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保持社交距离和勤洗手:在大流行开始时使用健康信念模型确定 COVID-19 预防行为的意向。

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.

机构信息

Virginia Commonwealth University, Richmond, VA, USA.

University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

出版信息

Health Educ Behav. 2021 Aug;48(4):424-433. doi: 10.1177/10901981211019920. Epub 2021 Jun 29.

DOI:10.1177/10901981211019920
PMID:34185596
Abstract

BACKGROUND

The COVID-19 pandemic has quickly spread around the world, and since currently no treatments that are safe and effective for large groups of people nor a vaccine are available, the best way to prevent the illness is to avoid being exposed to the virus causing it. The purpose of this study was to examine the predictive effects of both demographic and psychosocial factors originating with the Health Belief Model on reported intent to adhere to COVID-19 preventive behaviors (e.g., social distancing, hand washing, and not attending large gatherings).

METHOD

A Qualtrics survey of 500 U.S. adults was conducted to explore the relationships of demographics and psychosocial factors with the intent to adhere to COVID-19 preventive measures.

RESULTS

Gender was a predictor of taking preventive action, with women more likely to take action. Health Belief Model constructs predicted uptake of most COVID-19 preventive actions, but the constructs often appeared to work independent of the model. Race/ethnicity was an infrequent predictor, but when it did, minorities were less likely to report intent to adhere to COVID-19 preventive behaviors.

CONCLUSION/IMPLICATIONS: While not a perfect model for this pandemic, the Health Belief Model and its constructs should continue to be considered for use by public health communicators focusing on preventive measure campaign design in both the COVID-19 pandemic era and beyond.

摘要

背景

COVID-19 疫情在全球迅速蔓延,由于目前尚无针对大量人群安全有效的治疗方法和疫苗,因此预防疾病的最佳方法是避免接触导致疾病的病毒。本研究旨在检验源于健康信念模型的人口统计学和社会心理因素对报告的遵守 COVID-19 预防行为(例如,保持社交距离、勤洗手和不参加大型聚会)的意图的预测作用。

方法

对 500 名美国成年人进行了一项 Qualtrics 调查,以探讨人口统计学和社会心理因素与遵守 COVID-19 预防措施的意图之间的关系。

结果

性别是采取预防措施的预测因素,女性更有可能采取行动。健康信念模型结构预测了大多数 COVID-19 预防措施的采用,但这些结构似乎经常独立于该模型发挥作用。种族/民族是一个不常见的预测因素,但当它存在时,少数民族报告遵守 COVID-19 预防行为的意愿较低。

结论/影响:虽然该模型并不完全适用于本次大流行,但健康信念模型及其结构应继续被公共卫生传播者考虑用于预防措施宣传活动的设计,无论是在 COVID-19 大流行时代还是之后。

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