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Risk Awareness and Protective Behaviors of Communicable Diseases Among Adults in Türkiye: A Cross-Sectional Study

Year 2025, Volume: 9 Issue: 3, 465 - 475, 30.09.2025
https://doi.org/10.30621/jbachs.1605731

Abstract

References

  • Verelst F, Willem L, Beutels P. Behavioural change models for infectious disease transmission: a systematic review (2010–2015). Journal of The Royal Society Interface. 2016;13(125):20160820.
  • World Health Organization. [cited February 28, 2023]. Available from: https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death
  • Turkish Statistical Institute. [cited February 6, 2024]. Available from: https://www.tuik.gov.tr/.
  • Crowl TA, Crist TO, Parmenter RR, Belovsky G, Lugo AE. The spread of invasive species and infectious disease as drivers of ecosystem change. Frontiers in Ecology and the Environment. 2008;6(5):238-46.
  • Hawker J, Begg N, Reintjes R, Ekdahl K, Edeghere O, Van Steenbergen JE. Communicable disease control and health protection handbook: John Wiley & Sons; 2019.
  • Dilek E, Çetinkaya F. A Scale Development And Validation Study: Communicable Diseases Risk Awareness And Protection Scale. Journal of Istanbul Faculty of Medicine.85(2):258-69.
  • Alirol E, Getaz L, Stoll B, Chappuis F, Loutan L. Urbanisation and infectious diseases in a globalised world. The Lancet infectious diseases. 2011;11(2):131-41.
  • Papageorge NW, Zahn MV, Belot M, van den Broek-Altenburg E, Choi S, Jamison JC, et al. Socio-demographic factors associated with self-protecting behavior during the Covid-19 pandemic. Journal of Population Economics. 2021;34(2):691-738.
  • Sustainable Development Report. [cited February 4, 2024]. Available from: https://sustainablefuture.com.tr/surdurulebilir-kalkinma-raporu-2023-yayinlandi/.
  • Hotle S, Murray-Tuite P, Singh K. Influenza risk perception and travel-related health protection behavior in the US: Insights for the aftermath of the COVID-19 outbreak. Transportation Research Interdisciplinary Perspectives. 2020;5:100127.
  • Li J-B, Yang A, Dou K, Wang L-X, Zhang M-C, Lin X-Q. Chinese public’s knowledge, perceived severity, and perceived controllability of COVID-19 and their associations with emotional and behavioural reactions, social participation, and precautionary behaviour: a national survey. BMC Public Health. 2020;20(1):1589. doi: 10.1186/s12889-020-09695-1.
  • Jones JH, Salathé M. Early assessment of anxiety and behavioral response to novel swine-origin influenza A (H1N1). PLoS one. 2009;4(12):e8032.
  • Ergün E, Ergün Ş, Çelebi İ. Acil sağlik hizmetleri personellerinin covid-19 hakkinda bilgi, korunma düzeyleri ve etkileyen etmenler. Paramedik ve Acil Sağlık Hizmetleri Dergisi. 2020;1(1):16-27.
  • Roy D, Tripathy S, Kar SK, Sharma N, Verma SK, Kaushal V. Study of knowledge, attitude, anxiety & perceived mental healthcare need in Indian population during COVID-19 pandemic. Asian Journal of Psychiatry. 2020;51:102083.
  • de Zwart O, Veldhuijzen IK, Elam G, Aro AR, Abraham T, Bishop GD, et al. Perceived Threat, Risk Perception, and Efficacy Beliefs Related to SARS and Other (Emerging) Infectious Diseases: Results of an International Survey. International Journal of Behavioral Medicine. 2009;16(1):30-40.
  • Cui B, Liao Q, Lam WWT, Liu ZP, Fielding R. Avian influenza A/H7N9 risk perception, information trust and adoption of protective behaviours among poultry farmers in Jiangsu Province, China. BMC Public Health. 2017;17(1):463.
  • Ibuka Y, Chapman GB, Meyers LA, Li M, Galvani AP. The dynamics of risk perceptions and precautionary behavior in response to 2009 (H1N1) pandemic influenza. BMC Infectious Diseases. 2010;10(1):296.
  • Gazquez Linares JJ, Molero Jurado MdM, Martos Martínez Á, Jiménez‐Rodríguez D, Pérez‐Fuentes MdC. The repercussions of perceived threat from COVID‐19 on the mental health of actively employed nurses. International Journal of Mental Health Nursing. 2021;30(3):724-32.
  • Fang D, Fang C-L, Tsai B-K, Lan L-C, Hsu W-S. Relationships among Trust in Messages, Risk Perception, and Risk Reduction Preferences Based upon Avian Influenza in Taiwan. International Journal of Environmental Research and Public Health. 2012; 9(8):2742-57.
  • Barr M, Raphael B, Taylor M, Stevens G, Jorm L, Giffin M, et al. Pandemic influenza in Australia: Using telephone surveys to measure perceptions of threat and willingness to comply. BMC Infectious Diseases. 2008;8(1):117.
  • Schwarzinger M, Flicoteaux R, Cortarenoda S, Obadia Y, Moatti J-P. Low acceptability of A/H1N1 pandemic vaccination in French adult population: did public health policy fuel public dissonance? PloS one. 2010;5(4):e10199.
  • Janowski AB, Polgreen PM, Beekmann SE, Newland JG. Perceptions of risk of SARS-CoV-2 transmission in social and educational activities by infectious diseases and general pediatric healthcare providers, a pre-vaccine risk perception cross-sectional survey. PloS one. 2022;17(2):e0263767.
  • Commodari E. The Role of Sociodemographic and Psychological Variables on Risk Perception of the Flu. SAGE Open. 2017;7(3):2158244017718890.
  • Tagini S, Brugnera A, Ferrucci R, Mazzocco K, Compare A, Silani V, et al. It won't happen to me! Psychosocial factors influencing risk perception for respiratory infectious diseases: A scoping review. Applied Psychology: Health and Well‐Being. 2021;13(4):835-52.
  • Tüzün H, Karakaya K, Deniz EB. Turkey Handwashing Survey: suggestion for taking the ecological model into better consideration. Environmental Health and Preventive Medicine. 2015;20(5):325-31.
  • ÇInar Tanriverdİ E, Salcan S. Bir Tıp Fakültesi Birinci Sınıf Öğrencilerinin Covid-19 Pandemisinde El Yıkama Davranışları. Ankem Dergisi. 2023;37(1):7-17.
  • Yang J, Park E-C, Lee SA, Lee SG. Associations between hand hygiene education and self-reported hand-washing behaviors among Korean adults during MERS-CoV outbreak. Health Education & Behavior. 2019;46(1):157-64.
  • Gallè F, Dallolio L, Marotta M, Raggi A, Di Onofrio V, Liguori G, et al. Health-Related Behaviors in Swimming Pool Users: Influence of Knowledge of Regulations and Awareness of Health Risks. International Journal of Environmental Research and Public Health [Internet]. 2016; 13(5).
  • Low A, Heacock H. The evaluation of factors affecting the pre-swim shower behaviors of pool patrons. BCIT Environmental Public Health Journal. 2018.
  • Pasquarella C, Veronesi L, Napoli C, Castaldi S, Pasquarella ML, Saccani E, et al. What about behaviours in swimming pools? Results of an Italian multicentre study. Microchemical Journal. 2014;112:190-5.

Risk Awareness and Protective Behaviors of Communicable Diseases Among Adults in Türkiye: A Cross-Sectional Study

Year 2025, Volume: 9 Issue: 3, 465 - 475, 30.09.2025
https://doi.org/10.30621/jbachs.1605731

Abstract

Introduction: This study evaluates adults' awareness of communicable disease risks and the factors influencing it to enhance public health protection.
Methodology: A cross-sectional study was conducted among adults in four central districts of Kayseri using convenience sampling. The minimum sample size calculated via G-Power was 199. Data were collected in January 2023 through face-to-face interviews using a questionnaire covering sociodemographics and the "Communicable Diseases Risk Awareness and Protective Scale (CDRAPS)." Statistical analyses included Student's t-test, ANOVA, and post-hoc LSD tests.
Results: Among the 293 adults surveyed, 55.6% were male, and the mean CDRAPS score was 143.7±19.1 (range: 36-180). Overall, awareness scores were lower among males, individuals under 50 years old, unmarried individuals, those without children, and residents of rural areas. No significant associations were found between being a healthcare worker, having a chronic disease, and total scores on the scale.
Conclusions: The study highlights the importance of targeted initiatives to improve awareness of communicable disease risks. Factors such as gender, age, marital status, parenthood, and residential area significantly influence awareness, emphasizing the need for tailored strategies. These findings inform the development of educational campaigns and evidence-based interventions to address awareness gaps in diverse adult populations.

References

  • Verelst F, Willem L, Beutels P. Behavioural change models for infectious disease transmission: a systematic review (2010–2015). Journal of The Royal Society Interface. 2016;13(125):20160820.
  • World Health Organization. [cited February 28, 2023]. Available from: https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death
  • Turkish Statistical Institute. [cited February 6, 2024]. Available from: https://www.tuik.gov.tr/.
  • Crowl TA, Crist TO, Parmenter RR, Belovsky G, Lugo AE. The spread of invasive species and infectious disease as drivers of ecosystem change. Frontiers in Ecology and the Environment. 2008;6(5):238-46.
  • Hawker J, Begg N, Reintjes R, Ekdahl K, Edeghere O, Van Steenbergen JE. Communicable disease control and health protection handbook: John Wiley & Sons; 2019.
  • Dilek E, Çetinkaya F. A Scale Development And Validation Study: Communicable Diseases Risk Awareness And Protection Scale. Journal of Istanbul Faculty of Medicine.85(2):258-69.
  • Alirol E, Getaz L, Stoll B, Chappuis F, Loutan L. Urbanisation and infectious diseases in a globalised world. The Lancet infectious diseases. 2011;11(2):131-41.
  • Papageorge NW, Zahn MV, Belot M, van den Broek-Altenburg E, Choi S, Jamison JC, et al. Socio-demographic factors associated with self-protecting behavior during the Covid-19 pandemic. Journal of Population Economics. 2021;34(2):691-738.
  • Sustainable Development Report. [cited February 4, 2024]. Available from: https://sustainablefuture.com.tr/surdurulebilir-kalkinma-raporu-2023-yayinlandi/.
  • Hotle S, Murray-Tuite P, Singh K. Influenza risk perception and travel-related health protection behavior in the US: Insights for the aftermath of the COVID-19 outbreak. Transportation Research Interdisciplinary Perspectives. 2020;5:100127.
  • Li J-B, Yang A, Dou K, Wang L-X, Zhang M-C, Lin X-Q. Chinese public’s knowledge, perceived severity, and perceived controllability of COVID-19 and their associations with emotional and behavioural reactions, social participation, and precautionary behaviour: a national survey. BMC Public Health. 2020;20(1):1589. doi: 10.1186/s12889-020-09695-1.
  • Jones JH, Salathé M. Early assessment of anxiety and behavioral response to novel swine-origin influenza A (H1N1). PLoS one. 2009;4(12):e8032.
  • Ergün E, Ergün Ş, Çelebi İ. Acil sağlik hizmetleri personellerinin covid-19 hakkinda bilgi, korunma düzeyleri ve etkileyen etmenler. Paramedik ve Acil Sağlık Hizmetleri Dergisi. 2020;1(1):16-27.
  • Roy D, Tripathy S, Kar SK, Sharma N, Verma SK, Kaushal V. Study of knowledge, attitude, anxiety & perceived mental healthcare need in Indian population during COVID-19 pandemic. Asian Journal of Psychiatry. 2020;51:102083.
  • de Zwart O, Veldhuijzen IK, Elam G, Aro AR, Abraham T, Bishop GD, et al. Perceived Threat, Risk Perception, and Efficacy Beliefs Related to SARS and Other (Emerging) Infectious Diseases: Results of an International Survey. International Journal of Behavioral Medicine. 2009;16(1):30-40.
  • Cui B, Liao Q, Lam WWT, Liu ZP, Fielding R. Avian influenza A/H7N9 risk perception, information trust and adoption of protective behaviours among poultry farmers in Jiangsu Province, China. BMC Public Health. 2017;17(1):463.
  • Ibuka Y, Chapman GB, Meyers LA, Li M, Galvani AP. The dynamics of risk perceptions and precautionary behavior in response to 2009 (H1N1) pandemic influenza. BMC Infectious Diseases. 2010;10(1):296.
  • Gazquez Linares JJ, Molero Jurado MdM, Martos Martínez Á, Jiménez‐Rodríguez D, Pérez‐Fuentes MdC. The repercussions of perceived threat from COVID‐19 on the mental health of actively employed nurses. International Journal of Mental Health Nursing. 2021;30(3):724-32.
  • Fang D, Fang C-L, Tsai B-K, Lan L-C, Hsu W-S. Relationships among Trust in Messages, Risk Perception, and Risk Reduction Preferences Based upon Avian Influenza in Taiwan. International Journal of Environmental Research and Public Health. 2012; 9(8):2742-57.
  • Barr M, Raphael B, Taylor M, Stevens G, Jorm L, Giffin M, et al. Pandemic influenza in Australia: Using telephone surveys to measure perceptions of threat and willingness to comply. BMC Infectious Diseases. 2008;8(1):117.
  • Schwarzinger M, Flicoteaux R, Cortarenoda S, Obadia Y, Moatti J-P. Low acceptability of A/H1N1 pandemic vaccination in French adult population: did public health policy fuel public dissonance? PloS one. 2010;5(4):e10199.
  • Janowski AB, Polgreen PM, Beekmann SE, Newland JG. Perceptions of risk of SARS-CoV-2 transmission in social and educational activities by infectious diseases and general pediatric healthcare providers, a pre-vaccine risk perception cross-sectional survey. PloS one. 2022;17(2):e0263767.
  • Commodari E. The Role of Sociodemographic and Psychological Variables on Risk Perception of the Flu. SAGE Open. 2017;7(3):2158244017718890.
  • Tagini S, Brugnera A, Ferrucci R, Mazzocco K, Compare A, Silani V, et al. It won't happen to me! Psychosocial factors influencing risk perception for respiratory infectious diseases: A scoping review. Applied Psychology: Health and Well‐Being. 2021;13(4):835-52.
  • Tüzün H, Karakaya K, Deniz EB. Turkey Handwashing Survey: suggestion for taking the ecological model into better consideration. Environmental Health and Preventive Medicine. 2015;20(5):325-31.
  • ÇInar Tanriverdİ E, Salcan S. Bir Tıp Fakültesi Birinci Sınıf Öğrencilerinin Covid-19 Pandemisinde El Yıkama Davranışları. Ankem Dergisi. 2023;37(1):7-17.
  • Yang J, Park E-C, Lee SA, Lee SG. Associations between hand hygiene education and self-reported hand-washing behaviors among Korean adults during MERS-CoV outbreak. Health Education & Behavior. 2019;46(1):157-64.
  • Gallè F, Dallolio L, Marotta M, Raggi A, Di Onofrio V, Liguori G, et al. Health-Related Behaviors in Swimming Pool Users: Influence of Knowledge of Regulations and Awareness of Health Risks. International Journal of Environmental Research and Public Health [Internet]. 2016; 13(5).
  • Low A, Heacock H. The evaluation of factors affecting the pre-swim shower behaviors of pool patrons. BCIT Environmental Public Health Journal. 2018.
  • Pasquarella C, Veronesi L, Napoli C, Castaldi S, Pasquarella ML, Saccani E, et al. What about behaviours in swimming pools? Results of an Italian multicentre study. Microchemical Journal. 2014;112:190-5.
There are 30 citations in total.

Details

Primary Language English
Subjects Infectious Diseases, Rural Clinical Health
Journal Section Research Article
Authors

Tuğba Coşkun Aslan 0000-0002-2624-3516

Fevziye Çetinkaya 0000-0001-5590-7011

Arda Borlu 0000-0002-1424-8037

Güzin Ateş Özbey 0000-0002-0855-402X

Dilek Ener 0000-0002-0664-9973

Publication Date September 30, 2025
Submission Date January 8, 2025
Acceptance Date August 20, 2025
Published in Issue Year 2025 Volume: 9 Issue: 3

Cite

APA Coşkun Aslan, T., Çetinkaya, F., Borlu, A., … Ateş Özbey, G. (2025). Risk Awareness and Protective Behaviors of Communicable Diseases Among Adults in Türkiye: A Cross-Sectional Study. Journal of Basic and Clinical Health Sciences, 9(3), 465-475. https://doi.org/10.30621/jbachs.1605731
AMA Coşkun Aslan T, Çetinkaya F, Borlu A, Ateş Özbey G, Ener D. Risk Awareness and Protective Behaviors of Communicable Diseases Among Adults in Türkiye: A Cross-Sectional Study. JBACHS. September 2025;9(3):465-475. doi:10.30621/jbachs.1605731
Chicago Coşkun Aslan, Tuğba, Fevziye Çetinkaya, Arda Borlu, Güzin Ateş Özbey, and Dilek Ener. “Risk Awareness and Protective Behaviors of Communicable Diseases Among Adults in Türkiye: A Cross-Sectional Study”. Journal of Basic and Clinical Health Sciences 9, no. 3 (September 2025): 465-75. https://doi.org/10.30621/jbachs.1605731.
EndNote Coşkun Aslan T, Çetinkaya F, Borlu A, Ateş Özbey G, Ener D (September 1, 2025) Risk Awareness and Protective Behaviors of Communicable Diseases Among Adults in Türkiye: A Cross-Sectional Study. Journal of Basic and Clinical Health Sciences 9 3 465–475.
IEEE T. Coşkun Aslan, F. Çetinkaya, A. Borlu, G. Ateş Özbey, and D. Ener, “Risk Awareness and Protective Behaviors of Communicable Diseases Among Adults in Türkiye: A Cross-Sectional Study”, JBACHS, vol. 9, no. 3, pp. 465–475, 2025, doi: 10.30621/jbachs.1605731.
ISNAD Coşkun Aslan, Tuğba et al. “Risk Awareness and Protective Behaviors of Communicable Diseases Among Adults in Türkiye: A Cross-Sectional Study”. Journal of Basic and Clinical Health Sciences 9/3 (September2025), 465-475. https://doi.org/10.30621/jbachs.1605731.
JAMA Coşkun Aslan T, Çetinkaya F, Borlu A, Ateş Özbey G, Ener D. Risk Awareness and Protective Behaviors of Communicable Diseases Among Adults in Türkiye: A Cross-Sectional Study. JBACHS. 2025;9:465–475.
MLA Coşkun Aslan, Tuğba et al. “Risk Awareness and Protective Behaviors of Communicable Diseases Among Adults in Türkiye: A Cross-Sectional Study”. Journal of Basic and Clinical Health Sciences, vol. 9, no. 3, 2025, pp. 465-7, doi:10.30621/jbachs.1605731.
Vancouver Coşkun Aslan T, Çetinkaya F, Borlu A, Ateş Özbey G, Ener D. Risk Awareness and Protective Behaviors of Communicable Diseases Among Adults in Türkiye: A Cross-Sectional Study. JBACHS. 2025;9(3):465-7.