in Italy between May and July 2020 to investigate risk perception for COVID-19 and the adoption of preventive measures. A total of 964 volunteers participated in the study. Possible predictors of risk perception were identified through a hierarchical multiple linear regression analysis, including sociodemographic, epidemiological and, most of all, psychological factors. A path analysis was adopted to probe the possible mediating role of risk perception on the relationship between the independent variables considered and the adoption of preventive measures.Results: Focusing on the psychological predictors of risk perception, high levels of anxiety, an anxious attachment, and an external locus of control predicted higher perceived risk. Conversely, high levels of openness personality and of avoidant attachment predicted a lower perception of risk. In turn, the higher was the perceived risk the higher was the adoption of precautionary measures. Furthermore, psychological factors influenced the adoption of preventive behaviors both directly and indirectly through their effect on risk perception.Conclusions: Our findings might be taken into high consideration by stakeholders, who are responsible for promoting a truthful perception of risk and proper compliance with precautionary measures.

scholarly journals Risk perception regarding the COVID-19 outbreak among the general population: a comparative Middle East survey

2020 ◽  
Vol 27 (1) ◽  
Author(s):  
Mahmoud Abdel Hameed Shahin ◽  
Rasha Mohammed Hussien
Keyword(s):  
Risk Perception ◽  
General Population ◽  
Self Efficacy ◽  
Risk Perceptions ◽  
Preventive Measures ◽  
Public Awareness ◽  
Cross Sectional ◽  
Convenience Sample ◽  
The Mean ◽  
Novel Coronavirus

Abstract Background People’s perceptions of pandemic-associated risk are key factors contributing to increased public participation in disease preventive measures. The aim of the study was to investigate risk perceptions regarding the coronavirus disease 2019 (COVID-19) outbreak, among the general population. A descriptive, cross-sectional design was used with a convenience sample of 723 participants, recruited from the general population of Saudi Arabia, Egypt, and Jordan. Data collection was performed using a standardized risk perception assessment questionnaire, in April 2020. Results The mean score for the perception of COVID-19 seriousness was significantly higher and the mean scores for the perception of disease susceptibility and extent of anxiety were also higher among Saudi Arabian participants than participants from Egypt and Jordan. Participants from Egypt had significantly lower mean scores for the perception of efficacy and self-efficacy to cope with COVID-19, and significantly lower intention to comply with COVID-19 precautionary measures than the other populations. A significant positive correlation was detected between the perception of COVID-19 seriousness and self-efficacy to handle COVID-19, for the entire sample. The primary reasons reported by participants driving their willingness to perform certain preventive measures against COVID-19 was a feeling of responsibility toward their own health, followed by preventing transmission to other people and the feeling that COVID-19 can be serious. Most of the study sample reported a desire to receive information about COVID-19 treatment, ways to prevent disease contraction, and the incubation period for the novel coronavirus. Also, most of the study sample reported that they prefer receiving COVID-19 updates from national authorities. Conclusions During the COVID-19 pandemic, communications designed to promote the adoption of preventive behaviors should focus on increasing the perception of seriousness, the risk perception, self-efficacy to cope with the COVID-19 pandemic, and the effectiveness of the adopted behavioral measures for reducing risk. Health education programs that are tailored to various sociodemographic categories, to improve public awareness, perceptions, and attitudes, are vital for increasing the adoption of outbreak preventive measures.

scholarly journals Resource allocation in the Covid-19 health crisis: are Covid-19 preventive measures consistent with the Rule of Rescue?

2021 ◽  
Author(s):  
Julian W. März ◽  
Søren Holm ◽  
Michael Schlander
Keyword(s):  
Resource Allocation ◽  
Large Scale ◽  
Preventive Measures ◽  
Risk Groups ◽  
Healthcare Resources ◽  
Health Crisis ◽  
Rule Of Rescue ◽  
Post War ◽  
Vaccination Campaigns ◽  
N95 Respirators

AbstractThe Covid-19 pandemic has led to a health crisis of a scale unprecedented in post-war Europe. In response, a large amount of healthcare resources have been redirected to Covid-19 preventive measures, for instance population-wide vaccination campaigns, large-scale SARS-CoV-2 testing, and the large-scale distribution of protective equipment (e.g., N95 respirators) to high-risk groups and hospitals and nursing homes. Despite the importance of these measures in epidemiological and economic terms, health economists and medical ethicists have been relatively silent about the ethical rationales underlying the large-scale allocation of healthcare resources to these measures. The present paper seeks to encourage this debate by demonstrating how the resource allocation to Covid-19 preventive measures can be understood through the paradigm of the Rule of Rescue, without claiming that the Rule of Rescue is the sole rationale of resource allocation in the Covid-19 pandemic.

scholarly journals Willingness of Taiwan’s Healthcare Workers and Outpatients to Vaccinate against COVID-19 during a Period without Community Outbreaks

Vaccines ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 246
Author(s):  
Shikha Kukreti ◽  
Mei-Yun Lu ◽  
Yi-Hsuan Lin ◽  
Carol Strong ◽  
Chung-Ying Lin ◽  
...  
Keyword(s):  
Risk Perception ◽  
Healthcare Workers ◽  
Online Survey ◽  
Rapid Test ◽  
University Hospital ◽  
Preventive Behaviors ◽  
Vaccination Uptake ◽  
Community Outbreaks ◽  
To Receive ◽  
Significant Factors

To control the spread of the novel coronavirus disease 2019 (COVID-19), COVID-19 vaccination has been quickly developed. However, the COVID-19 pandemic will not be controlled if the COVID-19 vaccination uptake willingness is low. Therefore, the study aim was to explore the COVID-19 vaccination uptake willingness among the outpatient population and healthcare workers in Taiwan during the worldwide pandemic period without community outbreaks. A cross-sectional survey was conducted among healthcare workers (HCWs; n = 500; mean age = 32.96 years) of National Cheng Kung University Hospital (NCKUH) and outpatients (n = 238; mean age = 34.43 years) arriving at NCKUH. We used an online survey conducted between September 24 and 21 November 2020, for healthcare workers, and between 27 October and 31 December 2020, for the outpatient sample. Information regarding willingness to receive vaccination, willingness to rapid test, fear of COVID-19, risk perception, and preventive behaviors was collected in both samples; information regarding willingness to care for patients was collected in healthcare workers. Willingness to receive vaccination was the main variable in the present study; willingness to rapid test, willingness to care for patients, fear of COVID-19, risk perception, and preventive behaviors were the secondary variables in the study. The factors associated with vaccination willingness were identified through logistic regression analysis. The participants’ willingness to receive vaccination was low for both healthcare workers (23.4%) and the outpatient sample (30.7%). Similarly, their willingness to take rapid tests was low (23.6% for healthcare workers and 28.6% for outpatient sample). Risk perception (crude odds ratio (COR) = 1.29; 95% confidence interval (CI) = 1.03, 1.63), willingness to take rapid test (COR = 9.24; 95% CI = 5.76, 14.83), and preventive COVID-19 infection behaviors (COR = 2.32; 95% CI = 1.52, 3.56) were significant factors explaining the healthcare workers’ willingness to receive vaccination. Willingness to take a rapid test (COR = 8.91; 95% CI = 4.71, 16.87) and preventive COVID-19 infection behaviors (COR = 1.69; 95% CI = 1.09, 2.60) were significant factors explaining the outpatient sample’s willingness to receive vaccination. Willingness to vaccinate against COVID-19 among HCWs and outpatients is low due to the relatively safe status of COVID-19 infection in Taiwan. These findings can help policymakers advocate for the effectiveness of and provide transparent information on COVID-19 vaccination uptake in a country/region with a relatively safe COVID-19 outbreak status.

scholarly journals The Influence of Social Media use on Practice of Covid-19 Preventive Measures Among Ethiopian Residents: An Online Cross-Sectional Study

2021 ◽  
pp. 1-18
Author(s):  
Abinet Arega Sadore ◽  
Demelash Woldeyohannes Handiso ◽  
Tekle Ejajo Wontamo ◽  
Dejene Ermias Mekango ◽  
Sisay Moges
Keyword(s):  
Public Health ◽  
Social Media ◽  
Risk Perception ◽  
Preventive Measures ◽  
Media Use ◽  
Social Media Use ◽  
Cross Sectional ◽  
Preventive Practice ◽  
Related Information ◽  
Study Participants

Abstract Background: Infection with coronavirus disease (COVID-19) has become a severe public health issue worldwide. A broad amount of information related to the novel coronavirus (COVID-19) pandemic was disseminated by social media in Ethiopia. To date, there is limited evidence on the influence of social media use for covid-19 related information on covid-19 preventive practice. Therefore, this study aimed to assess the influence of social media use on the practice of COVID-19 preventive measures in Ethiopia. Methods: This study employed an anonymous internet-based online cross-sectional survey using Google forms to collects the data from the respondents from 15 May to 17 June 2020 in Ethiopia. Multivariable logistic regression was used to assess the relationship between social media usage as a predictor and COVID-19 preventive practice, after adjusting for socio-demographic and risk perception of COVID-19 variables. The data were analysed using SPSS version 21. Results: A total of 372 respondents have participated in the study. From 372, 208(55.9%) respondents in this study were male. Study participants who had good utilization of social media to get COVID-19 related information were 9.5 times engaged in COVID-19 preventive practices compared to study participants who had poor utilization of social media to get covid-19 related information (AOR= 9.59, 95% CI = 5.70 - 16.13). Also, study participants who had a high-risk perception of COVID-19 were 2.6 times engaged in COVID-19 practices compared to study participants who had a low-risk perception of covid-19 (AOR = 2.63, 95% CI = 1.58 - 4.38). Study participants who were students at the time of this study were four times more likely to show adequate COVID-19 preventive practice score compared to those who had another occupational status (AOR= 4.07, 95% CI= 1.66 - 9.98) Conclusions: Our results show that the usage of social media networks can have a positive effect on the practice of preventive measures and public safety against COVID-19; high-risk perception contributed to preventive activities against COVID-19. Social networking platforms can be used by public health agencies as an important method to raise public health understanding by disseminating concise messages to targeted audiences.

Impact of Social Media on Risk Perception And Preventive Behaviors Toward Covid-19 In Saudi Arabia

2021 ◽  
Vol 9 (4) ◽  
pp. 41
Author(s):  
Samiha Sayed ◽  
Ebtesam Elsayed ◽  
Haya Zedan ◽  
Afaf Mossad
Keyword(s):  
Social Media ◽  
Saudi Arabia ◽  
Risk Perception ◽  
Preventive Behaviors

scholarly journals Gendered Factors Associated with Preventive Behaviors and Mental Health among Chinese Adults during the COVID-19 Pandemic Home Quarantine

2021 ◽  
Vol 13 (19) ◽  
pp. 10819
Author(s):  
Shu-Mei Liu ◽  
Shu-Fang Shih ◽  
Bo Meng ◽  
Rui Zhen ◽  
Xiao-Ben Pan ◽  
...  
Keyword(s):  
Mental Health ◽  
Risk Perception ◽  
Emotional Response ◽  
Mitigation Measures ◽  
Chinese Adults ◽  
Preventive Behaviors ◽  
High Odds ◽  
Factors Associated ◽  
And Behaviors ◽  
The Government

The outbreak of the coronavirus disease in 2019 (COVID-19) has greatly impacted the life and mental health of many people globally. The objective of this study was to investigate the factors associated with preventive behaviors and mental health among Chinese adults during their home quarantine in the COVID-19 period. An online questionnaire survey was administered in March 2020. The study participants were adults aged between 18 and 70 years old from 31 provinces in China. Of the 3878 participants, 1314 reported moderate levels of anxiety, and the remaining participants reported moderate to severe levels of anxiety. Findings revealed that females aged between 18 and 30 years old who had higher educational qualifications, greater levels of preventive knowledge, trust in the government, and resided in urban and medium-risk areas (R2 = 0.100, F = 27.97, p < 0.001) were more likely to exhibit preventive behaviors. In contrast, a higher negative emotional response was generally seen in males who had low levels of preventive knowledge and behaviors, higher risk perception of infection, lower trust in the government, and unhealthy lifestyles (R2 = 0.127, F = 32.33, p < 0.001). In addition, the high-risk perception of infection was positively associated with high odds of anxiety (AOR = 1.17, 95% CI: 1.10–1.24), whereas a greater level of preventive knowledge (AOR = 0.36, 95% CI: 0.19–0.70) and behaviors (AOR = 0.69, 95% CI: 0.57–0.84), higher trust in the government’s COVID-19 pandemic mitigation measures (AOR = 0.77, 95% CI: 0.71–0.83), and a healthier lifestyle (AOR = 0.89, 95% CI: 0.79–0.99) were negatively associated with high odds of anxiety. Results showed that a lower level of anxiety and negative emotional response were associated with better preventive behaviors against COVID-19, which were influenced by preventive knowledge, risk perception, trust in the government’s COVID-19 pandemic mitigation measures, and healthy lifestyle. Findings in this study could help formulate health interventions for vulnerable groups related to gendered vulnerabilities in the COVID-19 environment to improve their mental health and preventive behaviors, especially during the period of a pandemic.

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