Health Beliefs of Wearing Facemasks for Influenza A/H1N1 Prevention: A Qualitative Investigation of Hong Kong Older Adults

Zhang, Chun-Qing; Chung, Pak‐Kwong; Liu, Jingdong; Chan, Derwin King Chung; Hagger, Martin S.; Hamilton, Kyra

doi:10.1177/1010539519844082

Cited by 42 publications

(74 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This study also revealed that the perceived sensitivity, perceived severity, perceived benefits, cues to action, and knowledge levels are substantial predictors accounting for the practice of prevention behaviors, which are in line with the previous literature [ 40 , 41 ]. It showed higher ORs for preventive behavior with perceived sensitivity; that is, people are more likely to take feasible preventive actions to avoid infection if there are confirmed cases in their community [ 7 ].…”

Section: Discussionsupporting

confidence: 90%

“…First, as we all know, there were no drugs to treat the disease [ 14 ]. Second, wearing masks and handwashing remains one of the most effective ways to prevent contracting and spreading COVID-19 [ 41 , 44 , 45 ]. Third, numerous epidemiological studies have shown that improving the individual’s immunity can reduce the risk of infection and the harm caused by the disease [ 46 , 47 ].…”

Section: Discussionmentioning

confidence: 99%

“…Importantly, we identified cues for action as a practical approach to curb this behavior. Prior evidence showed that support from family members and health experts can contribute significantly to practicing the appropriate preventive behaviors [ 21 , 40 , 41 ]. Family and community support, care, and professional advice might be good for relieving the emotional, psychological stress, and help to avoid stressful actions.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

The Recommended and Excessive Preventive Behaviors during the COVID-19 Pandemic: A Community-Based Online Survey in China

Wang

Feng

et al. 2020

IJERPH

View full text Add to dashboard Cite

COVID-19 presents unprecedented challenges to the global public health response. Preventive behaviors and keeping social distance are regarded as compelling ways to prevent COVID-19. This study focused on the sociological and psychological factors associated with proper and excessive preventive behaviors of the COVID-19 outbreak in China. For the sample, we collected the data of 4788 participants who were surveyed between 4 April and 15 April 2020 from eight provinces in China. This study designed a self-filled questionnaire that included demographic information, six components of the Health Belief Model, and target preventive behaviors. Descriptive analysis, Chi-square test, logistic regression analysis, Mantel–Haenszel hierarchical analysis, and propensity score matching were employed in this study. The results showed that 54.7% of the participants had adequate basic prevention, 63.6% of the participants had adequate advanced prevention, and 5.8% of the participants practiced excessive prevention. The elder participants were less likely to engage in proper preventive behaviors. Perceived susceptibility, perceived benefits, perceived barriers, cues to action, and knowledge levels were associated with preventive behaviors. Excessive preventive behaviors in high-risk groups with suspected symptoms were associated with their extreme psychological condition, while the support from the community and family plays an important role in avoiding these behaviors.

show abstract

Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The Recommended and Excessive Preventive Behaviors during the COVID-19 Pandemic: A Community-Based Online Survey in China

Wang

Feng

et al. 2020

IJERPH

View full text Add to dashboard Cite

show abstract

“…Hong Kong researchers surveyed older people living in the community to explore their beliefs about wearing facemasks to prevent influenza during a pandemic and found that a range of opinions (Zhang et al 2019). Some said that wearing masks was a social responsibility; seeing others wearing masks triggered similar behaviour; others believed that wearing masks was only for those who were ill and others that wearing masks was inconvenient and made it hard to breathe (Zhang et al 2019). In short, participants appeared to rely more on their own experience and anecdotal sources to inform their decisions than on evidence-based knowledge.…”

Section: Literature Reviewmentioning

confidence: 99%

Nurses’ health beliefs about paper face masks in Japan, Australia and China: a qualitative descriptive study

Omura

Stone

Petrini

et al. 2020

International Nursing Review

View full text Add to dashboard Cite

Aim To explore the health beliefs of clinical and academic nurses from Japan, Australia and China regarding wearing paper masks to protect themselves and others, and to identify differences in participants' health beliefs regarding masks. Background The correct use of face masks and consensus among health professionals across the globe is essential for containing pandemics, and nurses need to act according to policy to protect themselves, educate the public and preserve resources for frontline health workers. Paper masks are worn by health professionals and the general public to avoid the transmission of respiratory infections, such as COVID‐19, but there appear to be differences in health beliefs of nurses within and between countries regarding these. Methods This qualitative descriptive study used content analysis with a framework approach. Findings There were major differences in nurse participants’ beliefs between and within countries, including how nurses use paper masks and their understanding of their efficacy. In addition, there were cultural differences in the way that nurses use masks in their daily lives and nursing practice contexts. Conclusion Nurses from different working environments, countries and areas of practice hold a variety of health beliefs about mask wearing at the personal and professional level. Implications for nursing policy and health policy The COVID‐19 pandemic has sparked much discussion about the critical importance of masks for the safety of health professionals, and there has been considerable discussion and disagreement about health policies regarding mask use by the general public. Improper use of masks may have a role in creating mask shortages or transmitting infections. An evidence‐based global policy on mask use for respiratory illnesses for health professionals, including nurses, and the general public needs to be adopted and supported by a wide‐reaching education campaign.

show abstract

“…In addition, a previous case report also showed that wearing a face mask helped to reduce the transmission of influenza during the COVID-19 pandemic 6 . Face masks appear to be highly efficient at filtering pathogens, including influenza and rhinoviruses 7 , and their use should be encouraged during influenza pandemics 3,8 . For healthcare workers, a meta-analysis of randomized controlled trials indicated a protective effect of masks and respirators against clinical respiratory illnesses (risk ratio [RR]: 0.59; 95% confidence interval [CI]: 0.46-0.77) and influenza-like illness (RR: 0.34; 95% CI: 0.14-0.82).…”

mentioning

confidence: 99%

Severe complicated influenza declined during the prevention of COVID-19 in Taiwan

Yang

Chen

Kuo

et al. 2020

Infect. Control Hosp. Epidemiol.

View full text Add to dashboard Cite

The study of face masks use in Latin America reported by Soto et al is quite interesting 1. SARS-CoV2 (COVID19) is a novel coronavirus that has caused a critical public threat worldwide. How to prevent the COVID-19 outbreak is a crucial issue and communitybased preparedness is important. SARS-CoV2 is transmitted through droplets and contact transmission routes, and the Taiwan government has taken many proactive and aggressive actions to prevent the transmission of COVID-19, including wearing face masks. These strategies have not only controlled COVID-19 transmission but also reduced influenza infection in Taiwan. Although Taiwan is geographically close to China, the number of confirmed cases with COVID-19 in Taiwan is significantly lower than in other neighboring countries, with fewer than 450 confirmed COVID-19 cases and limited community transmission. The Taiwan government has acted swiftly since January to prevent the COVID-19 outbreak crisis by implementing measures such as border control, case identification and isolation, quarantine of suspected cases, extending holidays, travel restriction, education and big data integration. In addition, the export of face masks was prohibited on January 24, 2020 to avoid a shortage. In addition to these proactive early decisions, the Taiwan government acquired all available face masks and assigned most of them to hospital staff first in order to protect them from COVID-19. Moreover, mask making machine manufacturers were asked to step up face mask production capacity, which rose from 1.3 million per day to 13 million per day by the end of March 2020. Based on the previous experience of severe acute respiratory syndrome (SARS) in 2003, the Taiwan CDC encouraged residents to wear face masks and perform hand hygiene, especially hospital staff and people in crowded places when the COVID-19 outbreak was initially reported in Wuhan, China in January 2020 2. Recently, the Taiwan CDC announced regulations requiring all passengers using public transportation to wear face masks all the time and follow the social distancing recommendations. This successful policy not only controlled the community transmission of COVID-19, but also had an unexpected effect on lowering the incidence of severe complicated influenza after the sixth week this year based on the public records of the

show abstract

Health Beliefs of Wearing Facemasks for Influenza A/H1N1 Prevention: A Qualitative Investigation of Hong Kong Older Adults

Cited by 42 publications

References 35 publications

The Recommended and Excessive Preventive Behaviors during the COVID-19 Pandemic: A Community-Based Online Survey in China

The Recommended and Excessive Preventive Behaviors during the COVID-19 Pandemic: A Community-Based Online Survey in China

Nurses’ health beliefs about paper face masks in Japan, Australia and China: a qualitative descriptive study

Severe complicated influenza declined during the prevention of COVID-19 in Taiwan

Contact Info

Product

Resources

About