Zhang Chi, Liao Wei Fang, Ma Yi Ming, Liang Chang Yong
School of Public Health and Management, Wenzhou Medical University, Wenzhou, China.
School of Management, Hefei University of Technology, Hefei, China.
Front Public Health. 2022 Aug 10;10:946742. doi: 10.3389/fpubh.2022.946742. eCollection 2022.
COVID-19 has caused great loss of human life and livelihoods. The dissemination of health information in online social networks increased during the pandemic's quarantine. Older people are the most vulnerable group in sudden public health emergencies, and they have the disadvantage of infection rates and online search for health information. This study explores the relationship between the health risk perception and health information search behavior of older people in social networks, to help them make better use of the positive role of social networks in public health emergencies.
Based on the Risk Information Search and Processing model, and in the specific context of COVID-19, this study redefines health risk perception as a second-order construct of four first-order factors (perceived probability, perceived severity, perceived controllability, and perceived familiarity), and constructs a research model of the health risk perception and health information search behavior of older people. An online survey of people over 55 years old was conducted through convenience sampling in China from February 2020 to March 2020.
A total of 646 older adults completed the survey. The structural equation model showed that health risk perception is a second-order factor (H1), that health risk perception has significant positive effects on health information search behavior (H2: β = 0.470, T = 11.577, < 0.001), and that health risk perception has significant positive effects on affective response (H3: β = 0.536, T = 17.356, < 0.001). In addition, affective response has a significant positive mediating effect on information sufficiency (H4: β = 0.435, T = 12.231, < 0.001), and information sufficiency has a significant positive mediating effect on health information search behavior (H5: β = 0.136, T = 3.081, = 0.002).
The study results indicate that the health risk perception of older people during the COVID-19 outbreak not only directly affected their health information search behavior, but also had an indirect impact on their health information search behavior by affecting affective response and information sufficiency.
新型冠状病毒肺炎(COVID-19)已造成巨大的人员伤亡和生计损失。在疫情隔离期间,在线社交网络中的健康信息传播有所增加。老年人是突发公共卫生事件中最脆弱的群体,他们在感染率和在线搜索健康信息方面存在劣势。本研究探讨社交网络中老年人的健康风险认知与健康信息搜索行为之间的关系,以帮助他们更好地利用社交网络在公共卫生事件中的积极作用。
基于风险信息搜索与处理模型,并在COVID-19的特定背景下,本研究将健康风险认知重新定义为四个一阶因素(感知概率、感知严重性、感知可控性和感知熟悉度)的二阶结构,并构建老年人健康风险认知与健康信息搜索行为的研究模型。2020年2月至2020年3月在中国通过便利抽样对55岁以上人群进行了在线调查。
共有646名老年人完成了调查。结构方程模型表明,健康风险认知是一个二阶因素(H1),健康风险认知对健康信息搜索行为有显著正向影响(H2:β = 0.470,T = 11.577,< 0.001),且健康风险认知对情感反应有显著正向影响(H3:β = 0.536,T = 17.356,< 0.001)。此外,情感反应对信息充分性有显著正向中介作用(H4:β = 0.435,T = 12.231,< 0.001),信息充分性对健康信息搜索行为有显著正向中介作用(H5:β = 0.136,T = 3.081,= 0.002)。
研究结果表明,COVID-19疫情期间老年人的健康风险认知不仅直接影响其健康信息搜索行为,还通过影响情感反应和信息充分性对其健康信息搜索行为产生间接影响。