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Open AccessArticle

Subjective Deterioration of Physical and Psychological Health during the COVID-19 Pandemic in Taiwan: Their Association with the Adoption of Protective Behaviors and Mental Health Problems

1
Department of Psychiatry, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
2
Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80708, Taiwan
3
Department of Nursing, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan
4
School of Nursing, The State University of New York, University at Buffalo, New York, NY 14214-3079, USA
5
Department of Psychiatry, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chia-Yi City 60002, Taiwan
*
Authors to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(18), 6827; https://doi.org/10.3390/ijerph17186827
Received: 27 August 2020 / Revised: 13 September 2020 / Accepted: 17 September 2020 / Published: 18 September 2020
This study aimed to determine the proportion of individuals who reported the deterioration of physical and psychological health during the coronavirus disease 2019 (COVID-19) pandemic in Taiwan. Moreover, the related factors of deterioration of physical and psychological health and the association between deterioration of health and adoption of protective behavior against COVID-19 and mental health problems were also examined. We recruited participants via a Facebook advertisement. We determined the subjective physical and psychological health states, cognitive and affective construct of health belief, perceived social support, mental health problems, adoption of protective behavior and demographic characteristics among 1954 respondents (1305 women and 649 men; mean age: 37.9 years with standard deviation 10.8 years). In total, 13.2% and 19.3% of respondents reported deteriorated physical and psychological health during the COVID-19 pandemic, respectively. Participants with higher perceived harm from COVID-19 compared with severe acute respiratory syndrome (SARS) were more likely to report the subjective deterioration of physical and psychological health, whereas respondents who were older and perceived a higher level of social support were less likely to report a deterioration of physical and psychological health. The subjective deterioration of psychological health was significantly associated with avoiding crowded places and wearing a mask. Both subjective deteriorations of physical and psychological health positively related to general anxiety. View Full-Text
Keywords: physical health; psychological health; protective behaviors; mental health problems; COVID-19 physical health; psychological health; protective behaviors; mental health problems; COVID-19
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MDPI and ACS Style

Wang, P.-W.; Ko, N.-Y.; Chang, Y.-P.; Wu, C.-F.; Lu, W.-H.; Yen, C.-F. Subjective Deterioration of Physical and Psychological Health during the COVID-19 Pandemic in Taiwan: Their Association with the Adoption of Protective Behaviors and Mental Health Problems. Int. J. Environ. Res. Public Health 2020, 17, 6827. https://doi.org/10.3390/ijerph17186827

AMA Style

Wang P-W, Ko N-Y, Chang Y-P, Wu C-F, Lu W-H, Yen C-F. Subjective Deterioration of Physical and Psychological Health during the COVID-19 Pandemic in Taiwan: Their Association with the Adoption of Protective Behaviors and Mental Health Problems. International Journal of Environmental Research and Public Health. 2020; 17(18):6827. https://doi.org/10.3390/ijerph17186827

Chicago/Turabian Style

Wang, Peng-Wei; Ko, Nai-Ying; Chang, Yu-Ping; Wu, Chia-Fen; Lu, Wei-Hsin; Yen, Cheng-Fang. 2020. "Subjective Deterioration of Physical and Psychological Health during the COVID-19 Pandemic in Taiwan: Their Association with the Adoption of Protective Behaviors and Mental Health Problems" Int. J. Environ. Res. Public Health 17, no. 18: 6827. https://doi.org/10.3390/ijerph17186827

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