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Article Dans Une Revue Journal of health and social sciences - Journal HSS Année : 2024

Understanding adherence to underused protective measures during the COVID-19 pandemic in France: The role of health beliefs, social norms, and trust in authorities

Résumé

Introduction: This study explored the determinants of compliance with seven effective but underused COVID-19 protective measures. The investigated measures ncompassed both vaccination and nonpharmaceutical interventions, including social and physical distancing, hand washing, and mask-wearing. We tested the factors of the Health Belief Model and an extended model that integrated trust in institutional and medical uthorities and social norms. Methods: In a cross-sectional study, two large samples (Ns = 1,132 & 1,014) were ollected at two pandemic stages. Participants responded via an online questionnaire. The hypotheses, materials, analytical strategy, and sample size were preregistered. Results: We used structural equation modeling to test how the factors of the Health Belief Model and the extended model with trust and social norms were related to self-reported adoption of protective measures. The results showed acceptable fits for the Health Belief Model (CFIs ≥ .938, TLIs ≥ .928, RMSEAs ≤ .068, SRMRs ≤ .070) and for the extended model (CFIs ≥ .927, TLIs ≥ .922, RMSEAs ≤ .066, SRMRs ≤ .059). We identified perceived benefits, self-efficacy, and descriptive norms as pivota factors influencing compliance. However, perceived susceptibility, barriers, and trust in authorities showed inconsistent effects. Discussion: This study underscores the importance of testing integrative models to understand the unique relationships of psychological factors with the adoption of recommended protective behaviors. Indeed, this study shows that not all health beliefs are predictors of compliance and suggests trust has a limited effect beyond health beliefs. The present research contributes to comprehending compliance drivers for many protective behaviors, highlighting practical implications for public health interventions during health crises.
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Dates et versions

hal-04605571 , version 1 (07-06-2024)

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Andrea Mestre, Emilie Guichard, Anne Krupicka, Meriem Mengi Elayoubi, Frédérique Autin. Understanding adherence to underused protective measures during the COVID-19 pandemic in France: The role of health beliefs, social norms, and trust in authorities. Journal of health and social sciences - Journal HSS, 2024, 9 (1), pp.110-128. ⟨10.19204/2024/NDRS5⟩. ⟨hal-04605571⟩
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