Behavior to Prevent Coronavirus Disease 2019 (COVID-19) among the Elderly with Non-Communicable Disease in Rural Northeastern Thailand

Kaewjai Maleelai; Nichaphat Phudket; Pridaporn Rittiron

doi:10.31584/jhsmr.20241046

Behavior to Prevent Coronavirus Disease 2019 (COVID-19) among the Elderly with Non-Communicable Disease in Rural Northeastern Thailand

Kaewjai Maleelai, Nichaphat Phudket, Pridaporn Rittiron

Abstract

Objective: This study aimed to investigate the preventive behaviors against coronavirus disease 2019 (COVID-19) and to identify factors influencing these behaviors.
Material and Methods: We conducted a cross-sectional study from September 2021 to January 2022 during the COVID-19 outbreak. The study population comprised 320 early-onset elderly individuals with non-communicable diseases residing in rural northeastern Thailand. A simple random sampling technique was utilized to select participants. Data collection was facilitated through a self-administered questionnaire.
Results: The analysis indicated that 69.1% of participants were female, with a mean age of 63.7 years. Diabetes mellitus represented 43.1% of the underlying conditions. A significant majority (54.4%) exhibited a high level of preventive behavior against COVID-19. Notably, 76.3% of the participants consistently engaged in hand hygiene with alcohol gel in public settings. Age and educational background were significant personal factors correlated with preventive behaviors (p-value<0.05). Participants with very high preventive behaviors were predominantly in the 60-65 age bracket (62.3% vs. 37.7%, p-value=0.027) and had completed late elementary education (46.0% vs. 30.1%, p-value=0.018).
Conclusion: Elderly individuals with underlying diseases in rural areas of northeastern Thailand displayed commendable preventive behaviors against COVID-19. These findings suggest a heightened awareness and proactive engagement in mitigating the transmission of this infectious disease.

Keywords

coronavirus disease 2019; elderly; non-communicable diseases; preventive behavior; Thailand

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References

World Health Organization. Coronavirus disease (COVID-19) pandemic [homepage on the Internet]. Geneva: WHO [cited 2023 May 5]. Available from: https://www.who.int/europe/emergencies/situations/covid-19

Cucinotta D, Vanelli M. WHO declares COVID-19 a pandemic. Acta Biomed 2020;91:157-60.

Dhama K, Khan S, Tiwari R, Sircar S, Bhat S, Malik YS, et al. Coronavirus disease 2019-COVID-19. Clin Microbiol Rev 2020;33:e00028-20. doi: 10.1128/CMR.00028-20.

Umakanthan S, Sahu P, Ranade AV, Bukelo MM, Rao JS, Abrahao-Machado LF, et al. Origin, transmission, diagnosis and management of coronavirus disease 2019 (COVID-19). Postgrad Med J 2020;96:753-8.

Singh A, Haq I. Novel coronavirus disease (COVID-19): origin, transmission through the environment, health effects, and mitigation strategies-a review. Environ Sustain (Singap). 2021;4:515-26. doi:10.1007/s42398-021-00204-7.

Coronavirus COVID-19 global cases by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins University (JHU) [homepage on the Internet]. Baltimore: Johns Hopkins University [cited 2020 May]. Available from: https://coronavirus.jhu.edu/map.html

Yodmai K, Pechrapa K, Kittipichai W, Charupoonpol P, Suksatan W. Factors associated with good COVID-19 preventive behaviors among older adults in urban communities in Thailand. J Prim Care Amp Community Health 2021;12. doi: 10.1177/21501327211036251.

Centers for Disease Control and Prevention. Older adults and COVID-19 [homepage on the Internet]. Atlanta: Centers for Disease Control and Prevention [cited 2023 Nov 30]. Available from: https://www.cdc.gov/coronavirus/2019-ncov/needextra-precautions/older-adults.html

Susilowati IH, Nakatani H, Nugraha S, Pengpid S, Keawpan W, Hasiholan BP, et al. COVID-19 handling report for pre-case, case (pre-hospital and hospital), and post-case phases in the elderly as vulnerable populations in 6 Asia Pacific countries. J Glob Health Med 2020;2:350-9.

Bernabeu-Wittel M, Ternero-Vega JE, Díaz-Jiménez P, Conde-Guzmán C, Nieto-Martín MD, Moreno-Gaviño L, et al. Death risk stratification in elderly patients with COVID-19. A comparative cohort study in nursing homes outbreaks. Arch Gerontol Geriatr 2020; 91:104240. doi: 10.1016/j.archger.2020.104240.

Leung C. Risk factors for predicting mortality in elderly patients with COVID-19: a review of clinical data in China. Mech Ageing Dev 2020;188:111255. doi: 10.1016/j.mad.2020.111255.

Li P, Chen L, Liu Z, Pan J, Zhou D, Wang H, Li X. Clinical features and short-term outcomes of elderly patients with COVID-19. Int J Infect Dis 2020;97:245-50. doi: 10.1016/j.ijid.2020.05.107.

Liu K, Chen Y, Lin R, Han K. Clinical features of COVID-19 in elderly patients: a comparison with young and middle-aged patients. J Infect 2020;80:e14-8. doi: 10.1016/j.jinf.2020.03.005.

Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y. et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020;395:497-506. doi: 10.1016/S0140-6736(20)30183-5.

Chen Y, Klein SL, Garibaldi BT, Li H, Wu C, Osevala NM, et al. Aging in COVID-19: vulnerability, immunity and intervention. Ageing Res Rev 2021;65:101205. doi: 10.1016/j.arr.2020.101205.

Niu S, Tian S, Lou J, Kang X, Zhang L, Lian H, et al. Clinical characteristics of older patients infected with COVID-19: adescriptive study. Arch Gerontol Geriatr 2020;89:104058. doi: 10.1016/j.archger.2020.104058.

Shahid Z, Kalayanamitra R, McClafferty B, Kepko D, Ramgobin D, Patel R, et al. COVID-19 and older adults: what we know. J Am Geriatr Soc 2020;68:926-9. doi: 10.1111/jgs.16472.

Daoust JF. Elderly people and responses to COVID-19 in 27 countries. PLoS One 2020;15:e0235590. doi: 10.1371/journal.pone.0235590.

World Health Organization. Advice for the public: coronavirus disease (COVID-19) [homepage on the Internet]. Geneva: WHO [cited 2023 Nov 30]. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public?gclid=Cj0KCQiAyKurBhD5ARIsALamXaHYOAQA57TnT1IbLV9LGkvfOEDwY8i-gI4m3Qst3m8kO8Rjwr_oz2caAmDOEALw_wcB

Lu P, Kong D, Shelley M. Risk perception, preventive behavior, and medical care avoidance among American older adults during the COVID-19 pandemic. J Aging Health 2021;33:577-584. doi: 10.1177/08982643211002084.

Sun Z, Yang B, Zhang R, Cheng X. Influencing factors of understanding COVID-19 risks and coping behaviors among the elderly population. Int J Environ Res Public Health 2020;17:5889. doi: 10.3390/ijerph17165889.

Xiang YT, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry 2020;7:228-9. doi: 10.1016/s2215-0366(20)30046-8.

Upake C, Nanthamongkolchai S, Taechaboonsermsak P, Yodmai K, Suksatan W. Factors predicting the coronavirus disease 2019 preventive behaviors of older adults: a crosssectional study in Bangkok, Thailand. Int J Environ Res Public Health 2022;19:10361. doi: 10.3390/ijerph191610361.

Poonaklom P, Rungram V, Abthaisong P, Piralam B. Factors associated with preventive behaviors towards coronavirus disease (COVID-19) among adults in Kalasin province, Thailand, 2020. Outbreak Survill Investig Rep J 2020;13:78-89. doi: 10.59096/osir.v13i3.262803.

Chen Y, Zhou R, Chen B, Chen H, Li Y, Chen Z, et al. Knowledge, perceived beliefs, and preventive behaviors related to COVID-19 among Chinese older adults: cross-sectional web-based survey. J Med Internet Res 2020;22:e23729. doi: 10.2196/23729.

Vicerra PMM. Knowledge-Behavior Gap on COVID-19 among older people in rural Thailand. Gerontol Geriatr Med 2021;7. doi:10.1177/2333721421997207.

DOI: http://dx.doi.org/10.31584/jhsmr.20241046

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