scholarly journals Using the Health Belief Model to Understand Age Differences in Perceptions and Responses to the COVID-19 Pandemic

2021 ◽  
Vol 12 ◽  
Author(s):  
Lauren E. Bechard ◽  
Maximilian Bergelt ◽  
Bobby Neudorf ◽  
Tamara C. DeSouza ◽  
Laura E. Middleton

COVID-19 severity and mortality risk are greater for older adults whereas economic impact is deeper for younger adults. Using the Health Belief Model (HBM) as a framework, this study used a web-based survey to examine how perceived COVID-19 susceptibility and severity and perceived efficacy of recommended health behaviors varied by age group and were related to the adoption of health behaviors. Proportional odds logistic regression was used to examine the relationship between age group and perceived COVID-19 susceptibility, severity, impact, and health behavior efficacy and adoption. Structural equation modeling based on HBM constructs examined the relationships between health beliefs and behaviors. Data from 820 participants (Ontario, Canada) were analyzed (age: 42.7, 16.2 years; 79% women). Middle-aged and older adults reported greater concerns about the personal risk of hospitalization and mortality, economic impact, and social impact of COVID-19 than young adults. Middle-aged adults also reported greatest concern for other age groups. Adoption and perceived efficacy of health behaviors was similar across age groups with few exceptions. Both middle-aged and older-adults were more likely to perceive their own and each other's age groups as responding adequately to COVID-19 compared to young adults. Structural equation modeling indicated perceived benefits of health behaviors were the primary driver of behavior uptake, with socioeconomic factors and perceived severity and susceptibility indirectly associated with uptake through their influence on perceived benefits. Overall, these results suggest adoption of health behaviors is very high with few differences between age groups, despite differences in perceived impact of COVID-19. Public health communications should focus on the benefits of health behaviors to drive adoption.

2021 ◽  
Vol 9 ◽  
Author(s):  
Qiwei Pang ◽  
Haiyang Meng ◽  
Mingjie Fang ◽  
Jingjing Xing ◽  
Jinge Yao

During the COVID-19 pandemic, livestream shopping has provided consumers with a way to maintain social distancing while offering an alternative to offline shopping. This study aims to understand the impact of COVID-19 and other public health crises on the behavioral intentions of consumers using livestream shopping technology. A theoretical model was designed that combines the health belief model, trust theory, and the theory of planned behavior. Empirical data were collected from 358 residents in China and then analyzed using structural equation modeling. The results showed that perceived susceptibility, perceived severity, perceived benefits, and perceived obstacles had a significant impact on consumer trust. Consumer trust in turn had a direct impact on behavioral intention and an indirect impact on behavioral intention via attitude. These research results have practical implications for livestream shopping merchants, platform decision-makers, and service designers.


SAGE Open ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. 215824402110688
Author(s):  
Shian-Yang Tzeng ◽  
Tzu-Ya Ho

Although the health belief model (HBM) has been widely applied in health behavior research, it cannot fully account for dietary supplement (DS) consumption. This study proposed a second-stage moderation model to empirically examine the mediating role of product knowledge and the moderating effects of trust and distrust in the HBM. Surveys were conducted both online and offline in first-tier Chinese cities; 768 effective samples were collected. Structural equation modeling was employed to test the hypotheses. The findings indicated that perceived susceptibility was a better predictor of attitude toward DS products. Second, perceived susceptibility’s effect on product attitude occurred through product knowledge. Third, trust in manufacturers positively affected product knowledge’s effect on product attitude. Based on these findings, to promote DS consumption, marketers can leverage consumers’ perceived susceptibility to illness, associate the benefits and efficacy of DSs with consumers’ health knowledge, and emphasize their production of high-quality DSs.


1996 ◽  
Vol 4 (4) ◽  
pp. 307-323 ◽  
Author(s):  
Bert Hayslip ◽  
Daniel Weigand ◽  
Robert Weinberg ◽  
Peggy Richardson ◽  
Allen Jackson

The present investigation reports on the reliability and validity of several scales derived from the Health Belief Model (HBM). Both their internal consistency and their ability to predict self-reported sport and physical activity participation among younger and older adults are examined. As an exploratory endeavor, new, internally consistent scales were developed to assess several HBM factors. Results of age-group comparisons as well as comparisons across levels of diversity in several types of self-reported physical activity suggest that the newly developed measures differentiate between individuals on the basis of age and degrees of diversity in activity.


Author(s):  
Grace Chua ◽  
Kum Fai Yuen ◽  
Xueqin Wang ◽  
Yiik Diew Wong

The COVID-19 pandemic has seen an unmatched level of panic buying globally, a type of herd behavior whereby consumers buy an uncommonly huge amount of products because of a perception of scarcity. Drawing on the health belief model, perceived scarcity, and anticipated regret theories, this paper formulated a theoretical model that linked the determinants of panic buying and analyzed their interrelationships. Subsequently, data were collated from 508 consumers through an online survey questionnaire in Singapore that was conducted during the early stage of the pandemic, before the onset of the circuit breaker in April 2020. Next, an analysis of the results was done through structural equation modeling. It showed that the effect of the health belief model dimensions (i.e., perceived susceptibility, perceived severity, outcome expectation, cues to action, and self-efficacy) on panic buying is partially mediated by the consumers’ perceived scarcity of products. Furthermore, the effect of perceived scarcity on panic buying is partially mediated by consumers’ anticipation of regret. This paper expands on the current theoretical understanding of panic buying behavior, giving insights into the possible measures and solutions that policymakers and relevant stakeholders can uptake to manage panic buying in future a pandemic or health crisis.


Author(s):  
Guangchao Charles Feng ◽  
Zhiliang Lin ◽  
Wanhua Ou ◽  
Xianglin Su ◽  
Qing Yan

Although early screening tests are beneficial for the detection and treatment of cancers, many people have failed to participate in screening tests. The present study aims to explore the theoretical underpinning of low participation in screening programs using the method of meta-analytic structural equation modeling. It was found that the health belief model is the most adopted theoretical framework. Moreover, the intended uptake of screening was positively predicted only by cues to action, health literacy, and perceived susceptibility. As a result, a health intention model, including the three significant variables, is proposed. The practical implications of the findings are that health communication campaigns should focus on enlightening and engaging the public through all necessary means to raise awareness and transfer knowledge in relation to screening procedures as well as cancers per se.


2020 ◽  
Vol 19 ◽  
pp. e206579
Author(s):  
Fatemeh Pourhaji ◽  
Mohammad Hossein Delshad ◽  
Sedigheh Sadat Tavafian ◽  
Alireza Hidarnia ◽  
Shamsodin Niknami

Aim: The purpose of this examination is determining the predictors of oral health behaviors among Iranian students in district 1 Tehran based on the health belief model with added commitment to plan construct. Methods: This cross-sectional study was conducted on 351 four grade female students in the first district of Tehran, Iran in 2017. The multi‑stage random cluster sampling method was used to recruit students. The inclusion criteria were being in four – graded level of elementary schools of the 1st district in Tehran, being female students aged between 9-11 years and being physically and psychologically healthy student. Logistic regression analysis was used to identify the variables that predict oral health behaviors. Results: Totally, (N= 31.8%) students  reported that they were brushing less than twice a day and (N=   55.2% ) students claimed  using of dental floss once a week or less than once a day. The results indicated that perceived self-efficacy (OR=1.46, 95% CI=0.57-3.78, P<0.001), commitment to plan (OR=1.13, 95% CI=1.04-1.23, P<0.001) and cues to action (OR=1.42, 95% CI=1.14–1.76, P=0.002) were the significant predicting variables of brushing twice a day, and use of dental floss once a day or more (OR=1.02, 95% CI=0.23-3.53, P=0.003). Conclusion: This study has shown the effectiveness of the health belief model with added commitment to plan construct to predict oral health behavior in female students. Thus, it seems that the model as a acceptable framework for designing training programs to improve oral health behavior in students.


Author(s):  
Darlene Mara dos Santos Tavares ◽  
Nayara Gomes Nunes Oliveira ◽  
Flavia Aparecida Dias Marmo ◽  
Joilson Meneguci

Objective: to analyze functional disability and its associated factors among community-dwelling older adults. Method: a cross-sectional study, conducted with 1,635 older adults distributed in the following age groups: 60 to 69, 70 to 79, and 80 years old or more, living in a health macro-region of the state of Minas Gerais. Descriptive and trajectory analysis was carried out (p<0.05). The parameters were estimated by the Maximum Likelihood method. Results: the highest percentage was female, with a monthly income of 1 minimum wage and living with a companion. In the age groups from 60 to 69 and from 70 to 79 years old, older adults with a partner predominated; and, among those aged 80 years old or more, widowed individuals prevailed. In the three groups, functional disability occurred hierarchically. Lower schooling, frailty and depressive symptomatology were factors directly associated with functional disability in the advanced activities; frailty and sedentary behavior were directly associated with functional disability in the instrumental activities. In the older adults aged between 60 and 69 years old and from 70 to 79 years old, sedentary behavior was associated with greater dependence on the basic activities. Conclusion: the expanded understanding of the factors in the functional disability of the older adults, according to age group, helps the health professional in the development of preventive measures for this disease.


1995 ◽  
Vol 23 (2) ◽  
pp. 191-197
Author(s):  
Murray G. Millar ◽  
Karen U. Millar

In the present study, we examined whether the Health Belief Model (HBM) variables were appropriate for understanding thought about different types of health behaviors. It was predicted that thought about performing a disease detection behavior would produce more responses referring to susceptibility and severity than thought about health promotion behaviors. Ninety-five participants indicated their spontaneous responses to thought about five disease detection behaviors or five health promotion behaviors. Responses were content analyzed for references to HBM variables. As expected, participants who considered disease detection behaviors made significantly more references to perceived severity and personal susceptibility than participants who considered health promotion behaviors.


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