DOI QR코드

DOI QR Code

The relationships of perceived susceptibility, perceived severity, and subjective norms with COVID-19 preventive behaviors: a secondary data analysis comparing adolescents and emerging adults in South Korea

  • Sunhee Park (College of Nursing, Hanyang University) ;
  • Sumi Oh (College of Nursing.Health and Nursing Research Institute, Jeju National University)
  • Received : 2023.01.05
  • Accepted : 2023.03.29
  • Published : 2023.04.30

Abstract

Purpose: Based on the health belief model and theory of planned behavior, this study investigated how age group (adolescence and emerging adulthood) moderated the relative effects of perceived susceptibility, perceived severity, and subjective norms on preventive behavior against coronavirus disease 2019 (COVID-19). Methods: This secondary data analysis utilized data from adolescents (n=272) and emerging adults (n=239). Hierarchical multiple regression analysis was performed to test the moderating effect of age group on the relationships among variables. Results: Higher perceived susceptibility (β=.21, p<.001), perceived severity (β=.14, p=.002), subjective norms (friends) (β=.26, p<.001), subjective norms (parents) (β=.44, p<.001), and subjective norms (schools) (β=.28, p<.001) enhanced COVID-19 preventive behaviors. Moderated regression analysis showed that subjective norms (friends and school) impacted preventive behavior in adolescents more than in emerging adults. Conclusion: Given the need to increase perceived susceptibility and severity among adolescents and emerging adults, these findings provide baseline data for designing effective COVID-19 prevention interventions that consider the developmental characteristics of different age groups. Interventions by health centers at universities can strengthen COVID-19 preventive behavior among emerging adults. As adolescents are influenced by friends, their peer roles must be strengthened to enhance adherence to COVID-19 preventive guidelines.

Keywords

Acknowledgement

This study was supported by the research fund of Jeju National University in 2022.

References

  1. World Health Organization (WHO). WHO coronavirus (COVID19) dashboard [Internet]. WHO; 2022 [cited 2022 November 1]. Available from: https://covid19.who.int/
  2. World Health Organization (WHO). Weekly epidemiological update - 1 December 2020 [Internet]. WHO; 2020 [cited 2021 January 12]. Available from: https://www.who.int/publications/m/item/weekly-epidemiological-update---1-december-2020
  3. Dong Y, Mo X, Hu Y, Qi X, Jiang F, Jiang Z, et al. Epidemiology of COVID-19 among children in China. Pediatrics. 2020;145(6):e20200702. https://doi.org/10.1542/peds.2020-0702
  4. World Health Organization (WHO). Advice on the use of masks in the context of COVID-19: interim guidance, 6 April 2020 [Internet]. WHO; 2020 [cited 2022 October 1]. Available from: https://apps.who.int/iris/handle/10665/331693
  5. Steinberg L. A social neuroscience perspective on adolescent risk-taking. Developmental Review. 2008;28(1):78-106. https://doi.org/10.1016/j.dr.2007.08.002
  6. Arnett JJ. Emerging adulthood: what is it, and what is it good for? Child Development Perspectives. 2007;1(2):68-73. https://doi.org/10.1111/j.1750-8606.2007.00016.x
  7. Gonzalez-Herrera A, Rodriguez-Blazquez C, Romay-Barja M, Falcon-Romero M, Ayala A, Forjaz MJ. Age differences in knowledge, attitudes and preventive practices during the COVID-19 pandemic in Spain. Scientific Reports. 2022;12(1):20863. https://doi.org/10.1038/s41598-022-25353-5
  8. Champion VL, Skinner CS. The health belief model. In: Glanz K, Rimer BK, Viswanath K, Editors. Health behavior and health education: theory, research, and practice. 4th ed. Jossey-Bass; 2008. p. 45-65.
  9. Ajzen I, Madden TJ. Prediction of goal-directed behavior: attitudes, intentions, and perceived behavioral control. Journal of Experimental Social Psychology. 1986;22(5):453-474. https://doi.org/10.1016/0022-1031(86)90045-4
  10. Guidry JPD, Laestadius LI, Vraga EK, Miller CA, Perrin PB, Burton CW, et al. Willingness to get the COVID-19 vaccine with and without emergency use authorization. American Journal of Infection Control. 2021;49(2):137-142. https://doi.org/10.1016/j.ajic.2020.11.018
  11. Duell N, Steinberg L. Positive risk taking in adolescence. Child Development Perspectives. 2019;13(1):48-52. https://doi.org/10.1111/cdep.12310
  12. Millstein SG, Halpern-Felsher BL. Perceptions of risk and vulnerability. Journal of Adolescent Health. 2002;31(1 Suppl):10-27. https://doi.org/10.1016/s1054-139x(02)00412-3
  13. Galvan A. The teenage brain: sensitivity to rewards. Current Directions in Psychological Science. 2013;22(2):88-93. https://doi.org/10.1177/0963721413480859
  14. Bechard LE, Bergelt M, Neudorf B, DeSouza TC, Middleton LE. Using the health belief model to understand age differences in perceptions and responses to the COVID-19 pandemic. Frontiers in Psychology. 2021;12:609893. https://doi.org/10.3389/fpsyg.2021.609893
  15. Bronfman NC, Repetto PB, Cisternas PC, Castaneda JV. Factors influencing the adoption of COVID-19 preventive behaviors in Chile. Sustainability. 2021;13(10):5331. https://doi.org/10.3390/su13105331
  16. Shubayr MA, Mashyakhy M, Al Agili DE, Albar N, Quadri MF. Factors associated with infection-control behavior of dental healthcare workers during the COVID-19 pandemic: a cross-sectional study applying the theory of planned behavior. Journal of Multidisciplinary Healthcare. 2020;13:1527-1535. https://doi.org/10.2147/jmdh.s278078
  17. Aschwanden D, Strickhouser JE, Sesker AA, Lee JH, Luchetti M, Terracciano A, et al. Preventive behaviors during the COVID-19 pandemic: associations with perceived behavioral control, attitudes, and subjective norm. Frontiers in Public Health. 2021;9:662835. https://doi.org/10.3389/fpubh.2021.662835
  18. Park S, Oh S. Factors associated with preventive behaviors for COVID-19 among adolescents in South Korea. Journal of Pediatric Nursing. 2022;62:e69-e76. https://doi.org/10.1016/j.pedn.2021.07.006
  19. Park S, Kim B, Kim KA. Preventive behavioral insights for emerging adults: a survey during the COVID-19 pandemic. International Journal of Environmental Research and Public Health. 2021;18(5):2569. https://doi.org/10.3390/ijerph18052569
  20. Tripathy JP. Secondary data analysis: ethical issues and challenges. Iranian Journal of Public Health. 2013;42(12):1478-1479.
  21. von Elm E, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbroucke JP; STROBE Initiative. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. PLoS Medicine. 2007;4(10):e296. https://doi.org/10.1371/journal.pmed.0040296
  22. Choi JS, Ha JY, Lee JS, Lee YT, Jeong SU, Shin DJ, et al. Factors affecting MERS-related health behaviors among male high school students. Journal of the Korean Society of School Health. 2015; 28(3):150-157. https://doi.org/10.15434/kssh.2015.28.3.150
  23. Sharifirad G, Yarmohammadi P, Sharifabad MA, Rahaei Z. Determination of preventive behaviors for pandemic influenza A/H1N1 based on protection motivation theory among female high school students in Isfahan, Iran. Journal of Education and Health Promotion. 2014;3:7. https://doi.org/10.4103/2277-9531.127556
  24. Ahmadi Jouybari T, Hatamzadeh N, Fattahi M, Gharibnavaz H, Khashij S, Mahboubi M. Cognitive determinants of influenza preventive behaviors among students: an application of the health belief model (HBM). International Journal of Pediatrics. 2018;6(6):7833-7841. https://doi.org/10.22038/ijp.2017.27726.2399
  25. Central Disaster and Safety Countermeasure Headquarters. Basic guidelines for distancing in daily life [Internet]. Ministry of the Interior and Safety; 2020 [cited 2022 September 1]. Available from: https://www.mois.go.kr/frt/bbs/type001/commonSelectBoardArticle.do?bbsId=BBSMSTR_000000000012&nttId=78178
  26. Li F, Liang W, Rhodes RE, Duan Y, Wang X, Shang B, et al. A systematic review and meta-analysis on the preventive behaviors in response to the COVID-19 pandemic among children and adolescents. BMC Public Health. 2022;22(1):1201. https://doi.org/10.1186/s12889-022-13585-z
  27. Hohman ZP, Crano WD, Siegel JT, Alvaro EM. Attitude ambivalence, friend norms, and adolescent drug use. Prevention Science. 2014;15(1);65-74. https://doi.org/10.1007/s11121-013-0368-8
  28. Shartle K. Do high school friends still matter for health behavior in adulthood? Variations in smoking trajectories by adolescent peer smoking networks, race/ethnicity, and gender. SSM - Population Health. 2021;16:100925. https://doi.org/10.1016/j.ssmph.2021.100925
  29. Limbu YB, Gautam RK, Pham L. The health belief model applied to COVID-19 vaccine hesitancy: a systematic review. Vaccines. 2022;10(6):973. https://doi.org/10.3390/vaccines10060973
  30. Fathian-Dastgerdi Z, Khoshgoftar M, Tavakoli B, Jaleh M. Factors associated with preventive behaviors of COVID-19 among adolescents: applying the health belief model. Research in Social & Administrative Pharmacy. 2021;17(10):1786-1790. https://doi.org/10.1016/j.sapharm.2021.01.014
  31. Janssens JJ, Achterhof R, Lafit G, Bamps E, Hagemann N, Hiekkaranta AP, et al. The impact of COVID-19 on adolescents' daily lives: the role of parent-child relationship quality. Journal of Research on Adolescence. 2021;31(3):623-644. https://doi.org/10.1111/jora.12657