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The Impact of COVID-19 on Health Prevention Behaviors in College Students: Focusing on the Health Belief Model

일부 대학생의 코로나19에 대한 건강예방행위에 미치는 영향: 건강신념모델을 중심으로

  • Jo, Han-Ul (Daejeon Eulji Medical Center, Eulji University) ;
  • Choi, Eun-Hi (College of Nursing, Eulji University)
  • Received : 2021.07.01
  • Accepted : 2021.08.13
  • Published : 2021.08.31

Abstract

Purpose: The purpose of this descriptive research is to identify how stress from Covid-19, health beliefs, and social support of college students affect health prevention. Methods: The subjects of the study were 128 university students, excluding health major students, at one university in D City. The survey was conducted from August 1 to 31, 2020. The survey questionnaire consists of 8 items on stress from COVID-19, 12 items adapted from a health belief measurement tool, 12 items from a social support measurement tool, and 11 items adapted from a tool that measures health preventive behaviors. The collected data were analyzed using the hierarchical multiple regression analysis method with SPSS 26.0. Results: In model 1, stress from COVID-19 was statistically significant (β=-.403, p=.003). Model 2 added four health belief factors into Model 1. Stress (β=-.419, p<.001), perceived severity (β=-.193, p=.030), and perceived barriers (β=-.182, p=.009) were statistically significant. In model 3, stress (β=-.413, p<.001), perceived barriers (β=-.147, p=.034), and social support (β=.194, p=.011) were statistically significant. The regression equation was significant (F=15.395, p=<.001) and the model's explanatory power was 53.1%. Conclusion: The results show that when college students had a high degree of health beliefs about COVID-19, the degree of health preventive behaviors was proportionally high. To make them practice preventive health behaviors, it is necessary to develop infection control education programs to improve health beliefs.

Keywords

References

  1. Korea Centers for Disease Control and Prevention [KCDC]. Coronavirus infectious disease-19 outbreak in Korea [Internet]. Seoul: Author; 2021 [cited 2021 June 30]. Available from: http://ncov.mohw.go.kr/bdBoardList_Real.do
  2. Lee MS. Overcoming the COVID-19 epidemics with communities in Korea. Journal of Agricultural Medicine Community Health. 2020;45(1):41-46. https://doi.org/10.5393/JAMCH.2020.45.1.041
  3. Im S. KCDC, empasize the importance of wearing a mask to prevent COVID-19..."You must wear it indoors and not just wear it over your mouth and chin". Medi:Gate News. 2020 July 19. Sect. https://www.medigatenews.com/news/2489476488
  4. BBC News Korea. COVID-19: how to deal with friends who do not follow social distancing [Internet]. UK: Author; 2020 [cited 2021 March 15]. Available from: https://www.bbc.com/korean/news-53032545
  5. Im S. Itaewon club, COVID-19 community spread... "Even if there are no symptoms, get tested as soon as possible and secure a bed urgently". Medi:Gate News. 2020 May 12. Sect. https://www.medigatenews.com/news/2944115898
  6. Becker MH. The health belief model and sick role behavior. Health Education Monographs. 1974;2(4):409-419. https://doi.org/10.1177/109019817400200407
  7. Im S, Choi EH, Lee M, Hong NY, Hwang DY, Choi YB. Adjustment experiences of nursing students in the face of COVID-19. The Journal of the Korean Society of School Health. 2020;33(3):213-221. https://doi.org/10.15434/kssh.2020.33.3.213
  8. Cennters for Disease Control and Prevention [CDC]. COVID19 parental resources kit: young adulthood [Internet]. Georgia: Author; 2021 [cited 2021 July 23]. Available from: https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/parental-resource-kit/young-adulthood.html
  9. Yang MR, Kim HS. The effect of social support on anxiety in pandemics (COVID-19): the mediated effect of social trust. Journal of the Korea Convergence Society. 2020;11(11):309-319. https://doi.org/10.15207/JKCS.2020.11.11.309
  10. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum Associates; 1988. p. 1-567.
  11. Kim SY, Cha C. Factors related to the management of multidrug-resistant organisms among in intensive care unit: an application of the health belief model. The Korean Journal of Fundamentals of Nursing. 2015;22(3):268-276. https://doi.org/10.7739/jkafn.2015.22.3.268
  12. Shin JS, Lee YB. The effects of social supports on psychosocial well-being of the unemployed. Korean Journal of Social Welfare. 1999;37:241-269.
  13. Nicola M, Alsafi Z, Sohrabi C, Kerwan A, Al-Jabir A, Iosifidis C, et al. The socio-economic implications of the coronavirus pandemic (COVID-19): a review. International Journal of Surgery. 2020;78:185-193. https://doi.org/10.1016/j.ijsu.2020.04.018
  14. Kim S, Kim YG. Changes in economic conditions under COVID19 and the effects of fiscal policy. The Korean Economic Forum. 2021;13(4):39-67. https://doi.org/10.22841/kefdoi.2021.13.4.002
  15. Kang BC. The job market is frozen by the corona virus...IT and design fields made a good progress. JoongAng Ilbo. 2021 March 9. Sect. https://news.joins.com/article/24007954
  16. Son C, Hegde S, Smith A, Wang X, Sasangohar F. Effects of COVID-19 on college students' mental health in the united states: interview survey study. Journal of Medical Internet Research. 2020;22(9):e21279. https://doi.org/10.2196/21279
  17. Ryu GW, Choi M. Association of job stress and health promotion behaviors with quality of life among female riot police officers. Korean Journal of Occupational Health Nursing. 2019;28(4):187-196. https://doi.org/10.5807/kjohn.2019.28.4.187
  18. Choi EPH, Hui BPH, Wan EYF. Depression and anxiety in Hong Kong during COVID-19. International Journal of Environmental Research and Public Health. 2020;17(10):3740. https://doi.org/10.3390/ijerph17103740
  19. Huh M. The impact of online classes on adolescent's internet use. Journal of Next-generation Convergence Information Services Technology. 2020;9(4):401-411. https://doi.org/10.29056/jncist.2020.12.07
  20. Zvolensky MJ, Garey L, Rogers AH, Schmidt NB, Vujanovic AA, Storch EA, et al. Psychological, addictive, and health behavior implications of the COVID-19 pandemic. Behaviour Research and Therapy. 2020;134:103715. https://doi.org/10.1016/j.brat.2020.103715
  21. Lu J, Luo M, Yee AZH, Sheldenkar A, Lau J, Lwin MO. Do superstitious beliefs affect influenza vaccine uptake through shaping health beliefs? Vaccine. 2019;37(8):1046-1052. https://doi.org/10.1016/j.vaccine.2019.01.017
  22. Lee H, Choi YK. Analysis of the educational needs of university job center career consultants based on career development task of university students. The Journal of Vocational Education Research. 2019;38(1):43-64. https://doi.org/10.37210/JVER.2019.38.1.43
  23. Oh HY, Park JY. Immunization, knowledge, and preventive health behaviors to hepatitis A in some university students. Korean Journal of Health Education and Promotion. 2011;28(5):83-95.
  24. Choi JS, Kim JS. Factors influencing preventive behavior against Middle East Respiratory Syndrome-Coronavirus among nursing students in South Korea. Nurse Education Today. 2016;40:168-172. https://doi.org/10.1016/j.nedt.2016.03.006
  25. Kang HS, Lee SY. The relationship among subjective health status, social support and health promoting behavior: focusing small manufacturing male workers. Journal of Wellness. 2017;12(4):413-421. https://doi.org/10.21097/ksw.2017.11.12.4.413
  26. Muller R, Peter C, Cieza A, Geyh S. The role of social support and social skills in people with spinal cord injury--a systematic review of the literature. Spinal Cord. 2012;50(2):94-106. https://doi.org/10.1038/sc.2011.116
  27. Yoo KH. A mediator effect of social support in the association between stress for college life and depression among nursing students. The Journal of Korean Academic Society of Nursing Education. 2019;25(1):125-135. https://doi.org/10.5977/jkasne.2019.25.1.125
  28. Labrague LJ, De Los Santos JAA. COVID-19 anxiety among front-line nurses: predictive role of organisational support, personal resilience and social support. Journal of Nursing Management. 2020;28(7):1653-1661. https://doi.org/10.1111/jonm.13121
  29. Choi MK. The effect of social support on adolescents' school-related adjustments: the mediation effect of life satisfaction. Family and Environment Research. 2014;52(6):651-668. https://doi.org/10.6115/fer.2014.055
  30. Kim HS, Youn GH. The mediating effect of extracurricular activity commitment in the influence of social support and achievement goal orientation on school adjustment for the adolescents. Korean Journal of Youth Studies. 2017;24(1):285-305. https://doi.org/10.21509/KJYS.2017.01.24.1.285