Ha T. T. Tran, Minh H. Nguyen, Thu T. M. Pham, Giang B. Kim, Hiep T. Nguyen, Ngoc-Minh Nguyen, Hoa T. B. Dam, Thai H. Duong, Yen H. Nguyen, Thao T. Do, Thao T. P. Nguyen, Thuy T. Le, Hien T. T. Do, Tham T. Nguyen, Khue M. Pham, Tuyen Van Duong
Int. J. Environ. Res. Public Health
health literacy, preventive behaviors, fear, COVID-19, anxiety, depression, nursing students, handwashing, mask-wearing, physical distancing, Vietnam
Background: The infodemic has been co-existing with the COVID-19 pandemic with an influx of misinformation and conspiracy theories. These affect people’s psychological health and adherence to preventive measures. eHealth literacy (eHEALS) may help with alleviating the negative effects of the infodemic. As nursing students are future healthcare professionals, having adequate eHEALS skills is critically important in their clinical practice, safety, and health. This study aimed to (1) explore the eHEALS level and its associated factors, and (2) examine the associations of eHEALS with preventive behaviors, fear of COVID-19 (FCV-19S), anxiety, and depression among nursing students. Methods: We surveyed 1851 nursing students from 7 April to 31 May 2020 from eight universities across Vietnam. Data were collected, including demographic characteristics, eHEALS, adherence to preventive behaviors (handwashing, mask-wearing, physical distancing), FCV-19S, anxiety, and depression. Linear and logistic regression analyses were performed appropriately to examine associations. Results: The mean score of eHEALS was 31.4 ± 4.4. The eHEALS score was
significantly higher in males (unstandardized regression coefficient, B, 0.94; 95% confidence interval,
95% CI, 0.15 to 1.73; p = 0.019), and students with a better ability to pay for medication (B, 0.79;
95% CI, 0.39 to 1.19; p < 0.001), as compared to their counterparts. Nursing students with a higher
eHEALS score had a higher likelihood of adhering to hand-washing (odds ratio, OR, 1.18; 95% CI,
1.15 to 1.22; p < 0.001), mask-wearing (OR, 1.15; 95% CI, 1.12 to 1.19; p < 0.001), keeping a safe physical
distance (OR, 1.20; 95% CI, 1.15 to 1.25; p < 0.001), and had a lower anxiety likelihood (OR, 0.95; 95%
CI, 0.92 to 0.99; p = 0.011). Conclusions: Nursing students who were men and with better ability
to pay for medication had higher eHEALS scores. Those with higher eHEALS scores had better
adherence to preventive measures, and better psychological health. The development of strategies to
improve eHEALS of nursing students may contribute to COVID-19 containment and improve their
psychological health.
Minh H. Nguyen, Tinh X. Do, Tham T. Nguyen, Minh D. Pham, Thu T. M. Pham, Khue M. Pham, Giang B. Kim, Binh N. Do, Hiep T. Nguyen, Ngoc-Minh Nguyen, Hoa T. B. Dam, Yen H. Nguyen, Kien T. Nguyen, Thao T. P. Nguyen, Trung T. Nguyen, Tuyen Van Duong
Medical students’ health and wellbeing are highly concerned during the COVID-19 pandemic. This study examined the impacts of fear of COVID-19 (FCoV-19S), healthy eating behavior, and health-related behavior changes on anxiety and depression
Hiep T. Nguyen, Binh N. Do, Khue M. Pham, Giang B. Kim, Hoa T.B. Dam, Trung T. Nguyen, Thao T.P. Nguyen, Yen H. Nguyen, Kristine Sørensen, Andrew Pleasant, Tuyen Van Duong
International journal of environmental research and public health
This study aimed to describe mental health service utilization and examine associated factors among students in Vietnam. Data were collected at eight universities in Hanoi, Vietnam, in 2018 using an administered questionnaire. The total number of participants was 9,120 (95.1% response rate). Among stu dents participating in our survey, 12.5% (95% CI: 10.9–14.1) with depression and/or anxiety symptoms used mental health service in the last 12 months. In the multivariable regression models, significant factors associated with mental health ser vice utilization were marital status, types of housemate, men tal health problems, physical activity, smoking status, and alcohol drinking. Our study made recommendations to stake holders for improving mental health services utilization among students in Vietnam. These findings had important implica tions for future research on factors associated with mental health service utilization among university students.
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