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社会认知因素与中德混合老年人群体 COVID-19 个体预防行为的关系。

Association of Social-Cognitive Factors with Individual Preventive Behaviors of COVID-19 among a Mixed-Sample of Older Adults from China and Germany.

机构信息

Department of Sport, Physical Education and Health, Hong Kong Baptist University, Hong Kong 999077, China.

Center for Health and Exercise Science Research, Hong Kong Baptist University, Hong Kong 999077, China.

出版信息

Int J Environ Res Public Health. 2022 May 24;19(11):6364. doi: 10.3390/ijerph19116364.

Abstract

Identifying modifiable correlates of older adults' preventive behaviors is contributable to the prevention of the COVID-19 and future pandemics. This study aimed to examine the associations of social-cognitive factors (motivational and volitional factors) with three preventive behaviors (hand washing, facemask wearing, and physical distancing) in a mixed sample of older adults from China and Germany and to evaluate the moderating effects of countries. A total of 578 older adults (356 Chinese and 222 German) completed the online cross-sectional study. The questionnaire included demographics, three preventive behaviors before and during the pandemic, motivational factors (health knowledge, attitude, subjective norm, risk perception, motivational self-efficacy (MSE), intention), and volitional factors (volitional self-efficacy (VSE), planning, and self-monitoring) of preventive behaviors. Results showed that most social-cognitive factors were associated with three behaviors with small-to-moderate effect sizes ( = 0.02 to 0.17), controlled for demographics and past behaviors. Country moderated five associations, including VSE and hand washing, self-monitoring and facemask wearing, MSE and physical distancing, VSE and physical distancing, and planning and physical distancing. Findings underline the generic importance of modifiable factors and give new insights to future intervention and policymaking. Country-related mechanisms should be considered when aiming to learn from other countries about the promotion of preventive behaviors.

摘要

确定老年人预防行为的可改变相关因素有助于预防 COVID-19 和未来的大流行。本研究旨在检验社会认知因素(动机因素和意志因素)与来自中国和德国的混合老年人样本中三种预防行为(洗手、戴口罩和保持身体距离)之间的关联,并评估国家的调节作用。共有 578 名老年人(356 名中国人和 222 名德国人)完成了这项在线横断面研究。问卷包括人口统计学信息、大流行前和大流行期间的三种预防行为、动机因素(健康知识、态度、主观规范、风险感知、预防行为的动机自我效能感(MSE)、意图)和意志因素(预防行为的意志自我效能感(VSE)、计划和自我监控)。结果表明,大多数社会认知因素与三种行为均存在关联,关联程度为小到中等( = 0.02 至 0.17),控制了人口统计学和过去行为。有五个关联受到国家的调节,包括 VSE 和洗手、自我监控和戴口罩、MSE 和保持身体距离、VSE 和保持身体距离、以及计划和保持身体距离。研究结果强调了可改变因素的普遍重要性,并为未来的干预和决策提供了新的见解。在借鉴其他国家关于促进预防行为的经验时,应考虑与国家相关的机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3e5/9180272/2e8db5777584/ijerph-19-06364-g001.jpg

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