The role of e-health literacy and some cognitive factors in adopting protective behaviors of COVID-19 in Khalkhal residents

BackgroundSeveral vaccines have recently been generated and are being utilized to prevent COVID-19 mortality. Although the disease is causing many fatalities worldwide, preventative practices should be prioritized, even if vaccines are available. Therefore, this study aimed to identify the role of e...

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Main Authors: Hamed Rezakhani Moghaddam, Soheila Ranjbaran, Towhid Babazadeh
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-07-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.916362/full
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author Hamed Rezakhani Moghaddam
Soheila Ranjbaran
Towhid Babazadeh
author_facet Hamed Rezakhani Moghaddam
Soheila Ranjbaran
Towhid Babazadeh
author_sort Hamed Rezakhani Moghaddam
collection DOAJ
description BackgroundSeveral vaccines have recently been generated and are being utilized to prevent COVID-19 mortality. Although the disease is causing many fatalities worldwide, preventative practices should be prioritized, even if vaccines are available. Therefore, this study aimed to identify the role of e-health literacy and some cognitive factors in adopting protective behaviors against COVID-19 in Khalkhal residents.MethodsIn the present cross-sectional study we recruited 380 people aged 18–65 according to cluster sampling from September 2021 to December 2021 in Khalkhal County, Iran. Reliable and validated tools were applied to data collection, including the eHealth Literacy Scale (eHEALS) in Persian and the Cognitive factors assessment questionnaire based on the Health Belief Model (HBM). Data were analyzed using Chi-square, one-way ANOVA, independent samples t-test, and bivariate correlation. The predictors were also determined using hierarchical linear regression analysis.ResultsThe average age of the participants was 35.26 ± 11.51 years. The regression analysis implied that gender (p-value = 0.032), education level (p-value = 0.001), occupational status (p-value = 0.002), income (p-value = 0.001), and marriage (p-value = 0.001) had statistically significant associations with e-HL. Additionally, education level (p-value = 0.001), occupational status (p-value = 0.001), income (p-value = 0.001), and marriage (p-value = 0.002) revealed statistically significant associations with COVID-19 preventive behaviors. Approximately 16.5% of the variation in the COVID-19 protective behaviors is explained by the cognitive factors and the demographic variables. Overall, demographic, cognitive, and e-HL variables were able to explain roughly 35.5% of the variation in COVID-19 protective behaviors. Furthermore, self-efficacy was the strongest predictor of protective behaviors (β = 0.214).ConclusionsHBM constructs successfully predicted the role of e-health literacy and some cognitive factors in adopting COVID-19 protective behaviors. People with high socioeconomic levels were better at e-health literacy and COVID-19 protective behaviors during the pandemic. Moreover, applying approaches to adopting COVID-19 protective behaviors is essential, especially in low socioeconomic status (SES) groups.
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spelling doaj.art-0e611fdd925a4beaba743f3e7c1b0ccd2022-12-22T00:45:39ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-07-011010.3389/fpubh.2022.916362916362The role of e-health literacy and some cognitive factors in adopting protective behaviors of COVID-19 in Khalkhal residentsHamed Rezakhani Moghaddam0Soheila Ranjbaran1Towhid Babazadeh2Department of Public Health, Khalkhal University of Medical Sciences, Khalkhal, IranDepartment of Public Health, Sarab Faculty of Medical Sciences, Sarab, IranDepartment of Public Health, Sarab Faculty of Medical Sciences, Sarab, IranBackgroundSeveral vaccines have recently been generated and are being utilized to prevent COVID-19 mortality. Although the disease is causing many fatalities worldwide, preventative practices should be prioritized, even if vaccines are available. Therefore, this study aimed to identify the role of e-health literacy and some cognitive factors in adopting protective behaviors against COVID-19 in Khalkhal residents.MethodsIn the present cross-sectional study we recruited 380 people aged 18–65 according to cluster sampling from September 2021 to December 2021 in Khalkhal County, Iran. Reliable and validated tools were applied to data collection, including the eHealth Literacy Scale (eHEALS) in Persian and the Cognitive factors assessment questionnaire based on the Health Belief Model (HBM). Data were analyzed using Chi-square, one-way ANOVA, independent samples t-test, and bivariate correlation. The predictors were also determined using hierarchical linear regression analysis.ResultsThe average age of the participants was 35.26 ± 11.51 years. The regression analysis implied that gender (p-value = 0.032), education level (p-value = 0.001), occupational status (p-value = 0.002), income (p-value = 0.001), and marriage (p-value = 0.001) had statistically significant associations with e-HL. Additionally, education level (p-value = 0.001), occupational status (p-value = 0.001), income (p-value = 0.001), and marriage (p-value = 0.002) revealed statistically significant associations with COVID-19 preventive behaviors. Approximately 16.5% of the variation in the COVID-19 protective behaviors is explained by the cognitive factors and the demographic variables. Overall, demographic, cognitive, and e-HL variables were able to explain roughly 35.5% of the variation in COVID-19 protective behaviors. Furthermore, self-efficacy was the strongest predictor of protective behaviors (β = 0.214).ConclusionsHBM constructs successfully predicted the role of e-health literacy and some cognitive factors in adopting COVID-19 protective behaviors. People with high socioeconomic levels were better at e-health literacy and COVID-19 protective behaviors during the pandemic. Moreover, applying approaches to adopting COVID-19 protective behaviors is essential, especially in low socioeconomic status (SES) groups.https://www.frontiersin.org/articles/10.3389/fpubh.2022.916362/fulle-health literacyhealth belief modelCOVID-19protective behaviorsIran
spellingShingle Hamed Rezakhani Moghaddam
Soheila Ranjbaran
Towhid Babazadeh
The role of e-health literacy and some cognitive factors in adopting protective behaviors of COVID-19 in Khalkhal residents
Frontiers in Public Health
e-health literacy
health belief model
COVID-19
protective behaviors
Iran
title The role of e-health literacy and some cognitive factors in adopting protective behaviors of COVID-19 in Khalkhal residents
title_full The role of e-health literacy and some cognitive factors in adopting protective behaviors of COVID-19 in Khalkhal residents
title_fullStr The role of e-health literacy and some cognitive factors in adopting protective behaviors of COVID-19 in Khalkhal residents
title_full_unstemmed The role of e-health literacy and some cognitive factors in adopting protective behaviors of COVID-19 in Khalkhal residents
title_short The role of e-health literacy and some cognitive factors in adopting protective behaviors of COVID-19 in Khalkhal residents
title_sort role of e health literacy and some cognitive factors in adopting protective behaviors of covid 19 in khalkhal residents
topic e-health literacy
health belief model
COVID-19
protective behaviors
Iran
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.916362/full
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