Factors influencing COVID-19 health protective behaviours in Zambian university students with symptoms of low mood.
Factors influencing COVID-19 health protective behaviours in Zambian university students with symptoms of low mood.
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DOI：
10.1186/s12889-023-15073-4
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发表时间：
2023-02-15
影响因子：
4.5
通讯作者：
Glazebrook, Cris
中科院分区：
文献类型：
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作者：
Ncheka, Joyce M.;Menon, J. Anitha;Davies, E. Bethan;Paul, Ravi;Mwaba, Sydney O. C.;Mudenda, John;Wharrad, Heather;Toutounchi, Parisa;Glazebrook, Cris
健康保护行为对于预防COVID-19的传播至关重要，特别是对于通常在大群体中生活和学习的大学生而言。抑郁和焦虑在学生中很常见，会影响年轻人遵循健康建议的动机。本研究旨在评估情绪低落的赞比亚大学生心理健康与COVID-19健康保护行为之间的关系。这项研究是对赞比亚大学生进行的横断面在线调查。与会者还被邀请参加半结构化访谈，以探讨对COVID-19疫苗接种的看法。研究人员发送了邀请邮件，解释了研究目的，并要求在过去两周内自认为情绪低落的学生参加一项在线调查。测量包括COVID-19预防行为、COVID-19相关自我效能感、医院和焦虑抑郁量表。共有620名学生参与研究，其中女性308人，男性306人，平均年龄22.47±3.29岁（18-51岁）。学生报告的平均保护行为得分为74.09/105,74%的学生得分高于可能的焦虑障碍的阈值。三因素方差分析显示，可能存在焦虑障碍的学生（p= 0.024）和自我效能低的学生（p<0.001）的COVID-19保护行为较低。只有168人（27%）表示愿意接受COVID-19疫苗接种，其中男学生愿意接受COVID-19疫苗接种的可能性是男学生的两倍（p<0.001）。对50名学生进行了采访。30人（60%）对疫苗接种表示担忧，16人（32%）对缺乏信息表示担忧。只有8名（16%）参与者对有效性表示怀疑。自认为有抑郁症状的学生有高度的焦虑。结果表明，减少焦虑和提高自我效能感的干预措施可能会增强学生的COVID-19保护行为。定性数据提供了对这一人群中疫苗犹豫率高的见解。
Health protective behaviours are crucial in the prevention of the spread of COVID-19, particularly in university students who typically live and study in large groups. Depression and anxiety are common in students and can impact young people’s motivations to follow health advice. The study aims to assess the relationship between mental health and COVID-19 health-protective behaviours in Zambian university students with symptoms of low mood. The study was a cross-sectional, online survey of Zambian university students. Participants were also invited to take part in a semi-structured interview to explore views about COVID-19 vaccination. Invitation emails were sent explaining the study aims and directed students who self-identified as having low mood in the past two weeks to an online survey. Measures included COVID-19 preventive behaviours, COVID-19-related self-efficacy, and Hospital and Anxiety Depression scale. A total of 620 students (n=308 female, n=306 male) participated in the study, with a mean participant age of 22.47±3.29 years (range 18–51). Students reported a mean protective behaviour score of 74.09/105 and 74% scored above the threshold for possible anxiety disorder. Three-way ANOVA showed lower COVID-19 protective behaviours in students with possible anxiety disorder (p=.024) and those with low self-efficacy (p<0.001). Only 168 (27%) said they would accept vaccination against COVID-19, with male students being twice as likely to be willing to accept COVID-19 vaccination (p<0.001). Of 50 students interviewed. 30 (60%) expressed fears about the vaccination and 16 (32%) were concerned about a lack of information. Only 8 (16%) participants expressed doubts about effectiveness. Students who self-identify as having symptoms of depression have high levels of anxiety. The results suggest that interventions to reduce anxiety and promote self-efficacy might enhance students’ COVID-19 protective behaviours. Qualitative data provided insight into the high rates of vaccine hesitancy in this population.
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DOI：
10.3390/ijerph19010062
发表时间：
2021-12-22
影响因子：
--
作者：
Liyanage S;Saqib K;Khan AF;Thobani TR;Tang WC;Chiarot CB;AlShurman BA;Butt ZA
通讯作者：
Butt ZA
影响因子：
4.2
作者：
Bou Hamdan M;Singh S;Polavarapu M;Jordan TR;Melhem NM
通讯作者：
Melhem NM
影响因子：
3.8
作者：
Isa A;Loke YK;Smith JR;Papageorgiou A;Hunter PR
通讯作者：
Hunter PR
影响因子：
3.7
作者：
Mose A;Haile K;Timerga A
通讯作者：
Timerga A
影响因子：
3.7
作者：
Fruehwirth JC;Biswas S;Perreira KM
通讯作者：
Perreira KM