Genç Erişkinlerde COVID-19 ile İlgili Algı ve Tutumların Sağlıklı Yaşam Biçimi Davranışlarına Yansımaları

Yıl 2024, Cilt: 6 Sayı: 1, 19 - 28, 30.04.2024

Adem Sümen Aysun Ünal Gamze Yavaş

https://doi.org/10.54061/jphn.1377578

Öz

Amaç: Bu çalışma, genç yetişkin bireylerin COVID-19 pandemisiyle ilgili hastalık algısı (HA), nedenler algısı (NA), kontrol algısı (KA) ve kaçınma davranışlarının (KD), sağlıklı yaşam tarzları üzerindeki yansımalarını belirlemek amacıyla yürütülmüştür.
Yöntem: Bu çalışma, Türkiye'nin güneyinde bir üniversitede kesitsel, ilişkisel bir tasarım ile gerçekleştirildi. Araştırma çevrimiçi olarak yürütüldü ve 18-24 yaş arasındaki 786 genç yetişkin ile tamamlandı. Çalışma verileri, bir sosyo-demografik form, COVID-19 Pandemisi’ne Yönelik Algı ve Tutumları Değerlendirme Ölçeği ve Sağlıklı Yaşam Biçimi Davranışları Ölçeği (SYBDÖ) kullanılarak toplandı.
Bulgular: Genç erişkinlerin SYBDÖ toplam puan ortalamaları ile NA-Çevre, KA ve KA-Kişisel puan ortalamaları arasında orta düzeyde pozitif korelasyon bulundu (p<.05). Genç erişkinlerde hastalık algısı sağlıklı yaşam biçimi davranışları üzerinde olumlu bir etkiye (β=0.179), kaçınma davranışı sağlıklı yaşam biçimi davranışları üzerinde olumlu bir etkiye (β=0.279) ve kontrol algısı sağlıklı yaşam biçimi davranışları üzerinde olumlu etkiye (β =0,424) sahiptir (p<0,05).
Sonuç: COVID-19 pandemisi ile ilgili hastalık algısı, nedenler algısı, kontrol algısı ve kaçınma davranışlarına inancı yüksek olan genç yetişkinler, pandemi sürecinde olumlu sağlıklı yaşam biçimi davranışları sergilediler. Pandemi ya da diğer halk sağlığı olaylarının ardından sağlıklı bir toplum oluşabilmesi için genç yetişkinlerin sağlıklı yaşam biçimi davranışlarının bir yaşam biçimi haline gelmesi ve sürdürülmesi gerekmektedir. Sağlıklı yaşam biçimi davranışlarının artırılmasında ve azalan davranışların teşvik edilmesinde/yeniden kazandırılmasında sağlık bakım profesyonelleri çok önemli bir konuma sahiptir.

Anahtar Kelimeler

Algı, COVID-19, genç yetişkin, sağlıklı yaşam biçimi davranışları, tutum

Repercussions of Perceptions and Attitudes Related the COVID-19 on Healthy Lifestyle Behaviors in Young Adults

Öz

Objective: This study was conducted to determine the effects of young adult individuals’ perception of disease (PD), perception of causes (PC), perception of control (PCL), and avoidance behaviors (AB) related to the COVID-19 pandemic on their healthy lifestyle behaviors.
Methods: The study was carried out with a cross-sectional, correlational design at a university in the south of Turkey. The research was conducted online and completed with 786 young adults aged 18-24. The study data were collected using a socio-demographic form, the Scale for Evaluating Perceptions and Attitudes towards the COVID-19 Pandemic, and the Health Promoting Lifestyle Profile (HPLP).
Results: A moderate positive correlation was found between the mean HPLP total scores of the young adults and their mean scores for PC-Environmental, PCL, and PCL-Individual (p<.05). The perception of disease in young adults had a positive effect on their healthy lifestyle behaviors (β=0.179), avoidance behavior positively affected their healthy lifestyle behaviors (β=0.279) and perception of control had a positive effect on their healthy lifestyle behaviors (β=0.424) (p<.05).
Conclusion: Young adults with a high perception of disease, perception of causes, perception of control, and belief in avoidance behaviors related to the COVID-19 pandemic exhibited positive healthy lifestyle behaviors during the pandemic process. For the creation of a healthy society following pandemics or other public health events, young adults' healthy lifestyle behaviors need to become a way of life and be sustained. Healthcare professionals have a very important place in supporting increasing healthy lifestyle behaviors and encouraging/regaining decreasing behaviors.

Anahtar Kelimeler

Attitude, COVID-19, healthy lifestyle behaviors, perception, young adult

Kaynakça

• Abouzid, M., El-Sherif, D. M., Eltewacy, N. K., Dahman, N. B. H., Okasha, S. A., Ghozy, S., & Islam, S.M.S. (2021). Influence of COVID-19 on lifestyle behaviors in the Middle East and North Africa Region: a survey of 5896 individuals. Journal of Translational Medicine, 19(1), 1-11. https://doi.org/10.1186/s12967-021-02767-9
• Alah, M. A., Abdeen, S., Kehyayan, V., & Bougmiza, I. (2021). Impact of staying at home measures during COVID-19 pandemic on the lifestyle of Qatar’s population: Perceived changes in diet, physical activity, and body weight. Preventive Medicine Reports, 24, 101545. https://doi.org/10.1016/j.pmedr.2021.101545
• Artan, T., Karaman, M., Atak, I., & Cebeci, F. (2020). COVID-19 Salgınına Yönelik Algı ve Tutumları Değerlendirme Ölçeği’nin değerlendirilmesi. Turkish Journal of Social Work, 4(2), 101-107.
• Bahar, Z., Beşer, A., Gördes, N., Ersin, F., & Kıssal, A. (2008). Healthy Life Style Behavior Scale II: A reliability and validity study. Cumhuriyet Üniversitesi Hemşirelik Yüksekokulu Dergisi, 12(1), 1-13. (in Turkish)
• Baloran, E. T. (2020). Knowledge, attitudes, anxiety, and coping strategies of students during COVID-19 pandemic. Journal of Loss and Trauma, 25(8), 635-642. https://doi.org/10.1080/15325024.2020.1769300
• Barrett, P. (2007). Structural equation modelling: Adjudging model fit. Personality and Individual Differences, 42(5), 815-824. https://doi.org/10.1016/j.paid.2006.09.018
• Bates, B. R., Villegas Botero, A., & Grijalva, M. J. (2020). Knowledge, attitudes, and practices towards COVID-19 among Colombians during the outbreak: An online cross-sectional survey. Journal of Communication in Healthcare, 13(4), 262-270. https://doi.org/10.1080/17538068.2020.1842843
• Bhagavathula, A. S., Aldhaleei, W. A., Rahmani, J., Mahabadi, M. A., & Bandari, D. K. (2020). Knowledge and perceptions of COVID-19 among health care workers: cross-sectional study. JMIR Public Health Surveill, 6(2), e19160. https://doi.org/10.2196/19160
• Diedhiou, A. B., Yılmaz, F., & Yılmaz, A. (2021). The effect of COVID-19 pandemic on healthy lifestyle behaviors and quality of life in Turkey. Trends in Sport Sciences, 28(4), 265-272. https://doi.org/10.23829/TSS.2021.28.4-3
• Faasse, K., & Newby, J. (2020). Public perceptions of COVID-19 in Australia: Perceived risk, knowledge, health-protective behaviors, and vaccine intentions. Frontiers in Psychology, 11, 551004. https://doi.org/10.3389/fpsyg.2020.551004
• Fashafsheh, I., Al-Ghabeesh, S. H., Ayed, A., Salama, B., Batran, A., & Bawadi, H. (2021). Health-promoting behaviors among nursing students: Palestinian perspective. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 58, 00469580211018790. https://doi.org/10.1177%2F00469580211018790
• Fleming, P., & Godwin, M. (2008). Lifestyle interventions in primary care: systematic review of randomized controlled trials. Canadian Family Physician, 54(12), 1706-1713.
• Gamaleldin, N., Hagras, E., El-Weshahi, H. (2021). Health-Promoting Lifestyle among Medical Students in Alexandria. Journal of High Institute of Public Health, 51(2), 107-113. https://doi.org/10.21608/JHIPH.2021.199434
• Gill, G. (2021). Association between socio-demographic factors, healthy lifestyle factors and infection prevention behaviour among university students: A cross-sectional study. Health Problems of Civilization, 15(3): 187-195. https://doi.org/10.5114/hpc.2021.108524
• Hatabu, A., Mao, X., Zhou, Y., Kawashita, N., Wen, Z., Ueda, M., Takagi, T., & Tian, Y. S. (2020). Knowledge, attitudes, and practices toward COVID-19 among university students in Japan and associated factors: An online cross-sectional survey. PLOS One, 15(12), e0244350. https://doi.org/10.1371/journal.pone.0244350
• Kako, J., & Kajiwara, K. (2020). Scoping review: What is the role of nurses in the era of the global COVID-19 pandemic? Journal of Palliative Medicine, 23(12), 1566-1567. https://doi.org/10.1089/jpm.2020.0439
• Kaya, S. P., & Kaplan, S. (2020). Evaluating the relationship between nursing students’ awareness of the COVID-19 pandemic and health behaviors with health literacy. Journal of Education and Research in Nursing, 17(4), 304-312. https://doi.org/10.5222/HEAD.2020.01112
• Lawal, N. U., Bello, M. B., Yakubu, Y., Ibrahim, A. M., & Rabiu, S. A. (2022). Appraisal of the knowledge, attitude, perception and practices among northern Nigerians in the wake of the COVID-19 outbreak. Future Science OA, 8(1), FSO763. https://doi.org/10.2144/fsoa-2021-0058
• Marchlewska, M., Green, R., Cichocka, A., Molenda, Z., & Douglas, K. M. (2022). From bad to worse: Avoidance coping with stress increases conspiracy beliefs. British Journal of Social Psychology, 61(2), 532-549. https://doi.org/10.1111/bjso.12494
• Öğe, B., Yıldırım, İ., Gencer, Y.G., & Eriş, F. (2021). Investigation of healthy lifestyle behaviors and quality of life during the Covid-19 pandemic period. Gaziantep University Journal of Sports Sciences, 6(4), 343-358. https://doi.org/10.31680/gaunjss.1002677
• Perry, J. L., Nicholls, A. R., Clough, P. J., & Crust, L. (2015). Assessing model fit: Caveats and recommendations for confirmatory factor analysis and exploratory structural equation modeling. Measurement in Physical Education and Exercise Science, 19(1), 12-21. https://doi.org/10.1080/1091367X.2014.952370
• Pfeffer, B., Goreis, A., Reichmann, A., Bauda, I., Klinger, D., Bock, M. M., ... & Kothgassner, O. D. (2022). Coping styles mediating the relationship between perceived chronic stress and conspiracy beliefs about COVID-19. Current Psychology. https://doi.org/10.1007/s12144-022-03625-7
• Puspitasari, I. M., Yusuf, L., Sinuraya, R. K., Abdulah, R., & Koyama, H. (2020). Knowledge, attitude, and practice during the COVID-19 pandemic: A review. Journal of Multidisciplinary Healthcare, 13, 727-733. https://doi.org/10.2147/JMDH.S265527
• Radwan, H., Al Kitbi, M., Hasan, H., Al Hilali, M., Abbas, N., Hamadeh, R., Saif, E. R., & Naja, F. (2021). Indirect health effects of COVID-19: Unhealthy lifestyle behaviors during the lockdown in the United Arab Emirates. International Journal of Environmental Research and Public Health, 18(4), 1964 https://doi.org/10.3390/ijerph18041964
• Roy, D., Tripathy, S., Kar, S. K., Sharma, N., Verma, S. K., & Kaushal, V. (2020). Study of knowledge, attitude, anxiety & perceived mental healthcare need in Indian population during COVID-19 pandemic. Asian Journal of Psychiatry, 51, 102083 https://doi.org/10.1016/j.ajp.2020.102083
• Salameh, B., Basha, S., Basha, W., & Abdallah, J. (2021). Knowledge, perceptions, and prevention practices among Palestinian university students during the COVID-19 pandemic: a questionnaire-based survey. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 58, 0046958021993944. https://doi.org/10.1177%2F0046958021993944
• Shaheen, A. M., Nassar, O. S., Amre, H. M., & Hamdan-Mansour, A. M. (2015). Factors affecting health-promoting behaviors of university students in Jordan. Health, 7(01), 1-8. http://dx.doi.org/10.4236/health.2015.71001
• Sharma, R. P., Pohekar, S. B., & Ankar, R. S. (2020). Role of a nurse in COVID-19 pandemic. Journal of Evolution of Medical and Dental Sciences, 9(35), 2550-2556.
• Sliwa, K., Singh, K., Raspail, L., Ojji, D., Lam, C. S., Thienemann, F., ... & Prabhakaran, D. (2021). The world heart federation global study on COVID-19 and cardiovascular disease. Global Heart, 16(1), 22 https://doi.org/10.5334/gh.950
• Šljivo, A., Kačamaković, M., Siručić, I., Mujičić, E., & Džubur Kulenović, A. (2021). Knowledge, attitudes, and practices towards COVID-19 among residents of Bosnia and Herzegovina during the first stage of COVID-19 outbreak. Annali di Igiene: Medicina Preventiva e di Comunità, 33(4), 371-380. https://doi.org/10.7416/ai.2021.2447
• Uysal, H., & Argın, E. (2021). The effect of covid-19 pandemic on the lifestyle behaviors of individuals. Clinical Nursing Research, 30(7), 1059-1070. https://doi.org/10.1177%2F10547738211024884
• Van de Velde, S., Buffel, V., Bracke, P., Van Hal, G., Somogyi, N. M., Willems, B., ... & C19 ISWS Consortium. (2021). The COVID-19 international student well-being study. Scandinavian Journal of Public Health, 49(1), 114-122. https://doi.org/10.1177%2F1403494820981186
• Vande Velde, F., Hamed, A., Lange, J. S., Sælid, T., & Bastien, S. (2021). Assessing student perceptions of a Norwegian University’s COVID-19 response strategy: A cross-sectional study. Frontiers in Public Health, 9, 700542. https://doi.org/10.3389/fpubh.2021.700542
• Walker, SN., Hill-Polerecky, DM. (1996). Psychometric evaluation of the Health Promoting Lifestyle Profile II. Unpublished manuscript, University of Nebraska Medical Center.
• Wickman, M. E., Anderson, N. L. R., & Greenberg, C. S. (2008). The adolescent perception of invincibility and its influence on teen acceptance of health promotion strategies. Journal of Pediatric Nursing, 23(6), 460-468. https://doi.org/10.1016/j.pedn.2008.02.003
• Woods, J. A., Hutchinson, N. T., Powers, S. K., Roberts, W. O., Gomez-Cabrera, M. C., Radak, Z., ... & Ji, L. L. (2020). The COVID-19 pandemic and physical activity. Sports Medicine and Health Science, 2(2), 55-64. https://doi.org/10.1016/j.smhs.2020.05.006
• World Health Organization (WHO). (2020a). Coronavirus disease 2019 (COVID-19): situation report, 66. Retrieved from https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200326-sitrep-66-covid-19.pdf?sfvrsn=81b94e61_2
• Zhang, N., Jia, W., Wang, P., Dung, C. H., Zhao, P., Leung, K., ... & Li, Y. (2021). Changes in local travel behaviour before and during the COVID-19 pandemic in Hong Kong. Cities, 112, 103139. https://doi.org/10.1016/j.cities.2021.103139
• Zhang, X., Oluyomi, A., Woodard, L., Raza, S. A., Adel Fahmideh, M., El-Mubasher, O., ... & Badr, H. (2021). Individual-level determinants of lifestyle behavioral changes during COVID-19 lockdown in the united states: results of an online survey. International Journal of Environmental Research and Public Health, 18(8), 4364. https://doi.org/10.3390/ijerph18084364
• Zhong, B. L., Luo, W., Li, H. M., Zhang, Q. Q., Liu, X. G., Li, W. T., & Li, Y. (2020). Knowledge, attitudes, and practices towards COVID-19 among Chinese residents during the rapid rise period of the COVID-19 outbreak: A quick online cross-sectional survey. International Journal of Biological Sciences, 16(10), 1745–1752. https://doi.org/10.7150/ijbs.45221