Psychosocial Factors Associated With Adherence to COVID-19 Preventive Measures in Low-Middle- Income Countries, December 2020 to February 2021

Supa Pengpid; Supa Pengpid; Karl Peltzer; Karl Peltzer; Chutarat Sathirapanya; Phanthanee Thitichai; Edlaine Faria de Moura Villela; Edlaine Faria de Moura Villela; Tamara Rodrigues Zanuzzi; Felipe de Andrade Bandeira; Suzanna A. Bono; Ching Sin Siau; Won Sun Chen; M Tasdik Hasan; M Tasdik Hasan; Philippe Sessou; John D. Ditekemena; Mina C. Hosseinipour; Housseini Dolo; Housseini Dolo; Rhoda K. Wanyenze; Joseph Nelson Siewe Fodjo; Robert Colebunders

doi:10.3389/ijph.2022.1604398

International Journal of Public Health (May 2022)

Psychosocial Factors Associated With Adherence to COVID-19 Preventive Measures in Low-Middle- Income Countries, December 2020 to February 2021

Supa Pengpid,
Supa Pengpid,
Karl Peltzer,
Karl Peltzer,
Chutarat Sathirapanya,
Phanthanee Thitichai,
Edlaine Faria de Moura Villela,
Edlaine Faria de Moura Villela,
Tamara Rodrigues Zanuzzi,
Felipe de Andrade Bandeira,
Suzanna A. Bono,
Ching Sin Siau,
Won Sun Chen,
M Tasdik Hasan,
M Tasdik Hasan,
Philippe Sessou,
John D. Ditekemena,
Mina C. Hosseinipour,
Housseini Dolo,
Housseini Dolo,
Rhoda K. Wanyenze,
Joseph Nelson Siewe Fodjo,
Robert Colebunders

Affiliations

Supa Pengpid: Department of Health Education and Behavioral Sciences, Faculty of Public Health Mahidol University, Ratchathewi, Thailand
Supa Pengpid: Department of Research Administration and Development, University of Limpopo, Polokwane, South Africa
Karl Peltzer: Department of Research Administration and Development, University of Limpopo, Polokwane, South Africa
Karl Peltzer: Department of Psychology, College of Medical and Health Science, Asia University, Taichung, Taiwan
Chutarat Sathirapanya: Department of Family and Preventive Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Thailand
Phanthanee Thitichai: FETP Division, Department of Diseases Control, Ministry of Public Health, Nonthaburi, Thailand
Edlaine Faria de Moura Villela: Disease Control Coordination, São Paulo State Health Department, São Paulo, Brazil
Edlaine Faria de Moura Villela: Institute of Tropical Pathology and Public Health, Federal University of Goiás, Goiânia, Brazil
Tamara Rodrigues Zanuzzi: Institute of Tropical Pathology and Public Health, Federal University of Goiás, Goiânia, Brazil
Felipe de Andrade Bandeira: School of Medicine, Health Sciences Unit, Federal University of Jataí, Jataí, Brazil
Suzanna A. Bono: School of Social Science, Universiti Sains Malaysia, Gelugor, Malaysia
Ching Sin Siau: 0Centre for Community Health Studies (ReaCH), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
Won Sun Chen: 1Department of Health Science and Biostatistics, Faculty of Health, Arts and Design, Swinburne University of Technology, Hawthorn, VIC, Australia
M Tasdik Hasan: 2Public Health Foundation, Bangladesh (PHF, BD), Dhaka, Bangladesh
M Tasdik Hasan: 3Department of Primary Care and Mental Health, University of Liverpool, Liverpool, United Kingdom
Philippe Sessou: 4Research Unit on Communicable Diseases, Polytechnic School of Abomey-Calavi, University of Abomey-Calavi, Cotonou, Benin
John D. Ditekemena: 5Kinshasa School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of the Congo
Mina C. Hosseinipour: 6University of North Carolina UNC Project Malawi, Lilongwe, Malawi
Housseini Dolo: 7International Center of Excellence in Research, Faculty of Medicine and Odontostomatology, University of Sciences, Techniques and Technology of Bamako, Bamako, Mali
Housseini Dolo: 8Lymphatic Filariasis Research Unit, International Center of Excellence in Research, Faculty of Medicine and Odontostomatology, Centre Hospitalier Universitaire du Point-G, Bamako, Mali
Rhoda K. Wanyenze: 9School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda
Joseph Nelson Siewe Fodjo: 0Global Health Institute, University of Antwerp, Antwerp, Belgium
Robert Colebunders: 0Global Health Institute, University of Antwerp, Antwerp, Belgium

DOI: https://doi.org/10.3389/ijph.2022.1604398
Journal volume & issue: Vol. 67

Abstract

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Objectives: To investigate psychosocial factors associated with adherence to COVID-19 preventive measures in low- and middle-income countries (LMICs).Methods: This online cross-sectional survey included 10,183 adults (median age 45 years) from nine LMICs. Participants were asked about adhering to four COVID-19 preventive measures (physical distancing, wearing a face mask, hand, and cough hygiene); a composite adherence score was calculated, ranging from 0–4 positive responses. Psychosocial measures included worry, anxiety, depression, social and demographic, and COVID-19 related factors.Results: Factors associated with adherence to more preventive measures included being a participant from Malaysia or Bangladesh, older age, higher education, belonging to the healthcare sector (either as or worker), having health personnel as a trusted source of COVID-19 information/advice, possessing correct COVID-19 knowledge, worry or fear about being (re)infected with COVID-19, and screening negative for general anxiety symptoms.Conclusion: Moderate to high adherence to COVID-19 preventive measures was found, with significant variations across countries. Psychosocial factors (worry, anxiety, knowledge, education, age, and country) seemed determinant in predicting the number of measures to which participants adhered.

Published in International Journal of Public Health

ISSN: 1661-8556 (Print); 1661-8564 (Online)
Publisher: Frontiers Media S.A.
Country of publisher: Switzerland
LCC subjects: Medicine: Public aspects of medicine
Website: https://www.ssph-journal.org/journals/international-journal-of-public-health

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