Fear in general populations: A cross-sectional study on perceived fear of common diseases, COVID-19, life events, and environmental threats in 30 countries.


Journal

Journal of global health
ISSN: 2047-2986
Titre abrégé: J Glob Health
Pays: Scotland
ID NLM: 101578780

Informations de publication

Date de publication:
07 Jun 2024
Historique:
medline: 6 6 2024
pubmed: 6 6 2024
entrez: 6 6 2024
Statut: epublish

Résumé

In this study, we assessed the general population's fears towards various diseases and events, aiming to inform public health strategies that balance health-seeking behaviours. We surveyed adults from 30 countries across all World Health Organization (WHO) regions between July 2020 and August 2021. Participants rated their fear of 11 factors on an 11-point Likert scale. We stratified the data by age and gender and examined variations across countries and regions through multidimensional preference analysis. Of the 16 512 adult participants, 62.7% (n = 10 351) were women. The most feared factor was the loss of family members, reported by 4232 participants (25.9%), followed by cancer (n = 2248, 13.7%) and stroke (n = 1416, 8.7%). The highest weighted fear scores were for loss of family members (mean (x̄) = 7.46, standard deviation (SD) = 3.04), cancer (x̄ = 7.00, SD = 3.09), and stroke (x̄ = 6.61, SD = 3.24). The least feared factors included animals/insects (x̄ = 3.72, SD = 2.96), loss of a mobile phone (x̄ = 4.27, SD = 2.98), and social isolation (x̄ = 4.83, SD = 3.13). Coronavirus disease 2019 (COVID-19) was the sixth most feared factor (x̄ = 6.23, SD = 2.92). Multidimensional preference analyses showed distinct fears of COVID-19 and job loss in Australia and Burundi. The other countries primarily feared loss of family members, cancer, stroke, and heart attacks; this ranking was consistent across WHO regions, economic levels, and COVID-19 severity levels. Fear of family loss can improve public health messaging, highlighting the need for bereavement support and the prevention of early death-causing diseases. Addressing cancer fears is crucial to encouraging the use of preventive services. Fear of non-communicable diseases remains high during health emergencies. Top fears require more resources and countries with similar concerns should collaborate internationally for effective fear management.

Sections du résumé

Background UNASSIGNED
In this study, we assessed the general population's fears towards various diseases and events, aiming to inform public health strategies that balance health-seeking behaviours.
Methods UNASSIGNED
We surveyed adults from 30 countries across all World Health Organization (WHO) regions between July 2020 and August 2021. Participants rated their fear of 11 factors on an 11-point Likert scale. We stratified the data by age and gender and examined variations across countries and regions through multidimensional preference analysis.
Results UNASSIGNED
Of the 16 512 adult participants, 62.7% (n = 10 351) were women. The most feared factor was the loss of family members, reported by 4232 participants (25.9%), followed by cancer (n = 2248, 13.7%) and stroke (n = 1416, 8.7%). The highest weighted fear scores were for loss of family members (mean (x̄) = 7.46, standard deviation (SD) = 3.04), cancer (x̄ = 7.00, SD = 3.09), and stroke (x̄ = 6.61, SD = 3.24). The least feared factors included animals/insects (x̄ = 3.72, SD = 2.96), loss of a mobile phone (x̄ = 4.27, SD = 2.98), and social isolation (x̄ = 4.83, SD = 3.13). Coronavirus disease 2019 (COVID-19) was the sixth most feared factor (x̄ = 6.23, SD = 2.92). Multidimensional preference analyses showed distinct fears of COVID-19 and job loss in Australia and Burundi. The other countries primarily feared loss of family members, cancer, stroke, and heart attacks; this ranking was consistent across WHO regions, economic levels, and COVID-19 severity levels.
Conclusions UNASSIGNED
Fear of family loss can improve public health messaging, highlighting the need for bereavement support and the prevention of early death-causing diseases. Addressing cancer fears is crucial to encouraging the use of preventive services. Fear of non-communicable diseases remains high during health emergencies. Top fears require more resources and countries with similar concerns should collaborate internationally for effective fear management.

Identifiants

pubmed: 38843040
doi: 10.7189/jogh.14.05019
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

05019

Informations de copyright

Copyright © 2024 by the Journal of Global Health. All rights reserved.

Déclaration de conflit d'intérêts

Disclosure of interest: The authors completed the ICMJE Disclosure of Interest Form (available upon request from the corresponding author) and disclose no relevant interests.

Auteurs

Jiaying Li (J)

School of Nursing, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong SAR, China.

Vinciya Pandian (V)

School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA.

Daniel Yee Tak Fong (DYT)

School of Nursing, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong SAR, China.

Kris Yuet Wan Lok (KYW)

School of Nursing, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong SAR, China.

Janet Yuen Ha Wong (JYH)

School of Nursing and Health Studies, Hong Kong Metropolitan University, Hong Kong SAR, China.

Mandy Man Ho (M)

School of Nursing, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong SAR, China.

Edmond Pui Hang Choi (EPH)

School of Nursing, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong SAR, China.

Patricia M Davidson (PM)

Vice-Chancellor and Principal, University of Wollongong, Wollongong, Australia.

Wenjie Duan (W)

Department of Social Work, East China University of Science and Technology, Shanghai, China.

Marie Tarrant (M)

School of Nursing, The University of British Columbia, Kelowna British Columbia, Canada.

Jung Jae Lee (JJ)

School of Nursing, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong SAR, China.

Chia-Chin Lin (CC)

School of Nursing, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong SAR, China.

Oluwadamilare Akingbade (O)

The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong.
Institute of Nursing Research, Osogbo, Osun State, Nigeria.

Khalid M Alabdulwahhab (KM)

College of Medicine, Majmaah University, Al Majmaah, Saudi Arabia.

Mohammad Shakil Ahmad (MS)

Department of Family & Community Medicine, College of Medicine, Majmaah University, Majmaah, Saudi Arabia.

Mohamed Alboraie (M)

Department of Internal Medicine, Al-Azhar University, Cairo, Egypt.

Meshari A Alzahrani (MA)

Department of Urology, College of Medicine, Majmaah University, Al Majmaah, Saudi Arabia.

Anil S Bilimale (AS)

School of Public Health, JSS Medical College, JSS AHER, Mysuru, India.

Sawitree Boonpatcharanon (S)

Department of Statistics, Chulalongkorn Business School, Bangkok, Thailand.

Samuel Byiringiro (S)

School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA.

Muhammad Kamil Che Hasan (MKC)

Kulliyyah of Nursing, International Islamic University, Kuantan, Malaysia.

Luisa Clausi Schettini (LC)

Italian Association against Leukemia, Lymphoma and Myeloma, Rome Section, Italy.

Walter Corzo (W)

Diálogos Guatemala, Guatemala, Guatemala.

Josephine M De Leon (JM)

School of Nursing, Centro Escolar University, Manila, Philippines.

Anjanette S De Leon (AS)

School of Nursing, Centro Escolar University, Manila, Philippines.

Hiba Deek (H)

Nursing Department, Faculty of Health Science, Beirut Arab University, Lebanon.

Fabio Efficace (F)

Italian Group for Adult Hematologic Disease, Data Center and Health Outcomes Research Unit, Rome, Italy.

Mayssah A El Nayal (MA)

Department of Psychology, Beirut Arab University, Lebanon.

Fathiya El-Raey (F)

Department of hepatogastroenterology and infectious diseases, Damietta faculty of medicine, Al-Azher University, Egypt.

Eduardo Ensaldo-Carrasco (E)

Ergonomics Research Center, University of Guadalajara, Jalisco, Mexico.

Pilar Escotorin (P)

Laboratory of Applied Prosocial Research, Department of Basic, Developmental and Educational Psychology, Autonomous University of Barcelona, Spain.

Oluwadamilola Agnes Fadodun (OA)

Faculty of Health Sciences, University of Lethbridge, Alberta, Canada.

Israel Opeyemi Fawole (IO)

Faculty of Nursing, Ladoke Akintola University of Technology, Ogbomosho, Nigeria.

Yong-Shian Shawn Goh (YS)

Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore.

Devi Irawan (D)

School of Nursing, Wijaya Husada Health Institute, Bogor, Indonesia.

Naimah Ebrahim Khan (NE)

Department of Optometry, University of Kwazulu-Natal, Durban, South Africa.

Binu Koirala (B)

School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA.

Ashish Krishna (A)

Ecove, Ghaziabad, India.

Cannas Kwok (C)

School of Nursing, Paramedicine and Health Care Science, Charles Sturt University, New South Wales, Australia.

Tung Thanh Le (TT)

Nam Dinh University of Nursing, Nam Dinh, Vietnam.

Daniela Giambruno Leal (DG)

Pontificia Universidad Católica de Valparaíso, School of Social Work, Valparaíso, Chile.

Miguel Ángel Lezana-Fernández (MÁ)

Research Department, National Commission for Medical Arbitration, Mexico, Mexico.

Emery Manirambona (E)

College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.

Leandro Cruz Mantoani (LC)

Department of Physiotherapy, Faculty of Science and Technology, São Paulo State University (UNESP), Presidente Prudente, Brazil.

Fernando Meneses-González (F)

Research Department, National Commission for Medical Arbitration, Mexico, Mexico.

Iman Elmahdi Mohamed (IE)

Pharmacology and Toxicology Department, Faculty of Pharmacy, Benghazi University, Libya.

Madeleine Mukeshimana (M)

School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.

Chinh Thi Minh Nguyen (CTM)

Nam Dinh University of Nursing, Nam Dinh, Vietnam.

Huong Thi Thanh Nguyen (HTT)

Nam Dinh University of Nursing, Nam Dinh, Vietnam.

Khanh Thi Nguyen (KT)

Nam Dinh University of Nursing, Nam Dinh, Vietnam.

Son Truong Nguyen (ST)

Nam Dinh University of Nursing, Nam Dinh, Vietnam.

Mohd Said Nurumal (MS)

Kulliyyah of Nursing, International Islamic University, Kuantan, Malaysia.

Aimable Nzabonimana (A)

Center for Language Enhancement, College of Arts and Social Sciences, University of Rwanda, Huye, Rwanda.

Nagla Abdelrahim Mohamed Ahmed Omer (NAMA)

Faculty of Medicine, Alzaiem Alazhari University, Khartoum North, Sudan.

Oluwabunmi Ogungbe (O)

School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA.

Angela Chiu Yin Poon (ACY)

Faculty of Health Sciences and Sports, Macao Polytechnic University, Macao.

Areli Reséndiz-Rodriguez (A)

National Autonomous University of Mexico, Mexico.

Busayasachee Puang-Ngern (B)

Department of Statistics, Chulalongkorn Business School, Bangkok, Thailand.

Ceryl G Sagun (CG)

School of Nursing, Centro Escolar University, Manila, Philippines.

Riyaz Ahmed Shaik (RA)

Department of Family & Community Medicine, College of Medicine, Majmaah University, Majmaah, Saudi Arabia.

Nikhil Gauri Shankar (NG)

Mental Health and Learning division, Wrexham Maelor Hospital, Wrexham, UK.

Kathrin Sommer (K)

Italian Group for Adult Hematologic Disease, Data Center and Health Outcomes Research Unit, Rome, Italy.

Edgardo Toro (E)

Pontificia Universidad Católica de Valparaíso, School of Social Work, Valparaíso, Chile.

Hanh Thi Hong Tran (HTH)

Nam Dinh University of Nursing, Nam Dinh, Vietnam.

Elvira L Urgel (EL)

School of Nursing, Centro Escolar University, Manila, Philippines.

Emmanuel Uwiringiyimana (E)

College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.

Tita Vanichbuncha (T)

Department of Statistics, Chulalongkorn Business School, Bangkok, Thailand.

Naglaa Youssef (N)

Medical-surgical Nursing Department, Faculty of Nursing, Cairo University, Egypt.

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