scholarly journals Access To WASH, Knowledge, Practice, and Protective Motivation Behaviour Towards COVID-19 Pandemic of Urban Marginalized Peoples

Author(s):  
Siwarat Pattanrsi ◽  
Thi Phuoc Lai Nguyen

Abstract Background Urban marginalized people are most vulnerable to the Covid-19 pandemic because of their poor water and hygiene conditions and high-density populated environment. However, there lack WASH facilities and theory-guided behavioural health intervention programs towards the Covid-19 pandemic in these fragile communities. Methods This study used the combined Knowledge- Practice -Theory (KAP) and Protection Motivation Theory (PMT) to predict the protective motivation behaviours of urban marginalized people against Covid-19. The phenomenological approach was applied to examine the slum communities' lived experiences during the COVID-19 pandemic. Data was collected through 105 semi-structured interviews and 453 questionnaires in two slum communities in Bangkok, Thailand. Results Results showed that most Thai slum people tended to have better access WASH and healthcare services and protection behaviours towards Covid-19 than other foreign migrant slum people. Structural Equation Modelling results illustrated that knowledge directly drove marginalized peoples’ perceived vulnerability and practices, while practices influenced their perceived severity, self, and response efficacy which directly associated with their behavioural intentions. Conclusions Future pandemic prevention intervention programs should focus on vulnerability and severity through providing adequate WASH facilities and self-efficacy and response efficacy of protection motivation through enhancing community sensitization and awareness of COVID-19 protection.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alireza Ansari-Moghaddam ◽  
Maryam Seraji ◽  
Zahra Sharafi ◽  
Mahdi Mohammadi ◽  
Hassan Okati-Aliabad

Abstract Background Many efforts are being made around the world to discover the vaccine against COVID-19. After discovering the vaccine, its acceptance by individuals is a fundamental issue for disease control. This study aimed to examine COVID-19 vaccination intention determinants based on the protection motivation theory (PMT). Methods We conducted a cross-sectional study in the Iranian adult population and surveyed 256 study participants from the first to the 30th of June 2020 with a web-based self-administered questionnaire. We used Structural Equation Modeling (SEM) to investigate the interrelationship between COVID-19 vaccination intention and perceived susceptibility, perceived severity, perceived self-efficacy, and perceived response efficacy. Results SEM showed that perceived severity to COVID-19 (β = .17, p < .001), perceived self-efficacy about receiving the COVID-19 vaccine (β = .26, p < .001), and the perceived response efficacy of the COVID-19 vaccine (β = .70, p < .001) were significant predictors of vaccination intention. PMT accounted for 61.5% of the variance in intention to COVID-19 vaccination, and perceived response efficacy was the strongest predictor of COVID-19 vaccination intention. Conclusions This study found the PMT constructs are useful in predicting COVID-19 vaccination intention. Programs designed to increase the vaccination rate after discovering the COVID-19 vaccine can include interventions on the severity of the COVID-19, the self-efficacy of individuals receiving the vaccine, and the effectiveness of the vaccine in preventing infection.


2021 ◽  
Author(s):  
Alireza Ansari-Moghaddam ◽  
Maryam Seraji ◽  
Zahra Sharafi ◽  
Mahdi Mohammadi ◽  
Hassan Okati-Aliabad

Abstract BackgroundMany efforts are being made around the world to discover the vaccine against COVID-19. After discovering the vaccine, its acceptance by individuals is a fundamental issue for disease control. This study aimed to examine COVID-19 vaccination intention determinants based on the protection motivation theory (PMT). Methods We conducted a cross-sectional study in the Iranian adult population and surveyed study participants from the first to the 30th of June 2020 with a web-based self-administered questionnaire. We used Structural Equation Modeling (SEM) to investigate the interrelationship between COVID-19 vaccination intention and perceived susceptibility, perceived severity, perceived self-efficacy, and perceived response efficacy. Results SEM showed that perceived severity to COVID-19 (β=.17, p < .001), perceived self-efficacy about receiving the COVID-19 vaccine (β=.26, p < .001), and the perceived response efficacy of the COVID-19 vaccine (β=.70, p < .001) were significant predictors of vaccination intention. PMT accounted for 61.5% of the variance in intention to COVID-19 vaccination, and response efficacy was the strongest predictor of COVID-19 vaccination intention. ConclusionsThis study found the PMT constructs are useful in predicting COVID-19 vaccination intention. Programs designed to increase the vaccination rate after discovering the COVID-19 vaccine can include interventions on the severity of the COVID-19, the self-efficacy of individuals receiving the vaccine, and the effectiveness of the vaccine in preventing infection.


Author(s):  
Yumei Luo ◽  
Guiping Wang ◽  
Yuwei Li ◽  
Qiongwei Ye

M-health apps have developed rapidly and are widely accepted, but users’ continued intention to use m-health apps has not been fully explored. This study was designed to obtain a better understanding of users’ continued intention to use m-health apps. We developed a theoretical model by incorporating the protection motivation theory and network externalities and conducted an empirical study of a 368-respondent sample. The results showed that: (1) perceived vulnerability has a direct impact on users’ self-efficacy and response efficacy; (2) self-efficacy and response efficacy have a direct impact on users’ attitudes and continued intention; (3) network externalities affect users’ attitudes and continued intention, among which direct network externalities have an indirect impact on users’ continued intention through attitude; and (4) the impacts of self-efficacy, response efficacy, and indirect network externalities on continued intention are partially meditated by attitudes.


Vaccines ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 528
Author(s):  
Yen-Ju Lin ◽  
Cheng-Fang Yen ◽  
Yu-Ping Chang ◽  
Peng-Wei Wang

This study aimed to compare the differences in motivation to receive a COVID-19 vaccination between frontline physicians and nurses and the Taiwanese public. The associations of threat and coping appraisals, as described in Protection Motivation Theory (PMT), with motivation to receive COVID-19 vaccination were compared between these groups, too. We recruited 279 frontline physicians and nurses and 768 members of the public by a Facebook advertisement. Participants’ motivation to receive COVID-19 vaccination, perceived severity of and vulnerability to COVID-19, self-efficacy and response efficacy of COVID-19 vaccination, response cost of COVID-19 vaccination, and knowledge about the mechanism of COVID-19 vaccination in light of PMT were determined. The results demonstrated that frontline health workers had higher motivation to receive COVID-19 vaccination than the public. Response efficacy and knowledge of COVID-19 vaccination were positively associated with motivation to receive COVID-19 vaccination in both frontline health workers and the public, whereas perceived vulnerability, perceived severity, and response cost of COVID-19 vaccination were positively associated with motivation in the public but not in frontline physicians and nurses. The factors related to motivation to receive COVID-19 vaccination should be considered when designing programs to increase motivation to receive COVID-19 vaccination among frontline health workers and the public.


2018 ◽  
Vol 150 ◽  
pp. 05014
Author(s):  
Muliati Sedek ◽  
Rabiah Ahmad ◽  
Nur Fadzilah Othman

This study aims to investigate the determinants of the privacy protection behaviour strategies that been employed by users while utilising SNSs. By understanding the determinants of privacy protection will be able to generate awareness that can protect users and allow them to confidently impose their self-control through the execution of privacy protection behaviour strategies. The finding has shown that there was a significant relationship of perceived severity, perceived vulnerability, response efficacy and self-efficacy towards information privacy concern as well as a significant relationship of information privacy concern and privacy protection behaviour strategies. This research is crucial as it serves as a guide that provides instructions and guidelines that help users of SNSs to keep their privacy intact.


Author(s):  
Diana Fischer-Preßler ◽  
Dario Bonaretti ◽  
Kai Fischbach

AbstractMobile emergency warning apps are essential for effective emergency communication – of course, provided the population intends to use them. Drawing on protection motivation theory, the study validated a psychometric model to explain what motivates individuals to install a warning app for the first time and to keep using it over time. Multi-group covariance-based structural equation modeling was used to model the answers to a survey that measured the drivers of intention to begin using or intention to continue using a warning app. The model shows that, for both non-users and users, trust, social influence, and response efficacy positively and maladaptive rewards negatively affect intention to use and intention to continue use warning apps. However, perceived vulnerability influences only intention to use, whereas response cost and self-efficacy affect continued use intention. Hence, this study enhances the theoretical understanding of technology-enabled protection behaviors and provides practitioners with a list of factors to consider for pushing the adoption and continued use of emergency warning applications.


2012 ◽  
Vol 2012 ◽  
pp. 1-12 ◽  
Author(s):  
Van Pham ◽  
Hoang Nguyen ◽  
Le Huu Tho ◽  
Truong Tan Minh ◽  
Porntip Lerdboon ◽  
...  

With an increase in sexual activity among young adults in Vietnam and associated risks, there is a need for evidence-based sexual health interventions. This evaluation of three sexual health programs based on the Protection Motivation Theory (PMT) was conducted in 12 communes in Ha Noi, Nha Trang City, and Ninh Hoa District. Inclusion criteria included unmarried youth 15–20 years residing in selected communes. Communes were randomly allocated to an intervention, and participants were randomly selected within each commune. The intervention programs included Vietnamese Focus on Kids (VFOK), the gender-based program Exploring the World of Adolescents (EWA), and EWA plus parental and health provider education (EWA+). Programs were delivered over a ten-week period in the communities by locally trained facilitators. The gender-based EWA program with parental involvement (EWA+) compared to VFOK showed significantly greater increase in knowledge. EWA+ in comparison to VFOK also showed significant decrease at immediate postintervention for intention to have sex. Sustained changes are observed in all three interventions for self-efficacy condom use, self-efficacy abstinence, response efficacy for condoms, extrinsic rewards, and perceived vulnerability for HIV. These findings suggest that theory-based community programs contribute to sustained changes in knowledge and attitudes regarding sexual risk among Vietnamese adolescents.


Vaccines ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 380
Author(s):  
Peng-Wei Wang ◽  
Daniel Kwasi Ahorsu ◽  
Chung-Ying Lin ◽  
I-Hua Chen ◽  
Cheng-Fang Yen ◽  
...  

Background: The aims of the present study were to examine the prediction of the threat and coping appraisal utilizing an extended protection motivation theory (PMT) for the motivation to have COVID-19 vaccination and the influence of various information sources on coping appraisal among university students in China. Methods: The sample comprised 3145 students from 43 universities in China who completed an online survey including PMT constructs as well as constructs added to PMT. The PMT constructs comprised motivation to have COVID-19 vaccination, threat appraisal, and coping appraisal. The extended PMT constructs comprised knowledge about mechanisms and information sources of COVID-19 vaccination. Results: Perceived severity of COVID-19 was positively associated with motivation to have COVID-19 vaccination. Receiving information concerning COVID-19 vaccination from medical personnel was associated with greater self-efficacy, response efficacy, and knowledge, whereas receiving information concerning COVID-19 vaccination from coworkers/colleagues was associated with less response efficacy and knowledge. Receiving online information concerning COVID-19 vaccination was associated with greater response cost of vaccination efficacy and less knowledge. Conclusions: This study supported the prediction of perceived severity in the PMT for motivation to have COVID-19 vaccination among university students in China. Vaccination information sources have different effects on students’ coping appraisal of COVID-19 vaccination.


Author(s):  
Yi-Lung Chen ◽  
Yen-Ju Lin ◽  
Yu-Ping Chang ◽  
Wen-Jiun Chou ◽  
Cheng-Fang Yen

The present study aimed to identify the distinct classes of motivations to get vaccinated and to adopt preventive behaviors against the coronavirus disease 2019 (COVID-19) among people in Taiwan and to examine the roles of Protection Motivation Theory (PMT) cognitive constructs in these unique classes of motivations to get vaccinated and to adopt preventive behaviors. We recruited 1047 participants by using a Facebook advertisement. Participants’ motivations to get vaccinated and to adopt preventive behaviors against COVID-19, PMT constructs of threat appraisal (perceived severity and perceived vulnerability), and PMT constructs of coping appraisal (self-efficacy, response efficacy, response cost, knowledge, and previous vaccination for seasonal influenza) were determined. We analyzed participants’ motivations to get vaccinated and to adopt preventive behaviors against COVID-19 by using latent profile analysis. The present study identified three latent classes, including the participants with high motivation for vaccination and preventive behaviors (the class of Both High), those with low motivation for vaccination and preventive behaviors (the class of Both Low), and those with high motivation for vaccination but low motivation for preventive behaviors (the class of High Vaccination but Low Preventive Behaviors). Compared with the participants in the class of Both High, participants in the class of Both Low had lower levels of perceived vulnerability, perceived severity, self-efficacy to have vaccination, response efficacy of vaccination, knowledge about vaccination, and previous vaccination for seasonal influenza; participants in the class of High Vaccination but Low Preventive Behaviors had lower levels of perceived vulnerability and perceived severity but higher levels of response cost of vaccination. We concluded that varieties of motivations, threat, and coping appraisals should be considered in intervention programs aiming to increase motivation to adopt recommended protective behaviors against COVID-19.


2021 ◽  
Vol 7 (3) ◽  
pp. 227-234
Author(s):  
Mahathir Mahathir ◽  
Wiwin Wiarsih ◽  
Henny Permatasari

Background: The progress of the fight against HIV is highlighted by significant change. HIV of the past is different from HIV of the present. Healthcare services have played an essential role in achieving the optimal goals needed to end the HIV epidemic. However, people living with HIV and those at risk of catching it (PLWH) often misunderstand the rapid growth of HIV healthcare service options.Objective: This study aimed to explore the experiences of PLWH in the healthcare services featured in this study.Methods: A qualitative phenomenological approach was used. Semi-structured interviews were conducted in 2017 with 12 PLWH who engaged with healthcare services in Jakarta, Indonesia, by using a purposive sampling technique. Semi-structured questions were asked which related to their experiences of using the services. Stevick Colaizzi Keen method was used to extract the thematic analysis of the study.Results: The study developed four essential themes of PLWH healthcare use. They were accessibility, availability at all healthcare levels, comprehensiveness of service, and affordability.Conclusion: Providing accessible healthcare services is considered essential by PLWH. It is also pivotal to helping people feel positive about the community-related healthcare services on offer. Nurse-led HIV services must maintain this progress by continuously evaluating the quality-of-service outcomes and promoting the accessibility of the services to the broader population.


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