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KMID : 1138720210470040107
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Korean Public Health Research
2021 Volume.47 No. 4 p.107 ~ p.119
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Changes in Health Behavior, Mental Health, and the Degree of Practice of Quarantine Rules according to the Psychological Concerns of Local Residents during the COVID-19 Outbreak
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Kim Hyun-Woo
Kim Keon-Yeop
Kim Se-A
Yoon Hae-Chang
Jin Soo-Hee
Jang Eun-Hwa
Choo Yoo-Jin
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Abstract
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Background: The purpose of this study is to examine the changed health behaviors, mental health, and the degree of practice of quarantine rules due to the psychological concerns of residents of the Daegu community in the outbreak of COVID-19 and to analyze the effects.
Methods: A total of 7,307 people in Daegu were used in the 2020 Community Health Survey. The chi-square test was performed to determine the difference in the degree of psychological concerns due to COVID-19 according to the general characteristics and health-related characteristics of the subject, and the changed health behavior/mental health and the degree of practice of quarantine rules according to the psychological concerns level due to COVID-19. Multiple logistic regression analysis was performed to investigate the effect of psychological concerns due to COVID-19 on changed health behavior/mental health and practice of quarantine rules.
Results: The psychological concerns of community residents due to COVID-19 are higher among women and the elderly, lower income, lower education level, poor subjective health status, chronic disease, service work, engaged in agriculture, forestry and fishing, or married, widowed, divorced and separated(p<.01). Consumption of instant food and carbonated beverages (OR=1.40, 95% CI 1.190-1.654) and stress (OR=1.40, 95% CI 1.208-1.623) were increased in the group with high psychological concerns compared to the group with low psychological concerns, and sleep time (OR=1.50, 95% CI 1.208-1.623) was decreased. The higher the psychological concern, the higher the level of practice of quarantine rules, including cough etiquette (OR=2.11, 95% CI 1.570-2.834), ventilation (OR=1.88, 95% CI 1.256-2.813), and disinfection practice rate (OR=1.78, 95% CI 1.559-2.041).
Conclusions: Due to COVID-19, the psychological concerns of local residents are increasing, and psychological concerns have an effect on health behavior, mental health, prevention level practice. Therefore, when preparing countermeasures due to COVID-19, effective interventions should be prepared in consideration of them.
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KEYWORD
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COVID-19, Community Health Survey, Psychological Concerns, Health Behavior, Mental Health, Quarantine Rules
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