Investigating the structures of the health belief model following a covid-19 outbreak in Iran 10.55131/jphd/2022/200310
Main Article Content
Abstract
Due to the novelty of COVID-19 disease and the importance of determining the most important factors related to the health behaviors of people, this study was done to determine the structures of Health Belief Model (HBM) following the COVID-19 outbreak. This was an analytical-cross sectional study conducted in 2020. The statistical population included all users of Iranian social networks, of which 385 people participated in this study. Participants were selected using convenience sampling. The data collection tool was a researcher-made questionnaire. In this study, demographic variables (being a student, age, reporting violations in health protocols (RVHP), marital status, level of education, gender, and the number of children) were independent variables and constructs of the HBM were dependent variables. Data analysis software was SPSS 16. Data were analyzed using Mann-Whitney U and Kruskal-Wallis tests. The mean age of participants was 30.11 years. There was a significant difference between the perceived susceptibility of being a student (p=0.02), age (p=0.01), and RVHP (p=0.005). There was also a significant difference between the perceived severity with marital status, being a student, age (P<0.001), RVHP (p=0.04), and level of education (p=0.01). There was also a significant difference between perceived benefits with marital status (p=0.04), RVHP (p=0.01), and being a student (P<0.001) and perceived barriers with gender and number of children (p=0.03). There was also self-efficacy with RVHP (p=0.005). This study demonstrated the effectiveness of HBM constructs in determining the structures of HBM following the COVID-19 outbreak. Therefore, the HBM seems helpful as a framework for designing interventional programs for improving health behaviors among people during the COVID-19 pandemic.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
WHO. Statement on the second meeting of the international health regulations (2005) emergency committee regarding the outbreak of novel coronavirus (2019-nCoV). 2020.
Barakat AM and Kasemy ZA. Preventive health behaviours during coronavirus disease 2019 pandemic based on health belief model among Egyptians. MECP 2020;27: 43.
Khalagi K, Gharibzadeh S, Khalili D, et al. Prevalence of COVID-19 in Iran: results of the first survey of the Iranian COVID-19 Serological Surveillance programme. CMI 2021; 27:1666-71.
Das SK, Alam JE, Plumari S and Greco V. Transmission of airborne virus through sneezed and coughed droplets. Phys Fluids (1994) 2020;32:097102. doi: 10.1063/5.0022859.
Kumar S and Lee HP. The perspective of fluid flow behavior of respiratory droplets and aerosols through the facemasks in context of SARS-CoV-2. Phys Fluids (1994) 2020; 32: 111301. doi: 10.1063/5.0029767.
Carico RR, Jr., Sheppard J and Thomas CB. Community pharmacists and communication in the time of COVID-19: Applying the health belief model. Res Social Adm Pharm 2021;17:1984-7. doi: 10.1016/j.sapharm.2020.03.017.
Sajadi H and Hartley K. COVID-19 pandemic response in Iran: a dynamic perspective on policy capacity. J Asian Public Policy 2021:1-22.
Yoosefi Lebni J, Abbas J, Moradi F, et al. How the COVID-19 pandemic effected economic, social, political, and cultural factors: A lesson from Iran. Int J Soc Psychiatry 2021;67:298-300. doi: 10.1177/0020764020939984.
Samadipour E and F. G. Factors Influencing Iranians' Risk Perception of Covid-19. Journal-Mil-Med 2020;22: 122-9.
Ferretti L, Wymant C, Kendall M, et al. Quantifying SARS-CoV-2 transmission suggests epidemic control with digital contact tracing. Science 2020;368:eabb6936.
Guidry JPD, O'Donnell NH, Austin LL, Coman IA, Adams J and Perrin PB. Stay Socially Distant and Wash Your Hands: Using the Health Belief Model to Determine Intent for COVID-19 Preventive Behaviors at the Beginning of the Pandemic. Health Educ Behav 2021;48:424-33.
Mirhoseni SJ, Mazloomy S, Moqaddasi Amiri M and alizadeh s. The Study of Blood Pressure Related Factors Based on Health Belief Model in Yazd in 2017. Tolooe behdasht 2019;18:107-19.
Shaw K. Exploring beliefs and attitudes of personal service practitioners towards infection control education, based on the Health Belief Model. Environ Health Rev 2016;59: 7-16. doi :10.5864/d2016-003
Walrave M, Waeterloos C and Ponnet K. Adoption of a Contact Tracing App for Containing COVID-19: A Health Belief Model Approach. JMIR Public Health Surveill 2020;6(3):e20572. doi: 10.2196/20572
Mukhtar S. Mental health and emotional impact of COVID-19: Applying Health Belief Model for medical staff to general public of Pakistan. Brain Behav Immun 2020;87: 28-9. doi: 10.1016/j.bbi.2020.04.012.
Khazaee-Pool M, Shahrvsand SH and SA. N. Predicting Covid-19 Preventive Behaviors Based on Health Belief Model: An Internet-Based Study in Mazandaran Province, Iran. J Maz Univ Med 2020;30(190):56-66.
Mahindarathne PP. Assessing COVID-19 preventive behaviours using the health belief model: A Sri Lankan study. J Taibah Univ Med Sci 2021;16:914-9. doi: 10.1016/j.jtumed.2021.07.006.
Nasir EF, Yagoub HMA and Alhag AK. Study of the Sudanese perceptions of COVID-19: Applying the Health Belief Model. medRxiv 2020. doi: https://doi.org/10.1101/2020.05.28.20115477
Tong KK, Chen JH, Yu EW and Wu AMS. Adherence to COVID-19 Precautionary Measures: Applying the Health Belief Model and Generalised Social Beliefs to a Probability Community Sample. Appl Psychol Health Well Being 2020;12:1205-23. doi: 10.1111/aphw.12230.
Habibi A AM. Structural equation modeling and factor analysis. Tehran: Press Organization Jahade Daneshgahi; 2017.
Jose R, Narendran M, Bindu A, Beevi N, L M and Benny PV. Public perception and preparedness for the pandemic COVID 19: A Health Belief Model approach. Clin Epidemiol Glob Health 2021;9:41-6. doi: 10.1016/j.cegh.2020.06.009.
Costa MF. Health belief model for coronavirus infection risk determinants. Rev Saude Publica 2020;54:47. doi: 10.11606/s1518-8787.2020054002494.
Park T, Ju I, Ohs JE and Hinsley A. Optimistic bias and preventive behavioral engagement in the context of COVID-19. Res Social Adm Pharm 2021;17:1859-66. doi: 10.1016/ j.sapharm.2020.06.004.
Li J-B, Yang A, Dou K, Wang L-X, Zhang M-C and Lin X-Q. Chinese public’s knowledge, perceived severity, and perceived controllability of COVID-19 and their associations with emotional and behavioural reactions, social participation, and precautionary behaviour: a national survey. BMC Public Health 2020;20(1):1589. doi: 10.1186/s12889-020-09695-1.
Shahnazi H, Ahmadi-Livani M, Pahlavanzadeh B, Rajabi A, Hamrah MS and Charkazi A. Assessing preventive health behaviors from COVID-19: a cross sectional study with health belief model in Golestan Province, Northern of Iran. Infect Dis Poverty. 2020;9(1):157. doi: 10.1186/s40249-020-00776-2.
Maunder L. Motivating people to stay at home: using the Health Belief Model to improve the effectiveness of public health messaging during the COVID-19 pandemic. Transl Behav Med 2021;11(10):1957-1962. doi: 10.1093/tbm/ibab080.
Flanagan EW, Beyl RA, Fearnbach SN, Altazan AD, Martin CK and Redman LM. The Impact of COVID-19 Stay-At-Home Orders on Health Behaviors in Adults. Obesity (Silver Spring) 2021;29(2):438-445. doi: 10.1002/ oby.23066.
Tadesse T, Alemu T, Amogne G, Endazenaw G and Mamo E. Predictors of Coronavirus Disease 2019 (COVID-19) Prevention Practices Using Health Belief Model Among Employees in Addis Ababa, Ethiopia, 2020. Infect Drug Resist 2020;13:3751-3761. doi: 10.2147/IDR.S275933.
Tull MT, Edmonds KA, Scamaldo KM, Richmond JR, Rose JP and Gratz KL. Psychological Outcomes Associated with Stay-at-Home Orders and the Perceived Impact of COVID-19 on Daily Life. Psychiatry Res 2020;289:113098. doi: 10.1016/ j.psychres.2020.113098.
Agüero JM. COVID-19 and the rise of intimate partner violence. World Dev 2021;137:105217. doi: 10.1016/ j.worlddev.2020.105217.
Van Gelder N, Peterman A, Potts A, et al. COVID-19: Reducing the risk of infection might increase the risk of intimate partner violence. EClinical Medicine. 2020;21:100348. doi: 10.1016/j.eclinm.2020.100348.