Volume 10, Issue 4 (2022)                   Health Educ Health Promot 2022, 10(4): 665-672 | Back to browse issues page

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Yasamani K, Khalkhali H, Farrokh Eslamlou H, Didarloo A. Determinants of COVID-19 Preventive Behaviors among Women of Reproductive Age in Urmia using a Behavioral Change Model in 2021. Health Educ Health Promot 2022; 10 (4) :665-672
URL: http://hehp.modares.ac.ir/article-5-59074-en.html
1- Department of Public Health, School of Health, Urmia University of Medical Sciences, Urmia, Iran
2- Department of Epidemiology and Biostatistics, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran
Abstract:   (557 Views)
Aims: The present study aimed to investigate the determinants of COVID-19 preventive behaviors among women of reproductive age in Urmia using a behavioral change model.
Instrument & Methods: The present descriptive-analytical study examined 400 women selected by the snowball and convenience sampling method. Data were collected using a valid and reliable electronic researcher-made questionnaire consisting of four sections (demographic characteristics, knowledge, model constructs, and preventive behaviors) and analyzed by the descriptive and inferential statistical methods by SPSS 16.
Findings: There was a positive correlation between COVID-19 preventive behaviors with self-efficacy (p<0.001, r=0.68), knowledge (r<0.26, p<0.001), cues to action (p<0.001, r=0.29), perceived benefits (p<0.001, r=0.43), perceived susceptibility (p=0.002, r=0.15), and  perceived severity (p<0.001, r=0.20), and a negative and significant correlation with perceived barriers (p<0.001, r=-0.32). The constructs of the health belief model predicted 50% of the variance of preventive behaviors, and the self-efficacy construct (p<0.001, β=0.5388) was the strongest predictor.
Conclusion: Given the effective role of the research model in explaining the determinants of the COVID-19 preventive behaviors, the health belief model (HBM) and effective constructs can be used in educational planning and interventions.
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Article Type: Descriptive & Survey | Subject: Health Education and Health Behavior
Received: 2022/01/27 | Accepted: 2022/07/25 | Published: 2022/09/17
* Corresponding Author Address: School of Public Health, Urmia University of Medical Sciences, Urmia, Iran. Postal Code: - (adidarloo@yahoo.com)

1. Zorriehzahra M J, Dadar M, Ziarati M, Seidgar M, Hassantabar F, Rashidi Monfared S, et al. A perspective on the origin of COVID-19 and its epidemic situation in Iran and the world. J Mar Med. 2020;2(1):41-52. [Link]
2. Khazaee-Pool M, Shahrvsand S, Naghibi SA. Predicting COVID-19 preventive behaviors based on health belief model: an internet-based study in Mazandaran province, Iran. J Mazandaran Univ Med Sci. 2020;30(190):56-66. [Link]
3. Worldometer. WHO: Novel Coronavirus [Internet]. Worldometer; 2021 [cited 2022 Jan 1]. Available from: https://www.worldometers.info/coronavirus/who-coronavirus/ [Link]
4. Jafari S, Farshid R, Jabbari L. Thematic analysis of COVID-19 studies in five large continents. Scientometr Res J. 2020;6(11):277-97. [Persian] [Link]
5. Jalali Farahani A, Ashourzadeh Fallah S, Khashei Z, Heidarzadeh F, Sadeghi F, Masoudi P, et al. Available effective vaccines in preventing COVID-19: a narrative review. J Mar Med. 2021;3(4):153-62. [Persian] [Link]
6. Farnoosh G, Alishiri G, Hosseini Zijoud SR, Dorostkar R, Jalali Farahani A. Understanding the severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2) and Coronavirus disease (COVID-19) based on available evidence-a narrative review. J Mil Med. 2020;22(1):1-11. [Persian] [Link]
7. Lin CY, Imani V, Majd NR, Ghasemi Z, Griffiths MD, Hamilton K, et al. Using an integrated social cognition model to predict COVID‐19 preventive behavior. Br J Health Psychol. 2020;25(4):981-1005. [Link] [DOI:10.1111/bjhp.12465]
8. Bagheri Lankarani K, Khayamzadeh M. Points for improving the COVID-19 national control program. 2021;5(2):143-51. [Persian] [Link]
9. Thoma V, Weiss-Cohen L, Filkuková P, Ayton P. Cognitive predictors of precautionary behavior during the COVID-19 pandemic. Front Psychol. 2021;12:325. [Link] [DOI:10.3389/fpsyg.2021.589800]
10. Sadeghi R, Mazloomy S, Hashemi M, Rezaeian M. The effects of an educational intervention based on the health belief model to enhance HIV-preventive behaviors among male barbers in Sirjan. J Rafsanjan Univ Med Sci. 2016;15(3):235-46. [Persian] [Link]
11. Mehanna A, Elhadi YAM, Lucero-Prisno DE. Factors influencing intention to adhere to precautionary behavior in times of COVID-19 pandemic in Sudan: an application of the health belief model. medRxiv. 2020 June. [Link] [DOI:10.1101/2020.12.25.20248859]
12. Khafaei M, Mahjoub B, Mojaddam M. Evaluation of preventive behaviors of Corona Virus (COVID-2019) among family health ambassadors of Ahvaz Jundishapur university of medical sciences in 2020 using the health belief model. Jundishapur Sci Med J. 2021;20(2):150-61. [Persian] [Link] [DOI:10.32598/JSMJ.20.2.7]
13. Mirhossieni Z. Qualitative evaluation of women's problems and life challenges during the COVID-19 pandemic. Soc Probl Iran. 2021;12(1):197-219. [Persian] [Link]
14. Taghizadeh Z, Ebadi A, Montazeri A, Shahvari Z, Tavousi M, Bagherzadeh R. Psychometric properties of health-related measures, part 1: translation, development, content, and face validity. PAYESH. 2017;16(3):343-57. [Persian] [Link]
15. Albaqawi HM, Alquwez N, Balay-Odao E, Bajet JB, Alabdulaziz H, Alsolami F, et al. Nursing students' perceptions, knowledge, and preventive behaviors toward COVID-19: a multi-university study. Front Public Health. 2020;8:573390. [Link] [DOI:10.3389/fpubh.2020.573390]
16. Syed Anwar Aly SA, Abdul Rahman R, Sharip S, Shah SA, Abdullah Mahdy Z, Kalok A. Pregnancy and COVID-19 pandemic perception in Malaysia: a cross-sectional study. Intl J Environ Res Public Health. 2021;18(11):5762. [Link] [DOI:10.3390/ijerph18115762]
17. Marschalko EE, Kotta I, Kalcza-Janosi K, Szabo K, Jancso-Farcas S. Psychological predictors of COVID-19 prevention behavior in Hungarian women across different generations. Front Psychol. 2021;12:596543. [Link] [DOI:10.3389/fpsyg.2021.596543]
18. Pinchoff J, Santhya KG, White C, Rampal S, Acharya R, Ngo TD. Gender-specific differences in COVID-19 knowledge, behavior and health effects among adolescents and young adults in Uttar Pradesh and Bihar, India. PloS One. 2020;15(12):e0244053. [Link] [DOI:10.1371/journal.pone.0244053]
19. Yue C, Liu C, Wang J, Zhang M, Wu H, Li C, et al. Association between social support and anxiety among pregnant women in the third trimester during the coronavirus disease 2019 (COVID-19) epidemic in Qingdao, China: the mediating effect of risk perception. Int J Soc Psychiatry. 2021;67(2):120-7. [Link] [DOI:10.1177/0020764020941567]
20. Anderson KM, Stockman JK. Staying home, distancing, and face masks: COVID-19 prevention among U.S. women in The COPE study. Int J Environ Res Public Health. 2021;18(1):180. [Link] [DOI:10.3390/ijerph18010180]
21. Tadesse T, Alemu T, Amogne G, Endazenaw G, Mamo E. Predictors of Coronavirus disease 2019 (COVID-19) prevention practices using health belief model among employees in Addis Ababa, Ethiopia, 2020. Infect Drug Resist. 2020;13:3751-61. [Link] [DOI:10.2147/IDR.S275933]
22. Rattay P, Michalski N, Domanska OM, Kaltwasser A, de Bock F, Wieler LH, et al. Differences in risk perception, knowledge and protective behavior regarding COVID-19 by education level among women and men in Germany. Results from the COVID-19 snapshot monitoring (COSMO) study. Plos One. 2021;16(5):e0251694. [Link] [DOI:10.1371/journal.pone.0251694]
23. Yassa M, Birol P, Yirmibes C, Usta C, Haydar A, Yassa A, et al. Near-term pregnant women's attitude toward, concern about, and knowledge of the COVID-19 pandemic. J Matern Fetal Neonat Med. 2020;33(22):3827-34. [Link] [DOI:10.1080/14767058.2020.1763947]
24. Mo PKH, Fong VWI, Song B, Di J, Wang Q, Wang L. Association of perceived threat, negative emotions, and self-efficacy with mental health and personal protective behavior among chinese pregnant women during the COVID-19 pandemic: cross-sectional survey study. J Med Internet Res. 2021;23(4):e24053. [Link] [DOI:10.2196/24053]
25. Smail E, Schneider KE, DeLong SM, Willis K, Arrington-Sanders R, Yang C, et al. Health beliefs and preventive behaviors among adults during the early COVID-19 pandemic in the United States: a latent class analysis. Prevent Sci. 2021;22(8):1013-22. [Link] [DOI:10.1007/s11121-021-01273-0]
26. Sim SW, Moey KSP, Tan NC. The use of facemasks to prevent respiratory infection: a literature review in the context of the health belief model. Singapore Med J. 2014;55(3):160-7. [Link] [DOI:10.11622/smedj.2014037]
27. Badr H, Oluyomi A, Woodard L, Zhang X, Raza SA, Fahmideh MA, et al. Sociodemographic and Health Belief Model Factors Associated with Nonadherence to COVID-19 Mitigation Strategies in the United States. Ann Behav Med. 2021;55(7):677-85. [Link] [DOI:10.1093/abm/kaab038]
28. Hashemi M, Sadeghi R, Shamsi M. An investigation of educational intervention impact on pregnant women for promoting preventive behaviors of influenza H1N1: using health belief model. KOOMESH. 2017;19(3):603-10. [Persian] [Link]
29. Lin Y, Hu Z, Alias H, Wong LP. Influence of mass and social media on psychobehavioral responses among medical students during the downward trend of COVID-19 in Fujian, China: a cross-sectional study. J Med Internet Res. 2020;22(7):e19982. [Link] [DOI:10.2196/19982]
30. Shewasinad Yehualashet S, Asefa KK, Mekonnen AG, Gemeda BN, Shiferaw WS, Aynalem YA, et al. Predictors of adherence to COVID-19 prevention measure among communities in North Shoa Zone, Ethiopia based on health belief model: a cross-sectional study. PLoS One. 2021;16(1):e0246006. [Link] [DOI:10.1371/journal.pone.0246006]
31. Jose R, Narendran M, Bindu A, Beevi N, Manju L, Benny P. Public perception and preparedness for the pandemic COVID-19: a health belief model approach. Clin Epidemiol Glob Health. 2021;9:41-6. [Link] [DOI:10.1016/j.cegh.2020.06.009]
32. Shahnazi H, Ahmadi-Livani M, Pahlavanzadeh B, Rajabi A, Hamrah MS, Charkazi A. Assessing preventive health behaviors from COVID-19: a cross-sectional study with health belief model in Golestan province, northern of Iran. Infect Dis Poverty. 2020;9(1):157. [Link] [DOI:10.1186/s40249-020-00776-2]
33. Mahase E. Novel Coronavirus: Australian GPs raise concerns about the shortage of face masks. Br Med J; 2020;368:m477. [Link] [DOI:10.1136/bmj.m477]
34. Wahyuni S, Rahayu T. Self efficacy of pregnant women in areas affected by COVID-19. Enfermería Clínica. 2021;31(S4):601-4. [Link] [DOI:10.1016/j.enfcli.2021.04.021]
35. Pellymonter K, Butler A, Dethlefs T. Predicting COVID-19 health behaviors using the health belief model. 2020;22. [Link]
36. Delshad Noghabi A, Yoshany N, Mohammadzadeh F, Javanbakht S. Predictors of COVID-19 preventive behaviors in Iranian population over 15 years old: an application of health belief model. J Mazandaran Univ Med Sci. 2020;30(191):13-21. [Persian] [Link]
37. Mirzaei A, Kazembeigi F, Kakaei H, Jalilian M, Mazloomi S, Nourmoradi H. Application of health belief model to predict COVID-19-preventive behaviors among a sample of Iranian adult population. J Educ Health Promot. 2021;10(69). [Link] [DOI:10.4103/jehp.jehp_747_20]

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