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Association Between Depression, Health Beliefs, and Face Mask Use During the COVID-19 Pandemic
Bressington,Daniel Thomas1,2; Cheung,Teris Cheuk Chi1; Lam,Simon Ching1,3; Suen,Lorna Kwai Ping1,3; Fong,Tommy Kwan Hin1; Ho,Hilda Sze Wing4; Xiang,Yu Tao5
2020-10-22
Source PublicationFrontiers in Psychiatry
Volume11
AbstractThe 2019 novel coronavirus (COVID-19) pandemic is associated with increases in psychiatric morbidity, including depression. It is unclear if people with depressive symptoms understand or apply COVID-19 information differently to the general population. Therefore, this study aimed to examine associations between depression, health beliefs, and face mask use during the COVID-19 pandemic among the general population in Hong Kong. This study gathered data from 11,072 Hong Kong adults via an online survey. Respondents self-reported their demographic characteristics, depressive symptoms (PHQ-9), face mask use, and health beliefs about COVID-19. Hierarchical logistic regression was used to identify independent variables associated with depression. The point-prevalence of probable depression was 46.5% (n = 5,150). Respondents reporting higher mask reuse (OR = 1.24, 95%CI 1.17–1.34), wearing masks for self-protection (OR = 1.03 95%CI 1.01–1.06), perceived high susceptibility (OR = 1.15, 95%CI 1.09–1.23), and high severity (OR = 1.33, 95%CI 1.28–1.37) were more likely to report depression. Depression was less likely in those with higher scores for cues to action (OR = 0.82, 95%CI 0.80–0.84), knowledge of COVID-19 (OR = 0.95, 95%CI 0.91–0.99), and self-efficacy to wear mask properly (OR = 0.90 95%CI 0.83–0.98). We identified a high point-prevalence of probable major depression and suicidal ideation during the COVID-19 outbreak in Hong Kong, but this should be viewed with caution due to the convenience sampling method employed. Future studies should recruit a representative probability sample in order to draw more reliable conclusions. The findings highlight that COVID-19 health information may be a protective factor of probable depression and suicidal ideation during the pandemic. Accurate and up-to-date health information should be disseminated to distressed and vulnerable subpopulations, perhaps using digital health technology, and social media platforms to prompt professional help-seeking behavior.
KeywordCOVID-19 depression face mask health belief model Hong Kong
DOI10.3389/fpsyt.2020.571179
URLView the original
Language英语
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Cited Times [WOS]:5   [WOS Record]     [Related Records in WOS]
Document TypeJournal article
CollectionUniversity of Macau
Corresponding AuthorLam,Simon Ching
Affiliation1.School of Nursing,The Hong Kong Polytechnic University,Kowloon,Hong Kong
2.College of Nursing and Midwifery,Charles Darwin University,Casuarina,Australia
3.Squina International Center for Infection Control,The Hong Kong Polytechnic University,Kowloon,Hong Kong
4.Department of Psychology,York University,Toronto,Canada
5.Faculty of Health Sciences,University of Macau,Macao
Recommended Citation
GB/T 7714
Bressington,Daniel Thomas,Cheung,Teris Cheuk Chi,Lam,Simon Ching,et al. Association Between Depression, Health Beliefs, and Face Mask Use During the COVID-19 Pandemic[J]. Frontiers in Psychiatry,2020,11.
APA Bressington,Daniel Thomas,Cheung,Teris Cheuk Chi,Lam,Simon Ching,Suen,Lorna Kwai Ping,Fong,Tommy Kwan Hin,Ho,Hilda Sze Wing,&Xiang,Yu Tao.(2020).Association Between Depression, Health Beliefs, and Face Mask Use During the COVID-19 Pandemic.Frontiers in Psychiatry,11.
MLA Bressington,Daniel Thomas,et al."Association Between Depression, Health Beliefs, and Face Mask Use During the COVID-19 Pandemic".Frontiers in Psychiatry 11(2020).
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