Abstract

BackgroundCoronavirus disease (COVID-19) pandemic has become one of the biggest challenges to global health and economy. The present study aimed to explore the factors related to preventive health behaviors during the COVID-19 pandemic in Khuzestan Province, South of Iran, using the Health Belief Model (HBM).MethodsThe present cross-sectional study was conducted in the period between July 2020 and September 2020. A total of 1090 people from Khuzestan province participated in the study. The data collection method included a multistage cluster sampling method with a random selection of provincial of health centers. The questionnaire collected socio-demographic information and HBM constructs (e.g., perceived susceptibility, perceived severity, perceived benefits and barriers, cues to action, and COVID-19 preventive behaviors). Data were analyzed using ANOVA, t-test, hierarchical multiple linear regression, and SPSS version 22.ResultsThe mean age of the participants was 35.53 ± 11.53, more than half of them were female (61.6%) and married (65.3). The results showed that 27% of the variance in the COVID-19 preventive behaviors was explained by HBM constructs. The regression analysis indicated that female gender (β = 0.11), perceived benefits (β = 0.10), perceived barriers (β = − 0.18), external cues to action (β = 0.25), and internal cues to action (β = 0.12) were significantly associated with COVID-19 preventive behaviors (p < 0.05).ConclusionDesigning an educational intervention on the basis of HBM might be considered as a framework for the correction of beliefs and adherence to COVID-19 behavior. Health information campaigns need to (1) emphasize the benefits of preventive behaviors including avoiding the likelihood of getting a chronic disease and complications of the disease, (2) highlight the tips and advice to overcome the barriers (3) provide cues to action by means of showing various reminders in social media (4) focusing on adoption of COVID-19-related preventive behaviors, especially among men.

Highlights

  • Coronavirus disease (COVID-19) pandemic has become one of the biggest challenges to global health and economy

  • Considering the importance of preventive behaviors in reducing the transmission of COVID-19, the present study aimed to explore the factors related to preventive health behaviors during the COVID-19 pandemic in Khuzestan province using the Health Belief Model (HBM)

  • The regression analysis indicated that female gender (β = 0.11), perceived benefits (β = 0.10), perceived barriers (β = − 0.18), external cues to action (β = 0.25), and internal cues to action (β = 0.12) were significantly associated with COVID-19 preventive behaviors (p < 0.05), (Table 5)

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Summary

Introduction

Coronavirus disease (COVID-19) pandemic has become one of the biggest challenges to global health and economy. The present study aimed to explore the factors related to preventive health behaviors during the COVID-19 pandemic in Khuzestan Province, South of Iran, using the Health Belief Model (HBM). The coronavirus disease 2019 (COVID-19) pneumonia pandemic is a new emerging global challenge in the management of infectious diseases [1,2,3,4]. Governments and other sectors such as media, health workers, celebrities, police, and other stakeholders have focused primarily on behaviors that prevent the transmission of the virus, such as wearing masks, keeping physical distance, hand-washing practices, and avoiding public meetings (such as religious ceremonies and family gatherings) [7, 8]. A study by Smith et al [11] among adolescents aged 12–15 years in 80 countries showed that the prevalence of never/rarely hand washing practices before eating and after using the toilet was 6.4, and 5.6%, respectively

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