Volume 8, Issue 3 (September 2021)                   J Educ Community Health 2021, 8(3): 165-172 | Back to browse issues page

Ethics code: IR.UMSHA.REC.1399.251

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Shirahmadi S, Bashirian S, Barati M, Jenabi E, Haghighi M, Shamsaei F, et al . Fear and COVID-19 Protective Behaviors among High School Students in Hamadan, Iran; Application of an Extended Parallel Process Model. J Educ Community Health. 2021; 8 (3) :165-172
URL: http://jech.umsha.ac.ir/article-1-1409-en.html
1- Department of Community Oral Health, School of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran
2- Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
3- Autism Spectrum Disorders Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
4- Department of Psychiatry, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
5- Department of Nursing, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
6- Department of Ergonomics, School of Health, Hamadan University of Medical Sciences, Hamadan, Iran
7- Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran , salmankhazaei61@gmail.com
8- Office of Vice-Chancellor for Research and Technology, Hamadan University of Medical Sciences, Hamadan, Iran
9- State Office of Education in Hamadan, Hamadan, Iran
Abstract:   (704 Views)
Aims: Throughout the ongoing COVID-19 pandemic, the role of students in transmitting the infection has received special attention aiming at protecting the younger generation against COVID-19 and other known respiratory diseases. This research aimed to specify factors related to Covid-19 preventing behaviors in high school students.
Instrument & Methods: This cross-sectional study was conducted on 2852 students aged 13 to 18 in Hamadan in 2020. Participants were selected using the multistage cluster sampling method. The data were collected with a researcher-made EPPM questionnaire. Data were analyzed statistically by Stata 14.2 software using the Chi-square and Fisher's exact tests.
Findings: The vast majority of students (67.02%) were in the danger control response phase. The response efficacy (77.3%) and perceived efficacy (75.3%) had the highest percentage of the mean from the maximum obtainable score among constructs of the model. There was a significant difference between categories of the EPPM model with doing healthy behaviors. Moreover, the proportion of doing health behaviors was significantly higher in students in the danger control phase.
Conclusion: The predominance of the perceived threat of COVID-19 on the perceived efficacy affects preventive health behaviors. Therefore, a theory-based behavioral modification program can be developed based on gender among high school students. Higher grade students and poor socioeconomic status require intense educational interventions to modify their hygienic behaviors.
Full-Text [PDF 577 kb]   (374 Downloads)    
Type of Study: Research Article | Subject: General
Received: 2020/12/14 | Accepted: 2021/02/22

1. Lai CC, Shih TP, Ko WC, Tang HJ, Hsueh PR. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): The epidemic and the challenges. Int J Antimicrob Agents. 2020;55(3):105924. [PubMed]
2. World health organization. COVID-19 Coronavirus pandemic [Internet]. Geneva: World Health Organization; 2021 [cited 2021 Feb 3]. Available from: https://ftp.worldometers.info/coronavirus/. [Full text]
3. Chen X, Ran L, Liu Q, Hu Q, Du X, Tan X. Hand hygiene, mask-wearing behaviors and its associated factors during the COVID-19 epidemic: A cross-sectional study among primary school students in Wuhan, China. Int J Environ Res Public Health. 2020;17(8):2893. [Full text]
4. Patel A, Jernigan DB. Initial public health response and interim clinical guidance for the 2019 novel coronavirus outbreak—United States, December 31, 2019–February 4, 2020. Morb Mortal Wkly Rep. 2020;69(5):140-6. [PubMed]
5. Lee PI, Hu YL, Chen PY, Huang YC, Hsueh PR. Are children less susceptible to COVID-19. J Microbiol Immunol Infect. 2020;53(3):371-2. [PubMed]
6. European centre for disease prevention and control. COVID-19 in children and the role of school settings in transmission [Internet]. Stockholm: European Centre for Disease Prevention and Control; 2020 [cited 2020 Nov 20]. Available from: https://www.ecdc.europa.eu/en/publications-data/children-and-school-settings-covid-19-transmission. [Full text]
7. Leidman E, Duca LM, Omura JD, Proia K, Stephens JW, Sauber-Schatz EK. COVID-19 trends among persons aged 0–24 years—united states, march 1–December 12, 2020. Morb Mortal Wkly Rep. 2021;70(3):88-94. [Full text]
8. Bazargan M, Amirfakhriyan M. Geographical analysis of COVID-19 epidemiology in Iran with exploratory spatial data analysis approach (ESDA). J Mil Med. 2020;22(6):542-52. [Persian] [Full text]
9. Mossong J, Hens N, Jit M, Beutels P, Auranen K, Mikolajczyk R, et al. Social contacts and mixing patterns relevant to the spread of infectious diseases. PLos Med. 2008;5(3):74. [PubMed]
10. Stage HB, Shingleton J, Ghosh S, Scarabel F, Pellis L, Finnie T. Shut and reopen: The role of schools in the spread of COVID-19 in Europe. Phil Trans R Soc. 2021;376:1-11. [Full text]
11. Witte K. Fear control and danger control: A test of the extended parallel process model (EPPM). Commun Monogr. 1994;61(2):113-34. [Full text]
12. Kok G, Peters GJY, Kessels LT, Ten Hoor GA, Ruiter RA. Ignoring theory and misinterpreting evidence: The false belief in fear appeals. Health Psychol Rev. 2018;12(2):111-25. [PubMed]
13. Lithopoulos A, Liu S, Zhang C-Q, Rhodes RE. Predicting physical distancing in the context of COVID-19: A test of the extended parallel process model among Canadian adults. Can Psychol. 2021;62(1):56-64. [Full text]
14. Shirahmadi S, Khazaei S, Bashirian S, Miresmaeili AF, Bayat Z, Houshmand B, et al. Fear control and danger control amid COVID-19 dental crisis: Application of the extended parallel process model. PLos One. 2020;15(8):0237490. [PubMed]
15. 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;20:1571. [Full text]
16. Khazaei S, Bashirian S, Jenabi E, Barati M, Karimi-Shahanjarini A, Moeini B, et al. COVID-19 preventive behaviors and its related beliefs among health workers: The role of threat and coping appraisals. J Educ Community Health. 2020;7(3):221-7. [Persian] [Full text]
17. Pourhoseingholi MA, Vahedi M, Rahimzadeh M. Sample size calculation in medical studies. Gastroenterol Hepatol Bed Bench. 2013;6(1):14-7. [PubMed]
18. Jahangiry L, Sarbakh P, Reihani P, Samei S, Sohrabi Z, Tavousi M, et al. Developing and validating the risk perceptions questionnaire for COVID-19 (risk precept COVID-19): An application of the extended parallel process model. Res Sq. 2020 May:1-14. [Full text]
19. Witte K. Predicting risk behaviors: Development and validation of a diagnostic scale. J Health Commun. 1996;1(4):317-41. [PubMed]
20. Townsend J, Greenland K, Curtis V. Costs of diarrhoea and acute respiratory infection attributable to not handwashing: The cases of India and China. Trop Med Int Health. 2017;22(1):74-81. [PubMed]
21. Bliss C, Musikanski L, Phillips R, Davidson L. When will the pandemic end? suggestions for us communities to manage well-being in the face of COVID-19. Int J Community Well Being. 2020 Aug:1-15. [PubMed]
22. Lau JTF, Griffiths S, Choi KC, Lin C. Prevalence of preventive behaviors and associated factors during early phase of the H1N1 influenza epidemic. Am J Infect Control. 2010;38(5):374-80. [PubMed]
23. Tang CSK, Wong CY. Factors influencing the wearing of facemasks to prevent the severe acute respiratory syndrome among adult Chinese in Hong Kong. Prev Med. 2004;39(6):1187-93. [PubMed]
24. Fischetti F, Latino F, Cataldi S, Greco G. Gender differences in body image dissatisfaction: The role of physical education and sport. J Hum Sport Exerc. 2020;15(2):241-50. [Full text]
25. Katsumi Y, Kim S, Sung K, Dolcos F, Dolcos S. When nonverbal greetings make it or break it: The role of ethnicity and gender in the effect of handshake on social appraisals. J Nonverbal Behav. 2017;41(4):345-65. [Full text]
26. Patel AR, Zaslow TL, Wren TA, Daoud AK, Campbell K, Nagle K, et al. A characterization of sun protection attitudes and behaviors among children and adolescents in the United States. Prev Med Rep. 2019;16:100988. [PubMed]
27. Herzhoff K, Kushner SC, Tackett JL. Personality development in childhood. In: Specht J. Personality development across the lifespan. Cambridge: Elsevier Academic Press; 2017. [Full text]
28. Doyle O. COVID-19: Exacerbating educational inequalities. Public Policy. 2020 April:1-10. [Full text]
29. Bashirian S, Khazaie S, Barati M, Jenabi E, Soltanian A, Shirahmadi S, et al. COVID-19 prevention behaviors among health staff: Data from a large survey in the west of Iran. J Res Health Sci.2021;21(1):00509. [PubMed]

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