1.Social determinants of adherence to COVID-19 preventive guidelines: a comprehensive review
Zahra Jorjoran SHUSHTARI ; Yahya SALIMI ; Sina AHMADI ; Nader RAJABI-GILAN ; Marzieh SHIRAZIKHAH ; Akbar BIGLARIAN ; Ali ALMASI ; Mohammad Ali Mohammadi GHAREHGHANI
Osong Public Health and Research Perspectives 2021;12(6):346-360
Adherence to coronavirus disease 2019 (COVID-19) preventive guidelines (ACPG) is an important strategy to control the COVID-19 pandemic effectively. The present study aimed to identify and summarize the social determinants of ACPG among the general population. A comprehensive review was performed from December 2019 to February 2021 through searching electronic databases. Two independent reviewers assessed and selected relevant studies. Next, the characteristics and main findings of the included studies were summarized. Finally, the World Health Organization’s conceptual framework of social determinants of health was used to synthesize the identified social determinants of ACPG. Forty-one of 453 retrieved articles met the inclusion criteria. The study results showed different patterns of ACPG among various communities. Furthermore, 84 social determinants were identified and categorized into structural and intermediary determinants. ACPG is a set of complex behaviors associated with different individual sociodemographic and behavioral characteristics; living and working conditions; COVID-19 knowledge, attitudes, and risk perceptions; exposure to sources and information level; leisure activities; social support; trust; social norms; psychosocial well-being; socio-economic position; and the socio-economic and political context. Interventions to promote ACPG among the general population should consider the identified social determinants of ACPG.
2.The role of risk perception, risk communication, and demographic factors in COVID-19 preventive behaviors: an online survey in Iran
Mansour REZAEI ; Nader Rajabi GILAN ; Ali ALMASI ; Mehdi KHEZELI ; Fatemeh Jamshidi NAZAR ; Zahra Jorjoran SHUSHTARI ; Yahya SALIMI ; Farid NAJAFI ; Neda SARABI ; Shahram SAEIDI ; Saeid SAEIDI
Osong Public Health and Research Perspectives 2022;13(4):282-289
Objectives:
This study investigated preventive behaviors toward coronavirus disease 2019 (COVID-19) and related factors in a Kurdish Iranian sample.
Methods:
This online survey was conducted among the population aged 18 and above in Kermanshah Province, in western Iran, in April 2020. Samples were invited and recruited through social media. Data were collected using a questionnaire consisting of 4 sections (questions on demographic variables, risk perception, risk communication, and COVID-19 preventive behaviors) and analyzed using Stata ver. 8.
Results:
The Pearson correlation test showed that risk communication was significantly correlated with COVID-19 preventive behaviors (r = 0.320, p < 0.01). In the final model, where the explanatory power increased with the entry of the risk communication variable, the variables explained a total of 14% of variance in COVID-19 preventive behaviors. Sex (β = −0.482), risk perception (β = 0.047), and risk communication (β = 0.662) were significant determinants.
Conclusion
Risk communication and risk perception related to COVID-19, as well as being a woman, were determinants of COVID-19 preventive behaviors.