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首页> 美国卫生研究院文献>International Journal of Environmental Research and Public Health >Cross-Country Differences in Stay-at-Home Behaviors during Peaks in the COVID-19 Pandemic in China and the United States: The Roles of Health Beliefs and Behavioral Intention
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Cross-Country Differences in Stay-at-Home Behaviors during Peaks in the COVID-19 Pandemic in China and the United States: The Roles of Health Beliefs and Behavioral Intention

机译：在中国和美国的Covid-19大流行病中的普通居住在家庭行为中的跨国差异：健康信仰和行为意向的角色

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摘要

The novel coronavirus disease 2019 (COVID-19) rapidly escalated to a global pandemic. To control the rate of transmission, governments advocated that the public practice social distancing, which included staying at home. However, compliance with stay-at-home orders has varied between countries such as China and the United States, and little is known about the mechanisms underlying the national differences. Based on the health belief model, the theory of reasoned action, and the technology acceptance model, health beliefs and behavioral intention are suggested as possible explanations. A total of 498 Chinese and 292 American college students were recruited to complete an online survey. The structural equation modeling results showed that health beliefs (i.e., perceived susceptibility, severity, and barriers) and behavioral intention played multiple mediating roles in the association between nationality and actual stay-at-home behaviors. Notably, the effect via perceived barriers → behavioral intention was stronger than the effects via perceived susceptibility and severity → behavioral intention. That is, American participants perceived high levels of susceptibility whereas Chinese participants perceived high levels of severity, especially few barriers, which further led to increased behavioral intention and more frequent stay-at-home behaviors. These findings not only facilitate a comprehensive understanding of cross-country differences in compliance with stay-at-home orders during peaks in the COVID-19 pandemic but also lend support for mitigation of the current global crisis and future disease prevention and health promotion efforts.
机译：2019年新型冠状病毒疾病（Covid-19）迅速升级为全球大流行。为了控制传播速度，政府主张公共实践社会疏散，其中包括留在家里。但是，在中国和美国等国家之间的遵守情况符合账面，而且对国家差异的基础机制很少。基于健康信仰模式，建议的理论，以及技术验收模型，健康信念和行为意图是可能的解释。共招募了498名中国和292名美国大学生才能完成在线调查。结构方程建模结果表明，健康信念（即，感知的易感性，严重程度和障碍）和行为意向在国籍与实际留在家庭行为之间的协会中发挥了多次调解作用。值得注意的是，通过感知障碍的效果→行为意图比通过感知敏感性和严重程度→行为意图的效果更强。也就是说，美国参与者认为高度的易感性，而中国参与者认为高度的严重程度，尤其是障碍，这进一步导致了增加行为意图和更频繁的留在家庭行为。这些调查结果不仅促进了在Covid-19大流行期间遵守宿舍的跨国差异，旨在支持对目前的全球危机和未来疾病预防和健康促进工作的支持。

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