Predictors of older adults’ health behaviours to prevent COVID-19 transmission: a multilevel analysis
ObjectivesWhile older adults showed higher mortality during COVID-19 pandemic, protective behaviours (knowledge regarding coping with COVID-19 symptoms and preventive behaviours) were highlighted to be important to prevent the spread of infection. This study aimed to identify individual and communit...
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Published in | BMJ open Vol. 14; no. 9; p. e083890 |
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Main Authors | , |
Format | Journal Article |
Language | English |
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England
British Medical Journal Publishing Group
10.09.2024
BMJ Publishing Group LTD BMJ Publishing Group |
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Abstract | ObjectivesWhile older adults showed higher mortality during COVID-19 pandemic, protective behaviours (knowledge regarding coping with COVID-19 symptoms and preventive behaviours) were highlighted to be important to prevent the spread of infection. This study aimed to identify individual and community-level variables influencing deficient knowledge regarding coping with COVID-19 and not-practicing COVID-19 of older adults during the pandemic.DesignThis is a secondary analysis of a cross-sectional study using the 2020 Korea Community Health Survey (KCHS).Setting255 community public health centres nationwide, South Korea.Methods and analysisUsing 2020 KCHS data, multilevel logistic regression analysis was conducted on 55 005 adults aged 65 years or older.ResultsOlder adults who reside alone, as opposed to with their spouse and who lack the support of another individual exhibited insufficient COVID-19 coping-related knowledge (OR: 1.142, p<0.001) and poor preventive behaviours (OR: 1.177, p<0.001). Furthermore, lower municipal social welfare budget levels were associated with worse health behaviours (OR: 0.062, p<0.001). Specifically, older adults living in rural areas were less likely to engage in COVID-19 preventive behaviours compared with those in urban areas (OR: 1.247, p<0.001). Additionally, the effectiveness of mass media as a motivating factor for adopting preventive measures was only significant in rural populations (OR: 0.944, p<0.05).ConclusionsBoth individual-level and community-level approaches are necessary as an initial response during the pandemic. Since elderly people living alone with low socioeconomic status are vulnerable groups with poor health behaviours, it is helpful to provide social support on how to respond to infectious diseases and manage symptoms. In addition, it is important to expand the municipal social welfare budget to promote health equity between regions through appropriate health behaviour education and the strengthening of public medical services. |
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AbstractList | ObjectivesWhile older adults showed higher mortality during COVID-19 pandemic, protective behaviours (knowledge regarding coping with COVID-19 symptoms and preventive behaviours) were highlighted to be important to prevent the spread of infection. This study aimed to identify individual and community-level variables influencing deficient knowledge regarding coping with COVID-19 and not-practicing COVID-19 of older adults during the pandemic.DesignThis is a secondary analysis of a cross-sectional study using the 2020 Korea Community Health Survey (KCHS).Setting255 community public health centres nationwide, South Korea.Methods and analysisUsing 2020 KCHS data, multilevel logistic regression analysis was conducted on 55 005 adults aged 65 years or older.ResultsOlder adults who reside alone, as opposed to with their spouse and who lack the support of another individual exhibited insufficient COVID-19 coping-related knowledge (OR: 1.142, p<0.001) and poor preventive behaviours (OR: 1.177, p<0.001). Furthermore, lower municipal social welfare budget levels were associated with worse health behaviours (OR: 0.062, p<0.001). Specifically, older adults living in rural areas were less likely to engage in COVID-19 preventive behaviours compared with those in urban areas (OR: 1.247, p<0.001). Additionally, the effectiveness of mass media as a motivating factor for adopting preventive measures was only significant in rural populations (OR: 0.944, p<0.05).ConclusionsBoth individual-level and community-level approaches are necessary as an initial response during the pandemic. Since elderly people living alone with low socioeconomic status are vulnerable groups with poor health behaviours, it is helpful to provide social support on how to respond to infectious diseases and manage symptoms. In addition, it is important to expand the municipal social welfare budget to promote health equity between regions through appropriate health behaviour education and the strengthening of public medical services. Objectives While older adults showed higher mortality during COVID-19 pandemic, protective behaviours (knowledge regarding coping with COVID-19 symptoms and preventive behaviours) were highlighted to be important to prevent the spread of infection. This study aimed to identify individual and community-level variables influencing deficient knowledge regarding coping with COVID-19 and not-practicing COVID-19 of older adults during the pandemic.Design This is a secondary analysis of a cross-sectional study using the 2020 Korea Community Health Survey (KCHS).Setting 255 community public health centres nationwide, South Korea.Methods and analysis Using 2020 KCHS data, multilevel logistic regression analysis was conducted on 55 005 adults aged 65 years or older.Results Older adults who reside alone, as opposed to with their spouse and who lack the support of another individual exhibited insufficient COVID-19 coping-related knowledge (OR: 1.142, p<0.001) and poor preventive behaviours (OR: 1.177, p<0.001). Furthermore, lower municipal social welfare budget levels were associated with worse health behaviours (OR: 0.062, p<0.001). Specifically, older adults living in rural areas were less likely to engage in COVID-19 preventive behaviours compared with those in urban areas (OR: 1.247, p<0.001). Additionally, the effectiveness of mass media as a motivating factor for adopting preventive measures was only significant in rural populations (OR: 0.944, p<0.05).Conclusions Both individual-level and community-level approaches are necessary as an initial response during the pandemic. Since elderly people living alone with low socioeconomic status are vulnerable groups with poor health behaviours, it is helpful to provide social support on how to respond to infectious diseases and manage symptoms. In addition, it is important to expand the municipal social welfare budget to promote health equity between regions through appropriate health behaviour education and the strengthening of public medical services. While older adults showed higher mortality during COVID-19 pandemic, protective behaviours (knowledge regarding coping with COVID-19 symptoms and preventive behaviours) were highlighted to be important to prevent the spread of infection. This study aimed to identify individual and community-level variables influencing deficient knowledge regarding coping with COVID-19 and not-practicing COVID-19 of older adults during the pandemic. This is a secondary analysis of a cross-sectional study using the 2020 Korea Community Health Survey (KCHS). 255 community public health centres nationwide, South Korea. Using 2020 KCHS data, multilevel logistic regression analysis was conducted on 55 005 adults aged 65 years or older. Older adults who reside alone, as opposed to with their spouse and who lack the support of another individual exhibited insufficient COVID-19 coping-related knowledge (OR: 1.142, p<0.001) and poor preventive behaviours (OR: 1.177, p<0.001). Furthermore, lower municipal social welfare budget levels were associated with worse health behaviours (OR: 0.062, p<0.001). Specifically, older adults living in rural areas were less likely to engage in COVID-19 preventive behaviours compared with those in urban areas (OR: 1.247, p<0.001). Additionally, the effectiveness of mass media as a motivating factor for adopting preventive measures was only significant in rural populations (OR: 0.944, p<0.05). Both individual-level and community-level approaches are necessary as an initial response during the pandemic. Since elderly people living alone with low socioeconomic status are vulnerable groups with poor health behaviours, it is helpful to provide social support on how to respond to infectious diseases and manage symptoms. In addition, it is important to expand the municipal social welfare budget to promote health equity between regions through appropriate health behaviour education and the strengthening of public medical services. While older adults showed higher mortality during COVID-19 pandemic, protective behaviours (knowledge regarding coping with COVID-19 symptoms and preventive behaviours) were highlighted to be important to prevent the spread of infection. This study aimed to identify individual and community-level variables influencing deficient knowledge regarding coping with COVID-19 and not-practicing COVID-19 of older adults during the pandemic.OBJECTIVESWhile older adults showed higher mortality during COVID-19 pandemic, protective behaviours (knowledge regarding coping with COVID-19 symptoms and preventive behaviours) were highlighted to be important to prevent the spread of infection. This study aimed to identify individual and community-level variables influencing deficient knowledge regarding coping with COVID-19 and not-practicing COVID-19 of older adults during the pandemic.This is a secondary analysis of a cross-sectional study using the 2020 Korea Community Health Survey (KCHS).DESIGNThis is a secondary analysis of a cross-sectional study using the 2020 Korea Community Health Survey (KCHS).255 community public health centres nationwide, South Korea.SETTING255 community public health centres nationwide, South Korea.Using 2020 KCHS data, multilevel logistic regression analysis was conducted on 55 005 adults aged 65 years or older.METHODS AND ANALYSISUsing 2020 KCHS data, multilevel logistic regression analysis was conducted on 55 005 adults aged 65 years or older.Older adults who reside alone, as opposed to with their spouse and who lack the support of another individual exhibited insufficient COVID-19 coping-related knowledge (OR: 1.142, p<0.001) and poor preventive behaviours (OR: 1.177, p<0.001). Furthermore, lower municipal social welfare budget levels were associated with worse health behaviours (OR: 0.062, p<0.001). Specifically, older adults living in rural areas were less likely to engage in COVID-19 preventive behaviours compared with those in urban areas (OR: 1.247, p<0.001). Additionally, the effectiveness of mass media as a motivating factor for adopting preventive measures was only significant in rural populations (OR: 0.944, p<0.05).RESULTSOlder adults who reside alone, as opposed to with their spouse and who lack the support of another individual exhibited insufficient COVID-19 coping-related knowledge (OR: 1.142, p<0.001) and poor preventive behaviours (OR: 1.177, p<0.001). Furthermore, lower municipal social welfare budget levels were associated with worse health behaviours (OR: 0.062, p<0.001). Specifically, older adults living in rural areas were less likely to engage in COVID-19 preventive behaviours compared with those in urban areas (OR: 1.247, p<0.001). Additionally, the effectiveness of mass media as a motivating factor for adopting preventive measures was only significant in rural populations (OR: 0.944, p<0.05).Both individual-level and community-level approaches are necessary as an initial response during the pandemic. Since elderly people living alone with low socioeconomic status are vulnerable groups with poor health behaviours, it is helpful to provide social support on how to respond to infectious diseases and manage symptoms. In addition, it is important to expand the municipal social welfare budget to promote health equity between regions through appropriate health behaviour education and the strengthening of public medical services.CONCLUSIONSBoth individual-level and community-level approaches are necessary as an initial response during the pandemic. Since elderly people living alone with low socioeconomic status are vulnerable groups with poor health behaviours, it is helpful to provide social support on how to respond to infectious diseases and manage symptoms. In addition, it is important to expand the municipal social welfare budget to promote health equity between regions through appropriate health behaviour education and the strengthening of public medical services. |
Author | Seok, Jo Woon Lee, Jiwon |
Author_xml | – sequence: 1 givenname: Jiwon orcidid: 0000-0003-0655-5915 surname: Lee fullname: Lee, Jiwon organization: Department of Nursing, Dongnam Health University, Suwon-si, Gyeonggi-do, Republic of Korea – sequence: 2 givenname: Jo Woon orcidid: 0000-0001-9318-3739 surname: Seok fullname: Seok, Jo Woon email: jwseok@ewha.ac.kr organization: College of Nursing, Ewha Womans University, Seoul, Republic of Korea |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/39260841$$D View this record in MEDLINE/PubMed |
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publication-title: BMJ Glob Health doi: 10.1136/bmjgh-2021-008329 contributor: fullname: Surendra – ident: 2024091022500679000_14.9.e083890.25 – volume: 22 year: 2022 ident: 2024091022500679000_14.9.e083890.6 article-title: The effectiveness of hand hygiene interventions for preventing community transmission or acquisition of novel Coronavirus or influenza infections: a systematic review publication-title: BMC Public Health doi: 10.1186/s12889-022-13667-y contributor: fullname: Gozdzielewska – volume: 22 year: 2020 ident: 2024091022500679000_14.9.e083890.32 article-title: Knowledge, perceived beliefs, and preventive behaviors related to COVID-19 among Chinese older adults: cross-sectional web-based survey publication-title: J Med Internet Res doi: 10.2196/23729 contributor: fullname: Chen – volume: 11 year: 2021 ident: 2024091022500679000_14.9.e083890.4 article-title: Modeling the effect of Lockdown timing as a COVID-19 control measure in countries with differing social contacts publication-title: Sci Rep doi: 10.1038/s41598-021-82873-2 contributor: fullname: Oraby – ident: 2024091022500679000_14.9.e083890.18 doi: 10.1111/inm.12790 – volume: 10 year: 2021 ident: 2024091022500679000_14.9.e083890.31 article-title: Psycho-social and behavioral impact of COVID-19 on middle-aged and elderly individuals: A qualitative study publication-title: J Educ Health Promot doi: 10.4103/jehp.jehp_1458_20 contributor: fullname: Chakrawarty – volume: 6 year: 2022 ident: 2024091022500679000_14.9.e083890.11 article-title: COVID-19 preventive behaviors and health literacy, information evaluation, and decision-making skills in Japanese adults: cross-sectional survey study publication-title: JMIR Form Res doi: 10.2196/34966 contributor: fullname: Nakayama – ident: 2024091022500679000_14.9.e083890.23 – volume: 21 start-page: 1053 year: 2021 ident: 2024091022500679000_14.9.e083890.38 article-title: Change in subjective health status among frail older Japanese people owing to the Coronavirus disease pandemic and characteristics of their responses publication-title: Geriatr Gerontol Int doi: 10.1111/ggi.14276 contributor: fullname: Kera – volume: 12 year: 2022 ident: 2024091022500679000_14.9.e083890.26 article-title: Genomic epidemiology of SARS- Cov-2 Omicron variants in the Republic of Korea publication-title: Sci Rep doi: 10.1038/s41598-022-26803-w contributor: fullname: Lee – volume: 779 year: 2021 ident: 2024091022500679000_14.9.e083890.40 article-title: Urban environments and COVID-19 in three Eastern States of the United States publication-title: Sci Total Environ doi: 10.1016/j.scitotenv.2021.146334 contributor: fullname: Lee – volume: 5 start-page: 249 year: 2018 ident: 2024091022500679000_14.9.e083890.22 article-title: Differences in youngest-old, middle-old, and oldest-old patients who visit the emergency Department publication-title: Clin Exp Emerg Med doi: 10.15441/ceem.17.261 contributor: fullname: Lee – ident: 2024091022500679000_14.9.e083890.45 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Snippet | ObjectivesWhile older adults showed higher mortality during COVID-19 pandemic, protective behaviours (knowledge regarding coping with COVID-19 symptoms and... While older adults showed higher mortality during COVID-19 pandemic, protective behaviours (knowledge regarding coping with COVID-19 symptoms and preventive... Objectives While older adults showed higher mortality during COVID-19 pandemic, protective behaviours (knowledge regarding coping with COVID-19 symptoms and... |
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SubjectTerms | Access to information Adaptation, Psychological Aged Aged, 80 and over behavior Body mass index Confounding (Statistics) Coronaviruses COVID-19 COVID-19 - epidemiology COVID-19 - prevention & control Cross-Sectional Studies Disease prevention Disease transmission Economic activity Family income Female Health Behavior Health education health equity Health Knowledge, Attitudes, Practice Health literacy Health surveys Households Humans Infections Infectious diseases Knowledge Male Multilevel Analysis Older people Original Research Pandemics Pandemics - prevention & control Public Health Regions Republic of Korea - epidemiology SARS-CoV-2 Social distancing Social support Stress Variables |
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Title | Predictors of older adults’ health behaviours to prevent COVID-19 transmission: a multilevel analysis |
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