SOC 4839 Risk and Communication Class Test-2 Name: Noshin Saiyara Islam Roll No: 17191029 The application of the Health Belief Model (HBM) in explaining people’s behavior associated withCOVID-19 Concept Application Implication in behavior associated to COVID-19 Perceived susceptibility Subjective assessment of risk of developing a health problem. Health problem will engage in behaviors to reduce their risk of developing the health problem. Individuals with low perceived susceptibility may deny that they are at risk for contracting a particular illness. Individuals who believe they are at low risk of developing an illness are more likely to engage in unhealthy, or risky, behaviors. Individuals who perceive a high risk that they will be personally affected by a particular health problem are more likely to engage in behaviors to decrease their risk of developing the condition. People do not perceive their health risks; that is why they are not changing their behavior. For example, most of the people in my country think that they are not getting COVID-19 due to not avoiding social gatherings or not taking any preventive action. Perceived severity Subjective assessment of the severity of a health problem and its potential consequences. Engage in behaviors to prevent the health problem from occurring (or reduce its severity). Perceived seriousness encompasses beliefs about the disease itself (e.g., whether it is life-threatening or may cause disability or pain) He or she perceives that there would be serious financial consequences as a result of being absent from work for several days, then he or she may perceive influenza to be a particularly serious condition. Influenced by the perceived benefits of taking action. Refer to an individual's assessment of the value or efficacy of engaging in a health-promoting behavior to decrease risk of disease. Some people are not taking this pandemic seriously. Whether people are engaging in preventive action or not, it depends on how serious he/she consider the consequences of being. Perceived benefits It describes that people are not changing their behavior until they get something in return. For example, some people are enjoying their time 1 For example, individuals who believe that wearing sunscreen prevents skin cancer are more likely to wear sunscreen than individuals who believe that wearing sunscreen will not prevent the occurrence of skin cancer. Perceived barriers Refer to an individual's assessment of the obstacles to behavior change. Even if an individual perceives a health condition as threatening and believes that a particular action will effectively reduce the threat, barriers may prevent engagement in the health-promoting behavior. Taking action includes the perceived inconvenience, expense, danger (e.g., side effects of a medical procedure) and discomfort (e.g., pain, emotional upset) involved in engaging in the behavior. In a study about the breast and cervical cancer screening among Hispanic women, perceived barriers, like fear of cancer, embarrassment, fatalistic views of cancer and language, was proved to impede screening. Cues to action Cues to action can be internal or external. Physiological cues (e.g., pain, symptoms) are an example of internal cues to action. External cues include events or information from close others, the media, or health care providers promoting engagement in healthrelated behaviors. Examples of cues to action include a reminder postcard from a dentist, the illness of a friend or family member, and product health warning labels. The intensity of cues needed to prompt action varies between individuals by perceived susceptibility, seriousness, benefits, and barriers. by going vacation or social gathering because they do not have to go work, and kids do not have school. They do not want to stay home because of boredom, but they do not see the future threat, which can lead to the death of their loved one. If we can convince them that being bore is better than losing someone, then people may engage preventive care to protect them from COVID-19. Some people feel difficulty in change their behavior because of the lack of a supportive environment. Such as some people still need to go outside for a job or some cannot afford cleaning or medical product. For example, some people depend on the daily income they need to go outside every day. Some people live in the street or belong to lower socioeconomic class they cannot afford cleaning or medical supplies. Cue to action is another important factor in describing human behavior. The Cue to action factor triggers from any incidence that people perceive by him/her. Such as someone who died to COVID-19 or any video that was showing the consequences of COVID-19. A cue to action changes human behavior to actual action. 2 Efficacy expectations Self-efficacy refers to an individual's perception of his or her competence to successfully perform a behavior. The model was originally developed in order to explain engagement in one-time health-related behaviors such as being screened for cancer or receiving an immunization. Eventually, the HBM was applied to more substantial, long-term behavior change such as diet modification, exercise, and smoking. For example, Schmiege et al. found that when dealing with calcium consumption and weight-bearing exercises, self-efficacy was more powerful predictors than beliefs about future negative health outcomes. Self-efficiency factors state a person’s belief in his/her ability to change the behavior. It may seem a minor issue, but belief in self makes an enormous impact on human behavior (Green & Murphy, 2014). Awareness campaigns and reinforcement about taking preventive care may increase self-efficiency. Other variables Individual characteristics, including demographic, psychosocial, and structural variables, can affect perceptions (i.e., perceived seriousness, susceptibility, benefits, and barriers) of health-related behaviors. Demographic variables include age, sex, race, ethnicity, and education, among others. Psychosocial variables include personality, social class, and peer and reference group pressure, among others. Structural variables include knowledge about a given disease and prior contact with the disease, among other factors. The HBM suggests that modifying variables affect health-related behaviors indirectly by affecting perceived seriousness, susceptibility, benefits, and barriers. Pandemic is a state where not only the individual but also society affected by a particular medical condition. The pandemic situation is related to stigma and prejudice associated with stress and panic. There are two types of human behavior toward COVID 19, one who does not perceive the threat accurately and others who are overreacting. People who have perceived threat about COVID-19 started to be hoarding cleaning and medical supplies. The other group of people who are not taking it seriously or not perceive threats like others is act careless such as roaming around free, traveling, gathering, making crowds, and do not take any preventive action. Where all over the world respond toward COVID19 with panic and fearful nature; on the other hand, some people are showing ignorance and carelessness toward COVID-19. 3