TY - JOUR T1 - The Relationship Between Fear of Contagion\Transmission and Communicable Disease Risk Awareness and Ways of Prevention in Vocational School Students of the University TT - Üniversitenin Meslek Yüksekokulu Öğrencilerinde Bulaşma/Bulaştırma Korkusu ile Bulaşıcı Hastalık Risk Farkındalığı ve Korunma Yolları Arasındaki İlişki AU - Kefeli Çol, Bahar AU - Başaran, Ayşe AU - Genç Köse, Burcu AU - Bakoğlu, Emine PY - 2025 DA - September Y2 - 2025 DO - 10.33631/sabd.1603374 JF - Sağlık Bilimlerinde Değer JO - VHS PB - Duzce University WT - DergiPark SN - 2792-0542 SP - 455 EP - 466 VL - 15 IS - 3 LA - en AB - Aim: This study aimed to determine students' risk awareness and protection levels regarding communicable diseases as well as their levels of fear of transmission. It aimed to evaluate them as independent variables and investigate their relationship. Material and Methods: It is a cross-sectional study. The study sample consisted of 509 university students. Data were collected using Communicable Diseases Risk Awareness and Protection and Fear of Contagion/Transmission scales. Data were analyzed using the Student t-test, and Pearson correlation. Results: The mean scores of the communicable disease risk awareness and prevention scales (145.73± 17.05) and the fear of contagion/transmission scale (89.65±16.58) were above the midpoint. Risk awareness and protection level regarding communicable diseases and fear of contagion/transmission were found to be significantly higher in girls, 2nd grade students, those with chronic diseases and those who stated that they had never had a communicable disease. Age and awareness of communicable disease risk and protection level were positively correlated. There was also a positive correlation between the communicable disease risk awareness and prevention scale and the fear of contagion/ transmission.Conclusion: The study results reveal the students' awareness of risk and protection against communicable diseases and fear of contagion and transmission. It shows the importance of gender, class, presence of chronic disease and previous communicable disease on risk awareness, protection and fear of communicable diseases. KW - Communicable disease KW - fear KW - awareness of risk N2 - Amaç: Bu çalışmanın amacı öğrencilerin bulaşıcı hastalılarda risk farkındalık ve korunma düzeyleri ile bulaşma\bulaştırma korku düzeylerini belirlemek, bağımsız değişkenler açısından değerlendirmek ve aralarındaki ilişkiyi araştırmaktır. Gereç ve Yöntemler: Kesitsel tipte bir çalışmadır. Araştırmanın örneklemi 509 üniversite öğrencisi oluşturmaktadır. Veriler Bulaşıcı Hastalıklar Risk Farkındalığı ve Korunma ölçeği, Bulaşma/Bulaştırma Korkusu ölçeği ile toplandı. Verilerin analizi Student t-test ve Pearson korelasyon ile yapıldı. Bulgular: Bulaşıcı hastalık risk farkındalığı ve korunma ölçeği (145,73± 17,05) ile bulaşma/bulaştırma korkusu ölçeği (89,65±16,58) puan ortalamaları orta noktanın üstünde saptandı. Bulaşıcı hastalıklara ilişkin risk farkındalığı ve korunma düzeyi ile bulaşma/bulaştırma korkusu; kadınlarda, 2. sınıf öğrencilerinde, kronik hastalığı olanlarda ve daha önce bulaşıcı hastalık geçirmediğini söyleyenlerde anlamlı olarak fazla bulundu. Yaş ile bulaşıcı hastalıklarda risk farkındalığı ve korunma düzeyi arasında pozitif yönde ilişki saptandı. Ayrıca bulaşıcı hastalık risk farkındalığı ve korunma ölçeği ile bulaşma/bulaştırma korkusu arasında da pozitif yönde ilişki saptandı. Sonuç: Araştırma sonuçları öğrencilerin bulaşıcı hastalıklarda risk farkındalık ve korunma düzeyini ile bulaşma ve bulaştırma korku düzeylerini ortaya koymaktadır. Bulaşıcı hastalıklarda risk farkındalığı, korunma ve korku üzerinde cinsiyet, sınıf, kronik hastalık varlığı ve daha önce bulaşıcı hastalık geçirme durumunun önemini göstermektedir. CR - Baker RE, Mahmud AS, Miller IF, Rajeev M, Rasambainarivo F, Rice BL, et al. Infectious disease in an era of global change. Nat Rev Microbiol. 2022;20:193-205. https://doi.org/10.1038/s41579-021-00639-z CR - Feng X, Liu S, Wang C, Sriboonjit J, Liu J, Sriboonchitta S. Does urbanization increase the risk of emerging infectious diseases in china? a spatial econometric analysis. Sustainability. 2022;14(1):165. https://doi.org/10.3390/su14010165 CR - McDermott A. Climate change hastens disease spread across the globe. Proc Natl Acad Sci U S A. 2022;119(7):e2200481119. https://doi.org/10.1073/pnas.2200481119. CR - Holst J. Global Health – emergence, hegemonic trends and biomedical reductionism. Global Health. 2020;16(1):42. https://doi.org/10.1186/s12992-020-00573-4 CR - Findlater A, Bogoch II. Human mobility and the global spread of infectious diseases: a focus on air travel. Trends Parasitol. 2018;34(9):772-83. https://doi.org/10.1016/j.pt.2018.07.004 CR - Koç A, Bilgehan T. Bulaşma/bulaştırma korkusu ölçeği: bir ölçek geliştirme çalışması. Türk Hemşireler Derneği Derg. 2021;2(2):14-26. CR - Parıldar H. Tarihte bulaşıcı hastalık salgınları. Tepecik Eğit Araşt Hast Derg. 2020;30:19-26. https://doi.org/10.5222/terh.2020.93764 CR - Biçer İ, Çakmak C, Demir H, Kurt ME. Koronavirüs anksiyete ölçeği kısa formu: türkçe geçerlik ve güvenirlik çalışması. Anadolu Klin Tıp Bilim Derg. 2020;25(1):216-25. https://doi.org/10.21673/anadoluklin.731092 CR - Şenel E, Kılıç İ. Covid-19 korkusu ile seyahat motivasyonu ve satın alma niyeti ilişkisi. Güncel Turizm Araşt Derg. 2022;6(1):92-105. https://doi.org/10.32572/guntad.954942 CR - Ali Adeeb R, Mirhoseini M. The impact of affect on the perception of fake news on social media: a systematic review. Soc Sci. 2023;12(12):674. https://doi.org/10.3390/socsci12120674 CR - Borges do Nascimento IJ, Pizarro AB, Almeida JM, Azzopardi-Muscat N, Gonçalves MA, Björklund M, et al. Infodemics and health misinformation: a systematic review of reviews. Bull World Health Organ. 2022;100(9):544-61. https://doi.org/10.2471/BLT.21.287654 CR - Lin CY. Social reaction toward the 2019 novel coronavirus (COVID-19). Soc Health Behav. 2020;3:1-2. https://doi.org/10.4103/SHB.SHB_11_20 CR - Iskender MD, Gülsoy A, Özcan E, Uyan Y. The effect of fear of contagion/being contagious on depression, anxiety and stress levels of university students during the COVID-19 pandemic. J Clin Nurs. 2024;33(1):192-202. https://doi.org/10.1111/jocn.16602 CR - Morgado-Toscano C, Gomez-Salgado J, Garcia-Iglesias JJ, Fagundo-Rivera J, Lopez-Lopez D, Allande-Cusso R. Levels of anxiety and fear among nurses during the COVID‐19 pandemic: a systematic review. J Nurs Manag. 2023;2023:2191984. https://doi.org/10.1155/2023/2191984 CR - Cassiano MS, Ozturk F, Ricciardelli R. Fear of infectious diseases and perceived contagion risk count as an occupational health and safety hazard: accounts from correctional officer recruits in Canada. J Criminol. 2022;55(1):47-64. https://doi.org/10.1177/26338076211058250 CR - Bucaktepe PGE, Akgül F, Çelik SB. Evaluation of the effects of pandemic-related fears on anxiety and depression: the mediating roles of traumatic stress and loneliness. BMC Psychol. 2024:12(1):388. https://doi.org/10.1186/s40359-024-01880-w CR - Winter T, Riordan BC, Pakpour AH, Griffiths MD, Mason A, John W, Poulgrain JW, et al. Evaluation of the english version of the fear of COVID-19 scale and its relationship with behavior change and political beliefs. Int J Ment Health Addict. 2023;21:372-82. https://doi.org/10.1007/s11469-020-00342-9 CR - Spatafora F, Matos Fialho PM, Busse H, Helmer SM, Zeeb H, Stock C, et al. Fear of infection and depressive symptoms among German University students during the COVID-19 pandemic: results of COVID-19 international student well-being study. Int J Environ Res Public Health. 2022;19(3):1659. https://doi.org/10.3390/ijerph19031659 CR - Vilca LW, Chávez BV, Fernández YS, Caycho-Rodríguez T, White M. Impact of the fear of catching COVID-19 on mental health in undergraduate students: a predictive model for anxiety, depression, and insomnia. Curr Psychol. 2022;13:1-8. https://doi.org/10.1007/s12144-021-02542-5 CR - Rania N, Coppola I. The fear of contagion and the attitude toward the restrictive measures imposed to face COVID-19 in Italy: the psychological consequences caused by the pandemic one year after it began. Front Psychol. 2022;13:805706. https://doi.org/10.3389/fpsyg.2022.805706 CR - Epstein JM, Hatna E, Crodelle J. Triple contagion: a two-fears epidemic model. J R Soc Interface. 2021;18:20210186. https://doi.org/10.1098/rsif.2021.0186 CR - Demirtaş-Madran HA. Accepting restrictions and compliance with recommended preventive behaviors for COVID-19: a discussion based on the key approaches and current research on fear appeals. Front Psychol. 2021;12:558437. https://doi.org/10.3389/fpsyg.2021.558437 CR - Savitsky B, Findling Y, Ereli A, Hendel T. Anxiety and coping strategies among nursing students during the covid-19 pandemic. Nurse Educ Pract. 2020;46:102809. https://doi.org/10.1016/j.nepr.2020.102809 CR - Sher L. The impact of the COVID-19 pandemic on suicide rates. QJM. 2020;113(10):707-12. https://doi.org/10.1093/qjmed/hcaa202 CR - Goyal K, Chauhan P, Chhikara K, Gupta P, Singh MP. Fear of COVID 2019: first suicidal case in India!. Asian J Psychiatr. 2020;49:101989. https://doi.org/10.1016/j.ajp.2020.101989 CR - Sahoo S, Rani S, Parveen S, Pal Singh A, Mehra A, Chakrabarti S, et al. Self-harm and COVID-19 pandemic: an emerging concern - A report of 2 cases from India. Asian J Psychiatr. 2020;51:102104. https://doi.org/10.1016/j.ajp.2020.102104 CR - Grande M, Doyle-Baker P. Fear of COVID-19 effects on university student’s health behaviours: the FRESH study. Int J Kinesiol Sports Sci. 2021;9(3):52-9. http://dx.doi.org/10.7575/aiac.ijkss.v.9n.1p.52 CR - Lazzerini M, Barbi E, Apicella A, Marchetti F, Cardinale F, Trobia G. Delayed access or provision of care in Italy resulting from fear of COVID-19. Lancet Child Adolesc Health. 2020;4(5):e10-1. http://dx.doi.org/10.1016/S2352-4642(20)30108-5 CR - Shah M, Ferra G, Fitzgerald S, Barreira PJ, Sabeti PC, Colubri A. Containing the spread of mumps on college campuses. R Soc Open Sci. 2022;9(1):210948. https://doi.org/10.1098/rsos.210948 CR - Zivich PN, Eisenberg MC, Monto AS, Uzicanin A, Baric RS, Sheahan TP, et al. Transmission of viral pathogens in a social network of university students: the eX-FLU study. Epidemiol Infect. 2020;148:e267. https://doi.org/10.1017/S0950268820001806 CR - Türen S, Torun O. Fear of infectious contagion/transmission among health sciences students and its relationship to their attitudes toward the COVID-19 vaccine. J Intensive Care Nurs. 2024;28(1):37-45. https://doi.org/10.62111/ybhd.1459122 CR - Kontodimopoulos N, Poulaki E, Fanourgiakis J, Talias MA. The association between fear of COVID-19 and health-related quality of life: a cross-sectional study in the greek general population. J Pers Med. 2022;12(11):1891. http://dx.doi.org/10.3390/jpm12111891 CR - Jiang R. Knowledge, attitudes and mental health of university students during the COVID-19 pandemic in China. Child Youth Serv Rev. 2020;119:105494. https://doi.org/10.1016/j.childyouth.2020.105494 CR - Berşe S, Dirgar E, Can E, Tosun B. Investigation of the relationship between fear of transmission and attitudes towards clinical practice in nursing and midwifery students. Celal Bayar Üniv Sağlık Bilim Enst Derg. 2024;11(3):355-63. https://doi.org/10.34087/cbusbed.1433687 CR - Ener D, Seyfeli Y, Çetinkaya FA. Scale development and validation study: communicable diseases risk awareness and protection scale. J Istanbul Fac Med. 2022;85(2):258-69. https://doi.org/10.26650/IUITFD.973903 CR - Köklü N, Büyüköztürk Ş, Çokluk Ö. Sosyal bilimler için istatistik. 26. Baskı. Ankara: Pegem Akademi Yayıncılık; 2022. CR - Alpar R. Uygulamalı istatistik ve geçerlilik-güvenilirlik. 4 Baskı. Ankara: Detay Yayıncılık; 2016. CR - Li YH, Wen T, Cui YS, Huang ZH, Liu YQ. Knowledge, attitudes, and practices regarding COVID-19 and mental health status among college students in China: a cross-sectional study. Front Public Health. 2023;11:1157862. https://doi.org/10.3389/fpubh.2023.1157862 CR - Anaam MS, Alsahali S. Gender differences in knowledge. attitudes. and practices toward COVID-19 in Saudi Arabia: a cross-sectional study. Diseases. 2023;11(2):63. https://doi.org/10.3390/diseases11020063 CR - Acikgoz A, Yoruk S, Kissal A, Yildirimcan Kadicesme Ş, Catal E, Kamaci G, et al. Healthcare students' vaccination status, knowledge, and protective behaviors regarding hepatitis B: a cross-sectional study in Turkey. Hum Vaccin Immunother. 2021;17(11):4595-602. https://doi.org/10.1080/21645515.2021.1973321 CR - El-Saaidi C, Dadras O, Musumari PM, Ono-Kihara M, Kihara M. Infection control knowledge, attitudes, and practices among students of public dental schools in Egypt. Int J Environ Res Public Health. 2021;18(12):6248. https://doi.org/10.3390/ijerph18126248 CR - Fekadu G, Bekele F, Tolossa T, Fetensa G, Turi E, Getachew M, et al. Impact of COVID-19 pandemic on chronic diseases care follow-up and current perspectives in low resource settings: a narrative review. Int J Physiol Pathophysiol Pharmacol. 2021;13(3):86-93. CR - Laires PA, Dias S, Gama A, Moniz M, Pedro AR, Soares P, Aguiar P, Nunes C. The association between chronic disease and serious COVID-19 outcomes and its influence on risk perception: survey study and database analysis. JMIR Public Health Surveill. 2021;7(1):e22794. https://doi.org/10.2196/22794 CR - Al Mamun A, Hayat N, Dieu HTM, Zainol NR, Salameh AA. COVID-19 preventive behavior among university students in Southeast Asia: effects of knowledge concern awareness and perceived risk. Front Public Health. 2022;10:958021. https://doi.org/10.3389/fpubh.2022.958021 CR - Khasawneh AI, Humeidan AA, Alsulaiman JW, Bloukh S, Ramadan M, Al-Shatanawi TN, et al. Medical students and COVID-19: knowledge, attitudes, and precautionary measures. A descriptive study from Jordan. Front Public Health. 2020;8:253. https://doi.org/10.3389/fpubh.2020.00253 CR - Srivastava KC, Shrivastava D, Chhabra KG, Naqvi W, Sahu, A. Facade of media and social media during COVID-19: a review. Int J Res Pharma Sci. 2020;11(SPL1):142-9. https://doi.org/10.26452/ijrps.v11iSPL1.2288 CR - Frings D, Sykes S, Ojo A, Rowlands G, Trasolini A, Dadaczynski K, et al. Differences in digital health literacy and future anxiety between health care and other university students in England during the COVID-19 pandemic. BMC Public Health. 2022;22(1):658. https://doi.org/10.1186/s12889-022-13087-y CR - Kühn L, Bachert P, Hildebrand C, Kunkel J, Reitermayer J, Wäsch H, et al. Health literacy among university students: a systematic review of cross-sectional studies. Front Public Health. 2022;9:680999. https://doi.org/10.3389/fpubh.2021.680999 CR - Karababa A. The effects of suppression of positive and negative emotions on loneliness in Turkish University-attending emerging adults: does gender make a difference? Br J Guid Couns. 2024;1-14. https://doi.org/10.1080/03069885.2024.2384721 CR - Akca A, Bilgehan T. The relationship between noncommunicable disease status in adults and fear of contagion/transmission and COVID-19 Burnout. Journal of Life Long Nursing. 2023;4(3):149-66. CR - Emami A, Javanmardi F, Pirbonyeh N, Akbari A. Prevalence of underlying diseases in hospitalized patients with COVID‐19: a systematic review and meta‐analysis. Arch Acad Emerg Med. 2020;8(1):e35. CR - Sinclair AJ, Abdelhafiz AH. Age frailty and diabetes–triple jeopardy for vulnerability to COVID‐19 infection. eClinicalMedicine. 2020;22:100343. https://doi.org/10.1016/j.eclinm.2020.100343 CR - Peiró JM, Luque-García A, Soriano A, Martínez-Tur V. Fears during the Covid-19 pandemics and their influence on physical health: a cross-sectional study on the general population in Spain. Int J Clin Health Psychol. 2023;23(2):100361. https://doi.org/10.1016/j.ijchp.2022.100361 CR - Mertens G, Engelhard IM, Novacek DM, McNally RJ. Managing fear during pandemics: risks and opportunities. Perspect Psychol Sci. 2024;19(4):652-9. https://doi.org/10.1177/17456916231178720 CR - Spatafora F, Matos Fialho PM, Busse H, Helmer SM, Zeeb H, Stock C, et al. Fear of infection and depressive symptoms among German University students during the COVID-19 pandemic: results of COVID-19 international student well-being study. Int J Environ Res Public Health. 2022;19(3):1659. https://doi.org/10.3390/ijerph19031659 UR - https://doi.org/10.33631/sabd.1603374 L1 - https://dergipark.org.tr/en/download/article-file/4449000 ER -