Background: The health belief model suggests that individuals' beliefs affect behaviors associated with health. This study examined whether Ohioans' pre-existing medical health diagnoses affected their belief about personal health risk and their compliance with social distancing during the coronavirus disease 2019 (COVID-19) pandemic. Prior research examining physical and mental diagnoses and social distancing compliance is nearly nonexistent. We examined whether physical and mental health diagnoses influenced individuals' beliefs that their health is at risk and their adherence with social distancing guidelines. Methods: The study used longitudinal cohort data from the Toledo Adolescent Relationships Study (TARS) (n = 790), which surveyed Ohioans prior to and during the COVID-19 pandemic. Dependent variables included belief that an individual's own health was at risk and social distancing compliance. Independent variables included physical and mental health diagnoses, pandemic-related factors (fear of COVID-19, political beliefs about the pandemic, friends social distance, family social distance, COVID-19 exposure), and sociodemographic variables (age, gender, race/ethnicity, educational level). Results: Individuals who had a pre-existing physical health diagnosis were more likely to believe that their personal health was at risk during the pandemic but were not more likely to comply with social distancing guidelines. In contrast, individuals who had a pre-existing mental health diagnosis were more compliant with social distancing guidelines but were not more likely to believe their personal health was at risk. Individuals who expressed greater fear of COVID-19 believed their health is more at risk than those who expressed lower levels of fear. Conclusion: Health considerations are important to account for in assessments of responses to the pandemic, beliefs about personal health risk, and social distancing behavior. Additional research is needed to understand the divergence in the findings regarding physical health, beliefs about personal health risk, and social distancing compliance. Further, research is needed to understand how mental health issues impact decision-making related to social distancing compliance.
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Psychological predictors of prevention behaviors during the COVID-19 pandemic
Widespread public adoption of behaviors that can prevent the spread of COVID-19 is key to controlling the infection rate. In a nationally representative survey administered April 24 to May 11, 2020, we identified psychological predictors of three preventive behaviors: social distancing, practicing respiratory hygiene (such as hand washing and coughing into a tissue), and mask wearing. All three behaviors were strongly predicted by their perceived effectiveness and were moderately predicted by anxiety about COVID-19 and by perceived behavioral norms. The perceived effectiveness of social distancing also predicted the self-reported number of exposures to people outside the household, and this relationship was mediated by social distancing behavior. In other words, greater perceived effectiveness of social distancing predicted greater compliance with distancing recommendations, which in turn was linked to lower exposure. On the basis of our findings, we suggest some actions that might promote long-term adherence to preventive behaviors even if rapidly shifting beliefs about the risks posed by the virus diminish the public’s susceptibility to intervention.
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- Award ID(s):
- 2027405
- PAR ID:
- 10229768
- Date Published:
- Journal Name:
- Behavioral science policy
- Volume:
- 6
- Issue:
- 2
- ISSN:
- 2379-4615
- Page Range / eLocation ID:
- 43-50
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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