The Use of the Health Belief Model to Assess U.S. College Students’ Perceptions of Covid-19 and Adherence to Preventive Measures

Alsulaiman, Saud A.; Rentner, Terry L.

doi:10.4081/jphr.2021.2273

Cited by 18 publications

(11 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The present study examined the constructs collectively as indicators of underlying perceptions of COVID-19 threat, healthcare discrimination, and U.S. healthcare system inequities and found that distinct classes of these perceptions were associated with students' mental and physical health. In the COVID-19 context, much of the existing literature on college students' health-related perceptions examined the influence of perceived COVID-19 threat on preventive behaviors (39), therefore, this study extends prior research by focusing on the association between these health-related perceptions and self-rated mental and physical health. This extension has wide-reaching implications given that self-rated health is a rich, complex construct previously associated with biomarkers of stress, chronic disease, and mortality (40).…”

Section: Discussionmentioning

confidence: 79%

College students' underlying perceptions of COVID-19 threat, healthcare discrimination, and healthcare system inequities associated with self-rated health across racial/ethnic groups in the U.S.

Fernandez

Sherchan²,

Cho³

et al. 2023

Front. Public Health

View full text Add to dashboard Cite

BackgroundCOVID-19-related health perceptions may differentially impact college students' stress, and in turn, their mental and physical health. This study examined racial/ethnic differences in college students' underlying perceptions of COVID-19 threat, healthcare discrimination, and U.S. healthcare system inequities and their associations with self-rated mental and physical health.MethodsFour-hundred-thirty-two university students completed an online survey (December 2020–December 2021). Latent class analyses identified classes of perceived COVID-19 threat (i.e., severity, susceptibility), healthcare discrimination, and U.S. healthcare system inequities. Regression analyses examined whether class membership varied by race/ethnicity and was associated with self-rated mental and physical health.ResultsClass 1 members (27.3% of the sample) were more likely to identify as Hispanic or Latino, Non-Hispanic Asian, Non-Hispanic Black or African American, and Non-Hispanic Multiracial vs. Non-Hispanic White (vs. Class 4). Class 1 had high perceived COVID-19 threat, medium perceived healthcare discrimination, and high perceived U.S. healthcare system inequities, as well as higher odds of poorer mental and physical health (vs. Class 4).ConclusionsCollege students' underlying perceptions of COVID-19 threat, healthcare discrimination, and U.S. healthcare system inequities were associated with poorer health. Given that students with these perceptions were more likely to belong to minoritized racial/ethnic groups, concerns over COVID-19 risk and healthcare may partially explain racial/ethnic disparities in college students' health. This study contributes to a limited body of evidence on college students' perceptions of the U.S. healthcare system and suggests important ways that structural inequalities and racial/ethnic disparities in COVID-19 risk, healthcare discrimination, and concerns over U.S. healthcare system inequity may affect college students' health.

show abstract

Section: Discussionmentioning

confidence: 79%

College students' underlying perceptions of COVID-19 threat, healthcare discrimination, and healthcare system inequities associated with self-rated health across racial/ethnic groups in the U.S.

Fernandez

Sherchan²,

Cho³

et al. 2023

Front. Public Health

View full text Add to dashboard Cite

show abstract

“…The percentage was even lower among medical students, at 23%. As future healthcare workers, university students in health schools should be aware that they can provide cues to action through providing public health recommendations [ 68 ]. Lack of disease knowledge can negatively influence the recommendations of vaccine acceptance and adherence to public health intervention measures.…”

Section: Discussionmentioning

confidence: 99%

Knowledge of Human Monkeypox and Its Relation to Conspiracy Beliefs among Students in Jordanian Health Schools: Filling the Knowledge Gap on Emerging Zoonotic Viruses

et al. 2022

View full text Add to dashboard Cite

Background and Objective: The recent multi-country outbreak of human monkeypox (HMPX) in non-endemic regions poses an emerging public health concern. University students in health schools/faculties represent a core knowledgeable group that can be helpful to study from a public health point of view. As future healthcare workers, assessment of their knowledge and attitude towards emerging zoonotic viral infections can be helpful to assess their taught material and courses with potential improvement if gaps in knowledge were identified. Therefore, we aimed to evaluate the level of HMPX knowledge, conspiracy beliefs regarding emerging virus infections, as well as their associated determinants among university students studying Medicine, Nursing, Dentistry, Pharmacy, Medical Laboratory Sciences, and Rehabilitation in Jordanian health schools/faculties. In addition, we sought to evaluate the correlation between HMPX knowledge and the extent of holding conspiracy beliefs regarding emerging viral infection. Materials and Methods: A convenient sample of university students was obtained through an electronic survey distributed in late May 2022 using the chain-referral approach. Assessment of HMPX knowledge and general attitude towards emerging virus infections was based on survey items adopted from previously published literature. Results: The study sample comprised 615 students with a mean age of 20 years and a majority of females (432, 70.2%) and medical students (n = 351, 57.1%). Out of eleven monkeypox knowledge items, three were identified correctly by >70% of the respondents. Only 26.2% of the respondents (n = 161) knew that vaccination to prevent monkeypox is available. Age was significantly associated with better HMPX knowledge for a majority of items. Older age, females, and affiliation to non-medical schools/faculties were associated with harboring higher levels of conspiracy beliefs regarding emerging virus infections. Our data also indicate that lower levels of HMPX knowledge were associated with higher levels of conspiracy beliefs. Conclusion: The current study pointed to generally unsatisfactory levels of knowledge regarding the emerging HMPX among university students in Jordanian health schools/faculties. Conspiracy beliefs regarding emerging virus infections were widely prevalent, and its potential detrimental impact on health behavior should be evaluated in future studies.

show abstract

“…Based on TPB the immediate predictors of the behavior are behavioral intention with constructs of attitude, subjective norm, and perceived behavioral control. 5 The TPB constructs (attitude, subjective norm, and perceived behavioral control) and behavioral intention were positively associated with hand washing practice, 19 , 63 , 64 social distance, 65 – 67 face mask-wearing, 64 , 68 – 71 social isolation, 72 , 73 and enhanced community quarantine. 74 This finding suggested that the TPB could be used to predict health preventive behavior; therefore, it is important to guide the development of effective healthy messages on COVID-19 preventive behaviors.…”

Section: Discussionmentioning

confidence: 99%

Application of behavioral change theory and models on COVID-19 preventive behaviors, worldwide: A systematic review

2023

View full text Add to dashboard Cite

Objective: This systematic review aimed to assess the global application of behavioral change theory and models on COVID-19 preventive behaviors. Methods: This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses procedure. Databases such as PubMed/MIDLINE, Web of Science, Scopus, EMB ASE, World Health Organization libraries, and Google Scholar were used to search all published articles in the area of application of behavioral change theory and model on COVID-19 preventive behavior until October 1, 2022. Studies published in another language other than English were excluded. Two independent reviewers did the article selection and quality check. A third reviewer asked if any disagreement were found. Result: Seventeen thousand four hundred thirty-six total articles were retrieved from all sources after the removal of duplicated articles and those not evaluating the outcome of interest were excluded. Finally, 82 articles done using behavioral change theory and model on COVID-19 preventive behaviors were included. The health belief model (HBM) and theory of planned behavior (TPB) were most commonly used in COVID-19 preventive behaviors. The constructs of most behavioral theories and models were significantly associated with COVID-19 preventive behaviors such as hand washing, face mask use, vaccine uptake, social isolation, self-quarantine, social distance, and use of sanitizers. Conclusion: This systematic review summarizes comprehensive evidence on the application of behavioral change theory and model on COVID-19 preventive behaviors globally. A total of seven behavioral change theories and models were included. The HBM and TPBs were most commonly used for COVID-19 preventive behaviors. Therefore, the application of behavioral change theory and models is recommended for developing behavioral change interventional strategies.

show abstract

The Use of the Health Belief Model to Assess U.S. College Students’ Perceptions of Covid-19 and Adherence to Preventive Measures

Cited by 18 publications

References 26 publications

College students' underlying perceptions of COVID-19 threat, healthcare discrimination, and healthcare system inequities associated with self-rated health across racial/ethnic groups in the U.S.

College students' underlying perceptions of COVID-19 threat, healthcare discrimination, and healthcare system inequities associated with self-rated health across racial/ethnic groups in the U.S.

Knowledge of Human Monkeypox and Its Relation to Conspiracy Beliefs among Students in Jordanian Health Schools: Filling the Knowledge Gap on Emerging Zoonotic Viruses

Application of behavioral change theory and models on COVID-19 preventive behaviors, worldwide: A systematic review

Contact Info

Product

Resources

About