Fatalism, fear, and compliance with preventive measures in COVID-19 pandemic: A structural equation modeling analysis

Public Health Nurs. 2021 Apr 16. doi: 10.1111/phn.12898. Online ahead of print.


OBJECTIVES: This study was conducted to develop and evaluate a theoretical model to explain the relationships among participation in individual and social activities, compliance with prevention guidelines, and the perception of fatalism and fear of COVID-19.

METHODS: Cross-sectional survey of 1,067 participants who were >18 years of age living in different provinces of Turkey recruited between August 15, 2020 and October 15, 2020. We used covariant structural analysis to assess the relationships of the constructs of the theoretical model.

RESULTS: Significant fits were detected for Model 1 (χ2 = 924,389, p < .001, comparative fit index or CFI = 0.944), and for Model 2 (χ2 = 2,253,751, p < .001, CFI = 0.926). The predetermination and luck subdimensions reduce the fear of COVID-19, while the pessimism subdimension and compliance with preventive measures increase the fear.

CONCLUSION: In public health crises such as COVID-19, it is important to plan scientific knowledge-based public education; take initiatives in accordance with the cultural, social, economic, religious, and local characteristics of the societies; and conduct public health studies covering the whole society.

PMID:33860555 | DOI:10.1111/phn.12898