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:: Volume 10, Issue 3 (Autumn 2022) ::
Iran J Health Educ Health Promot 2022, 10(3): 237-250 Back to browse issues page
Predictive Factors of Adopting Covid-19 Preventive Behaviors Among the Urban Population: An Application of The Health Belief Model
Sima Ghorbanzadeh , Mina Maheri , Hamid Reza Khalkhali , Alireza Didarloo *
Abstract:   (341 Views)
Background and Objectives: COVID-19 is a contagious respiratory infection. Due to the resistance of new virus variants to existing vaccines, the best way is to adopt preventive behaviors. But most people don’t follow them. Understanding the factors affecting people's decision making in adherence to behaviors is essential. Constructs of models can be effective in predicting behavior. Hence, the present study aimed to determine the Predictive factors of adopting COVID-19 Preventive behaviors by using the health belief model.

Materials and Methods: This descriptive-analytical study was conducted by cross-sectional method in 1400 among 500 Urmia citizens who were selected by convenience sampling method. Data were collected by using a researcher-made questionnaire with four sections including demographic variables, items of knowledge, constructs of health belief model and COVID-19 Preventive behaviors. Data were analyzed by using descriptive statistics, Pearson correlation coefficient and linear regression in SPSS software.

Results: The mean and standard deviation of preventive behaviors was 22.37 ± 3.22. It was also shown that among the constructs of the HBM, self-efficacy, knowledge, cues to action, benefits, and barriers were predictors of COVID-19 preventive behaviors. Overall, these variables, along with demographic characteristics could predict 47% of behavioral changes.

Conclusion: In designing educational interventions, special emphasis should be placed on the self-efficacy construct as the most important predictor of adopting COVID-19 preventive behaviors among citizens.
 
Keywords: Health Belief Model, COVID-19, Prevention and control
Full-Text [PDF 707 kb]   (225 Downloads)    
Type of Study: Research | Subject: Health Education & Health Promotion
Received: 2021/12/27 | Accepted: 2022/03/17
References
1. Prasetyo YT, Castillo AM, Salonga LJ, Sia JA, Seneta JA. Factors affecting perceived effectiveness of COVID-19 prevention measures among Filipinos during enhanced community quarantine in Luzon, Philippines: Integrating Protection Motivation Theory and extended Theory of Planned Behavior. International journal of infectious diseases. 2020;99:312-23. [DOI:10.1016/j.ijid.2020.07.074] [PMID] [PMCID]
2. WHO. World health organization novel coronavirus (COVID-19) Information and Alerts-Worldometer 2021 [updated 10 January 2021. Available from: www.worldometers.info/coronavirus.
3. Jahanpeyma P, Shamsi A, Nejad Rahim R, Aghazadeh Sarhangipour K. Knowledge of the Covid-19 Virus, From Diagnosis to Prevention and Treatment: A Narrative Review. Military Caring Sciences Journal. 2020;7(3):289-300. [DOI:10.29252/mcs.7.3.289]
4. Omidi A, Shatizadeh Malekshahi S, Veisi P. Extrapulmonary Manifestations of Coronavirus Disease 2019: A Narrative Review. Journal of Arak University of Medical Sciences. 2020;23(5):604-13. [DOI:10.32598/JAMS.23.COV.6186.1]
5. Mesri M, Rouhani M, Koohestani HR, Azani H, Ahad A, Karimy M. Clinical features and outcomes of suspected and confirmed covid-19 patients in Saveh, Iran, 2020. Journal of Mazandaran University of Medical Sciences. 2021;30(194):51-61.
6. Wouters OJ, Shadlen KC, Salcher-Konrad M, Pollard AJ, Larson HJ, Teerawattananon Y, et al. Challenges in ensuring global access to COVID-19 vaccines: production, affordability, allocation, and deployment. The Lancet. 2021. [DOI:10.1016/S0140-6736(21)00306-8]
7. Jalali Farahani A, Ashourzadeh Fallah S, Khashei Z, Heidarzadeh F, Sadeghi F, Masoudi P, et al. Available Effective Vaccines in Preventing COVID-19: A Narrative Review. Journal of Marine Medicine. 2021;3(4):153-62.
8. Nakhaeizadeh A, Mohammadi S. Assessing the Level of Engagement in Preventive Behaviors and COVID-19 Related Anxiety in Iranian Adults. Avicenna Journal of Nursing and Midwifery Care. 2021;29(2):160-70. [DOI:10.30699/ajnmc.29.2.160]
9. Yeganeh LT. Investigating COVID-19 Preventive Behaviors Based on Health Belief Model. Environmental Health. 2021;7(2):183-90.
10. Zareipour M, Fattahi Ardakani M, Sotoudeh A, Tasouji Azari M. The Importance of Tele Education of Family Health Ambassadors in COVID -19 Prevention. Journal of Health Literacy. 2021;6(1):9-12.
11. Chang K-C, Strong C, Pakpour AH, Griffiths MD, Lin C-Y. Factors related to preventive COVID-19 infection behaviors among people with mental illness. Journal of the Formosan Medical Association. 2020. [DOI:10.1016/j.jfma.2020.07.032] [PMID] [PMCID]
12. Spitzer M. Masked education? The benefits and burdens of wearing face masks in schools during the current Corona pandemic. Trends in Neuroscience and Education. 2020;20:100138. [DOI:10.1016/j.tine.2020.100138] [PMID] [PMCID]
13. Chen X, Ran L, Liu Q, Hu Q, Du X, Tan X. Hand Hygiene, Mask-Wearing Behaviors and Its Associated Factors during the COVID-19 Epidemic: A Cross-Sectional Study among Primary School Students in Wuhan, China. International journal of environmental research and public health. 2020;17(8):2893. [DOI:10.3390/ijerph17082893] [PMID] [PMCID]
14. Hagger MS, Smith SR, Keech JJ, Moyers SA, Hamilton K. Predicting social distancing intention and behavior during the COVID-19 pandemic: An integrated social cognition model. Annals of Behavioral Medicine. 2020;54(10):713-27. [DOI:10.1093/abm/kaaa073] [PMID] [PMCID]
15. Fathian-Dastgerdi Z, Tavakoli B, Jaleh M. Factors associated with preventive behaviors of COVID-19 among adolescents: Applying the health belief model. Research in Social and Administrative Pharmacy. 2021. [DOI:10.1016/j.sapharm.2021.01.014] [PMID] [PMCID]
16. Haftom M, Petrucka P, Gemechu K, Mamo H, Tsegay T, Amare E, et al. Knowledge, attitudes, and practices towards covid-19 pandemic among quarantined adults in Tigrai region, Ethiopia. Infection and Drug Resistance. 2020;13:3727. [DOI:10.2147/IDR.S275744] [PMID] [PMCID]
17. Yanti B, Wahyudi E, Wahiduddin W, Novika RGH, Arina YMDa, Martani NS, et al. Community knowledge, attitudes, and behavior towards social distancing policy as prevention transmission of COVID-19 in indonesia. Jurnal Administrasi Kesehatan Indonesia. 2020;8(2):4-14. [DOI:10.20473/jaki.v8i2.2020.4-14]
18. Saqlain M, Munir MM, ur Rehman S, Gulzar A, Naz S, Ahmed Z, et al. Knowledge, attitude, practice and perceived barriers among healthcare professionals regarding COVID-19: A Cross-sectional survey from Pakistan. The Journal of Hospital Infection. 2020. [DOI:10.1101/2020.04.13.20063198]
19. Honarvar B, Lankarani KB, Kharmandar A, Shaygani F, Zahedroozgar M, Haghighi MRR, et al. Knowledge, attitudes, risk perceptions, and practices of adults toward COVID-19: a population and field-based study from Iran. International journal of public health. 2020;65(6):731-9. [DOI:10.1007/s00038-020-01406-2] [PMID] [PMCID]
20. Zipprich HM, Teschner U, Witte OW, Schönenberg A, Prell T. Knowledge, Attitudes, Practices, and Burden During the COVID-19 Pandemic in People with Parkinson's Disease in Germany. Journal of Clinical Medicine. 2020;9(6):1643. [DOI:10.3390/jcm9061643] [PMID] [PMCID]
21. Tavakoli B, khoshgoftar M, Jaleh M, Fathian-dastgerdi2 Z. Application of health belief model for predicting COVID-19 preventive behaviors among adolescents in Isfahan city. Iranian Journal of Health Education and Health Promotion. 2022;10(2):137-48. [DOI:10.52547/ijhehp.10.2.3]
22. Pourhaji F, Pourhaji F, Tehrani H, Talebi M, Peyman N. Perceived Threat and Stress Responses in The Face of Covid-19 based on Health Belief Model. Journal of Health Literacy. 2022;7(1):17-25.
23. Mahindarathne PP. Assessing COVID-19 preventive behaviours using the health belief model: A Sri Lankan study. Journal of Taibah University Medical Sciences. 2021;16(6):914-9. [DOI:10.1016/j.jtumed.2021.07.006] [PMID] [PMCID]
24. Noghabi AD, Yoshany N, Mohammadzadeh F, Javanbakht S. Predictors of Covid-19 Preventive Behaviors in Iranian Population over 15 Years Old: An Application of Health Belief Model. Journal of Mazandaran University of Medical Sciences. 2020;30(191):13-21.
25. Kamalian S, Didarloo A, Khalkhali HR, Maheri M. Relationship Between Health-Promoting Lifestyle And Quality Of Life Among Middle-Aged Women In Bazargan City. Nursing And Midwifery Journal. 2021;19(3):222-32.
26. Jokar F, Asadollahi AR, Kaveh MH, Ghahramani L, Nazari M. Relationship of Perceived Social Support With the Activities of Daily Living in Older Adults Living in Rural Communities in Iran. Iranian Journal of Ageing. 2020;15(3):350-65. [DOI:10.32598/sija.10.15.3.2773.2]
27. Papi S, Zanjari N, Karimi Z, Motamedi SV, Fadayevatan R. The role of health-promoting lifestyle in predicting cognitive status of older clergymen. Iranian Journal of Ageing. 2021;15(4):472-83. [DOI:10.32598/sija.15.4.1393.3]
28. Khafaie M, Mahjoob B, Mojadam M. Evaluation of Preventive Behaviors of Corona Virus (Covid 2019) Among Family Health Ambassadors of Ahvaz Jundishapur University of Medical Sciences in 2020 Using the Health Belief Model. Jundishapur Scientific Medical Journal. 2021;20(2):150-60. [DOI:10.32598/JSMJ.20.2.7]
29. Taghizadeh Z, Ebadi A, Montazeri A, Shahvari Z, Tavousi M, Bagherzadeh R. Psychometric properties of health related measures. Part 1: Translation, development, and content and face validity. Payesh (Health Monitor). 2017;16(3):343-57.
30. Jafari A, Peyman N, Gholian-Aval M, Mahdizadeh M, Tehrani H. Design and evaluation of psychometric properties of cigarette smoking tendency questionnaire for female adolescents (CTQFA). BMC Public Health. 2021;21(1):1-10. [DOI:10.1186/s12889-021-11784-8] [PMID] [PMCID]
31. Mehanna A, Elhadi YAM, Lucero-Prisno DE. Factors influencing intention to adhere to precautionary behavior in times of COVID-19 pandemic in Sudan: an application of the Health Belief Model. medRxiv. 2020. [DOI:10.1101/2020.12.25.20248859]
32. Mirzaei A, Kazembeigi F, Kakaei H, Jalilian M, Mazloomi S, Nourmoradi H. Application of health belief model to predict COVID-19-preventive behaviors among a sample of Iranian adult population. Journal of Education and Health Promotion. 2021;10(69). [DOI:10.4103/jehp.jehp_747_20] [PMID] [PMCID]
33. Singh A, Ahuja R. Knowledge, Attitude, and Practice of General Public Towards COVID-19 in India: An Online Cross-Sectional Study. Int J Innov Res Sci Eng Technol. 2020;9:5005-12. https://doi.org/10.15680/IJIRSET.2020.0910091 [DOI:10.15680/IJIRSET.2020.0906009]
34. Haque T, Hossain KM, Bhuiyan MMR, Ananna SA, Chowdhury SH, Islam MR, et al. Knowledge, attitude and practices (KAP) towards COVID-19 and assessment of risks of infection by SARS-CoV-2 among the Bangladeshi population: an online cross sectional survey. 2020. [DOI:10.21203/rs.3.rs-24562/v1]
35. Afzal MS, Khan A, Qureshi UUR, Saleem S, Saqib MAN, Shabbir RMK, et al. Community-based assessment of knowledge, attitude, practices and risk factors regarding COVID-19 among Pakistanis residents during a recent outbreak: a cross-sectional survey. Journal of Community Health. 2021;46(3):476-86. [DOI:10.1007/s10900-020-00875-z] [PMID] [PMCID]
36. Pellymonter K, Butler A, Dethlefs T. Predicting COVID-19 Health Behaviors Using the Health Belief Model. 2020.
37. Bayrami R, Didarloo A, Masudi S, Nournezhad H. Predictors of COVID-19 preventive behaviors based on the health belief model among pregnant women. Research Square. 2021. [DOI:10.21203/rs.3.rs-1021064/v1]
38. Tadesse T, Alemu T, Amogne G, Endazenaw G, Mamo E. Predictors of Coronavirus Disease 2019 (COVID-19) Prevention Practices Using Health Belief Model Among Employees in Addis Ababa, Ethiopia, 2020. Infection and Drug Resistance. 2020;13:3751. [DOI:10.2147/IDR.S275933] [PMID] [PMCID]
39. Hossain I, Ahmad SA, Khan MH, Rahman A. COVID-19 and changing behaviors: A cross-sectional online survey among students in Bangladesh. Eur J Pharm Med Res. 2020;7:576-81.
40. Mohsen F, Bakkar B, Armashi H, Aldaher N. Crisis within a crisis, COVID-19 knowledge and awareness among the Syrian population: a cross-sectional study. BMJ open. 2021;11(4):e043305. [DOI:10.1136/bmjopen-2020-043305] [PMID] [PMCID]
41. Zhong B-L, Luo W, Li H-M, Zhang Q-Q, Liu X-G, Li W-T, et al. Knowledge, attitudes, and practices towards COVID-19 among Chinese residents during the rapid rise period of the COVID-19 outbreak: a quick online cross-sectional survey. International journal of biological sciences. 2020;16(10):1745. [DOI:10.7150/ijbs.45221] [PMID] [PMCID]
42. Sun X, Guo Y, Wang S, Sun J. Predicting iron-fortified soy sauce consumption intention: application of the theory of planned behavior and health belief model. Journal of Nutrition Education and Behavior. 2006;38(5):276-85. [DOI:10.1016/j.jneb.2006.04.144] [PMID]
43. Gabriel EH, Hoch MC, Cramer RJ. Health Belief Model Scale and Theory of Planned Behavior Scale to assess attitudes and perceptions of injury prevention program participation: An exploratory factor analysis. Journal of science and medicine in sport. 2019;22(5):544-9. [DOI:10.1016/j.jsams.2018.11.004] [PMID]
44. Najimi A, Golshiri P. Knowledge, beliefs and preventive behaviors regarding Influenza A in students: a test of the health belief model. Journal of education and health promotion. 2013;2. [DOI:10.4103/2277-9531.112699] [PMID] [PMCID]
45. Lin Y, Hu Z, Alias H, Wong LP. Influence of mass and social media on psychobehavioral responses among medical students during the downward trend of COVID-19 in Fujian, China: cross-sectional study. Journal of medical Internet research. 2020;22(7):e19982. [DOI:10.2196/19982] [PMID] [PMCID]
46. Yehualashet SS, Asefa KK, Mekonnen AG, Gemeda BN, Shiferaw WS, Aynalem YA, et al. Predictors of adherence to COVID-19 prevention measure among communities in North Shoa Zone, Ethiopia based on health belief model: A cross-sectional study. PLoS One. 2021;16(1):e0246006. [DOI:10.1371/journal.pone.0246006] [PMID] [PMCID]
47. Dryhurst S, Schneider CR, Kerr J, Freeman AL, Recchia G, Van Der Bles AM, et al. Risk perceptions of COVID-19 around the world. Journal of Risk Research. 2020;23(7-8):994-1006. [DOI:10.1080/13669877.2020.1758193]
48. Jose R, Narendran M, Bindu A, Beevi N, Manju L, Benny P. Public perception and preparedness for the pandemic COVID 19: a health belief model approach. Clinical Epidemiology and Global Health. 2021;9:41-6. [DOI:10.1016/j.cegh.2020.06.009] [PMID] [PMCID]
49. Shahnazi H, Ahmadi-Livani M, Pahlavanzadeh B, Rajabi A, Hamrah MS, Charkazi A. Assessing preventive health behaviors from COVID-19: a cross sectional study with health belief model in Golestan Province, Northern of Iran. Infectious diseases of poverty. 2020;9(1):1-9. [DOI:10.1186/s40249-020-00776-2] [PMID] [PMCID]
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Ghorbanzadeh S, Maheri M, Khalkhali H R, Didarloo A. Predictive Factors of Adopting Covid-19 Preventive Behaviors Among the Urban Population: An Application of The Health Belief Model. Iran J Health Educ Health Promot 2022; 10 (3) :237-250
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Volume 10, Issue 3 (Autumn 2022) Back to browse issues page
فصلنامه آموزش بهداشت و ارتقاء سلامت ایران Iranian Journal of Health Education and Health Promotion
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