ArticleSocial science & medicine (1982)2021
Do socio-structural factors moderate the effects of health cognitions on COVID-19 protection behaviours?
Article in Social science & medicine (1982), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Behavioural Sciences Contribution to Suppressing Transmission of Covid-19 in the UK: A Systematic Literature Review.International journal of behavioral medicine · 2024Pooled it
- Free to be Healthy? Free Will Beliefs are Positively Associated With Health Behavior.Psychological reports · 2026Article
- People with long-term conditions are more adherent to protective behaviours against infectious disease.Public health in practice (Oxford, England) · 2024Article
- Does Intention Strength Moderate the Intention-Health Behavior Relationship for Covid-19 Protection Behaviors?Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2024Article
- Handwashing adherence during the COVID-19 pandemic: A longitudinal study based on protection motivation theory.Social science & medicine (1982) · 2023Observational
- Socioeconomic differences in the reduction of face-to-face contacts in the first wave of the COVID-19 pandemic in Germany.BMC public health · 2022Article
- Determinants of self-reported adherence to COVID-19 regulations in Spain: social norms, trust and risk perception.Health promotion international · 2022Article
- Legal restrictions and mitigation strategies amongst a disabled population during COVID-19.Social science & medicine (1982) · 2022Article
- Social cognition theories and behavior change in COVID-19: A conceptual review.Behaviour research and therapy · 2022Review
- Applying an extended protection motivation theory to predict Covid-19 vaccination intentions and uptake in 50-64 year olds in the UK.Social science & medicine (1982) · 2022Article
- COVID-19 measures in Belgium: how perception and adherence of the general population differ between time periods.BMC public health · 2022Article
- Cognitive factors influenced physical distancing adherence during the COVID-19 pandemic in a population-specific way.PloS one · 2022Article
- Understanding the intention-behavior gap: The role of intention strength.Frontiers in psychology · 2022Review
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveAdherence to protection behaviours remains key to curbing the spread of the SARS-CoV-2 virus that causes COVID-19, but there are substantial differences in individual adherence to recommendations according to socio-structural factors. To better understand such differences, the current research examines whether relationships between health cognitions based on the Reasoned Action Approach (RAA) and eight COVID-19 protection behaviours vary as a function of participant-level socio-structural factors.
methodsWithin-person design with behaviours nested within participants in a two-wave online survey (one week delay) conducted during the UK national lockdown in April 2020. A UK representative sample of 477 adults completed baseline measures from the RAA plus perceived susceptibility and past behaviour for eight protection behaviours, and self-reported behaviour one week later. Moderated hierarchical linear models with cross-level interactions were used to test moderation of health cognitions by socio-structural factors (sex, age, ethnicity, deprivation).
resultsSex, ethnicity and deprivation moderated the effects of health cognitions on protection intentions and behaviour. For example, the effects of injunctive norms on intentions were stronger in men compared to women. Importantly, intention was a weaker predictor of behaviour in more compared to less deprived groups. In addition, there was evidence that perceived autonomy was a stronger predictor of behaviour in more deprived groups.
conclusionSocio-structural variables affect how health cognitions relate to recommended COVID-19 protection behaviours. As a result, behavioural interventions based on social-cognitive theories might be less effective in participants from disadvantaged backgrounds.
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