scholarly journals Conversation Breeds Compliance: The Role of Intergenerational Communication in Promoting Preventive Behaviors against COVID-19 among Middle-Aged Parents in China

Author(s):  
Wanqi Gong ◽  
Qin Guo ◽  
Crystal L. Jiang

This study aims to explore and compare the influences of two crucial information channels used by middle-aged parents—media and their adult children—on their health knowledge, emotions and preventive behaviors against COVID-19, based on media exposure and the family communication patterns (FCP) theory. Parents of college students in Guangzhou, China were invited to participate in an online survey between February 10 and 24, 2020. A total of 193 respondents, aged between 40 and 65 years, completed the study questionnaire. Media exposure was a positive predictor of negative emotions, intergenerational discussions, and preventive behaviors among Chinese middle-aged parents. Conversation orientation was a positive predictor of scientific discussions and preventive behaviors, whereas conformity orientation was a negative predictor of knowledge, but a positive predictor of intergenerational discussions and negative emotions. Intergenerational discussions mediated the relationships between media exposure and preventive behaviors, as well as between FCP and preventive behaviors. Health communication efforts require the help of adult children as intergenerational communication serves as an important amplifier in terms of influencing the health knowledge, attitudes, and behaviors of middle-aged and elderly populations.

2021 ◽  
Author(s):  
Guangteng Meng ◽  
Xiaoyan Yuan ◽  
Qi Li ◽  
Bibing Dai ◽  
Xun Liu

BACKGROUND The coronavirus disease 2019 (COVID-19) pandemic has disrupted the lives of everyone worldwide. Prevention behaviors are especially critical to protect the people who have patients around; however, little work has been done to explore the influences of infection cues on preventive behaviors. OBJECTIVE The purpose of this study was to explore the influence of infection cues on preventive behaviors and the roles of risk perception, negative emotions, and perceived efficacy in this influence. METHODS A cross-sectional online survey with a nationally representative sample in China was conducted during the first wave of COVID-19 in China. Self-report measures of infection cues, preventive behaviors, risk perception, negative emotions, and perceived efficacy. The PROCESS macro (Model 85) was used to test our conceptual model. RESULTS A total of 26511 participants responded to the survey and 20205 valid responses (76.2%) were obtained for further analysis. Moderated mediation results show that infection cues positively predicted preventive behaviors and in turn affected preventive behaviors through risk perception and negative emotions. Moreover, perceived efficacy moderated the influence of infection cues not only on preventive behaviors but also on risk perception and negative emotions related to preventive behaviors. The higher the perceived efficacy, the stronger these influences were. CONCLUSIONS This study revealed that infection cues promoted preventive behaviors by increasing risk perception and negative emotions and that high perceived efficacy further enhanced these effects.


PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0245859
Author(s):  
Diana Reyna Zeballos Rivas ◽  
Marinalda Lidia Lopez Jaldin ◽  
Blanca Nina Canaviri ◽  
Luisa Fabiola Portugal Escalante ◽  
Angela M. C. Alanes Fernández ◽  
...  

Social media has an important role in diffusion of information, during COVID-19 pandemic it could help to promote preventive behaviors, however its role and the pathway is still unclear. Objective To investigate the association among social media exposure, risk perception, preventive behaviors, and attitudes toward the COVID-19 epidemic in Bolivia. Methods We launched an online survey in La Paz and El Alto, Bolivia, during April and May 2020. The questionnaire examined: Socio-demographic factors, Social media use, Risk Perception, Preventive behaviors, attitudes and the willingness to use a vaccine if it were available in the context of the COVID-19 epidemic. A logistic regression was used to evaluate factors associated with risk perception and a structural equation model (SEM) was performed to explore the pathway of the relationship among social media exposure, risk perception and preventive behaviors and attitudes. Results Among 886 participants, the most were young adults, between 18–25 years old (73.4%) and 577 (65.1%) were female. During the the week before the survey 387 (43.7%) reported be exposure to social media Covid-19 information almost always or always. Moreover 304 (34.3%) were categorized as with a high risk perception. The multivariable analyses show that being female (aOR = 1.5, CI 95% 1.1–2.1) and having high exposure to Covid-19 information on social media (aOR = 2.5, CI 95% 1.3–5.3) were associated with a higher risk perception for Covid-19. Furthermore, SEM results indicated that risk perception is associated with the adoption of preventive behaviors and attitudes (β = 0.605, p < 0.001) including the acceptance of a vaccine if one were available (β = 0.388, p < 0.001). Conclusion Social media exposure to COVID-19 information influences the adoption of preventive attitudes and behaviors through shaping risk perception. Understanding the role of social media during the pandemic could help policymakers and communicators to develop better communication strategies that enable the population to adopt appropriate attitudes and behaviors.


2021 ◽  
Author(s):  
Guangteng Meng ◽  
Xiaoyan Yuan ◽  
Ya Zheng ◽  
Kesong Hu ◽  
Qi Li ◽  
...  

BACKGROUND The coronavirus disease 2019 (COVID-19) pandemic has disrupted the lives of everyone worldwide. Preventive behaviors are especially critical to the protection of individuals whose family members or acquaintances have been infected. However, limited research has explored the influence of infection cues on preventive behaviors. OBJECTIVE This study proposed the information-perception/emotion-action model (IPEAM) to elucidate the mechanism by which infection cues influence preventive behaviors and the roles of risk perception, negative emotions, and perceived efficacy in that influence. METHODS A cross-sectional online survey was conducted in 34 provinces in China during the first wave of the COVID-19 pandemic. A moderated mediation analysis was conducted to examine whether risk perception and negative emotions mediated and perceived efficacy moderated the relationship between infection cues and preventive behaviors. RESULTS A total of 26511 participants responded to the survey and 20205 valid responses (76.2%) were obtained for further analysis. The moderated mediation results show that infection cues positively predicted preventive behaviors in a manner mediated by risk perception (Bindirect=0.135, 95% CI 0.118 to 0.153) and negative emotions (Bindirect=0.140, 95% CI 0.122 to 0.159). Moreover, perceived efficacy moderated the influence of infection cues not only on preventive behaviors (B=0.013, P=.01) but also on risk perception (B=0.130, P<.001) and negative emotions (B=0.232, P<.001). The higher the perceived efficacy, the stronger these influences were. CONCLUSIONS These findings validated our IPEAM, which elucidates the mechanisms underlying the promoting effect of infection cues on preventive behaviors during the initial stage of the COVID-19 pandemic. This study suggests that governments should establish early warning and support systems based on the dynamic surveillance of infection cues. INTERNATIONAL REGISTERED REPORT RR2-28986


2019 ◽  
Vol 24 (3) ◽  
pp. 59-76 ◽  
Author(s):  
Myeong-ae Choe ◽  
Jeong Shin An
Keyword(s):  

2021 ◽  
pp. 1-24
Author(s):  
Ursula Henz

Abstract Increasing longevity has led to a rising number of adult children who are at higher ages when they provide care for their parents. Drawing on the lifecourse approach and exchange theory, the paper addresses similarities and differences in parent care between late middle-aged and older adult children. The study uses the UK Household Longitudinal Study, restricting the analysis sample to individuals aged 50 and older with a living parent or parent-in-law. It presents multivariate models to examine differences between late middle-aged (aged 50–64) and older (aged 65+) children in being a parent carer, providing intensive care, the duration of parent care and providing selected types of help to parents. The involvement in parent care increases among women up to the end of their seventh decade of life and for men up to their eighth decade of life. At higher ages, the proportion of parent carers decreases more strongly for women than men. Older carers have shorter care-giving episodes than younger carers, but there is no significant difference in the type of care provided. Even past retirement age, parent care remains classed and gendered, with women from lower social classes having the highest likelihood of providing intensive parent care in old age. Having dependent children or living in a non-marital union depress the likelihood of caring for a parent even past retirement age.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Costas I. Karageorghis ◽  
Jonathan M. Bird ◽  
Jasmin C. Hutchinson ◽  
Mark Hamer ◽  
Yvonne N. Delevoye-Turrell ◽  
...  

Abstract Background COVID-19 lockdowns have reduced opportunities for physical activity (PA) and encouraged more sedentary lifestyles. A concomitant of sedentariness is compromised mental health. We investigated the effects of COVID-19 lockdown on PA, sedentary behavior, and mental health across four Western nations (USA, UK, France, and Australia). Methods An online survey was administered in the second quarter of 2020 (N = 2541). We measured planned and unplanned dimensions of PA using the Brunel Lifestyle Physical Activity Questionnaire and mental health using the 12-item General Health Questionnaire. Steps per day were recorded only from participants who used an electronic device for this purpose, and sedentary behavior was reported in hours per day (sitting and screen time). Results In the USA and Australia samples, there was a significant decline in planned PA from pre- to during lockdown. Among young adults, Australians exhibited the lowest planned PA scores, while in middle-aged groups, the UK recorded the highest. Young adults exhibited the largest reduction in unplanned PA. Across nations, there was a reduction of ~ 2000 steps per day. Large increases in sedentary behavior emerged during lockdown, which were most acute in young adults. Lockdown was associated with a decline in mental health that was more pronounced in women. Conclusions The findings illustrate the deleterious effects of lockdown on PA, sedentary behavior, and mental health across four Western nations. Australian young and lower middle-aged adults appeared to fare particularly badly in terms of planned PA. The reduction in steps per day is equivalent to the non-expenditure of ~ 100 kcal. Declines in mental health show how harmful lockdowns can be for women in particular.


Vaccines ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 246
Author(s):  
Shikha Kukreti ◽  
Mei-Yun Lu ◽  
Yi-Hsuan Lin ◽  
Carol Strong ◽  
Chung-Ying Lin ◽  
...  

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.


Author(s):  
Zahra Rahemi ◽  
Veronica Parker

Background: An increase of cultural diversity and treatment options offer opportunities and challenges related to end-of-life (EOL) care for healthcare providers and policymakers. EOL care planning can help reduce confusion and uncertainty when individuals and family members need to make decisions about EOL care options. Objective: The purpose of this study was to investigate preferences, attitudes, and behaviors regarding EOL care planning among young and middle-aged Iranian-American adults. Methods: A cross-sectional national sample of 251 Iranian-American adults completed surveys. Paper and online surveys in English and Persian were offered to potential participants. Results: All the participants completed online survey in English language. In incurable health conditions, 56.8% preferred hospitalization and intensive treatments. From the 40.6% participants who preferred comfort care, most preferred care at home (29.5%) compared to an institution (11.1%). Those who preferred hospitalization at EOL mostly preferred intensive and curative treatments. The mean score of attitudes toward advance decision-making was moderately high (11.48 ± 2.77). Favorable attitudes were positively associated with acculturation (r = .31, p < .001), age (r = .15, p < .05), and number of years living in the U.S. (r = .26, p < .001). Conversely, spirituality and favorable attitudes were negatively associated (r = −.17, p < .05). Conclusion: Immigrant and culturally diverse individuals have experienced different living and healthcare environments. These differences can influence their EOL care planning and decisions. Knowledge of diverse perspectives and cultures is essential to design culturally congruent plans of EOL care.


2018 ◽  
Vol 8 ◽  
pp. 29-43
Author(s):  
Patrycja Kochanek

Intergenerational communication in Polish cultureThe object of this paper is to verify the structure of communication in cultural discourse in Poland. It is analyzed if this discourse sees differences between the next generations and if it personalizes communication for them. Pilot research CAWI was done in May 2017. Twenty one responders answered 7 opened and 5 closed questions in an online survey. All of the responders were working in cultural institutions. The categorization of the answers gave an image of the social groups that have some specific and unique characteristics and values. The quantitative analysis of the answers verified the hypotheses: cultural discourse creates communication according to the audience — which is generation specific. Cultural institutions see this generation problem in Poland and they attribute this change to the activities that have been created for people. This research is only an opening to further investigations on this topic.


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