Al-Sabbagh Mohammed Qussay, Al-Ani Abdallah, Mafrachi Baraa, Siyam Abdelmuez, Isleem Ula, Massad Faysal I, Alsabbagh Qussay, Abufaraj Mohammad
Faculty of Medicine, The University of Jordan, Amman, Jordan.
Division of Neurosurgery, Department of Special Surgery, Jordan University Hospital, the University of Jordan, Amman, Jordan.
Psychol Health Med. 2022 Jan;27(1):215-227. doi: 10.1080/13548506.2021.1871770. Epub 2021 Jan 11.
Although Jordan has applied lockdown in response to COVID-19 pandemic, many people were not adherent to the quarantine. We aimed to examine the attitudes of the Jordanians and how these attitudes can predict their adherence using the health belief model (HBM). A cross-sectional study of 5057 participants using an internet-based questionnaire was conducted during lockdown. Multivariable ordinal regression analyses were used to estimate predictors of adherence to home quarantine. Overall, 646 (12.8%), 2078 (41.2%), and 2317 (46%) of participants showed poor, intermediate, and strict adherence, respectively. Of the HBM constructs, seriousness (β= 0.116, 95% CI 0.027 to 0.205), benefits (β= 0.056, 95% CI 0.002 to 0.110) and barriers (β= -0.025, 95% CI -0.035 to -0.015) were significant predictors. We identified income insecurity (β= -0.096, 95% CI -0.144 to -0.046), social withdrawal (β= -0.062, 95% CI -0.121 to -0.004), religious concerns (β= -0.149, 95% CI -0.202 to -0.096) and health consequences (β= 0.065, 95% CI 0.011 to 0.11) as barriers. Governmental instructions were the only predictive external cue (β= 0.055, 95% CI 0.004 to 0.014). Our findings suggest that a high number of Jordanians are adherent with the quarantine, demonstrating the ability of governmental policies in tackling potential barriers.
尽管约旦已实施封锁措施以应对新冠疫情，但许多人并未遵守隔离规定。我们旨在使用健康信念模型（HBM）来研究约旦人的态度，以及这些态度如何预测他们的遵守情况。在封锁期间，我们通过基于互联网的问卷对5057名参与者进行了横断面研究。采用多变量有序回归分析来估计家庭隔离遵守情况的预测因素。总体而言，分别有646名（12.8%）、2078名（41.2%）和2317名（46%）参与者表现出较差、中等和严格的遵守情况。在健康信念模型的各个构成要素中，严重性（β=0.116，95%置信区间0.027至0.205）、益处（β=0.056，95%置信区间0.002至0.110）和障碍（β=-0.025，95%置信区间-0.035至-0.015）是显著的预测因素。我们确定收入不安全（β=-0.096，95%置信区间-0.144至-0.046）、社交退缩（β=-0.062，95%置信区间-0.121至-0.004）、宗教担忧（β=-0.149，95%置信区间-0.202至-0.096）和健康后果（β=0.065，95%置信区间0.011至0.11）为障碍因素。政府指示是唯一具有预测性的外部线索（β=0.055，95%置信区间0.004至0.014）。我们的研究结果表明，大量约旦人遵守隔离规定，这表明政府政策有能力应对潜在障碍。
