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Abstract：
The study investigated the level of behavioral intention to consult doctors for flu symptoms (BICDFS) during the Coronavirus Disease 2019 (COVID-19) pandemic and examined its associations with illness representations of COVID-19 and fear of COVID-19 during clinic visits in a general Chinese adult population.
A random telephone survey was conducted among 300 residents in Hong Kong, China in April 2020 when the second wave of COVID-19 was just ended in the region. The participants were asked about their intention to consult doctors if they had mild or severe flu symptoms in the next week (from 1 = definitely no to 5 = definitely yes). Illness representations of COVID-19 were measured by the Chinese version of the Brief Illness Perception Questionnaire (BIPQ). The fear of COVID-19 during clinic visits were assessed by two single items. Linear regression adjusted for background variables and hierarchical strategies were employed.
Of the participants, 52.3 and 92.0% showed an intention to consult doctors for mild and severe flu symptoms, respectively. Adjusted for background factors, COVID-19-related cognitive representations (consequences: standardized b = 0.15, p = 0.010; understanding: standardized b = 0.21, p = 0.001) and emotional representations (concern: standardized b = 0.17, p = 0.001; negative emotions: standardized b = 0.19, p = 0.001) were positively associated with BICDFS. In the hierarchical model, independent significant factors of BICDFS included understanding (standardized b = 0.16, p = 0.013) and negative emotions (standardized b = 0.17, p = 0.008). The fear-related variables showed non-significant associations with the BICDFS.
Promotion of care-seeking behaviors for flu symptoms during the COVID-19 pandemic should consider improving people\'s understanding of COVID-19 and providing advice on related coping strategies for emotional responses to COVID-19.
A random telephone survey was conducted among 300 residents in Hong Kong, China in April 2020 when the second wave of COVID-19 was just ended in the region. The participants were asked about their intention to consult doctors if they had mild or severe flu symptoms in the next week (from 1 = definitely no to 5 = definitely yes). Illness representations of COVID-19 were measured by the Chinese version of the Brief Illness Perception Questionnaire (BIPQ). The fear of COVID-19 during clinic visits were assessed by two single items. Linear regression adjusted for background variables and hierarchical strategies were employed.
Of the participants, 52.3 and 92.0% showed an intention to consult doctors for mild and severe flu symptoms, respectively. Adjusted for background factors, COVID-19-related cognitive representations (consequences: standardized b = 0.15, p = 0.010; understanding: standardized b = 0.21, p = 0.001) and emotional representations (concern: standardized b = 0.17, p = 0.001; negative emotions: standardized b = 0.19, p = 0.001) were positively associated with BICDFS. In the hierarchical model, independent significant factors of BICDFS included understanding (standardized b = 0.16, p = 0.013) and negative emotions (standardized b = 0.17, p = 0.008). The fear-related variables showed non-significant associations with the BICDFS.
Promotion of care-seeking behaviors for flu symptoms during the COVID-19 pandemic should consider improving people\'s understanding of COVID-19 and providing advice on related coping strategies for emotional responses to COVID-19.
摘要：
该研究调查了在2019年冠状病毒病（COVID-19）大流行期间向医生咨询流感症状（BICDFS）的行为意愿水平，并检查了其与COVID-19的疾病表现和对COVID-19的恐惧的关系。
对香港300名居民进行了随机电话调查，中国在2020年4月，当时第二波COVID-19刚刚在该地区结束。参与者被问及他们打算咨询医生，如果他们在下周有轻微或严重的流感症状（从1=绝对不是到5=绝对是）。COVID-19的疾病表征是通过中文版的简要疾病感知问卷（BIPQ）进行测量的。在门诊就诊期间对COVID-19的恐惧由两个单一项目进行评估。采用针对背景变量和分层策略进行调整的线性回归。
参与者中,52.3和92.0％的人表示有意向医生咨询轻度和重度流感症状，分别。根据背景因素进行了调整，与COVID-19相关的认知表征（后果：标准化b=0.15，p=0.010；理解：标准化b=0.21，p=0.001）和情绪表征（关注：标准化b=0.17，p=0.001；负面情绪：标准化b=0.19，p=0.001）与BICDFS呈正相关。在分层模型中，BICDFS的独立显著因素包括理解(标准化b=0.16,p=0.013)和负面情绪(标准化b=0.17,p=0.008)。恐惧相关变量与BICDFS无显著关联。
在COVID-19大流行期间，针对流感症状的寻求护理行为的推广应考虑提高人们对COVID-19的认识，并就对COVID-19的情绪反应的相关应对策略提供建议。
对香港300名居民进行了随机电话调查，中国在2020年4月，当时第二波COVID-19刚刚在该地区结束。参与者被问及他们打算咨询医生，如果他们在下周有轻微或严重的流感症状（从1=绝对不是到5=绝对是）。COVID-19的疾病表征是通过中文版的简要疾病感知问卷（BIPQ）进行测量的。在门诊就诊期间对COVID-19的恐惧由两个单一项目进行评估。采用针对背景变量和分层策略进行调整的线性回归。
参与者中,52.3和92.0％的人表示有意向医生咨询轻度和重度流感症状，分别。根据背景因素进行了调整，与COVID-19相关的认知表征（后果：标准化b=0.15，p=0.010；理解：标准化b=0.21，p=0.001）和情绪表征（关注：标准化b=0.17，p=0.001；负面情绪：标准化b=0.19，p=0.001）与BICDFS呈正相关。在分层模型中，BICDFS的独立显著因素包括理解(标准化b=0.16,p=0.013)和负面情绪(标准化b=0.17,p=0.008)。恐惧相关变量与BICDFS无显著关联。
在COVID-19大流行期间，针对流感症状的寻求护理行为的推广应考虑提高人们对COVID-19的认识，并就对COVID-19的情绪反应的相关应对策略提供建议。
