Fear of COVID-19 and trust in the healthcare system mediates the association between individual’s risk perception and preventive COVID-19 behaviours among Iranians

Mehran ALIJANZADEH, Daniel Kwasi AHORSU, Zainab ALIMORADI, Narges MAHMOUDI, Mark D. GRIFFITHS, Chung-Ying LIN, Hsien-Kuan LIU, Amir H. PAKPOUR

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32 Citations (Scopus)

Abstract

Problems caused by the novel coronavirus disease-2019 (COVID-19) and its mutations have brought challenges in pandemic control for all countries worldwide. The present study examines the mediating roles of fear of COVID-19 and trust in the healthcare system in the association between individual’s risk perception and performing preventive COVID-19 behaviours among Iranians. A cross-sectional study design was used to collect data from 3652 residents of Qazvin province in Iran from 3 February to 15 April 2021 using a multistage stratified cluster sampling method. Participants responded to an online questionnaire concerning their fear of COVID-19, risk perception, trust in the healthcare system, and preventive COVID-19 behaviours. Small to medium positive interrelationships were observed between the variables of the study. Fear of COVID-19, trust in the healthcare system or both (fear of COVID-19 and trust in the healthcare system) mediated the association between an individual’s risk perception and performing preventive COVID-19 behaviours. The study demonstrated there are at least four ways through which an individual’s risk perception can influence preventive COVID-19 behaviours. Therefore, clinicians, health communicators, and researchers may capitalize on these findings to enhance preventive COVID-19 behaviours to help mitigate the spread of COVID-19 infection. Copyright © 2021 by the authors.

Original languageEnglish
Article number12146
JournalInternational Journal of Environmental Research and Public Health
Volume18
Issue number22
DOIs
Publication statusPublished - Nov 2021

Citation

Alijanzadeh, M., Ahorsu, D. K., Alimoradi, Z., Mahmoudi, N., Griffiths, M. D., Lin, C.-Y., . . . Pakpour, A. H. (2021). Fear of COVID-19 and trust in the healthcare system mediates the association between individual’s risk perception and preventive COVID-19 behaviours among Iranians. International Journal of Environmental Research and Public Health, 18(22). Retrieved from https://doi.org/10.3390/ijerph182212146

Keywords

  • COVID-19
  • Fear of COVID-19
  • Trust in the healthcare system
  • Risk perception
  • Preventive COVID-19 behaviours

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