The impact of the covid-19 pandemic on anxiety, health literacy, and eHealth literacy in 2020 related to healthcare behavior in Thailand 10.55131/jphd/2022/200115

Main Article Content

Passakorn Suanrueang
Mein-Woei Suen
Hsiao-Fang Lin
Tze-Kiong Er
Maria Michaela Quilang Jamora

Abstract

Individual’s decision to cooperate with disease prevention varies based on their respective health beliefs and common factors that motivate actions. Previous research has found that pandemic anxiety, high health literacy, and eHealth literacy influenced healthcare behavior. Understanding how the pandemic affects people on modifying preventive health behavior is promising. Accordingly, this cross-sectional study focusing on health behavior utilized Structural Equation Modeling to characterize causative factors of anxiety, health literacy, eHealth literature, and protection in the new normal of COVID-19 pandemic in Thailand. Online surveys used a snowball sampling method through social media to recruit participants aged over 20 years in 8 provinces in Thailand. iGeneration and millennials were the top two, making up 75.0% of the 700-respondents in total. Independent variables: Health Literacy (p = .030); eHealth Literacy (p < .001); and anxiety (p = .040) significantly influenced the new normal. The new normal practices: hand hygiene, wearing hygienic masks and social distancing, maintaining good health, and preventing virus exposure by making digital payments could be indicated by 34% of Thai people by all those independent variables. This means that those who are more concerned and literate about health literacy and eHealth literacy, will make better health decisions and practice more preventive health care. Individuals may use health knowledge to make healthy decisions to protect themselves from the current pandemic. They can also use what they have learned to defend themselves from other emerging infectious illnesses in the future. Therefore, official institutions should provide helpful and timely health information that is easily accessible. Public health interventions should prioritize the availability of health information in the electronic form on various social media platforms to educate people to protect themselves from the spread of disease. The information should be comprehensible and practical for all socioeconomic groups.

Article Details

How to Cite
1.
Suanrueang P, Suen M-W, Lin H-F, Er T-K, Michaela Quilang Jamora M. The impact of the covid-19 pandemic on anxiety, health literacy, and eHealth literacy in 2020 related to healthcare behavior in Thailand: 10.55131/jphd/2022/200115. J Public Hlth Dev [Internet]. 2022 Jan. 31 [cited 2024 Apr. 27];20(1):188-202. Available from: https://he01.tci-thaijo.org/index.php/AIHD-MU/article/view/254515
Section
Original Articles
Author Biographies

Passakorn Suanrueang, Department of Healthcare Administration Specialty in Psychology,College of Medical and Health Science, Asia University, Taiwan

Department of Healthcare Administration Specialty in Psychology,College of Medical and Health Science, Asia University, Taiwan

Mein-Woei Suen, Department of Psychology, College of Medical and Health Science, Asia University, Taiwan

Department of  Psychology, College of Medical and Health Science, Asia University, Taiwan

Hsiao-Fang Lin, Department and graduate institute of early childhood development and education, Chaoyang University of Technology, Taiwan

Department and graduate institute of early childhood development and education, Chaoyang University of Technology, Taiwan

Tze-Kiong Er, Department of Medical Laboratory Science and Biotechnology, Asia University, Taiwan

Department of Medical Laboratory Science and Biotechnology, Asia University, Taiwan

Maria Michaela Quilang Jamora, Department of Psychology, College of Medical and Health Science, Asia University, Taiwan

Department of  Psychology, College of Medical and Health Science, Asia University, Taiwan

References

Xiong J, Lipsitz O, Nasri F, Lui LMW, Gill H, Phan L, et al. Impact of COVID-19 pandemic on mental health in the general population: A systematic review. J Affect Disord. 2020 Dec 1;277:55–64.

Vindegaard N, Benros ME. COVID-19 pandemic and mental health consequences: Systematic review of the current evidence. Brain Behav Immun [Internet]. 2020 May 30 [cited 2020 Sep 8]; Available from: https://www.ncbi. nlm.nih.gov/pmc/articles/PMC7260522/

Varshney M, Parel JT, Raizada N, Sarin SK. Initial psychological impact of COVID-19 and its correlates in Indian community: An online (FEEL-COVID) survey. PLOS ONE. 2020;15(5): e0233874.

Dubey S, Biswas P, Ghosh R, Chatterjee S, Dubey MJ, Chatterjee S, et al. Psychosocial impact of COVID-19. Diabetes Metab Syndr. 2020;14(5):779–88.

Torales J, O’Higgins M, Castaldelli-Maia JM, Ventriglio A. The outbreak of COVID-19 coronavirus and its impact on global mental health. Int J Soc Psychiatry. 2020;66:317–20.

El Zowalaty ME, Järhult JD. From SARS to COVID-19: A previously unknown SARS- related coronavirus (SARS-CoV-2) of pandemic potential infecting humans – Call for a One Health approach. One Health. 2020 Jun;9:100124.

Koplan JP, Butler-Jones D, Tsang T, Yu W. Public health lessons from severe acute respiratory syndrome a decade Later. Emerg Infect Dis. 2013 Jun;19:861–3.

Dechsupa S, Assawakosri S, Phakham S, Honsawek S. Positive impact of lockdown on COVID-19 outbreak in Thailand. Travel Med Infect Dis. 2020;36:101802.

Gunawan J, Aungsuroch Y, Marzilli C. “New Normal” in Covid-19 Era: A nursing perspective from Thailand. J Am Med Dir Assoc. 2020 Jul 22;21:1514–5.

Goodwin R, Wiwattanapantuwong J, Tuicomepee A, Suttiwan P, Watakakosol R. Anxiety and public responses to covid-19: Early data from Thailand. J Psychiatr Res. 2020 Oct;129:118–21.

Ng QX, Chee KT, De Deyn MLZQ, Chua Z. Staying connected during the COVID-19 pandemic. Int J Soc Psychiatry. 2020 Aug 1;66:519–20.

UN News. Thailand’s COVID-19 response an example of resilience and solidarity: a UN Resident Coordinator’s Blog [Internet]. 2020 [cited 2020 Aug 19]. Available from: https://news.un.org/ en/story/2020/08/1069191

Laranjo L. Social media and health behavior change. In: Syed-Abdul S, Gabarron E, Lau AYS, editors. Participatory health through social media [Internet]. Academic Press; 2016 [cited 2020 Aug 13]. p. 83–111. Available from: http://www.sciencedirect.com/science/article/pii/B9780128092699000062

Jones CL, Jensen JD, Scherr CL, Brown NR, Christy K, Weaver J. The Health Belief Model as an explanatory framework in communication research: Exploring parallel, serial, and moderated mediation. Health Commun. 2015;30: 566–76.

Chen X, Hay JL, Waters EA, Kiviniemi MT, Biddle C, Schofield E, et al. Health Literacy and Use and Trust in Health Information. J Health Commun. 2018;23(8):724–34.

Oedekoven M, Herrmann WJ, Ernsting C, Schnitzer S, Kanzler M, Kuhlmey A, et al. Patients’ health literacy in relation to the preference for a general practitioner as the source of health information. BMC Fam Pract. 2019 Dec;20(1):1–10.

World Health Organization (WHO). WHO | Health Literacy [Internet]. WHO. World Health Organization; 2020 [cited 2020 Aug 31]. Available from: http://www.who.int/healthpromotion/health-literacy/en/

Neter E, Brainin E, Baron-Epel O. The dimensionality of health literacy and eHealth literacy. 2015;

Kim S-H, Son Y-J. Relationships between eHealth literacy and health behaviors in Korean adults. CIN Comput Inform Nurs. 2017 Feb;35:84–90.

Li S, Cui G, Kaminga AC, Cheng S, Xu H. Associations between health Literacy, eHealth Literacy, and COVID-19–Related health behaviors among Chinese college students: Cross-sectional online study. J Med Internet Res. 2021 May 6;23(5):e25600.

Hyejin P, H P. Nursing Students’ eHealth Literacy in the U.S. and South Korea. Int Arch Nurs Health Care. 2019;5:122.

Aaby A, Friis K, Christensen B, Rowlands G, Maindal HT. Health literacy is associated with health behaviour and self-reported health: A large population-based study in individuals with cardiovascular disease. Eur J Prev Cardiol. 2017 Nov;24(17):1880–8.

Sun X, Yang S, Fisher EB, Shi Y, Wang Y, Zeng Q, et al. Relationships of health literacy, health behavior, and health status regarding infectious respiratory diseases: application of a skill-based measure. J Health Commun. 2014 Oct 14;19(sup2):173–89.

Li X, Liu Q. Social media use, eHealth literacy, disease knowledge, and preventive behaviors in the COVID-19 Pandemic: Cross-sectional study on Chinese netizens. J Med Internet Res. 2020 Oct 9;22(10):e19684.

Chong YY, Cheng HY, Chan HYL, Chien WT, Wong SYS. COVID-19 pandemic, infodemic and the role of eHealth literacy. Int J Nurs Stud. 2020 Aug;108:103644.

Hair JF, Black WC, Babin BJ, Anderson RE. Multivariate data analysis (8th ed.). The United States of America: Hampshire, UK Cengage Learning, EMEA; 2019.

Alzyood M, Jackson D, Aveyard H, Brooke J. COVID‐19 reinforces the importance of handwashing. J Clin Nurs. 2020 May 14;29:2760–1.

Schmidt Charles W. Lack of handwashing access: A widespread deficiency in the age of COVID-19. Environ Health Perspect. 2020;128(6):064002.

Levy JW, Suntarattiwong P, Simmerman JM, Jarman RG, Johnson K, Olsen SJ, et al. Increased hand washing reduces influenza virus surface contamination in Bangkok households, 2009-2010. Influenza Other Respir Viruses. 2014 Jan;8:13–6.

Ceylan Z, Meral R, Cetinkaya T. Relevance of SARS-CoV-2 in food safety and food hygiene: potential preventive measures, suggestions and nanotechnological approaches. VirusDisease. 2020 Jun 11;31:154–60.

Chulalongkorn University. CU around: The virus protection spell: “Eat hot food, use serving spoons, wash hands, and wear masks” [Internet]. Chulalongkorn University. 2020 [cited 2020 Sep 21]. Available from: https://www.chula. ac.th/en/news/27444/

Isaacs D, Britton P, Howard‐Jones A, Kesson A, Khatami A, Marais B, et al. Do facemasks protect against COVID‐19? J Paediatr Child Health. 2020 Jun;56:976–7.

Ho HSW. Use of face masks in a primary care outpatient setting in Hong Kong: Knowledge, attitudes and practices. Public Health. 2012 Dec 1;126:1001–6.

Sarner M. Maintaining mental health in the time of coronavirus. New Sci. 2020 Apr 25;246(3279):40–6.

Angelakis E, Azhar EI, Bibi F, Yasir M, Al-Ghamdi AK, Ashshi AM, et al. Paper money and coins as potential vectors of transmissible disease. Future Microbiol. 2014;9(2):249–61.

Al-Dmour H, Masa’deh R, Salman A, Abuhashesh M, Al-Dmour R. Influence of Social Media Platforms on Public Health Protection Against the COVID-19 Pandemic via the Mediating Effects of Public Health Awareness and Behavioral Changes: Integrated Model. J Med Internet Res. 2020 Aug 19;22(8):e19996.

Alotiby A. The Impact of Media on Public Health Awareness Concerning the Use of Natural Remedies Against the COVID-19 Outbreak in Saudi Arabia. Int J Gen Med. 2021 Jul 2;14:3145–52.

Karasneh R, Al-Azzam S, Muflih S, Soudah O, Hawamdeh S, Khader Y. Media’s effect on shaping knowledge, awareness risk perceptions and communication practices of pandemic COVID-19 among pharmacists. Res Soc Adm Pharm. 2021 Jan 1;17(1):1897–902.

Alonzo D, Popescu M. Utilizing social media platforms to promote mental health awareness and help seeking in underserved communities during the COVID-19 pandemic. J Educ Health Promot. 2021;10:156.

Katz M, Nandi N. Social Media and Medical Education in the Context of the COVID-19 Pandemic: Scoping Review. JMIR Med Educ. 2021 Apr 12;7(2):e25892.

Anwar A, Malik M, Raees V, Anwar A. Role of Mass Media and Public Health Communications in the COVID-19 Pandemic. Cureus. 2020 Sep 14;12(9):e10453.

Cuan-Baltazar JY, Muñoz-Perez MJ, Robledo-Vega C, Pérez-Zepeda MF, Soto-Vega E. Misinformation of COVID-19 on the Internet: Infodemiology Study. JMIR Public Health Surveill. 2020 Apr 9;6(2):e18444.

Abdel-Latif MMM. The enigma of health literacy and COVID-19 pandemic. Public Health. 2020 Aug 1;185:95–6.