Health Beliefs and Health Anxiety as Predictors of COVID-19 Health Behavior: Data from Serbia

Dragana Z. Stanojević; Miljana S. Pavićević; Tijana Lj. Živković; Olivera B. Radović; Biljana N. Jaredić

doi:10.5937/zrffp52-38184

Dragana Z. Stanojević University of Priština in Kosovska Mitrovica, Faculty of Philosophy, Department of Psychology
Miljana S. Pavićević University of Priština in Kosovska Mitrovica, Faculty of Philosophy, Department of Psychology
Tijana Lj. Živković University of Priština in Kosovska Mitrovica, Faculty of Philosophy, Department of Psychology
Olivera B. Radović University of Priština in Kosovska Mitrovica, Faculty of Philosophy, Department of Psychology
Biljana N. Jaredić University of Priština in Kosovska Mitrovica, Faculty of Philosophy, Department of Psychology

DOI: https://doi.org/10.5937/zrffp52-38184

Keywords: health behavior, health anxiety, Health Belief Model

Abstract

The end of 2019 and the beginning of 2020 were marked by the appearance of the virus SARS-CoV-2, which led to a health crisis around the world. Health preventive behavior was highlighted as, at that time, the only form of prevention of the spread of the disease. Factors that will lead people to adhere to the recommended forms of behavior have become the subject of research in various scientific disciplines. The Model of Health Belief is one of the dominant frameworks for studying health behaviors, and thus behaviors related to COVID-19. Health anxiety and beliefs about illness and preventive behavior are the starting point for considering the level at which individuals adhere to the recommended measures. The main goal of this research was to examine a model in which health anxiety and health beliefs are predictors of preventive health behavior in relation to COVID-19. The sample consisted of 420 respondents, 66.3% of whom were women. They completed an online questionnaire comprising the following instruments: Short Health Anxiety Inventory, COVID-19 Health Belief Scale, and COVID-19 Health Behavior Scale with two subscales—Protection in Social Contacts and Hygiene. After controlling for effects of gender and presence of chronic disease, perceived benefit of preventive behavior and the observed barrier can predict protection in social contacts. Hygiene can be predicted by the perceived benefit of preventive behavior and the perceived barrier. Health anxiety has not been shown to be a significant predictor of health behavior. The paper discusses the theoretical and practical implications of the obtained results. The obtained results partially support the Model of Health Beliefs. In order to increase the degree to which individuals adhere to health behaviors, the benefits of preventive behaviors should be emphasized while the barriers should be reduced.

Author Biography

Dragana Z. Stanojević, University of Priština in Kosovska Mitrovica, Faculty of Philosophy, Department of Psychology

psihologija mentalnog zdravlja

klinička psihologija

primena psihologije u saobraćaju

References

Abramowitz, J. S. & Moore, E. L. (2007). An Experimental Analysis of Hypochondriasis. Behaviour Research and Therapy, 45(3), 413–424.

Alves, R. F., Samorinha, C., Precioso, J. (2020). Knowledge, Attitudes and Preventive Behaviors Toward COVID-19: A Study Among Higher Education Students in Portugal. Journal of Health Research, 35(4), 318–327.

Araujo, T., Wonneberger, A., Neijens, P., de Vreese, C. (2017). How Much Time Do you Spend Online? Understanding and Improving the Accuracy of Self-Reported Measures of Internet Use. Communication Methods and Measures, 11(3), 173–190.

Asmundson G. J. G., Taylor, S., Cox, B. J. (2001). Health Anxiety: Clinical and Research Perspectives on Hypochondriasis and Related Conditions. West Sussex, UK: John Wiley & Sons Ltd.

Barakat, A. M. & Kasemy, Z. A. (2020). Preventive Health Behaviours During Coronavirus Disease 2019 Pandemic Based on Health Belief Model Among Egyptians. Middle East Current Psychiatry, 27(1), 1–9.

Bashirian, S. et al. (2020). Factors Associated with Preventive Behaviours of COVID-19 Among Hospital Staff in Iran in 2020: An Application of the Protection Motivation Theory. Journal of Hospital Infection, 105(3), 430–433.

Berg, M. B. & Lin, L. (2020). Prevalence and Predictors of Early COVID-19 Behavioral Intentions in the United States. Translational Behavioral Medicine, 10(4), 843–849.

Breakwell, G., Fino, E., Jaspal, R. (2021). The COVID-19 Preventive Behaviors Index: Development and Validation in Two Samples from the United Kingdom. Evaluation & the Health Professions, 44(1), 77–86.

Broomell, S. B., Chapman, G. B., Downs, J. S. (2020). Psychological Predictors of Prevention Behaviors During the COVID-19 Pandemic. Behavioral Science & Policy, 6(2), 43–50.

Cannito, L. et al. (2020). Health Anxiety and Attentional Bias Toward Virus-Related Stimuli During the COVID-19 Pandemic. Scientific Reports, 10(1), 1–8.

Chan, H. et al. (2021). Can Psychological Traits Explain Mobility Behavior During the COVID-19 Pandemic?. Social Psychological and Personality Science, 12(6), 1018–1029.

Chudasama, Y. V. et al. (2020). Impact of COVID-19 on Routine Care for Chronic Diseases: A Global Survey of Views from Healthcare Professionals. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 14(5), 965–967.

Clark, C., Davila, A., Regis, M., Kraus, S. (2020). Predictors of COVID-19 Voluntary Compliance Behaviors: An International Investigation. Global Transitions, 2, 76–82.

Costa, M. F. (2020). Health Belief Model for Coronavirus Infection Risk Determinants. Revista de Saúde Pública, 54(47), 1–11.

Cvetković, V. M. et al. (2020). Preparedness and Preventive Behaviors for a Pandemic Disaster Caused by COVID-19 in Serbia. International Journal of Environmental Research and Public Health, 17(11), ID4124.

Goodman, L. A. (1961). Snowball Sampling. Annals of Mathematical Statistics, 32, 142–70.

Green, E. C. & Murphy, E. M. (2014). Health Belief Model. In: W. C. Cockerham, R. Dingwall, S. R. Quah (Eds.), The Wiley Blackwell Encyclopedia of Health, Illness, Behavior, and Society (766–769). Chichester, UK: John Wiley and Sons, Ltd.

Institute for Public Health of Serbia “Dr Milan Jovanović Batut”. (2021). Statistical Data about Virus COVID-19 in Serbia [Report]. Retrieved on May 26, 2022, from: www.covid19.rs [Serbian].

Institute for Public Health of Serbia “Dr Milan Jovanović Batut”. (2022). Statistical Data about Virus COVID-19 in Serbia [Report]. Retrieved on August 24, 2022, from: www.covid19.rs [Serbian].

Iorfa, S. K. et al. (2020). COVID-19 Knowledge, Risk Perception, and Precautionary Behavior Among Nigerians: A Moderated Mediation Approach. Frontiers in Psychology, 11, 1–10.

Karimy, M. et al. (2021). Factors Related to Preventive COVID-19 Behaviors Using Health Belief Model Among General Population: A Cross-Sectional Study in Iran. BMC Public Health, 21(1), 1–8.

Karl, J. A., Fischer, R., Druică, E., Musso, F., Stan, A. (2021). Testing the Effectiveness of the Health Belief Model in Predicting Preventive Behavior During the COVID-19 Pandemic: The Case of Romania and Italy. Frontiers in Psychology, 12, 1–16.

Kim, S. & Kim, S. (2020). Analysis of the Impact of Health Beliefs and Resource Factors on Preventive Behaviors Against the COVID-19 Pandemic. International Journal of Environmental Research and Public Health, 17(22), ID8666.

Kim, S., Cho, S. K., LoCascio, S. P. (2020). The Role of Media Use and Emotions in Risk Perception and Preventive Behaviors Related to COVID-19 in South Korea. Asian Journal for Public Opinion Research, 8(3), 297–323.

Lin, C. Y. et al. (2020). Using an Integrated Social Cognition Model to Predict COVID-19 Preventive Behaviours. British Journal of Health Psychology, 25(4), 981–1005.

Mahindarathne, P. P. (2021). Assessing COVID-19 Preventive Behaviours Using the Health Belief Model: A Sri Lankan Study. Journal of Taibah University Medical Sciences, 16(6), 914–919.

Mertens, G., Gerritsen, L., Duijndam, S., Salemink, E., Engelhard, I. M. (2020). Fear of the Coronavirus (COVID-19): Predictors in an Online Study Conducted in March 2020. Journal of Anxiety Disorders, 74, ID102258.

Nowak, B. et al. (2020). Adaptive and Maladaptive Behavior During the COVID-19 Pandemic: The Roles of Dark Triad Traits, Collective Narcissism, and Health Beliefs. Personality and Individual Differences, 167, ID110232.

Rosenstock, I. M. (1966). Why People Use Health Services. Milbank Memorial Fund Q, 44(3), 94–127.

Rosenstock, I. M. (1974). Historical Origins of the Health Belief Model. Health Education Monographs, 2(4), 328–335.

Salkovskis, P. M., Rimes, K. A., Warwick, H. M. C., Clark, D. M. (2002). The Health Anxiety Inventory: Development and Validation of Scales for the Measurement of Health Anxiety and Hypochondriasis. Psychological Medicine, 32(5), 843–853.

Shahnazi, H. et al. (2020). Assessing Preventive Health Behaviors from COVID-19: A Cross-Sectional Study with Health Belief Model in Golestan Province, Northern of Iran. Infectious Diseases of Poverty, 9(6), 91–99.

Shitu, K., Adugna, A., Kassie, A., Handebo, S. (2022). Application of Health Belief Model for the Assessment of COVID-19 Preventive Behavior and its Determinants Among Students: A Structural Equation Modeling Analysis. PloS one, 17(3), e0263568.

Tadesse, T., Alemu, T., Amogne, G., Endazenaw, G., Mamo, E. (2020). Predictors of Coronavirus Disease 2019 (COVID-19) Prevention Practices Using Health Belief Model Among Employees in Addis Ababa, Ethiopia, 2020. Infection and Drug Resistance, 13, 3751–3761.

Vardavas, C. I. et al. (2020). Perceptions and Practice of Personal Protective Behaviors to Prevent COVID-19 Transmission in the G7 Nations. Population Medicine, 2(17), 1–10.

Zewdie, A. et al. (2022). The Health Belief Model’s Ability to Predict COVID-19 Preventive Behavior: A Systematic Review. SAGE Open Medicine, 10, 1–10.

Živković, T., Stanojević, D., Radović, O. (2021). Health Beliefs about COVID-19: An Instrument for Assessment and Expression of Beliefs. Zbornik radova Filozofskog fakulteta Univerziteta u Prištini, 51(1), 45–62.