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Correlation Between Health Beliefs and Mask-Wearing During the COVID-19 Pandemic
Kelly L Wierenga1, Hannah Ferguson2, Courtney E Barker3
1Baylor University Louise Herrington School of Nursing, Dallas, TX, USA.
Health beliefs, not mental health or literacy, significantly influenced mask-wearing during the COVID-19 pandemic. Understanding perceptions of severity, susceptibility, benefits, and barriers is key to promoting mask use for public health.
Area of Science:
- Public Health
- Behavioral Science
- Epidemiology
Background:
- Mask-wearing is crucial for reducing SARS-COV-2 transmission, but early recommendations faced challenges.
- Health literacy, depression, anxiety, and health beliefs may impact mask-wearing behaviors.
- Perceptions of COVID-19 severity, susceptibility, benefits, and barriers are potential factors in mask adoption.
Purpose of the Study:
- To examine the relationship between health beliefs (Health Belief Model), mental health, health literacy, and mask-wearing.
- Investigate correlations between these factors during the COVID-19 pandemic.
Main Methods:
- Secondary analysis of the Behavioral Outcomes During Social Distancing cohort study.
- Data collected from 346 US adults at two time points (March-August 2020).
- Bivariate Pearson and Spearman correlations were used for analysis.
Main Results:
- Participants perceived COVID-19 as moderately severe and felt susceptible.
- Higher perceived benefits and lower perceived barriers were associated with increased mask-wearing.
- Mask adherence correlated positively with perceived severity, susceptibility, and benefits.
- No significant association found between mask-wearing and depression, anxiety, or health literacy.
Conclusions:
- Health beliefs are significant predictors of mask-wearing behavior.
- Interventions targeting Health Belief Model concepts may improve adherence to public health measures.
- Further research should explore health beliefs' influence on other mitigation strategies like vaccination and social distancing.
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