Influence of Mass and Social Media on Psychobehavioral Responses Among Medical Students During the Downward Trend of COVID-19 in Fujian, China: Cross-Sectional Study
Influence of Mass and Social Media on Psychobehavioral Responses Among Medical Students During the Downward Trend of COVID-19 in Fujian, China: Cross-Sectional Study
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DOI：
10.2196/19982
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发表时间：
2020-07-20
影响因子：
7.4
通讯作者：
Wong, Li Ping
中科院分区：
文献类型：
--
作者：
Lin, Yulan;Hu, Zhijian;Wong, Li Ping
背景资料：与新型冠状病毒相关的大量信息2019冠状病毒病（COVID-19）大流行在中国通过大众媒体和社交媒体传播。迄今为止，关于这种信息流行病如何影响对危机的心理行为反应的证据有限。目的：本研究的目的是评估对COVID-19爆发的心理行为反应，并检查它们与大众媒体和社交媒体曝光的关联。方法：本研究于2020年4月6日至22日在福建医科大学医学与健康科学专业学生中进行了横断面研究。多变量分析表明，健康信念模型（HBM）的四个结构-更高的易感性感知（比值比[OR] 1.44; 95% CI 1.07-1.94），严重程度（OR 1.32; 95% CI 1.10-1.59），自我效能（OR 1.61; 95% CI 1.21-2.15），以及感知控制或实施预防措施的意图（OR 1.32; 95%CI 1.09-1.59）-与较高的大众媒体暴露评分显著相关，而只有三个结构-较高的严重程度感知（OR 1.43; 95%CI 1.19-1.72），自我效能（OR 1.85; 95%CI 1.38-2.48）和感知控制或实施预防措施的意图（OR 1.32; 95%CI 1.08-1.58）与较高的社交媒体暴露评分显著相关。较低的情绪后果和实施预防措施的障碍也与更大的大众和社交媒体曝光显着相关。我们对焦虑水平的研究结果显示，38.1%（n=795; 95%CI 36.0-40.2）的受访者报告中度至重度焦虑。在单变量分析中，较低的焦虑水平与较高的大众和社交媒体曝光显著相关;然而，在多变量分析中，这种关联并不显著。结论：从本质上讲，大众和社交媒体都是传播健康信息的有用手段，有助于改善对COVID-19的心理行为反应。我们的研究结果强调了通过大众和社交媒体渠道分享的信息的可信度以及在大流行期间应对错误信息的可行战略的重要性。
Background: An extensive amount of information related to the novel coronavirus (COVID-19) pandemic was disseminated by mass and social media in China To date, there is limited evidence on how this infodemic may influence psychobehavioral responses to the crisis.Objective: The aim of this study is to assess the psychobehavioral responses to the COVID-19 outbreak and examine their associations with mass and social media exposure.Methods: A cross-sectional study among medical and health sciences students from the Fujian Medical University in Fuzhou, China, was conducted between April 6-22, 2020.Results: A total of 2086 completed responses were received. Multivariable analyses demonstrated that four constructs of the Health Belief Model (HBM)-higher perception of susceptibility (odds ratio [OR] 1.44; 95% CI 1.07-1.94), severity (OR 1.32; 95% CI 1.10-1.59), self-efficacy (OR 1.61; 95% CI 1.21-2.15), and perceived control or intention to carry out prevention measures (OR 1.32; 95% CI 1.09-1.59)-were significantly associated with a higher mass media exposure score, whereas only three constructs-higher perception of severity (OR 1.43; 95% CI 1.19-1.72), self-efficacy (OR 1.85; 95% CI 1.38-2.48), and perceived control or intention to carry out prevention measures (OR 1.32; 95% CI 1.08-1.58)-were significantly associated with a higher social media exposure score. Lower emotional consequences and barriers to carry out prevention measures were also significantly associated with greater mass and social media exposure. Our findings on anxiety levels revealed that 38.1% (n=795; 95% CI 36.0-40.2) of respondents reported moderate-to-severe anxiety. A lower anxiety level was significantly associated with higher mass and social media exposure in the univariable analyses; however, the associations were not significant in the multivariable analyses.Conclusions: In essence, both mass and social media are useful means of disseminating health messages and contribute to the betterment of psychobehavioral responses to COVID-19. Our findings stress the importance of the credibility of information shared through mass and social media outlets and viable strategies to counter misinformation during a pandemic.