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Int J Environ Res Public Health . Cognitive, Affective, and Behavioral Constructs of COVID-19 Health Beliefs: A Comparison Between Sexual Minority a

tetano

Editor, Senior Moderator
Int J Environ Res Public Health


. 2020 Jun 15;17(12):E4282.
doi: 10.3390/ijerph17124282.
Cognitive, Affective, and Behavioral Constructs of COVID-19 Health Beliefs: A Comparison Between Sexual Minority and Heterosexual Individuals in Taiwan


Nai-Ying Ko[SUP] 1 [/SUP], Wei-Hsin Lu[SUP] 2 3 [/SUP], Yi-Lung Chen[SUP] 4 5 [/SUP], Dian-Jeng Li[SUP] 6 7 [/SUP], Yu-Ping Chang[SUP] 8 [/SUP], Peng-Wei Wang[SUP] 7 9 [/SUP], Cheng-Fang Yen[SUP] 7 9 [/SUP]



Affiliations

Abstract

This online survey study aimed to compare the cognitive, affective, and behavioral constructs of health beliefs related to coronavirus disease 2019 (COVID-19) between sexual minority and heterosexual individuals in Taiwan. In total, 533 sexual minority and 1421 heterosexual participants were recruited through a Facebook advertisement. The constructs pertaining to cognition (perceived relative susceptibility to COVID-19, perceived COVID-19 severity, having sufficient knowledge and information on COVID-19, and confidence in coping with COVID-19), affect (worry toward COVID-19), and behavior (adoption of health-protective behaviors) in relation to health beliefs about COVID-19 were compared between sexual minority and heterosexual participants. The results indicated that sexual minority participants had lower perceived susceptibility to COVID-19, greater self-confidence in coping with COVID-19, and lower worry about COVID-19 and were less likely to maintain good indoor ventilation and disinfect their household than heterosexual individuals. Sexual orientation is the modifying factor for the Health Belief Model in the COVID-19 pandemic and should be taken into consideration when medical professionals establish prevention programs for COVID-19.

Keywords: COVID-19; LGBT; health belief; pandemic; sexual minority.
 
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