The Relationship Between Meaning in Life and Health Behaviors in Adults Aged 55 Years and Over During the COVID-19 Pandemic: the Mediating Role of Risk Perception and the Moderating Role of Powerful Others Health Locus of Control.
Coronavirus disease 2019
Health locus of control
Meaning in life
Preventive health behaviors
Risk perception
Journal
International journal of behavioral medicine
ISSN: 1532-7558
Titre abrégé: Int J Behav Med
Pays: England
ID NLM: 9421097
Informations de publication
Date de publication:
Jun 2023
Jun 2023
Historique:
accepted:
13
05
2022
medline:
10
5
2023
pubmed:
2
7
2022
entrez:
1
7
2022
Statut:
ppublish
Résumé
Coronavirus disease 2019 (COVID-19) has impacted many people's meaning in life and health behaviors. This study aimed to verify the relationship among meaning in life (MIL), epidemic risk perception, health locus of control (HLC), and preventive health behaviors among older adults after the COVID-19 outbreak was declared a pandemic. In this longitudinal study, 164 participants aged 55 years and above completed the following measures at time 1 (February 19, 2021) and one month later at time 2 (March 19, 2021): Meaning in Life in the Epidemic Questionnaire, Epidemic Risk Perception Questionnaire, Multidimensional Health Locus of Control Scale, and Health Behaviors Before and After the Epidemic Survey. Hayes' SPSS Process Macro was used to analyze the mediating effect of epidemic risk perception (model 4) and the moderating role of powerful others HLC in the mediation model (model 14). The results showed that after controlling for gender, age, education level, and health behaviors at the baseline, risk perception had a significant mediating effect on the relationship between MIL and preventive health behaviors (β = .02, SE = .01, 95% CI [.00, .04]). In addition, powerful others HLC had a moderating effect on the second half of the mediating effect (β = .02, p = .02, 95% CI [.00, .03]). Specifically, compared to the older adults with low powerful others HLC, the risk perception of older adults with high powerful others HLC increased preventive health behaviors. Practitioners should adequately cultivate older adults' risk awareness and reinforce the importance of advice from doctors and professionals, thereby effectively enhancing the preventive health behaviors of older adults in China during the COVID-19 pandemic.
Sections du résumé
BACKGROUND
BACKGROUND
Coronavirus disease 2019 (COVID-19) has impacted many people's meaning in life and health behaviors. This study aimed to verify the relationship among meaning in life (MIL), epidemic risk perception, health locus of control (HLC), and preventive health behaviors among older adults after the COVID-19 outbreak was declared a pandemic.
METHOD
METHODS
In this longitudinal study, 164 participants aged 55 years and above completed the following measures at time 1 (February 19, 2021) and one month later at time 2 (March 19, 2021): Meaning in Life in the Epidemic Questionnaire, Epidemic Risk Perception Questionnaire, Multidimensional Health Locus of Control Scale, and Health Behaviors Before and After the Epidemic Survey. Hayes' SPSS Process Macro was used to analyze the mediating effect of epidemic risk perception (model 4) and the moderating role of powerful others HLC in the mediation model (model 14).
RESULTS
RESULTS
The results showed that after controlling for gender, age, education level, and health behaviors at the baseline, risk perception had a significant mediating effect on the relationship between MIL and preventive health behaviors (β = .02, SE = .01, 95% CI [.00, .04]). In addition, powerful others HLC had a moderating effect on the second half of the mediating effect (β = .02, p = .02, 95% CI [.00, .03]). Specifically, compared to the older adults with low powerful others HLC, the risk perception of older adults with high powerful others HLC increased preventive health behaviors.
CONCLUSION
CONCLUSIONS
Practitioners should adequately cultivate older adults' risk awareness and reinforce the importance of advice from doctors and professionals, thereby effectively enhancing the preventive health behaviors of older adults in China during the COVID-19 pandemic.
Identifiants
pubmed: 35776244
doi: 10.1007/s12529-022-10100-x
pii: 10.1007/s12529-022-10100-x
pmc: PMC10112823
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
388-397Subventions
Organisme : National Social Sciences Foundation of China
ID : 32171076
Organisme : National Social Sciences Foundation of China
ID : 20BSH139
Informations de copyright
© 2022. International Society of Behavioral Medicine.
Références
Priyadarshini I, Mohanty P, Kumar R, et al. Analysis of outbreak and global impacts of the COVID-19. Healthcare (Basel). 2020;8(2):148. https://doi.org/10.3390/healthcare8020148 .
doi: 10.3390/healthcare8020148
pubmed: 32485875
World Health Organization. Coronavirus disease (COVID-19) situation reports. 2020; Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports .
Naughton F, Ward E, Khondoker M, et al. Health behaviour change during the uk COVID-19 lockdown: findings from the first wave of the COVID-19 health behaviour and well-being daily tracker study. Br J Health Psychol. 2021;26(2):624–43. https://doi.org/10.1111/bjhp.12500 .
doi: 10.1111/bjhp.12500
pubmed: 33410229
pmcid: 9291054
World Health Organization. Advice for the public. 2020; Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public .
Bonell CS, Michie S, Reicher S, et al. Harnessing behavioural science in public health campaigns to maintain ‘social distancing’ in response to the covid-19 pandemic: key principles. J Epidemiol Community Health. (1979), 2020;74(8):617–619. https://doi.org/10.1136/jech-2020-214290 .
Barber SJ, Kim H. COVID-19 worries and behavior changes in older and younger men and women. J Gerontol - B Psychol Sci Soc Sci. 2021;76(2):e17-E23. https://doi.org/10.1093/geronb/gbaa068 .
Wu Z, McGoogan JM. Characteristics of and important lessons from the coronavirus disease 2019 (covid-19) outbreak in China: summary of a report of 72 314 cases from the chinese center for disease control and prevention. JAMA, J Am Med Assoc. 2020;323(13):1239–42. https://doi.org/10.1001/jama.2020.2648 .
doi: 10.1001/jama.2020.2648
Ayalon L. There is nothing new under the sun: ageism and intergenerational tension in the age of the covid-19 outbreak. Int Psychogeriatr. 2020;32(10):1–4. https://doi.org/10.1017/S1041610220000575 .
doi: 10.1017/S1041610220000575
Zhang J, Litvinova M, Liang Y, et al. Changes in contact patterns shape the dynamics of the covid-19 outbreak in China. Science (American Association for the Advancement of Science). 2020;368(6498):1481–6. https://doi.org/10.1126/science.abb8001 .
doi: 10.1126/science.abb8001
Xu G, Ye M, Zhao J, Liu F, Ma W. New view on older adults with covid-19: comments on “sars-cov-2 and covid-19 in older adults: what we may expect regarding pathogenesis, immune responses, and outcomes.” GeroScience. 2020;42(5):1225–7. https://doi.org/10.1007/s11357-020-00232-x .
doi: 10.1007/s11357-020-00232-x
pubmed: 32710258
pmcid: 7378404
Tian TLX. The effect of people’s risk perception on preventive behavior in the context of covid-19: the moderating effect of government trust. J Dalian Med Univ (Social Science Edition). 2021;20(03):88–93.
Grotz M, Hapke U, Lampert T, Baumeister H. Health locus of control and health behaviour: results from a nationally representative survey. Psychol Health Med. 2011;16(2):129–40. https://doi.org/10.1080/13548506.2010.521570 .
doi: 10.1080/13548506.2010.521570
pubmed: 21328142
Steger MF, Oishi S, Kashdan TB. Meaning in life across the life span: levels and correlates of meaning in life from emerging adulthood to older adulthood. J Posit Psychol. 2009;4(1):43–52. https://doi.org/10.1080/17439760802303127 .
doi: 10.1080/17439760802303127
Miao M, Zheng L, Gan Y. Meaning in life promotes proactive coping via positive affect: a daily diary study. J Happiness Stud. 2017;18(6):1683–96. https://doi.org/10.1007/s10902-016-9791-4 .
doi: 10.1007/s10902-016-9791-4
Janoff-Bulman, R., & Yopyk, D. J. (2004). Random Outcomes and Valued Commitments: Existential Dilemmas and the Paradox of Meaning. In J. Greenberg, S. L. Koole, & T. Pyszczynski (Eds.), Handbook of Experimental Existential Psychology (pp. 122–138). Guilford Press.
Ogueji IA, Agberotimi SF, Adesanya BJ, Gidado TN. Mental health and coping strategies during the covid-19 pandemic: a qualitative study of unemployed and employed people in nigeria. Anal Soc Issues Public Policy. 2021;21(1):941–59. https://doi.org/10.1111/asap.12259 .
doi: 10.1111/asap.12259
pubmed: 34548846
pmcid: 8444831
Chen C, Zhang Y, Xu A, Chen X, Lin J. Reconstruction of meaning in life: meaning made during the pandemic of covid-19. Int J Ment Health Promot. 2020;22(3):173–184. https://doi.org/10.32604/IJMHP.2020.011509 .
Steger MF, Fitch-Martin AR, Donnelly J, Rickard KM. Meaning in life and health: proactive health orientation links meaning in life to health variables among american undergraduates. J Happiness Stud. 2015;16(3):583–97. https://doi.org/10.1007/s10902-014-9523-6 .
doi: 10.1007/s10902-014-9523-6
Brassai L, Piko BF, Steger MF. A reason to stay healthy: the role of meaning in life in relation to physical activity and healthy eating among adolescents. J Health Psychol. 2015;20(5):473–82. https://doi.org/10.1177/1359105315576604 .
doi: 10.1177/1359105315576604
pubmed: 25903235
Lü W. The relationship between meaning in life and health behaviors in COVID-19: the role of health values. in The first online annual meeting of behavior and Health branch of Chinese Psychological Society. 2020.
Kang Y, Cosme D, Pei R, et al. Purpose in life, loneliness, and protective health behaviors during the COVID-19 pandemic. Gerontologist. 2021. https://doi.org/10.1093/geront/gnab081 .
doi: 10.1093/geront/gnab081
pubmed: 34125195
Newman DB, Schneider S, Stone AA.Contrasting effects of finding meaning and searching for meaning, and political orientation and religiosity, on feelings and behaviors during the COVID-19 pandemic.Pers Soc Psychol Bull. 2021:1461672211030383–1461672211030383. https://doi.org/10.1177/01461672211030383 .
McBride E, Arden MA, Chater A, Chilcot J. The impact of covid-19 on health behaviour, well-being, and long-term physical health. Br J Health Psychol. 2021;26(2):259–70. https://doi.org/10.1111/bjhp.12520 .
doi: 10.1111/bjhp.12520
pubmed: 33787000
pmcid: 8250322
Pradhan S, Kroumpouzos G, Goldust M. Hand eczema due to frequent hand washing in combat with COVID-19. J Cosmet Dermatol. 2020;19(10):2474–5. https://doi.org/10.1111/jocd.13639 .
doi: 10.1111/jocd.13639
pubmed: 32716605
Rohrmann B. Risk perception, risk attitude, risk communication, risk management: a conceptual appraisal. Global Co, 2008.
Cori L, Bianchi F, Cadum E, Anthonj C. Risk perception and COVID-19. Int J Environ Res Public Health. 2020;17(9):3114. https://doi.org/10.3390/ijerph17093114 .
doi: 10.3390/ijerph17093114
pubmed: 32365710
pmcid: 7246460
Glanz K, Rimer BK, Viswanath K.Health behavior and health education: theory, research, and practice. 4. Aufl. ed. 2008, Hoboken: Jossey-Bass. xxxiii-xxxiii.
Tan SG, Sesagiri Raamkumar A, Wee HL.Users’ beliefs toward physical distancing in facebook pages of public health authorities during covid-19 pandemic in early 2020.Health Educ Behav.2021;48(4):404–411. https://doi.org/10.1177/10901981211014428 .
Firouzbakht M, Hajian‐Tilaki K, Bakhtiari A.Comparison of competitive cognitive models in explanation of women breast cancer screening behaviours using structural equation modelling: health belief model and theory of reasoned action. Eur J Cancer Care. 2021;30(1):e13328-n/a. https://doi.org/10.1111/ecc.13328 .
Walrave M, Waeterloos C, Ponnet K. Adoption of a contact tracing app for containing covid-19: a health belief model approach. JMIR Public Health Surveill. 2020;6(3):488–97. https://doi.org/10.2196/20572 .
doi: 10.2196/20572
Ogueji IA, Okoloba MM.Underlying factors in the willingness to receive and barriers to receiving the covid-19 vaccine among residents in the UK and Nigeria: a qualitative study. Current Psychology (New Brunswick, N.J.)2022;1–12. https://doi.org/10.1007/s12144-021-02498-6 .
Wallston KA, Strudler Wallston B, DeVellis R.Development of the multidimensional health locus of control (mhlc) scales.Health Educ Behav. 1978;6(1):160–170. https://doi.org/10.1177/109019817800600107 .
Cepni SA, Kitis Y. Relationship between healthy lifestyle behaviors and health locus of control and health-specific self-efficacy in university students. Jpn J Nurs Sci. 2017;14(3):231–9. https://doi.org/10.1111/jjns.12154 .
doi: 10.1111/jjns.12154
Steptoe A, Wardle J. Locus of control and health behaviour revisited: a multivariate analysis of young adults from 18 countries. Br J Psychol. 2001;92(4):659–72. https://doi.org/10.1348/000712601162400 .
doi: 10.1348/000712601162400
pubmed: 11762867
Burk C, Kimiecik J. Examining the relationship among locus of control, value, and exercisex. Health Values. 1994;18(6):14–23.
Jang K, Baek YM. How to effectively design public health interventions: implications from the interaction effects between socioeconomic status and health locus of control beliefs on healthy dietary behaviours among us adults. Health Soc Care Community. 2018;26(5):664–74. https://doi.org/10.1111/hsc.12577 .
doi: 10.1111/hsc.12577
Norman P, Bennett P, Smith C, Murphy S. Health locus of control and health behaviour. J Health Psychol. 1998;3(2):171–80. https://doi.org/10.1177/135910539800300202 .
doi: 10.1177/135910539800300202
pubmed: 22021357
Picakciefe M, Keskinoglu P, Bayar B, Kilichan B.Smoking prevalence among mugla school of health sciences students in Mugla University and the increasing causes of smoking. in 12th World Congress on Public Health World Health Organization. 2009.
Steger MF, Frazier P, Oishi S, Kaler M. The meaning in life questionnaire: assessing the presence of and search for meaning in life. J Couns Psychol. 2006;53(1):80–93. https://doi.org/10.1037/0022-0167.53.1.80 .
doi: 10.1037/0022-0167.53.1.80
Zhen R, Zhou X. A study on the factors influencing the anxiety of the general public in the context of covid-19. Applied Psychology in China. 2020;2:99–107.
Wallston KA, Wallston BS, DeVellis R. Development of the multidimensional health locus of control (mhlc) scales. Health Eeducation Monographs. 1978;6(2):160–70.
doi: 10.1177/109019817800600107
Chen S, Wang W, Pan Q. Clinical application of multidimensional health locus of control scale. Nurs Res. 2014;14:1682–4. https://doi.org/10.3969/j.issn.1009-6493.2014.14.007 .
doi: 10.3969/j.issn.1009-6493.2014.14.007
Hayes A. Introduction to mediation, moderation, and conditional process analysis. J Educ Meas. 2013;51(3):335–7.
Hayes AF. Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. 2nd ed. New York: Guilford Press; 2018.
Hayes AF, Rockwood NJ. Conditional process analysis: concepts, computation, and advances in the modeling of the contingencies of mechanisms. The American Behavioral Scientist (Beverly Hills). 2020;64(1):19–54. https://doi.org/10.1177/0002764219859633 .
doi: 10.1177/0002764219859633
Pasquale K., Alvaro Rachel M., Roberts Jodie K., Harris Oliviero, Bruni (2017) The direction of the relationship between symptoms of insomnia and psychiatric disorders in adolescents. Journal of Affective Disorders 207167-174 10.1016/j.jad.2016.08.032
doi: 10.1016/j.jad.2016.08.032
pubmed: 27723540
Tull MT, Edmonds KA, Scamaldo KM, et al. Psychological outcomes associated with stay-at-home orders and the perceived impact of covid-19 on daily life. Psychiatry Res. 2020;289:113098–113098. https://doi.org/10.1016/j.psychres.2020.113098 .
doi: 10.1016/j.psychres.2020.113098
pubmed: 32434092
pmcid: 7252159
Luchetti M, Lee JH, Aschwanden D, et al. The trajectory of loneliness in response to covid-19. Am Psychol. 2020;75(7):897–908. https://doi.org/10.1037/amp0000690 .
doi: 10.1037/amp0000690
pubmed: 32567879
pmcid: 7890217
Portacolone E, Chodos A, Halpern J, et al. The effects of the covid-19 pandemic on the lived experience of diverse older adults living alone with cognitive impairment. Gerontologist. 2021;61(2):251–61. https://doi.org/10.1093/geront/gnaa201 .
doi: 10.1093/geront/gnaa201
pubmed: 33404634
Tagini S, Brugnera A, Ferrucci R, et al. It won't happen to me! Psychosocial factors influencing risk perception for respiratory infectious diseases: a scoping review. Appl Psychol Health Well Being. 2021;13(4):835–52. https://doi.org/10.1111/aphw.12274 .
doi: 10.1111/aphw.12274
pubmed: 33855817
pmcid: 8250503
Zhang Z-X, Ho WY, Ayalon L, et al. Are older adults more optimistic? Evidence from China, Israel, and the United States. J Gerontol - B Psychol Sci Soc Sci. 2021;1–12. https://doi.org/10.1093/geronb/gbab046 .
Halama P, Bakosová K. Meaning in life as a moderator of the relationship between perceived stress and coping. Stud Psychol. 2009;51(2/3):143.
Heisel MJ, Flett GL. The development and initial validation of the geriatric suicide ideation scale. Am J Geriatr Psychiatry. 2006;14(9):742–51. https://doi.org/10.1097/01.JGP.0000218699.27899.f9 .
doi: 10.1097/01.JGP.0000218699.27899.f9
pubmed: 16943171
Ogueji IA. Experiences and predictors of psychological distress in pregnant women living with HIV. Br J Health Psychol. 2021;26(3):882–901. https://doi.org/10.1111/bjhp.12510 .
doi: 10.1111/bjhp.12510
pubmed: 33580626
pmcid: 8451847
Cheng C, Cheung MWL, Lo BCY. Relationship of health locus of control with specific health behaviours and global health appraisal: a meta-analysis and effects of moderators. Health Psychol Rev. 2016;10(4):460–77. https://doi.org/10.1080/17437199.2016.1219672 .
doi: 10.1080/17437199.2016.1219672
pubmed: 27556686
pmcid: 5214986
Keller A, Baune BT. Impact of social factors on health status and help seeking behavior among migrants and germans. J Public Health. 2005;13(1):22–9. https://doi.org/10.1007/s10389-004-0082-x .
doi: 10.1007/s10389-004-0082-x
Stefanie M, Helmer Alexander, Krämer Rafael T, Mikolajczyk (2012) Health-related locus of control and health behaviour among university students in North Rhine Westphalia Germany. BMC Research Notes 5(1) 10.1186/1756-0500-5-703
Alijanzadeh M, Ahorsu DK, Alimoradi Z, et al. 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. Int J Environ Res Public Health. 2021;18(22):12146. https://doi.org/10.3390/ijerph182212146 .
doi: 10.3390/ijerph182212146
pubmed: 34831900
pmcid: 8621944
de Bruin WB, Bennett D. Relationships between initial covid-19 risk perceptions and protective health behaviors: a national survey. Am J Prev Med. 2020;59(2):157–167. https://doi.org/10.1016/j.amepre.2020.05.001 .
Karataş Z, Uzun K, Tagay Ö. Relationships between the life satisfaction, meaning in life, hope and covid-19 fear for turkish adults during the covid-19 outbreak. Front Psychol. 2021;12:633384–633384. https://doi.org/10.3389/fpsyg.2021.633384 .
doi: 10.3389/fpsyg.2021.633384
pubmed: 33776856
pmcid: 7990893
Ji L-J, Zhang Z, Usborne E, Guan Y. Optimism across cultures: In response to the severe acute respiratory syndrome outbreak: SARS: optimism across cultures. Asian J Soc Psychol. 2004;7(1):25–34. https://doi.org/10.1111/j.1467-839X.2004.00132.x .
doi: 10.1111/j.1467-839X.2004.00132.x
Kim Y. The effects of a physical inactivity-related health risk message intervention on changes in risk perceptions and physical activity in middle-aged women. J Women Aging. 2020;32(5):546–62. https://doi.org/10.1080/08952841.2019.1607678 .
doi: 10.1080/08952841.2019.1607678
pubmed: 31038394
Newsom JT. Longitudinal structural equation modeling: a comprehensive introduction. 2015.
Castarlenas E, Solé E, Racine M, et al. Locus of control and pain: validity of the form c of the multidimensional health locus of control scales when used with adolescents. J Health Psychol. 2018;23(14):1853–62. https://doi.org/10.1177/1359105316669860 .
doi: 10.1177/1359105316669860
pubmed: 27682338
Wallston KA, Stein MJ, Smith CA. Form C of the MHLC scales: a condition-specific measure of locus of control. J Pers Assess. 1994;63(3):534–53. https://doi.org/10.1207/s15327752jpa6303_10 .
doi: 10.1207/s15327752jpa6303_10
pubmed: 7844739