Abstract
The current pandemic outbreak of the novel COVID-19, which originated from Wuhan in China in late 2019, has eventually spread to six continents with a rising toll of death cases. No vaccine has yet been developed for COVID-19. The compliance of the general public with the advice and regulations of the health authorities and the adoption of effective health behavior regimens are currently the only weapons to effectively cope with the disease. Here we report the results of a worldwide survey (n = 953) conducted between March 2 and March 14, 2020 that sought (a) to identify critical proximal predictors of health behavior relevant to the current situation, (b) to examine their relationships to various demographic characteristics of the population, (c) and to provide a model of health behavior specific to COVID-19. We found that the perceived severity of the disease and susceptibility to it, emotional reactions, and attitudes toward COVID-19 predicted one-third of the preventive behavior variance. Various demographic variables influenced these predictors. Based on the data collected, we constructed, using path analysis, a theoretical model of health behavior. Our results emphasize the need to consider the impact of antecedent variables on actual precautionary behavior and the influence of demographic factors on these antecedent variables. Understanding the complex interplay of these precursors in health behavior will maximize their beneficial role, eliminate maladaptive prevention patterns, and facilitate the eradication of the disease.
Highlights
The coronavirus (COVID-19), first reported in China in December 2019, has spread globally with over 50 million confirmed cases and approximately 1.2 million dead [1, 2]
Most participants evaluated the severity of COVID-19 as severe or very severe (Fig 3)
Regarding intentions to comply with health regulation advise the bulk of the participants indicated that they would probably or definitely adopt the advice to wash hands frequently ( x 1⁄4 4:28, SD = 0.93), keep secure distance from people who cough or sneeze (x 1⁄4 4:05, SD = 1.03), avoid touching the face (x 1⁄4 3:84, SD = 1.15), wear face masks (x 1⁄4 3:92, SD = 1.21), avoid regions with COVID-19 (x 1⁄4 4:04, SD = 1.06), and seek medical advice with the onset of symptoms ( x 1⁄4 4:08, SD = 1.04)
Summary
The coronavirus (COVID-19), first reported in China in December 2019, has spread globally with over 50 million confirmed cases and approximately 1.2 million dead [1, 2]. Several factors enhance the present severity of COVID-19 and its health implications. No vaccine has been developed for COVID-19, and it will take months before an effective and safe serum will be introduced. The reproduction rate of the disease is estimated between 2–3 [3], higher than seasonal influenza, yet lower than SARS.
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