Determinants of COVID-19 Prevention Behavior in the Elderly in Urmia: Application of Health Belief Model

Authors

  • Morad Ali Zareipour Health System Research Unit, Health Center of Urmia, Urmia University of Medical Sciences, Urmia, Iran
  • Mojtaba Fattahi Ardakani Diabetes Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
  • Monireh Rezaee Moradali Student Research Committee, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  • Mohammad Saeed Jadgal Department of Public Health, Medical School, Iranshahr University of Medical Sciences, Iranshahr, Iran
  • Ehsan Movahed School of Public Health, Jiroft University of Medical Sciences, Jiroft, Iran

DOI:

https://doi.org/10.3889/oamjms.2020.5653

Keywords:

Prevention, Elderly, Health belief model, COVID-19

Abstract

BACKGROUND: COVID-19 disease effects on all age group and sex, especially the elderly, due to the high mortality rate, it is very impressive and the protective measures can reduce mortality in the elderly.

AIM: The present study was conducted to find the determinants of COVID-19 prevention behavior in the elderly in Urmia by emphasizing on the health belief model.

METHODS: The present study was a cross-sectional study on 1400 elderly people in Urmia, Iran in 2020 and the sample selection was by simple random sampling by simple random sampling. The data collection tool was a researcher-made questionnaire in this study that included demographic characteristics, health belief model questionnaire, and COVID-19 prevention behaviors. Data were analyzed using ANOVA and linear regression tests using SPSS 23 software.

RESULTS: The results showed that the COVID-19 prevention behavior score has been increased by increasing age rate and this behavior was higher in older women than men (p = 0.02). Furthermore, linear regression test showed the most predictive constructs as knowledge (B = 0.38), perceived susceptibility (B = 0.29), perceived intensity (B = 0.25), and perceived self-efficacy (B = 0.21, respectively) and these structures were statistically significant (p < 0/05).

CONCLUSION: Effective interventions based on the health belief model and emphasizing on promoting knowledge, perceived susceptibility, severity, and perceived self-efficacy can prevent the elderly from developing this disease and its complications.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

World Health Organization. Coronavirus Disease 2019 (COVID-19): Situation Report No. 72. Geneva: World Health Organization; 2020.

Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: A retrospective cohort study. Lancet. 2020;395(10229):1054-62. https://doi.org/10.1016/s0140-6736(20)30566-3 PMid:32171076 DOI: https://doi.org/10.1016/S0140-6736(20)30566-3

Zareipour MA, Sadaghianifar A, Aghziyarat NA, Azari MT, Moradali MR. Investigating the causes of elderly people leaving home during Coronavirus disease-19 epidemic. Open Access Maced J Med Sci. 2020;8(T1):548-52. https://doi.org/10.3889/oamjms.2020.5553 DOI: https://doi.org/10.3889/oamjms.2020.5553

Utych SM, Fowler L. Age-based messaging strategies for communication about COVID-19. J Behav Public Adm. 2020;3(1):1-14. https://doi.org/10.30636/jbpa.31.151 DOI: https://doi.org/10.30636/jbpa.31.151

Daoust JF. Elderly people and responses to COVID-19 in 27 countries. PLoS One. 2020;15(7):e0235590. https://doi.org/10.1371/journal.pone.0235590 PMid:32614889 DOI: https://doi.org/10.1371/journal.pone.0235590

Xiang YT, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, et al. Timely mental health care for the 2019 novel Coronavirus outbreak is urgently needed. Lancet Psychiatry. 2020;7(3):228- 9. https://doi.org/10.1016/s2215-0366(20)30046-8 PMid:32032543 DOI: https://doi.org/10.1016/S2215-0366(20)30046-8

Fathi Y, Barati M, Zandiyeh M, Bashirian S. Prediction of preventive behaviors of the needlestick injuries during surgery among operating room personnel: Application of the health belief model. Int J Occup Environ Med. 2017;8(4):232-40. https://doi.org/10.15171/ijoem.2017.1051 PMid:28970598 DOI: https://doi.org/10.15171/ijoem.2017.1051

Ghanbary MK, Shamsi M, Khorsandi M, Farazi A, Ranjbaran M, Eshrati B. Effect of training with teaching methods designed based on health belief model on knowledge and self-efficacy in nurses on the disciplines standard precautions in hospitals. J Hum Health. 2015;1(2):51.

Phillips JC. Caring for the vulnerable: Perspectives in nursing theory, practice, and research. J Cultur Divers. 2005;12(4):161.

Heidari A, Eghbal F. Relationship between difficulties in emotional regulation, intimacy, attachment styles and marital satisfaction in couples in steel industry of Ahvaz. New Find Psychiatry. 2010;5(15):115-34.

Bell RA, Arcury TA, Snively BM, Smith SL, Stafford JM, Dohanish R, et al. Diabetes foot self-care practices in a rural triethnic population. Diabetes Educ. 2005;31(1):75-83. https://doi.org/10.1177/0145721704272859 PMid:15779248 DOI: https://doi.org/10.1177/0145721704272859

Beker J, Belachew T, Mekonin A, Hailu E. Predictors of adherence to self-care behaviour among patients with chronic heart failure attending Jimma University Specialized Hospital chronic follow up clinic, South West Ethiopia. J Cardiovasc Dis Diagn. 2014;2(6):1-8. https://doi.org/10.4172/2329-9517.1000180 DOI: https://doi.org/10.4172/2329-9517.1000180

Seow LS, Subramaniam M, Abdin E, Vaingankar JA, Chong SA. Hypertension and its associated risks among Singapore elderly residential population. J Clin Gerontol Geriatr. 2015;6(4):125- 32. https://doi.org/10.1016/j.jcgg.2015.05.002 DOI: https://doi.org/10.1016/j.jcgg.2015.05.002

Umberson D. Gender, marital status and the social control of health behavior. Soc Sci Med. 1992;34(8):907-17. https://doi.org/10.1016/0277-9536(92)90259-s PMid:1604380 DOI: https://doi.org/10.1016/0277-9536(92)90259-S

Lim YM, Sung MH, Joo KS. Factors affecting health-promoting behaviors of community-dwelling Korean older women. J Gerontol Nurs. 2010;36(10):42-50. https://doi.org/10.3928/00989134-20100504-05 PMid:20506936 DOI: https://doi.org/10.3928/00989134-20100504-05

Jahangiry L, Bakhtari F, Sohrabi Z, Reihani P, Samei S, Ponnet K, et al. Risk perception related to COVID-19 among the Iranian general population: An application of the extended parallel process model. BMC Public Health. 2020;20(1):1571. https://doi.org/10.21203/rs.3.rs-33493/v1 PMid:33076875 DOI: https://doi.org/10.1186/s12889-020-09681-7

Mahmoodabad SS, Zareipour MA, Askarishahi M, Beigomi A. prevention determinants of falling in the elderly citizens: A precaution adoption process model (PAPM) carried-out in Urmia, Iran. Ambient Sci. 2018;5:41-5. https://doi.org/10.21276/ambi.2018.05.sp1.ta07 DOI: https://doi.org/10.21276/ambi.2018.05.sp1.ta07

Oldroyd JC, Unwin NC, White M, Mathers JC, Alberti KG. Randomised controlled trial evaluating lifestyle interventions in people with impaired glucose tolerance. Diabetes Res Clin Pract. 2006;72(2):117-27. https://doi.org/10.1016/j.diabres.2005.09.018 PMid:16297488 DOI: https://doi.org/10.1016/j.diabres.2005.09.018

Imai S, Kozai H, Naruse Y, Watanabe K, Fukui M, Hasegawa G, et al. Randomized controlled trial of two forms of self-management group education in Japanese people with impaired glucose tolerance. J Clin Biochem Nutr. 2008;43(2):82-7. https://doi.org/10.3164/jcbn.2008050 PMid:18818757 DOI: https://doi.org/10.3164/jcbn.2008050

Raamkumar AS, Tan SG, Wee HL. Use of health belief model-based deep learning classifiers for COVID-19 social media content to examine public perceptions of physical distancing: Model development and case study. JMIR Public Health Surveill. 2020;6(3):e20493. https://doi.org/10.2196/20493 PMid:32540840 DOI: https://doi.org/10.2196/20493

Lin P, Simoni JM, Zemon V. The health belief model, sexual behaviors, and HIV risk among Taiwanese immigrants. AIDS Educ Prev. 2005;17(5):469-83. https://doi.org/10.1521/aeap.2005.17.5.469 DOI: https://doi.org/10.1521/aeap.2005.17.5.469

Conn VS. Older adults and exercise: Path analysis of self-efficacy related constructs. Nurs Res. 1998;47(3):180-9. https://doi.org/10.1097/00006199-199805000-00009 PMid:9610652 DOI: https://doi.org/10.1097/00006199-199805000-00009

Downloads

Published

2020-12-25

How to Cite

1.
Zareipour MA, Ardakani MF, Moradali MR, Jadgal MS, Movahed E. Determinants of COVID-19 Prevention Behavior in the Elderly in Urmia: Application of Health Belief Model. Open Access Maced J Med Sci [Internet]. 2020 Dec. 25 [cited 2024 Nov. 21];8(T1):646-50. Available from: https://oamjms.eu/index.php/mjms/article/view/5653