Higher Risk Perception Research Articles

Flood Risk Perception and Adaptation in Martapura River

Indonesian river basin towns face flood disasters that damage lives, infrastructure, and socioeconomic stability. Recent flood frequency and intensity have increased in the Martapura River settlements in Banjar Regency, South Kalimantan. This study examines flood risk perception and adaptation measures. The study analyzes flood risk perception, adaption strategies, and factors affecting them among residents. The 2023 mixed-method study combined quantitative surveys (n=358) and qualitative interviews (n=25) in five sub-districts over six months. The study found that previous flood experience was the best predictor of high-risk perception and adaptation strategies across geographic and socioeconomic boundaries. The adaption options ranged from structural changes to community-based efforts. Local government announcements and social media were primary sources, but environmental knowledge was low. Cultural linkages to the river and economic limits shaped adaptation. These findings highlight the necessity for personalized risk communication, improved early warning systems, and local expertise in modern flood control. The work adds to the knowledge on community resilience in flood-prone developing nations and informs policymakers and disaster managers. Future research should focus on long-term climate change adaptation techniques and novel ways to overcome economic barriers to individual and community flood resilience.

Drivers of Value Creation and the Effect of ESG Risk Rating on Investor Perceptions through Financial Metrics

This study delves deeply into the multifaceted nature of investor value creation, focusing on financial health, growth, profitability, cash flow, and ESG (environmental, social, and governance) risk ratings. The research employs partial least squares structural equation modeling (PLS-SEM) to dissect the interactions among these variables in a sample of 482 S&P 500 firms. Data were obtained from the FINRA database (2023) and Sustainalytics ESG risk ratings (2023). The results indicate that solid financial health enhances investor value creation. While growth fosters profitability, its direct impact on value creation and cash flow appears limited. The study also uncovers that ESG risk ratings negatively moderate the relationship between cash flow and value creation. This finding suggests that higher ESG risks lead to increased operational and compliance costs, which can reduce working capital and operating cash flow. Additionally, although sustainability investments may initially incur higher costs, they generate long-term value in terms of investment cash flow. A high perception of ESG risk can also raise financing costs, negatively impacting financial cash flow. These findings offer significant contributions to both academic theory and practical applications, shedding light on the complex interplay between financial and sustainability indicators in driving value creation for investors.

Associations between noticing public health education campaigns about cannabis and risk perceptions in the northern Canadian territories: a cross-sectional study.

This study investigated whether noticing cannabis education campaigns was associated with increased cannabis risk perceptions in Canada's three territories following non-medical cannabis legalization. Data were from the Cannabis Policy Study in the Territories, including 2452 participants, age ≥16years residing in Yukon, Northwest Territories and Nunavut. Poisson regression with robust standard errors were used to estimate associations between noticing cannabis education campaigns and moderate to very high risk perceptions of daily cannabis smoking, vaping, edible use and exposure to second-hand cannabis smoke, adjusting for sociodemographic characteristics and cannabis-use frequency. Results were compared with associations with risk perceptions of daily alcohol consumption and cigarette smoking, not included in cannabis education campaigns. Interactions were examined between noticing education campaigns and age group and cannabis-use frequency. Cannabis education campaigns were noticed by 40.4% of respondents, with lower awareness among those with lower education and income. Noticing campaigns was associated with higher risk perceptions of daily cannabis smoking [adjusted risk ratio (RRadj) = 1.09, 95% confidence interval (CI): 1.02-1.16] and vaping (RRadj = 1.09, 95%CI: 1.02-1.16). Significant interactions were not found with age group or cannabis-use frequency. Findings are consistent with modest effects of cannabis education campaigns. Approaches are needed to increase reach of cannabis education campaigns, including among groups with lower education and income.

Understanding the dynamic process of human behavior changes towards disaster preparedness: An application of the integrated TTM with SCT and PMT

Integrating the Transtheoretical Model with Social Cognitive Theory and Protection Motivation Theory, we propose a new model to study the progress of behavior changes towards disaster preparedness along three developmental stages: from “not prepared” (NP), to “intention to prepare” (IP), to “already prepared” (AP). Using the 2021 National Household Survey data (FEMA, N = 6,180), we tested this model by employing a series of nested weighted generalized ordered logistic regressions. We found that, although Hispanics have a larger prevalence of IP than their non-Hispanic white counterparts, they are less likely to move to the AP stage. The observed ethnic disparity is largely due to the disparities in actual behavioral capabilities in essential knowledge and access to resources between the two groups. Personal disaster experience, social/observational learning, self-efficacy, and risk perception each facilitate behavior changes from the NP to IP or AP stage (i.e., departure from NP stage) and from NP or IP stage to AP stage (i.e., arrival at AP stage). Although income does not necessarily influence one's decision to depart from the NP stage, it determines one's arrival at the AP stage. Increasing one's income further boosts the realization of AP for people with high-risk perceptions. However, for people with moderate or low levels of risk perceptions, increased income did not lead to arrival at the AP stage. Additional research is needed to more fully apply this process-oriented approach with new measurement introduced in this paper to study the behavior changes among subpopulations in exposure to specific hazards.

Ticks and lyme disease in natural areas: A segmentation analysis of visitor perceptions of risk and preferred communication strategies

Reported Lyme disease cases have been rapidly increasing globally in recent years. Despite this, few studies have explored how the public perceives health risks associated with ticks and Lyme disease, especially within the context of visitor experiences in natural areas. To address this knowledge gap, we conducted a survey of visitors to one of Ontario, Canada’s most visited provincial parks. Despite high perceptions of risk, few visitors feel sufficiently educated about ticks and Lyme disease. Further, only 51% of visitors would return to the park if future regional incidents of tick-borne illnesses increased by 10–30% (under climate change). Interestingly, no significant correlations were uncovered between home distance and tick-related risk perceptions or self-reported tick education levels. These results may be indicative of the normalization of tick-related risk throughout many of southern Ontario’s most populated regions. Finally, our results also revealed that there is no preferred “one-size-fits-all” risk communication strategy that can be used to support risk-reducing behaviour change in a natural areas context. We recommend a diversity of evidence-based, on-site, and off-site strategies, that can be considered by governing authorities not only in Canada but indeed globally to reduce tick-related health and safety risks and ultimately safeguard visitor experiences in natural areas subject to increasing tick prevalence. Management ImplicationsManagement Implications: The expanding range of ticks and increasing cases of Lyme disease are presenting significant risks to those who visit natural areas, requiring increasing management attention and action by governing authorities, including park managers and regional health units. Through a mixed-methods approach, we examined park visitor perceptions, behaviours, and preferred communication strategies regarding tick and Lyme disease risk. The results revealed a number of key findings, including:•While risk perceptions of tick bites are high, few visitors feel sufficiently educated about ticks and Lyme disease;•Only 51% of visitors would return to the park if future regional incidents of tick-borne illnesses increased by 10–30% (under climate change);•Visitors with further travel distances were significantly less likely to return to the park after experiencing an in-park tick bite; and,•There is no preferred “one-size-fits-all” risk communication strategy within a park visitor context.

Healthcare Workers’ Readiness for COVID-19 Vaccination Using Health Belief Model

Objective:: Acceptance of COVID-19 vaccination of medical personnel reduces the spread of infection the research aimed to evaluate healthcare professionals' attitudes toward vaccination by the health belief model. Methods:: A quantitative, cross-sectional research design was used for the study. Results:: Most medical personnel agreed to get the COVID-19 vaccination (84%; n=384). Medical workers over 45 (90%) showed more readiness for vaccination. The main pushbacks against the vaccination included the development of a vaccine in a short period (n=56; 73.7%), fear of side effects (n=49; 64.5%), lack of reliable information about vaccination (n=35; 46.1%), negative information spread by the media (n=26, 34.2%). Recommendations by healthcare workers (63.9%), health authorities (73.1), media (70%), large number of people being vaccinated (72.6%), and provision of trustworthy information (71.3%) facilitate vaccination. Conclusion:: The high rate of COVID-19 vaccination among medical personnel shows that they have a high risk perception of infection. Among Health Belief Model components, cues to actions were most important in willingness to carry out vaccination. Recommendations of the WHO and scientists significantly influence the willingness to carry out vaccination. The regulatory responsibilities of the state and the public's trust in it play a crucial role in raising the population's awareness about the vaccine.

The effect of proximity on risk perception: A systematic literature review

The use of geospatial analytical tools has recently advanced risk perception research, with growing interest in spatial dimension. Available reviews of risk perception studies usually focus on specific types of risk or look at various socio-psychological, cognitive and cultural factors, and there are no systematic reviews of empirical research analysing the effect of proximity on risk perception. This article synthesizes the evidence from 81 empirical studies that investigate the significance of proximity on subjective risk perception. The systematic review focused on summaries of research methods, samples, geographic coverage, measurements and direction of influence of proximity variables on risk perception and types and sources of risk. The majority of the studies analysed implemented quantitative research. The most popular data collection methods were face-to-face interviews and postal surveys, but only half had representative samples. Studies looking into the effect of proximity on risk perception most often analysed environmental and technological risks. Two-thirds of the empirical studies found a significant impact of proximity on risk perception; the majority of these showed a positive correlation, with respondents living closer to hazards having higher risk perceptions. Negative correlations of risk perception with proximity are more characteristic of nuclear risks. Co-occurrence analysis of sources-of-risk and objects-at-risk has identified three most frequent clusters: impact of floods on economic properties; impact of other natural hazards on economic properties and impact of industrial facilities on health and lives.

The influence of driver’s risk perception ability on driving decision-making: an ERP study

Driver’s risk perception ability is of great significance to traffic safety. Driver’s risk perception ability is reflected in the risk handling in traffic situation and has a great impact on driving decisions, especially speed decisions. However, the mechanism of the influence of risk perception on driving decisions under risk situations is still unclear. According to standardized risk perception test, we divided drivers into high risk perception ability (H-RPA) group and low risk perception ability (L-RPA) group. Participants were shown traffic pictures with different levels of risk and asked to make decisions about whether to slow down, while their electrical brain responses were recorded. All participants were interviewed after the experiment. The results showed that in the low-risk traffic situation, compared to the drivers with H-RPA, the drivers with L-RPA made less deceleration decisions and evoked larger N1 and smaller P1 amplitude. 93.75% of the drivers with L-RPA stated in interviews that they did not notice the traffic risks on the road. The results show that risk perception affects the allocation of attention to risks in traffic situations, leading to a decrease in the safety of driving decisions. Our research results provide a reference for the training of safe driving skills for drivers.

Assessing the effectiveness of HIV/STI risk communication displays among Melbourne Sexual Health Centre attendees: a cross-sectional, observational and vignette-based study

IntroductionIncreasing rates of sexually transmitted infections (STIs) over the past decade underscore the need for early testing and treatment. Communicating HIV/STI risk effectively can promote individuals’ intention to test, which...

Completion of three-dose hepatitis B vaccination cycle and associated factors among health care workers in the Greater Accra Region of Ghana.

Despite the availability of a safe and effective vaccine coupled with the awareness of the potential risk of Healthcare Workers acquiring Hepatitis B Virus infection, some HCWs never get vaccinated. Generally, hepatitis B vaccination coverage globally is below the expected level as adherence has remained poor in various healthcare settings, especially in developing countries. The objective of this study was to assess the completion of a three-dose Hepatitis B virus vaccination cycle and associated factors among healthcare workers in the Greater Accra Region of Ghana. An analytical cross-sectional study was conducted and included 363 healthcare workers selected using probability sampling procedures. The participants were recruited from five facilities within the Greater Accra Region in the first half of 2018. A pretested questionnaire was used to collect data which was analyzed using SPSS version 21. The proportion of healthcare workers receiving the recommended 3 doses of the hepatitis vaccine was computed. The multivariable analysis procedure identified the factors associated with adherence to the receipt of three doses of the hepatitis B vaccine. Odds ratios were estimated with corresponding confidence intervals with the level of significance set at 0.05. A total of 340 sample units were included in the analysis. Most of the participants (252/340, 74.1%) were females, mainly nurses/midwives (162/340, 47.6%) with a mean age of 34.5 (SD ±7.7). A high proportion of the participants (82.7%) have tertiary/post-tertiary level education and ever participated in at least one training workshop on the prevention of blood-borne infections (80.6%). Overall vaccination uptake was 60.9% (207/340) (95% CI = 55.7%-66.1%). Complete vaccination coverage (three doses) was 46.8% (159/340). High-risk perception (AOR = 4.0; 95% CI = 1.3-12.5), and previous training in infection prevention (AOR = 2.8; 95% CI = 1.1-7.5) were significantly associated with adherence to receipt of three doses of hepatitis B vaccine. Adherence to three-dose hepatitis B vaccination cycles is not universal among the healthcare workers in the Greater Accra Region. Receipt of the three-dose regimen is significantly associated with high-risk perception and attendance of training in infectious disease prevention. Interventions to increase risk perception and training in the prevention of blood-borne infections could improve adherence to complete/full vaccination protocol among healthcare workers who are at constant risk of exposure to the hepatitis B virus.

Risk perception and vulnerability of communities in Nepal to transboundary glacial lake outburst floods from Tibet, China

Transboundary glacial lake outburst floods (GLOFs) pose severe risks to downstream communities and infrastructure across international borders. However, previous GLOF research has largely overlooked the transboundary aspects of national and sub-national level GLOFs, focusing instead mostly on inventorying glacial lakes and assessing their hazards. The lack of cross-border coordination could have dire consequences for vulnerable communities and potential disaster preparedness. Assessing risk perception and vulnerability among downstream populations exposed to GLOFs is crucial for effective disaster risk reduction and management. This study examined the risk perception and vulnerabilities of Nepali communities in Bhotekoshi/Sunkoshi (Poiqu in Tibet) and Trishuli (Gyirong in Tibet) river basins, exposed to transboundary GLOFs originating from Tibetan basins. Household-level data were collected from 90 respondents in the villages along those two basins. The findings highlight high risk perception in the Bhotekoshi basin and medium perception in the Trishuli basin, along with corresponding vulnerability levels. Key factors influencing risk perception and vulnerability are explored, emphasizing the need for public awareness and policy formulation at national and regional levels. To reduce vulnerability to transboundary GLOFs, extending early warning systems, enhancing cross-border cooperation, supporting socioeconomically disadvantaged populations, and ensuring resilient infrastructure are essential.

Psychometric properties of the Risk Perception Scale for Technology Use in children and adolescents

The aim of this work is 1) to create a valid, reliable instrument with which to evaluate the risk perception of children and adolescents regarding their use of technology (cell phones, Internet, and video games); and 2) to analyze the frequency with which some risk behaviors occur in relation to perception, technology use and age. 807 children and adolescents from the province of Cordoba (Spain) answered an ad hoc questionnaire with several instruments: sociodemographic data; problematic use of cell phones, Internet, and video games; and risk perception with the Scale on Risk Perception of Technology Use for children and adolescents (EPRUT). The results obtained from the factor analysis reveal that the RPSTU has three dimensions, related to cell phones, Internet, and video games, respectively. Differences were observed in the relationship between age and risk perception, with older people having the highest risk perception. Assessing risk perception will favor the detection and development of prevention programs for the use of technology in children and adolescents.

IJCM_123A: Knowledge, Attitudes and Practice Regarding Travel Medicine among Health Care Students in Mangalore

Background: Travel medicine is crucial in addressing the health risks associated with international travel, especially among young adults who are increasingly mobile. Despite the growth in global travel, studies indicate a lack of awareness and adherence to preventive measures among travellers. Objectives: To assess the knowledge, attitudes, and practices of medical and dental students regarding travel medicine. Methodology: A cross-sectional study was conducted among medical and dental students at Kasturba Medical College and Manipal College of Dental Sciences, Mangalore, India. A convenient sampling method was employed, and data was collected using a pre-tested semi-structured questionnaire. The questionnaire assessed participants’ knowledge, attitudes, and practices related to travel medicine. Data analysis was performed using SPSS v20.0. Results: A total of 195 students participated, with a majority being female (72.3%) and in the age group ≤20 years (48.2%). Most participants had traveled internationally (71.3%) for purposes such as holidays (51.3%) and returning home (44.6%). While awareness of travel medicine was high (75.4%), knowledge levels were predominantly poor (50.3%). Participants showed high-risk perception towards health threats during travel but demonstrated low adherence to pre- and post-travel health check-ups. Key sources of information included the internet/social media (41.0%) and family/friends (35.9%). Conclusion: Despite high awareness, medical and dental students exhibited poor knowledge and inadequate adherence to preventive measures related to travel medicine. There was a notable disparity between perceived importance and actual practice of pre- and post-travel health check-ups. Efforts should be made to enhance education and awareness regarding travel medicine among young adults to mitigate travel-related health risks effectively.

Driving after substance use in Rhode Island adolescents: A cross-sectional analysis of surveillance data

Objective Existing literature on driving under the influence during adolescence is sparse, especially for driving after the use of non-medical prescription drugs (DAP). This study examines the prevalence of driving after use of alcohol (DAA), cannabis (DAC), and DAP, and examines the role of several potential risk and protective factors. Methods This was a secondary analysis of the 2022 Rhode Island Study Survey, a cross-sectional survey of middle and high school students. Separate multivariable regressions were conducted for each outcome among lifetime users for each substance, controlling for current substance use, individual-, perceived parental-, and perceived friend-substance use risk perception, age, sexual/gender minority (SGM) status, race, ethnicity, school level, and town poverty level. Results Among lifetime users of alcohol (n = 3849), cannabis (n = 2289), and non-medical prescription drugs (n = 611), the prevalence of DAA, DAC, and DAP was 4.9, 14.3, and 16.9%, respectively. Current substance use, high individual risk perception, being nonwhite, and being Hispanic were risk factors for DAA while perceiving parent’s risk perception as negative and being heterosexual cisgender-female were protective. Current substance use, negative individual risk perception, and being nonwhite were risk factors for DAC while perceiving parent’s risk perception as negative and being in high school were protective. Current substance use and older age were risk factors for DAP while perceiving parent’s risk perception as negative and perceiving friend’s risk perception as negative were protective. Conclusions Driving under the influence is a concern among adolescent substance users. Current substance use and perceived parental risk perception as negative are common risks and protective factors, respectively. Findings suggest substance-specific, heterogeneous interventions are needed. For example, interventions focusing on peer perceptions are most relevant for DAP, while shifting personal perceptions of harm are most relevant for DAC.

Can a health warning label diminish the persuasive effects of health-oriented nutrition advertising on ready-to-drink alcohol product packaging? A randomized experiment.

A health warning label (HWL) cautioning about the link between alcohol and cancer may be able to communicate alcohol risks to consumers and potentially counter health-oriented nutrition advertising on ready-to-drink alcoholic beverages. This study aimed to examine the independent and combined effects of nutrient content claims (e.g. 0g sugar) and a HWL on perceived product characteristics and intentions to consume, and whether these effects differed by gender and age. A between-subjects randomized experiment. Participants were randomized to view one of six experimental label conditions: nutrient content claims plus nutrition declaration (NCC + ND), ND only, NCC + ND + HWL, ND + HWL, HWL only and no NCC, ND or HWL, all on a ready-to-drink (RTD) vodka-based soda container. Alcohol consumers (n = 5063; 52% women) in Canada aged 18-64 recruited through a national online panel. Participants completed ratings of perceived product characteristics, perceived product health risks, and intentions to try, buy, binge and drink the product. Compared with the reference condition NCC + ND (current policy scenario in Canada), the other five experimental label conditions were associated with lower ratings for perceiving the product as healthy. All experimental conditions with a HWL were associated with lower product appeal, higher risk perceptions and reduced intentions to try, buy and binge. The experimental condition with a HWL only was associated with intentions to consume fewer cans in the next 7days (β = -0.72, 95% confidence interval [CI] = -1.37,-0.08) versus the reference. Few interactions were observed, suggesting that label effects on outcomes were similar by gender and age. Health warning labels on alcohol packaging appear to be associated with lower product appeal, higher perceived health risks and reduced consumption intentions, even in the presence of nutrient content claims.

Risk perception, risk preference and farmers’ indifference in grain sales

ABSTRACT This paper examines the mechanisms by which risk perception affects farmers’ timing of grain sales and the role played by risk preference based on 2019 China Family Database and China Household Finance Survey. The results indicate that high risk perception is more likely to lead farmers to current sales compared with intertemporal sales. It reveals that the underlying reason for farmers’ indifference in grain sales is the increased risk perception under constraints, which causes risky returns from intertemporal sales lower than certain returns from current sales in utility comparison. It is further found that risk preference has a substitution effect on risk perception in farmers’ intertemporal grain sales.

Community's knowledge, perceptions and preventive practices on Onchocerciasis in Jimma zone, Ethiopia, formative mixed study.

In Ethiopia, Onchocerciasis is a prevalent neglected tropical disease, currently targeted for elimination with mass drug administration and community behavioral changes towards sustained control and eventual elimination. This study aimed to elucidate the awareness, perceptions and practices of endemic communities in Jimma Zone, Ethiopia. Community-based cross-sectional study triangulated with qualitative method was conducted from October-November, 2021. A multistage sampling was employed and data were collected using a pre-tested interviewer-administered structured questionnaire. Logistic regression was used to identify the predictors of comprehensive knowledge and preventive practice. Adjusted odds ratios were calculated at 95% confidence interval (CI) and considered significant with a p-value of <0.05. Kruskal-Whallis and Mann-whitney tests were used to compare median risk perception score by socio-demographic factors. Qualitative data were collected through focus group discussions and key informant interviews and transcribed verbatim. Then the data were coded, categorized, and themes were developed. The overall prevalence of adequate comprehensive knowledge was 48.8% (95% CI: 44.9, 52.3), high risk perception was 18.7% (95%CI15.9, 21.4) and preventive practice was 46.9%(95%CI:(43.3,50.4). High risk perception[AOR = 1.95 95%CI: (1.32, 2.89] was statistically significant with comprehensive knowledge, likewise knowledge of mode of transmission [AOR = 2.64 95% CI: (1.44, 4.85)], knowledge of consequences [AOR = 2.12 95%CI: (1.21, 3.72)] and knowledge of preventive measures [AOR = 15.65,95%CI:(10.1, 24.2)] were statistically significant with preventive practice. The median risk perception was varied significantly between the groups by educational status, study district and age category. Qualitative evidence showed that there were great community knowledge gap about the disease. Community knowledge, perceptions, and practices are unacceptably low. Risk perception was significantly associated with comprehensive knowledge, likewise knowledge of mode of transmission, consequences and preventive measures were significantly associated with preventive practice. This implies knowledge is a key component of effective prevention strategies as it is a necessary condition for the behavior change.

Is the "avoidance" group truly defensive? The interplay between perceived risk, efficacy, and behaviors.

This study examines the inconsistent theories surrounding the roles of perceived threat and efficacy in risk communication theories, focusing on behavioral changes during a public health crisis. Utilizing a two-wave panel survey, the research found a nuanced interaction between efficacy beliefs and risk perceptions in dictating individuals' engagement in protective or defensive behaviors. Notably, those with high risk perceptions but lower efficacy beliefs were more likely to engage in future protective behaviors, contradicting previous assumptions about the avoidance group's propensity for defensive reactions. These findings initiate a complex discussion on the dynamics of risk and efficacy perceptions influencing behavior.

Knowledge, risk perception and uptake of COVID-19 vaccination among internally displaced persons in complex humanitarian emergency setting, Northeast Nigeria

BackgroundOwing to crowded and unsanitary conditions, internally displaced persons (IDPs) have an increased risk of COVID-19 infection. Adoption of COVID-19 preventive measures among this population is premised on accurate information, adequate knowledge, and risk perception. We assessed COVID-19 knowledge and risk perception and investigated the association between risk perception and COVID-19 preventive measures, including vaccination among IDPs in Northeast Nigeria.MethodsWe conducted a cross-sectional study during July–December 2022 and sampled 2,175 IDPs using stratified sampling. We utilized a 12-point assessment tool to evaluate COVID-19 knowledge. Participants who scored ≥ 6 points were considered to have adequate knowledge. We used a 30-item Risk Behavior Diagnosis Scale to assess COVID-19 risk perception and evaluated each item on a 5-point Likert scale. Participants were divided into risk perception categories by the median of Likert scale scores. We performed weighted logistic regression analysis to identify factors associated with risk perception. Pearson’s chi-squared with Rao-Scott adjustment was used to determine the relationship between risk perception and COVID-19 preventive measures.ResultsOf 2,175 participants, 55.7% were 18–39 years old, 70.9% were females, and 81.7% had no formal education. Among the IDPs, 32.0% (95% CI: 28.8 – 35.0) were considered to have adequate COVID-19 knowledge, and 51.3% (95% CI: 47.8 – 54.8) perceived COVID-19 risk as high. Moreover, 46.3% (95% CI: 42.8 – 50.0) had received one dose of COVID-19 vaccine, and 33.1% (95% CI: 29.8 – 36.0) received two doses. Adequate knowledge (Adjusted Odds Ratio (AOR) = 2.10, [95% CI: 1.46 – 3.03]) and post-primary education (AOR = 3.20, [95% CI: 1.59 – 6.46]) were associated with risk perception. Furthermore, high risk perception was significantly associated with wearing face masks (χ2 = 106.32, p-value < .001), practicing hand hygiene (χ2 = 162.24, p-value < .001), physical distancing (χ2 = 60.84, p-value < .001) and vaccination uptake (χ2 = 46.85, p-value < .001).ConclusionsThis study revealed gaps in COVID-19 knowledge, risk perception, and vaccination uptake but demonstrated a significant relationship between risk perception and COVID-19 preventive practices. Health education and risk communication should be intensified to improve knowledge, elicit stronger risk perception, and enhance COVID-19 preventive practices.

Coping and risk perception during the COVID-19 pandemic in type 2 diabetes: Does it influence metabolic control?

Diabetes and poor glycemic control are significant predictors of severity and death in the COVID-19 disease. The perception of this risk in individuals with type 2 diabetes (T2D) could modify coping styles, leading to behaviors associated with better self-care and metabolic control. Theoretically, active coping is associated with better glycemic control in patients with T2D. Nonetheless, information during extreme risk like the COVID-19 pandemic is still limited. Our objective was to evaluate the association between coping styles and risk perception in the COVID-19 pandemic and the change in metabolic parameters. This is a prospective study that included individuals with T2D treated in a tertiary care center during the COVID-19 outbreak who returned to follow-up one year later. We assessed coping styles and risk perception with the Extreme Risk Coping Scale and the risk perception questionnaire. Clinical characteristics and metabolic parameters were registered in both visits. Groups were compared using Kruskal Wallis tests, and changes in metabolic parameters were assessed with Wilcoxon rank sum tests. Our sample included 177 participants at baseline, and 118 concluded the study. Passive coping was more frequent in women. Low-risk perception was associated with higher age, lower psychiatric comorbidities, and lower frequency of psychiatric treatment compared with other risk perception groups. Patients with active coping plus high-risk perception did not have a change in metabolic parameters at follow-up, whereas patients with other coping styles and lower risk perception had an increase in total cholesterol, LDL-cholesterol, and triglycerides. There were no differences by coping group or by risk perception in glycemic control.