A Social-Ecological Exploration of College and University Students’ COVID-19 Infection Preventive Behaviors

Vilme, Helene; Akin-Odanye, Elizabeth O; Sauls, Derrick L.; Leon, Jessica De; Paul, Christopher; Speights, Joedrecka S. Brown; White‐Means, Shelley I.; Amissah, Felix; Ndip, Roland N.; Dokurugu, Yussif M.; Bosworth, Hayden B.; Avorgbedor, Forgive; López, Ivette A

doi:10.1080/19325037.2022.2071361

Cited by 5 publications

(6 citation statements)

References 33 publications

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“…Lisnyj et al used the SEM to explore which factors affect post-secondary students' stress and academic success (Lisnyj et al, 2021). The SEM has also been used to explore how different levels of the model affect COVID-19 infection preventative behaviors (Vilme et al, 2022).…”

Section: Social-ecological Modelmentioning

confidence: 99%

A retrospective analysis of the perceived impact of the COVID-19 pandemic on systemic barriers to success for university student parents

Franklin,

Saval,

Cafer

et al. 2024

Front. Educ.

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IntroductionStudent parents, both undergraduate and graduate, face the difficult task of balancing their studies and raising children, and they are a population often neglected or forgotten by higher education administration. The COVID-19 pandemic enhanced already present issues student parents face through the implementation of virtual schooling, increased daycare costs and closings, staying home with sick children, and a lack of local support system, among others. Further, many student parents are graduate students who are performing research that requires physical campus space and equipment to fulfill their educational requirements, and their research progress come to a halt when the country locked down.MethodsThis study explored the struggles student parents faced prior to the COVID-19 pandemic, what issues the pandemic exacerbated, and what new problems have since arisen. Participants completed surveys assessing the consequences of being a student parent during the pandemic, coping resources available to them, the effect of being a student parent during the pandemic on their mental health, and demographic information.ResultsPrevalent themes include substantial declines in mental health, feelings of inadequacy in regards to both their parenting and academic abilities compared to their non-student parent peers, and a striking lack of resources or acknowledgement from their institution.DiscussionThe survey results are framed within the social-ecological model to better understand the systemic implications of student parent conditions. Finally, we formulate a set of recommendations to higher education administrations to inform them about the unique struggles student parents face and suggest strategies for mitigation.

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Section: Social-ecological Modelmentioning

confidence: 99%

A retrospective analysis of the perceived impact of the COVID-19 pandemic on systemic barriers to success for university student parents

Franklin,

Saval,

Cafer

et al. 2024

Front. Educ.

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“…These variables were chosen as those recently available for each zip code and county in Missouri and as the most relevant to health care behaviors and outcomes. Barriers to health care such as lack of insurance and lack of access to physicians, prior mainstream vaccination behavior (influenza), and being in an urban area—also linked to medical facility access—are among the most salient characteristics of geographic spaces pertaining to public health and individuals’ decisions within a health ecosystem [ 13 , 14 , 20 ]. We examined median zip code and county income levels but do not include these in the models presented here due to issues of collinearity and subsequent model error (see Supplementary Materials for more details).…”

Section: Datamentioning

confidence: 99%

“…The Socio-Ecological Model is ideal for assessing how factors beyond individual characteristics are linked to individuals’ decisions in the COVID-19 pandemic, including vaccinations [ 10 , 11 , 12 , 13 , 14 ]. While the specific environmental characteristics of the Socio-Ecological model are not the same across different contexts, the model is widely applicable.…”

Section: Introductionmentioning

confidence: 99%

“…For instance, family members, health care providers, and university organizations differentially influence college students’ decisions to get vaccinated for Human papillomavirus (HPV) compared to influenza; at the same time there could be many other—sometimes difficult-to-measure—characteristics such as local politics or cultural attitudes towards medicine also influencing such health decisions [ 19 , 20 ]. Lack of health insurance, politicization of vaccinations, educational achievement, and internet availability all factor into COVID-19 vaccine hesitancy but not uniformly in the same directions due to marked variation in local contexts [ 14 , 21 , 22 ]. A lack of health insurance or medical facilities in a geographic space could detract individuals from getting vaccinated, or push them to get vaccinated given that the COVID-19 vaccines are free and important for living a less-restricted lifestyle; important to include contextually appropriate measures in estimating effects within a Socio-Ecological frame to minimize error [ 23 , 24 ].…”

Section: Introductionmentioning

confidence: 99%

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Undergraduate Vaccine Hesitancy and the Influence of “Home” Locales

Myroniuk

Schatz

Teti

et al. 2022

IJERPH

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Purpose: In the US, the COVID-19 pandemic has exposed deeply rooted resistance to public health. This has important consequences for SARS-CoV-2 variant spread and for future uptake of influenza and other vaccines. We examine these phenomena in Missouri, where its low vaccination rates, high levels of uninsured residents, predominance of conservative values, and stark rural-urban divides are intricately connected to public health resistance. The Socio-Ecological model guides our approach. Methods: We use data from the Fall 2020 Midwestern University (MWU—a pseudonym) Study of Seropositivity and Risk for SARS-CoV-2 and COVID-19 which are harmonized with the American Community Survey, Missouri County-Level Study, and the USDA Rural-Urban Continuum Codes to estimate multi-level regression models on the relationship between undergraduate students’ “home” locales and their own COVID-19 and influenza vaccine hesitancy. Findings: The availability of primary care physicians, the prevalence of influenza vaccinations, and location type at the county level, as well as the percentage of residents without health insurance at the zip code level differentially predict COVID-19 and influenza vaccine hesitancy. Conclusions: There is a link between county-level health and geographic characteristics, and individuals’—who were influenced by those counties because that is where their parents live—hesitancy towards vaccines. Identifying feasible, precise, local solutions to reducing vaccine hesitancy could take place if community members and other stakeholders would be open to changes in local-level health policy or practice.

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“…16 The social-ecological paradigm 17 is an overarching framework for understanding the multifaceted factors that influence preventive behavior during COVID-19, including but not limited to mask-wearing, vaccination, handwashing, and social distancing. [18][19][20] Mask-wearing behavior is determined by intrapersonal-level influences such as physical discomfort, [21][22][23] perceived risk, 22,24 and the perceived importance of wearing a mask (protecting oneself and others). 21,24 Additionally, interpersonal factors (eg, the influence of family and friends), 22 environmental influences (eg, information and media exposure), 21,25 sociocultural and social influences, 22,26 and political factors and policy influences 27 are key factors that shape individuals' mask-wearing behavior.…”

mentioning

confidence: 99%

Exploring the Barriers and Facilitators of Mask-Wearing Behavior During the COVID-19 Pandemic in Taiwan, the United States, the Netherlands, and Haiti: A Qualitative Study

Wang,

de Jong,

Faure

et al. 2024

Disaster med. public health prep.

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Objective: This study explored the barriers and facilitators of mask-wearing behaviors during the pandemic in Taiwan, the United States, the Netherlands, and Haiti. Methods: Face-to-face interviews were conducted in Taiwan and online interviews were conducted with participants in the United States, the Netherlands, and Haiti. Results: In general, the habit of wearing a mask before coronavirus disease 2019 (COVID-19) was reported by Taiwanese participants. Additionally, Taiwanese participants perceived that wearing a mask was a social responsibility during the pandemic, suggesting that the collectivistic context might influence mask-wearing behavior. Unlike the Taiwanese population, some people in the United States and the Netherlands were reluctant to wear masks due to perceived restrictions on their freedom. Participants from Haiti mentioned that people who wore masks encountered violence, bullying, and discrimination. The results of this study suggest that political leadership and mask mandates have a strong impact on people’s mask-wearing behavior. Conclusions: These findings have valuable implications for the design of diverse behavioral interventions to enhance mask-wearing as part of infectious disease preparedness. Additionally, the findings from these countries offer valuable insights for the development of effective public health interventions to enhance society’s resilience during the current pandemic and future infectious disease outbreaks.

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A Social-Ecological Exploration of College and University Students’ COVID-19 Infection Preventive Behaviors

Cited by 5 publications

References 33 publications

A retrospective analysis of the perceived impact of the COVID-19 pandemic on systemic barriers to success for university student parents

A retrospective analysis of the perceived impact of the COVID-19 pandemic on systemic barriers to success for university student parents

Undergraduate Vaccine Hesitancy and the Influence of “Home” Locales

Exploring the Barriers and Facilitators of Mask-Wearing Behavior During the COVID-19 Pandemic in Taiwan, the United States, the Netherlands, and Haiti: A Qualitative Study

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