Citizens’ health practices during the COVID -19 pandemic in Indonesia: Applying the health belief model

Background: Understanding the health practice of Indonesian residents and its related factors during the COVID-19 pandemic is crucial, but such association necessitates clarity.  Objective: To examine the health practices of the Indonesian citizens and their correlations with knowledge and health b...

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Main Authors: Eko Winarti, Chatarina Umbul Wahyuni, Yohanes Andy Rias, Yudied Agung Mirasa, Sondang Sidabutar, Desi Lusiana Wardhani
Format: Article
Language:English
Published: Belitung Raya Foundation 2021-08-01
Series:Belitung Nursing Journal
Subjects:
Online Access:https://belitungraya.org/BRP/index.php/bnj/article/view/1560
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author Eko Winarti
Chatarina Umbul Wahyuni
Yohanes Andy Rias
Yudied Agung Mirasa
Sondang Sidabutar
Desi Lusiana Wardhani
author_facet Eko Winarti
Chatarina Umbul Wahyuni
Yohanes Andy Rias
Yudied Agung Mirasa
Sondang Sidabutar
Desi Lusiana Wardhani
author_sort Eko Winarti
collection DOAJ
description Background: Understanding the health practice of Indonesian residents and its related factors during the COVID-19 pandemic is crucial, but such association necessitates clarity.  Objective: To examine the health practices of the Indonesian citizens and their correlations with knowledge and health belief model (perceived susceptibility, barriers, benefits, severity, and self-efficacy) during the COVID-19 pandemic.  Methods: A community-based online cross-sectional design was employed. The study was conducted from 10 July to 30 August 2020 among 552 citizens selected using convenience sampling. Sociodemographic characteristics, knowledge, health belief model, and health practices, including wearing a mask, social distancing, and washing hands, were measured using validated questionnaires. Adjusted odds ratios (AORs) and logistic regression were employed for data analysis. Results: The adjusted AORs (95% CIs) of a good level of health practices—wearing the mask, social distancing, and washing hands—were 3.24 (1.52~6.89), 2.54 (1.47~4.39), and 2.11 (1.19~3.75), respectively, in citizens with the high level of knowledge. Interestingly, respondents with positively perceived susceptibility exhibited significantly good practice in wearing the mask (4.91; 2.34~10.31), social distancing (1.95; 1.08~3.52), and washing hands (3.99; 2.26~7.05) compared to those with negatively perceived susceptibility. In addition, perceived barriers, benefits, severity, and self-efficacy also exhibited a significantly good all variables of health practice regarding COVID-19 pandemic after adjusting for confounding variables. Conclusion: Citizens with high levels of knowledge and positive levels of the health belief model had good practice of wearing masks, social distancing, and washing hands. The outcomes of this survey could encourage health professionals, including nurses, through management practices of nursing intervention based on the health belief model during the pandemic. Funding: This study was funded by the University of Kadiri, Kediri, Indonesia (106/P.1/LP3M/XII/2020).
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spelling doaj.art-c3265be7a222493aa813f447eca3889f2022-12-21T22:59:47ZengBelitung Raya FoundationBelitung Nursing Journal2477-40732021-08-017427728410.33546/bnj.15601560Citizens’ health practices during the COVID -19 pandemic in Indonesia: Applying the health belief modelEko Winarti0Chatarina Umbul Wahyuni1Yohanes Andy Rias2Yudied Agung Mirasa3Sondang Sidabutar4Desi Lusiana Wardhani5Faculty of Health Sciences, College of Midwifery, Universitas Kadiri, Kediri, IndonesiaFaculty of Public Health, College of Epidemiology, Universitas Airlangga, Surabaya, IndonesiaFaculty of Health and Medicine, College of Nursing, Institut Ilmu Kesehatan Bhakti Wiyata Kediri, Kediri, IndonesiaFaculty of Health Sciences, College of Nursing, Universitas Kadiri, Kediri, Indonesia| Technical Centre for Environmental Health and Disease Control, Surabaya, IndonesiaFaculty of Health, College of Public Health, Universitas Efarina, Sumatera Utara, IndonesiaDinas Kesehatan Kabupaten Tulungagung, Tulungagung, IndonesiaBackground: Understanding the health practice of Indonesian residents and its related factors during the COVID-19 pandemic is crucial, but such association necessitates clarity.  Objective: To examine the health practices of the Indonesian citizens and their correlations with knowledge and health belief model (perceived susceptibility, barriers, benefits, severity, and self-efficacy) during the COVID-19 pandemic.  Methods: A community-based online cross-sectional design was employed. The study was conducted from 10 July to 30 August 2020 among 552 citizens selected using convenience sampling. Sociodemographic characteristics, knowledge, health belief model, and health practices, including wearing a mask, social distancing, and washing hands, were measured using validated questionnaires. Adjusted odds ratios (AORs) and logistic regression were employed for data analysis. Results: The adjusted AORs (95% CIs) of a good level of health practices—wearing the mask, social distancing, and washing hands—were 3.24 (1.52~6.89), 2.54 (1.47~4.39), and 2.11 (1.19~3.75), respectively, in citizens with the high level of knowledge. Interestingly, respondents with positively perceived susceptibility exhibited significantly good practice in wearing the mask (4.91; 2.34~10.31), social distancing (1.95; 1.08~3.52), and washing hands (3.99; 2.26~7.05) compared to those with negatively perceived susceptibility. In addition, perceived barriers, benefits, severity, and self-efficacy also exhibited a significantly good all variables of health practice regarding COVID-19 pandemic after adjusting for confounding variables. Conclusion: Citizens with high levels of knowledge and positive levels of the health belief model had good practice of wearing masks, social distancing, and washing hands. The outcomes of this survey could encourage health professionals, including nurses, through management practices of nursing intervention based on the health belief model during the pandemic. Funding: This study was funded by the University of Kadiri, Kediri, Indonesia (106/P.1/LP3M/XII/2020).https://belitungraya.org/BRP/index.php/bnj/article/view/1560covid-19health belief modelhealth knowledgeindonesianursingpractice
spellingShingle Eko Winarti
Chatarina Umbul Wahyuni
Yohanes Andy Rias
Yudied Agung Mirasa
Sondang Sidabutar
Desi Lusiana Wardhani
Citizens’ health practices during the COVID -19 pandemic in Indonesia: Applying the health belief model
Belitung Nursing Journal
covid-19
health belief model
health knowledge
indonesia
nursing
practice
title Citizens’ health practices during the COVID -19 pandemic in Indonesia: Applying the health belief model
title_full Citizens’ health practices during the COVID -19 pandemic in Indonesia: Applying the health belief model
title_fullStr Citizens’ health practices during the COVID -19 pandemic in Indonesia: Applying the health belief model
title_full_unstemmed Citizens’ health practices during the COVID -19 pandemic in Indonesia: Applying the health belief model
title_short Citizens’ health practices during the COVID -19 pandemic in Indonesia: Applying the health belief model
title_sort citizens health practices during the covid 19 pandemic in indonesia applying the health belief model
topic covid-19
health belief model
health knowledge
indonesia
nursing
practice
url https://belitungraya.org/BRP/index.php/bnj/article/view/1560
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