关键词: Cluster Health literacy Individual type Infection prevention behaviour Risk communication

Mesh : Humans COVID-19 / prevention & control Pandemics / prevention & control Japan / epidemiology SARS-CoV-2 Health Literacy Longitudinal Studies

来  源:   DOI:10.7717/peerj.16905   PDF(Pubmed)

Abstract:
UNASSIGNED: During a global infectious disease pandemic such as the coronavirus disease 2019 (COVID-19), individuals\' infection prevention/risk-taking behaviours are likely to differ depending on their health literacy and beliefs regarding the disease. To effectively promote infection prevention behaviours, it is necessary to enable information dissemination and risk communication that consider individuals\' health literacy and beliefs. In this study, we exploratorily characterised segments based on individual health literacy and beliefs regarding COVID-19 among the Japanese during the early stage of the COVID-19 pandemic, and investigated whether infection prevention/risk-taking behaviours and fear of COVID-19 differed among these segments.
UNASSIGNED: In this study, we conducted two web-based longitudinal surveys in Japan (PHASE 1, 1-30 November 2020, 6,000 participants; PHASE 2, 1-31 December 2020, 3,800 participants). We characterised segments of the target population using cluster analysis on health literacy and beliefs regarding COVID-19 obtained in PHASE 1. We further investigated the associations between the clusters and infection prevention/risk-taking behaviours and fear of COVID-19, obtained from PHASE 2.
UNASSIGNED: Five clusters were identified: \'Calm/hoax denial\', \'Hoax affinity/threat denial\', \'Minority/indifference\', \'Over vigilance\', and \'Optimism\'. There were significant differences in infection prevention/risk-taking behaviours and fear of COVID-19 among the five clusters. The belief in susceptibility to infection, rather than affinity for hoaxes and conspiracy theories, was coherently associated with infection prevention/risk-taking behaviours and fear of infection across clusters. This study provides foundational knowledge for creating segment-specific public messages and developing interactive risk communication to encourage infection prevention behaviours.
摘要:
在2019年冠状病毒病(COVID-19)等全球传染病大流行期间,个人预防感染/冒险行为可能因其健康素养和对疾病的信念而异。有效促进感染预防行为,有必要实现考虑个人健康素养和信仰的信息传播和风险沟通。在这项研究中,在COVID-19大流行的早期阶段,我们根据日本人对COVID-19的个体健康素养和信念,探索性地表征了细分市场,并调查了这些细分市场之间的感染预防/冒险行为和对COVID-19的恐惧是否有所不同。
在这项研究中,我们在日本进行了两项基于网络的纵向调查(第一阶段,2020年11月1-30日,6,000名参与者;第二阶段,2020年12月1-31日,3,800名参与者)。我们使用阶段1中获得的关于COVID-19的健康素养和信念的聚类分析,对目标人群的部分进行了表征。我们进一步调查了从第二阶段获得的集群与感染预防/冒险行为和对COVID-19的恐惧之间的关系。
确定了五个群集:\'冷静/骗局拒绝\',\'骗局关联/威胁拒绝\',\'少数/冷漠\',\'过度警惕\',和“乐观”。在这五个集群中,感染预防/冒险行为和对COVID-19的恐惧存在显着差异。对感染易感性的信念,而不是对恶作剧和阴谋论的亲和力,与跨集群的感染预防/冒险行为和对感染的恐惧密切相关。这项研究为创建特定部门的公共信息和开发交互式风险沟通以鼓励感染预防行为提供了基础知识。
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