{"title":"中国解除疫情控制措施后，健康焦虑与COVID-19感染者再感染感知风险的关系：多中介和多组分析","authors":"Wenqian Zhao, Ningning Ding, Haiyan Hu, Wenwen Tian, Jiankang He, Mingxuan Du, Chengjia Zhao, Guohua Zhang","doi":"10.2147/PRBM.S493345","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>After the lifting of epidemic control measures in China at the end of 2022, the number of COVID-19 infections has increased dramatically. Such an upsurge may intensify people's health anxiety and raise concerns about the risk of reinfection. While numerous studies have shown the correlation between them during the COVID-19, research on their underlying mechanism remains limited.</p><p><strong>Purpose: </strong>This study aims to test the relationship and mechanism between health anxiety and perceived risk of reinfection among COVID-19 infected people from different occupational backgrounds.</p><p><strong>Methods: </strong>A cross-sectional study was conducted from December 24th to 28th, 2022, after the epidemic control measures were lifted. A total of 1122 Chinese individuals were infected with COVID-19 (67.91% females, <i>M</i> <sub>age</sub> = 28.13) completed measures of health anxiety, perceived risk of reinfection, fear of COVID-19, online health information seeking (OHIS), and COVID-19 information fear of missing out (FOMO). Data were analyzed using multiple-mediation model and multi-group analysis.</p><p><strong>Results: </strong>Health anxiety, perceived risk of reinfection, fear of COVID-19, OHIS and COVID-19 information FOMO were positively and significantly related to each other (<i>r</i> ranged from 0.25 to 0.77, all <i>p</i> < 0.001). Fear of COVID-19 (<i>β</i> = 0.27, <i>p</i> < 0.01), OHIS (<i>β</i> = 0.10, <i>p</i> < 0.001), and COVID-19 information FOMO (<i>β</i> = -0.05, <i>p</i> < 0.01) fully mediated the relationship between health anxiety and perceived risk of reinfection, the path of chaining mediation is also significant. Discrepancies in mediation models surfaced across the three types of work groups.</p><p><strong>Conclusion: </strong>Findings suggest fear of COVID-19, OHIS and COVID-19 information FOMO may play significant mediating roles in explaining the relationship between health anxiety and perceived risk of reinfection. Interventions to reduce the perceived risk of reinfection should aim to improve the quality of online health information and individuals' online health literacy and reduce fear of COVID-19 during and after the pandemic.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"17 ","pages":"4157-4170"},"PeriodicalIF":2.8000,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11626982/pdf/","citationCount":"0","resultStr":"{\"title\":\"How Health Anxiety is Associated with Perceived Risk of Reinfection Among COVID-19 Infected People After the Epidemic Control Measures Lifted in China: A Multiple Mediating and Multi-Group Analysis.\",\"authors\":\"Wenqian Zhao, Ningning Ding, Haiyan Hu, Wenwen Tian, Jiankang He, Mingxuan Du, Chengjia Zhao, Guohua Zhang\",\"doi\":\"10.2147/PRBM.S493345\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>After the lifting of epidemic control measures in China at the end of 2022, the number of COVID-19 infections has increased dramatically. Such an upsurge may intensify people's health anxiety and raise concerns about the risk of reinfection. While numerous studies have shown the correlation between them during the COVID-19, research on their underlying mechanism remains limited.</p><p><strong>Purpose: </strong>This study aims to test the relationship and mechanism between health anxiety and perceived risk of reinfection among COVID-19 infected people from different occupational backgrounds.</p><p><strong>Methods: </strong>A cross-sectional study was conducted from December 24th to 28th, 2022, after the epidemic control measures were lifted. A total of 1122 Chinese individuals were infected with COVID-19 (67.91% females, <i>M</i> <sub>age</sub> = 28.13) completed measures of health anxiety, perceived risk of reinfection, fear of COVID-19, online health information seeking (OHIS), and COVID-19 information fear of missing out (FOMO). Data were analyzed using multiple-mediation model and multi-group analysis.</p><p><strong>Results: </strong>Health anxiety, perceived risk of reinfection, fear of COVID-19, OHIS and COVID-19 information FOMO were positively and significantly related to each other (<i>r</i> ranged from 0.25 to 0.77, all <i>p</i> < 0.001). Fear of COVID-19 (<i>β</i> = 0.27, <i>p</i> < 0.01), OHIS (<i>β</i> = 0.10, <i>p</i> < 0.001), and COVID-19 information FOMO (<i>β</i> = -0.05, <i>p</i> < 0.01) fully mediated the relationship between health anxiety and perceived risk of reinfection, the path of chaining mediation is also significant. Discrepancies in mediation models surfaced across the three types of work groups.</p><p><strong>Conclusion: </strong>Findings suggest fear of COVID-19, OHIS and COVID-19 information FOMO may play significant mediating roles in explaining the relationship between health anxiety and perceived risk of reinfection. Interventions to reduce the perceived risk of reinfection should aim to improve the quality of online health information and individuals' online health literacy and reduce fear of COVID-19 during and after the pandemic.</p>\",\"PeriodicalId\":20954,\"journal\":{\"name\":\"Psychology Research and Behavior Management\",\"volume\":\"17 \",\"pages\":\"4157-4170\"},\"PeriodicalIF\":2.8000,\"publicationDate\":\"2024-12-05\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11626982/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Psychology Research and Behavior Management\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://doi.org/10.2147/PRBM.S493345\",\"RegionNum\":3,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"PSYCHOLOGY, CLINICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychology Research and Behavior Management","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.2147/PRBM.S493345","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
引用次数: 0
摘要
背景：2022年底中国解除疫情防控措施后，新冠肺炎感染人数急剧增加。这种激增可能会加剧人们对健康的焦虑，并引起人们对再次感染风险的担忧。虽然许多研究表明它们在COVID-19期间存在相关性，但对其潜在机制的研究仍然有限。目的：本研究旨在检验不同职业背景的COVID-19感染者健康焦虑与再感染感知风险的关系及机制。方法：于解除疫情控制措施后的2022年12月24日至28日进行横断面研究。共有1122名中国COVID-19感染者（67.91%为女性，M年龄= 28.13岁）完成了健康焦虑、再感染风险感知、COVID-19恐惧、在线健康信息搜索（OHIS）和COVID-19信息错过恐惧（FOMO）的测量。采用多重中介模型和多组分析对数据进行分析。结果：健康焦虑、再感染风险感知、COVID-19恐惧、OHIS和COVID-19信息FOMO之间存在显著正相关（r范围为0.25 ~ 0.77，p均< 0.001）。对COVID-19的恐惧（β = 0.27, p < 0.01）、OHIS （β = 0.10, p < 0.001）和COVID-19信息FOMO （β = -0.05, p < 0.01）完全介导了健康焦虑与再感染感知风险的关系，连锁介导的路径也显著。中介模型的差异在三种类型的工作组中显现出来。结论：新冠肺炎恐惧、OHIS和新冠肺炎信息FOMO可能在健康焦虑与再感染感知风险的关系中起显著中介作用。减少再感染风险的干预措施应旨在提高在线卫生信息的质量和个人的在线健康素养，并在大流行期间和之后减少对COVID-19的恐惧。
How Health Anxiety is Associated with Perceived Risk of Reinfection Among COVID-19 Infected People After the Epidemic Control Measures Lifted in China: A Multiple Mediating and Multi-Group Analysis.
Background: After the lifting of epidemic control measures in China at the end of 2022, the number of COVID-19 infections has increased dramatically. Such an upsurge may intensify people's health anxiety and raise concerns about the risk of reinfection. While numerous studies have shown the correlation between them during the COVID-19, research on their underlying mechanism remains limited.
Purpose: This study aims to test the relationship and mechanism between health anxiety and perceived risk of reinfection among COVID-19 infected people from different occupational backgrounds.
Methods: A cross-sectional study was conducted from December 24th to 28th, 2022, after the epidemic control measures were lifted. A total of 1122 Chinese individuals were infected with COVID-19 (67.91% females, Mage = 28.13) completed measures of health anxiety, perceived risk of reinfection, fear of COVID-19, online health information seeking (OHIS), and COVID-19 information fear of missing out (FOMO). Data were analyzed using multiple-mediation model and multi-group analysis.
Results: Health anxiety, perceived risk of reinfection, fear of COVID-19, OHIS and COVID-19 information FOMO were positively and significantly related to each other (r ranged from 0.25 to 0.77, all p < 0.001). Fear of COVID-19 (β = 0.27, p < 0.01), OHIS (β = 0.10, p < 0.001), and COVID-19 information FOMO (β = -0.05, p < 0.01) fully mediated the relationship between health anxiety and perceived risk of reinfection, the path of chaining mediation is also significant. Discrepancies in mediation models surfaced across the three types of work groups.
Conclusion: Findings suggest fear of COVID-19, OHIS and COVID-19 information FOMO may play significant mediating roles in explaining the relationship between health anxiety and perceived risk of reinfection. Interventions to reduce the perceived risk of reinfection should aim to improve the quality of online health information and individuals' online health literacy and reduce fear of COVID-19 during and after the pandemic.
期刊介绍：
Psychology Research and Behavior Management is an international, peer-reviewed, open access journal focusing on the science of psychology and its application in behavior management to develop improved outcomes in the clinical, educational, sports and business arenas. Specific topics covered in the journal include: -Neuroscience, memory and decision making -Behavior modification and management -Clinical applications -Business and sports performance management -Social and developmental studies -Animal studies The journal welcomes submitted papers covering original research, clinical studies, surveys, reviews and evaluations, guidelines, expert opinion and commentary, case reports and extended reports.
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