Journal of Korean Biological Nursing Science

Korean society of Biological Nursing Science (한국기초간호학회)
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Impact of COVID-19-related concerns and depression on handwashing practice among community-dwelling older adults: a secondary analysis of the 2020 Korea Community Health Survey

지역사회 거주 노인의 COVID-19 관련 염려와 우울이 손 씻기 수행도에 미치는 영향: 2020년 지역사회건강조사

  • Suyoung Choi (College of Nursing, Health and Nursing Research Institute, Jeju National University) ;
  • Jung Jae Lee (School of Nursing, University of Hong Kong) ;
  • Moonju Lee (School of Nursing, UT Health San Antonio) ;
  • Jeong Yun Park (Department of Clinical Nursing, University of Ulsan) ;
  • Yong Taek Yoon (Department of Philosophy, College of Humanities, Jeju National University) ;
  • Hyo Jeong Song (College of Nursing, Health and Nursing Research Institute, Jeju National University)
  • Received : 2024.01.20
  • Accepted : 2024.02.13
  • Published : 2024.02.28
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Abstract

Purpose: This study investigated hand-washing practice among community-dwelling older adults during the coronavirus disease 2019 (COVID-19) pandemic and aimed to identify the impact of COVID-19-related concerns and depression on hand-washing practice. Methods: This was a secondary analysis of data extracted from the 2020 Community Health Survey. The primary data were collected through self-reporting from August 10 to September 8, 2020 in a cross-sectional study. The subjects comprised of 1,350 adults aged 65 or older living in Jeju Province who participated in the 2020 Community Health Survey. Results: The factors affecting hand-washing practice among older adults were male older adults (β = -.18, p < .001), age (β = -.07, p = .001), no education (β = -.20, p < .001) and elementary, middle, and high school graduation (β = -.15, p < .001) compared to a college or higher education, poor health perception (β = -.13, p < .001), COVID-19-related concerns (β = .08, p = .005), and depression (β = -.07, p = .001). To summarize, the factors negatively affecting hand-washing practice included male gender, lower education level, poor health perception, and depression. In contrast, factors positively associated with hand-washing practice included COVID-19-related concerns. Conclusion: These findings show the importance of considering these multifaceted determinants when designing targeted interventions and educational programs to promote hand-washing among older adults. Additionally, based on the relationship between hand-washing practice and COVID-19-related concerns and depression, interventions that can alleviate mental problems along with providing proper education are required.

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