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Fear control and danger control amid COVID-19 dental crisis: Application of the Extended Parallel Process Model

Samane ShirahmadiDepartment of Community Oral Health, School of Dentistry and Dental Research Centers, Hamadan University of Medical Sciences, Hamadan, IranShabnam Seyedzadeh SabounchiDepartment of Community Oral Health, School of Dentistry and Dental Research Centers, Hamadan University of Medical Sciences, Hamadan, IranSalman KhazaeiResearch Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, IranSaeid BashirianSocial Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, IranAmir Farhang MiresmæiliDepartment of Orthodontics, Dental Research Center, Hamadan University of Medical Sciences, Hamadan, IranZeinab BayatDepartment of Oral Medicine, Hamadan University of Medical Sciences, Hamedan, IranBehzad HoushmandDepartment of Periodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, IranH SemyariDepartment of Periodontics, School of Dentistry, Shahed University, Tehran, IranMajid BaratiSocial Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, IranEnsiyeh JenabiAutism Spectrum Disorders Research Center, Hamadan University of Medical Sciences, Hamadan, IranFakhreddin HeidarianHamadan University of Medical Sciences, Hamadan, IranSepideh ZareianHamadan University of Medical Sciences, Hamadan, IranMohammad KheirandishDepartment of Oral Health, Vice Chancellor for Health, Hamadan University of Medical Sciences, Hamadan, IranNeda DadaeDepartment of Oral Health, Vice Chancellor for Health, Hamadan University of Medical Sciences, Hamadan, Iran
2020en
ABI

Abstract

OBJECTIVES: There is high risk of contamination with COVID-19 virus during routine dental procedures and infection control is crucial. The aim of this study was to determine the factors associated with Covid-19 preventive behaviors among oral health care providers using an extended parallel process model (EPPM). METHODS: In a cross-sectional study, short text message invite surveys were sent to 870 oral health care providers in west part of Iran. Data were collected through validated self-report EPPM questionnaires. Descriptive statistics, Chi-square and Fishers exact tests were used for data analysis. RESULTS: In total, 300 completed questionnaires were received and the mean age of respondents was 29.89 ± 11.17 years (range: 20-75 years). Among the study population, 284 (94.67%) perceived the threat of infection highly. Washing hands frequently with water and soap and use of hand sanitizer was reported by 93.33%, of participants. Age (P = 0.010), sex (P = 0.002) and occupation field (P = 0.010) were significantly associated with danger control responses. Data identified that those oral health care providers that were on the danger control response adopted preventive behaviors more strictly than those on fear control response. CONCLUSION: The results of this study showed how degrees of perceived threat and perceived efficacy influenced oral health providers' willingness to perform recommended health behaviors. These findings can assist public health agencies in developing educational programs specifically designed for promoting preventive behaviors among oral health providers in pandemic situations.

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