Factors impacting COVID-19 preventive behaviors in Thai adults during the initial phase of vaccination 10.55131/jphd/2022/200319
Main Article Content
Abstract
Public preventive behaviors can effectively help control the spread of COVID-19. Exploring the leading factors affecting these behaviors is thus vital to public health planning. This study aimed to explore factors influencing COVID-19 preventive behaviors among the Thai population. A cross-sectional online survey was distributed to Thai residents through social media applications (Facebook, Line, Instagram, and Twitter) in July 2021. The questionnaires included behaviors, knowledge, and perceived responsibility for COVID-19 control, confidence in pandemic management, having chronic diseases, COVID-19 vaccination, and demographic factors. The data was analyzed using descriptive statistics, Chi-square, T-Test, and multivariate linear regression analysis. A total of 500 participants (mean age = 40.49 ± 12.68 years; 79.2% females) completed the questionnaires. Of these, 58% were vaccinated. Participants who had college and higher education and were employed tended to be vaccinated compared to their counterparts. Most participants (70%) reported they "always" wear masks outside their homes, but only half (52.8%) admitted that they regularly use hand sanitizers. COVID-19 preventive behaviors were positively associated with preventive knowledge (p < .001), perception of responsibility to control COVID-19 (p = .019), and being a female (p = .007). Being employed or self-employed, on the other hand, was associated with a decrease in preventive behaviors (p = .025). There was no relationship between participants who took COVID-19 vaccination and preventive behaviors. To promote COVID-19 preventive behaviors, efforts should be focused on increasing public knowledge and encouraging perceived responsibility for COVID-19 control, particularly among men and those who are employed, regardless of the COVID-19 vaccination status.
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References
World Health Organization. WHO Coronavirus (COVID-19) Dashboard 2021 [Internet]. [cited 2021 Dec 30]. Available from: https://covid19.who. int.
Wang C, Tee M, Roy AE, Fardin MA, Srichokchatchawan W, Habib HA, et al. The impact of COVID-19 pandemic on physical and mental health of Asians: A study of seven middle-income countries in Asia. PLOS ONE. 2021;16(2): e0246824. doi: 10.1371/journal.pone. 0246824.
Javed B, Sarwer A, Soto EB, Mashwani ZU. The coronavirus (COVID-19) pandemic's impact on mental health. Int J Health Plann Manage. 2020;35(5): 993-6. doi: 10.1002/hpm.3008.
Gössling S, Scott D, Hall CM. Pandemics, tourism and global change: A rapid assessment of COVID-19. Journal of Sustainable Tourism. 2021;29(1):1-20. doi: 10.1080/ 09669582.2020.1758708.
Gwee SXW, Chua PEY, Wang MX, Pang J. Impact of travel ban implementation on COVID-19 spread in Singapore, Taiwan, Hong Kong and South Korea during the early phase of the pandemic: A comparative study. BMC Infect Dis. 2021;21(1):799. doi: 10.1186/s12879-021-06449-1.
Saladino V, Algeri D, Auriemma V. The Psychological and Social Impact of Covid-19: New Perspectives of Well-Being. Front Psychol. 2020;11.
Ministry of Health, Thailand. Covid-19 situation report [in Thai] [Internet]. [cited 2021 Dec 30]. Available from: http://covid19.ddc.moph.go.th
Rajatanavin N, Tuangratananon T, Suphanchaimat R, Tangcharoensathien V. Responding to the COVID-19 second wave in Thailand by diversifying and adapting lessons from the first wave. BMJ Glob Health. 2021;6(7):e006178. doi: 10.1136/ bmjgh-2021-006178.
Department of Disease Control of Thailand. Covid-19 vaccine in Thailand [in Thai] [Internet]. [cited 2021 Dec 30]. Available from: https://ddc.moph. go.th/vaccine-covid19/
World Health Organization. COVID-19 vaccine tracker and landscape 2021 [Internet]. [Cited 2021 Dec 30]. Available from: https://www.who.int/ publications/m/item/draft-landscape-of-covid-19-candidate-vaccines.
World Health Organization. Coronavirus disease (COVID-19) advice for the public 2021 [Internet]. Available from: https://www.who.int/ emergencies/diseases/novel-coronavirus-2019/advice-for-public.
Aschwanden D, Strickhouser JE, Sesker AA, Lee JH, Luchetti M, Terracciano A, et al. Preventive Behaviors During the COVID-19 Pandemic: Associations With Perceived Behavioral Control, Attitudes, and Subjective Norm. Front Public Health. 2021;9:662835. doi: 10.3389/fpubh.2021.662835.
Shafiq M, Elharake JA, Malik AA, McFadden SM, Aguolu OG, Omer SB. COVID-19 Sources of Information, Knowledge, and Preventive Behaviors Among the US Adult Population. J Public Health Manag Pract. 2021;27(3): 278-84. doi: 10.1097/phh. 0000000000001348.
Jones P, Menon A, Hicken A, Rozek LS. Global adoption of personal and social mitigation behaviors during COVID-19: The role of trust & confidence. PLOS ONE. 2021;16(9): e0256159. doi: 10.1371/journal.pone. 0256159.
Goldszmidt R, Petherick A, Andrade EB, Hale T, Furst R, Phillips T, et al. Protective Behaviors Against COVID-19 by Individual Vaccination Status in 12 Countries During the Pandemic. JAMA Netw Open. 2021;4(10): e2131137-e. doi: 10.1001/ jamanetworkopen.2021.31137.
Wright L, Steptoe A, Mak HW, Fancourt D. Do people reduce compliance with COVID-19 guidelines following vaccination? A longitudinal analysis of matched UK adults. J Epidemiol Community Health. 2022;76(2):109-15. doi: 10.1136/jech-2021-217179.
LaRose R, Tsai H-yS. Completion rates and non-response error in online surveys: Comparing sweepstakes and pre-paid cash incentives in studies of online behavior. Comput Hum Behav 2014;34:110-9. doi: https://doi.org/ 10.1016/j.chb.2014.01.017.
Al-Metwali BZ, Al-Jumaili AA, Al-Alag ZA, Sorofman B. Exploring the acceptance of COVID-19 vaccine among healthcare workers and general population using health belief model. J Eval Clin Pract. 2021;27(5):1112-22. doi: 10.1111/jep.13581.
Sherman SM, Smith LE, Sim J, Amlôt R, Cutts M, Dasch H, et al. COVID-19 vaccination intention in the UK: results from the COVID-19 vaccination acceptability study (CoVAccS), a nationally representative cross-sectional survey. Hum Vaccin Immunother. 2021;17(6):1612-21. doi: 10.1080/21645515.2020.1846397.
Yu Y, Lau JTF, Lau MMC, Wong MCS, Chan PKS. Understanding the Prevalence and Associated Factors of Behavioral Intention of COVID-19 Vaccination Under Specific Scenarios Combining Effectiveness, Safety, and Cost in the Hong Kong Chinese General Population. Int J Health Policy Manag. 2021. doi: 10.34172/ijhpm. 2021.02.
Firouzbakht M, Omidvar S, Firouzbakht S, Asadi-Amoli A. COVID-19 preventive behaviors and influencing factors in the Iranian population; a web-based survey. BMC Public Health. 2021;21(1):143.doi: 10.1186/s12889-021-10201-4.
Siramaneerat I. Perceptions, knowledge and self-defense behaviors regarding COVID-19 among employees at Rajamangala University of Technology Thanyaburi, Thailand. Journal of Health Research. 2022; 36(5):794-801.doi: 10.1108/JHR-09-2020-0426.
Yodmai K, Pechrapa K, Kittipichai W, Charupoonpol P, Suksatan W. Factors Associated with Good COVID-19 Preventive Behaviors Among Older Adults in Urban Communities in Thailand. J Prim Care Community Health. 2021;12:21501327211036251. doi: 10.1177/21501327211036251.
Galasso V, Pons V, Profeta P, Becher M, Brouard S, Foucault M. Gender differences in COVID-19 attitudes and behavior: Panel evidence from eight countries. Proc Natl Acad Sci U S A. 2020;117(44):27285-91. doi: 10.1073/ pnas.2012520117.
Gutu B, Legese G, Fikadu N, Kumela B, Shuma F, Mosisa W, et al. Assessment of preventive behavior and associated factors towards COVID-19 in Qellam Wallaga Zone, Oromia, Ethiopia: A community-based cross-sectional study. PLOS ONE. 2021;16(4):e0251062. doi: 10.1371/ journal.pone.0251062.
Hosen I, Pakpour AH, Sakib N, Hussain N, al Mamun F, Mamun MA. Knowledge and preventive behaviors regarding COVID-19 in Bangladesh: A nationwide distribution. PLOS ONE. 2021;16(5):e0251151. doi: 10.1371/journal.pone.0251151.
Abeysinghe S, Amir V, Huda N, Humam F, Lokopessy AF, Sari PV, et al. Risk and responsibility: lay perceptions of COVID-19 risk and the ‘ignorant imagined other’ in Indonesia. Health Risk Soc. 2022:1-21. doi: 10.1080/13698575.2022.2091751.
Shahin MAH, Hussien RM. Risk perception regarding the COVID-19 outbreak among the general population: a comparative Middle East survey. Middle East Current Psychiatry. 2020;27(1):71.doi: 10.1186/s43045-020-00080-7.
Arslanca T, Fidan C, Daggez M, Dursun P. Knowledge, preventive behaviors and risk perception of the COVID-19 pandemic: A cross-sectional study in Turkish health care workers. PLOS ONE. 2021;16(4): e0250017.doi: 10.1371/journal.pone. 0250017.
Sánchez-Arenas R, Doubova SV, González-Pérez MA, Pérez-Cuevas R. Factors associated with COVID-19 preventive health behaviors among the general public in Mexico City and the State of Mexico. PLOS ONE. 2021;16(7):e0254435. doi: 10.1371/ journal.pone.0254435.
Probst TM, Lee HJ, Bazzoli A, Jenkins MR, Bettac EL. Work and Non-Work Sickness Presenteeism: The Role of Workplace COVID-19 Climate. J Occup Environ Med. 2021;63(8):713-8. doi: 10.1097/JOM.0000000000002240.
Šuriņa S, Martinsone K, Perepjolkina V, Kolesnikova J, Vainik U, Ruža A, et al. Factors Related to COVID-19 Preventive Behaviors: A Structural Equation Model. Front Psychol. 2021;12(1821). doi: 10.3389/fpsyg. 2021.676521.
Ayalon L. Trust and Compliance with COVID-19 Preventive Behaviors during the Pandemic. Int J Environ Res Public Health. 2021;18(5):2643. doi: 10.3390/ijerph18052643.
Al-Rasheed M. Protective Behavior against COVID-19 among the Public in Kuwait: An Examination of the Protection Motivation Theory, Trust in Government, and Sociodemographic Factors. Soc Work Public Health. 2020;35(7):546-56. doi: 10.1080/ 19371918.2020.1806171.
Wright L, Steptoe A, Fancourt D. Patterns of compliance with COVID-19 preventive behaviours: a latent class analysis of 20 000 UK adults. J Epidemiol Community Health. 2022;76(3):247-53. doi: 10.1136/jech-2021-216876.