Yetao Luo1, Lili Yao2, Ling Hu3, Li Zhou4, Feng Yuan5, Xiaoni Zhong3. 1. Department of Nosocomial Infection Control, Second affiliated Hospital, Army Medical University, Chongqing, China. 2. Department of Anesthesiology, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China. 3. Department of Epidemiology and Health Statistics, School of Public Health and Management, Chongqing Medical University, Chongqing, China. 4. Department of Gastroenterology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China. 5. Intensive Care Unit, Children's Hospital Affiliated to Chongqing Medical University, Chongqing, China.
Abstract
OBJECTIVE: Health behavior was conducive to control the coronavirus disease (COVID-19) epidemic. This study aimed to determine the differences in health behaviors and related factors among rural and urban residents in China. METHODS: From February 14 to 22, 2020, during the peak of the COVID-19 epidemic in China, a total of 2449 participants (1783 (72.81%) urban residents and 666 (27.19%) rural residents) were recruited by snowball sampling on WeChat and QQ social platforms, both owned by Tencent. Data were collected through the Web-questionnaire guided by an information-motivation-behavioral skills model. The multiple-group structural equation model was applied to analyze the factors. RESULTS: Rural residents had lower health behavior scores than urban residents, even after adjusting demographic characteristics (33.86 vs 34.29, P = 0.042; total score was 40). Motivational, behavioral skills, and stress had direct positive and negative influences on health behaviors of urban and rural residents. Information and positive perception of interventions had direct effects on health behaviors in rural residents, but not in urban residents. All the factors were mediated by behavioral skills in rural and urban residents. CONCLUSIONS: This study suggests that the government should pay attention to substantial rural and urban disparities and implement different COVID-19 prevention and intervention policies for health behaviors targeting rural and urban residents.
OBJECTIVE: Health behavior was conducive to control the coronavirus disease (COVID-19) epidemic. This study aimed to determine the differences in health behaviors and related factors among rural and urban residents in China. METHODS: From February 14 to 22, 2020, during the peak of the COVID-19 epidemic in China, a total of 2449 participants (1783 (72.81%) urban residents and 666 (27.19%) rural residents) were recruited by snowball sampling on WeChat and QQ social platforms, both owned by Tencent. Data were collected through the Web-questionnaire guided by an information-motivation-behavioral skills model. The multiple-group structural equation model was applied to analyze the factors. RESULTS: Rural residents had lower health behavior scores than urban residents, even after adjusting demographic characteristics (33.86 vs 34.29, P = 0.042; total score was 40). Motivational, behavioral skills, and stress had direct positive and negative influences on health behaviors of urban and rural residents. Information and positive perception of interventions had direct effects on health behaviors in rural residents, but not in urban residents. All the factors were mediated by behavioral skills in rural and urban residents. CONCLUSIONS: This study suggests that the government should pay attention to substantial rural and urban disparities and implement different COVID-19 prevention and intervention policies for health behaviors targeting rural and urban residents.
Entities:
Keywords:
COVID-19; health behaviors; information motivation behavior skills model; perceived stress
Authors: Winnie Lai Sheung Cheng; Enid Wai Yung Kwong; Regina Lai Tong Lee; Anson Chui Yan Tang; Lokki Lok Ki Wong Journal: Int J Environ Res Public Health Date: 2022-04-27 Impact factor: 4.614