Evidence map›Paper›PMID 39260841›Full record

ArticleBMJ open2024

Predictors of older adults' health behaviours to prevent COVID-19 transmission: a multilevel analysis.

Jiwon Lee, Jo Woon Seok

Abstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Jiwon LeeDepartment of Nursing, Dongnam Health University, Suwon-si, Gyeonggi-do, Republic of Korea.ORCID 0000-0003-0655-5915
Jo Woon SeokCollege of Nursing, Ewha Womans University, Seoul, Republic of Korea jwseok@ewha.ac.kr.ORCID 0000-0001-9318-3739

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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 ANALYSIS: Using 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.

Indexed as

COVID-19Health BehaviorHealth Knowledge, Attitudes, PracticeMultilevel AnalysisSARS-CoV-2Adaptation, PsychologicalAgedAged, 80 and overCross-Sectional StudiesFemaleHumansMalePandemicsRepublic of KoreaagedbehaviorCOVID-19health equitypublic health

Identifiers

PMID39260841
PMCPMC11409388

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LicenceCC BY-NC
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.