The relationships among personal, environmental, and health belief pattern factors on COVID-19 prevention behaviors of undergraduate students
Keywords:
undergraduate student, health belief model, COVID-19 prevention behaviorsAbstract
This cross-sectional analytical research aimed to investigate the relationships among the personal factors, environmental factors, and health belief pattern on COVID-19 prevention behaviors of undergraduate students. A total of 1,482 participants were recruited by using multistage random sampling. The research instrument was a questionnaire with items regarding personal, environmental, health belief pattern factors; and COVID-19 prevention behaviors. Content Validity of the questionnaire was 0.87. Data were collected by using google form through QR code scanning. Multiple logistic regression was used for data analysis.
The results found that factors influencing behaviors to prevent COVID-19 disease were personal factors and health belief pattern factors. In terms of personal factors, age group between 18- 20 years had 12.62 times greater COVID-19 prevention behaviors than those aged 21 years old and over (Adjusted OR= 18.66, 95%CI =5.50-63.21, P-Value<0.001). Regarding health belief pattern factors, it was found that risk perception towards COVID -19 at high levels had 7.64 times greater COVID-19 prevention behaviors than the risk perception at moderate levels (Adjusted OR=3.04, 95%CI=1.60-5.76, P-Value 0.001). Perception of the benefits of COVID -19 prevention at high levels had 16.35 times greater COVID-19 prevention behaviors than the perception of the benefits of COVID -19 prevention at moderate levels (Adjusted OR=4.57, 95%CI=2.21-9.42, P-Value <0.001). Perception of self-efficacy in COVID -19 prevention at high levels had 12.19 times greater COVID -19 prevention behaviors than the perception of self-efficacy in COVID -19 prevention at moderate levels, (Adjusted OR=2.53, 95%CI=1.24-5.18, P-Value 0.01). In addition, cues to action at high levels had 8.33 times greater COVID-19 prevention behaviors than cues to action at moderate levels, (Adjusted OR= 3.58, 95%CI =1.88-6.84, P-Value<0.001).
Based on results, it is recommended that training should be organized to provide knowledge and understanding regarding behaviors to prevent COVID-19 for the group aged over 21 years, in order for them to have more knowledge and understanding. Awareness should be created for this group of students to encourage their behaviors to prevent infection with COVID-19, through emphasizing the benefits; and promoting awareness of barriers to implementing, planning, and modifying appropriate health behaviors.
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