Moderating Role of Socio-Economic Status: Health Belief Model and Preventive Measures for COVID-19 Pandemic in Pakistan

Iram Mansoor Niazi, Zarnish Hussain
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Abstract

Objective: The current study aimed at understanding the health belief model approach about the third wave of the COVID-19 pandemic in Pakistan and the assessment of preventive measures against this pandemic. Secondly, the study aimed to examine the role of socioeconomic status as a moderator between the health belief model and preventive measures.Study Design:  Cross-sectional study.Place and Duration of Study: The study was cross-sectional and grounded on data gathered by google forms throughout Punjab province from March 2021 to May 2021.Materials and Methods: For assessment of the health belief model World Health Organization (WHO) Cosmo protocol was adopted, and the preventive strategies questionnaire was implemented through Google Forms. It analyzed how socioeconomic status moderates the influence of the health beliefs of the Pakistani population on preventive behavior during the COVID-19 pandemic. Socio-economic status was assessed through the Federal Bureau of Statistic (FBS) data with the addition of four other dimensions (total family members, monthly income, total earning members in the family, residence personal/rent).Results: Results revealed that constructs of the health belief model, Susceptibility (p<.002), Severity (p<.026), Self-efficacy (p<.000), and Knowledge about the disease (p<.006) revealed a statistically predictive relationship with the predictive measures taken by Pakistani population. Furthermore, moderating analysis exposed that although some constructs of the health belief model played a significant role in the use of predictive measures, but role of socioeconomic status as a moderator in their relationship was non-significant.Conclusion: The current study's findings revealed that although different health beliefs like susceptibility, severity, self-efficacy, and knowledge predict the taking of preventive measures, socio-economic status as moderating variable played a non-significant role on the relationship between health beliefs and preventive measures taken by Pakistani population.
社会经济地位的调节作用:巴基斯坦COVID-19大流行的健康信念模型与预防措施
目的:本研究旨在了解巴基斯坦第三波COVID-19大流行的健康信念模型方法及预防措施评估。其次,本研究旨在探讨社会经济地位在健康信念模式与预防措施之间的调节作用。研究设计:横断面研究。研究地点和持续时间:该研究是横断面的,基于2021年3月至2021年5月在旁遮普省通过谷歌表格收集的数据。材料与方法:健康信念模型评估采用世界卫生组织(WHO) Cosmo协议,并通过Google Forms进行预防策略问卷调查。该研究分析了在2019冠状病毒病大流行期间,社会经济地位如何调节巴基斯坦人口健康信念对预防行为的影响。社会经济地位通过联邦统计局(FBS)的数据进行评估,并加上其他四个维度(家庭成员总数、月收入、家庭收入成员总数、居住个人/租金)。结果:健康信念模型的结构、易感性(p< 0.002)、严重程度(p< 0.026)、自我效能感(p< 0.00000)和疾病知识(p< 0.006)与巴基斯坦人群采取的预测措施有统计学预测关系。此外,调节分析表明,虽然健康信念模型的某些构式在预测测量的使用中发挥了显著作用,但社会经济地位在其关系中的调节作用不显著。结论:本研究发现,尽管易感性、严重程度、自我效能和知识等不同的健康信念预测了预防措施的采取,但社会经济地位作为调节变量对巴基斯坦人口健康信念与预防措施之间的关系起不显著作用。
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