Association between preventive behaviour and anxiety at the start of the COVID-19 pandemic in Slovenia

• Published in: Zdravstveno varstvo 2020-12, Vol.60 (1), p.17-24
• Main Authors: Velikonja, Nevenka Kregar, Erjavec, Karmen, Verdenik, Ivan, Hussein, Mohsen, Velikonja, Vislava Globevnik
• Format: Article
• Language: English
• Subjects: anksioznost; Anxiety; Aversion; Coronaviruses; CoV-2; COVID-19; Disease control; epidemija SARS; Evaluation; infectability; javno zdravje; Pandemics; perceived; percepcija dovzetnosti za okužbo; preventive behaviour; preventive measures; preventivno vedenje; Psychological stress; Public health; Questionnaires; SARS-CoV-2 epidemic; Severe acute respiratory syndrome coronavirus 2; Viral diseases
• ISSN: 0351-0026; 1854-2476; 1854-2476
• DOI: 10.2478/sjph-2021-0004

The first large outbreak of SARS-CoV-2 in Europe occurred in Northern Italy in February 2020. The relatively fast spread of the infection to Slovenia was expected, and preventive measures for its suppression were widely discussed. An online questionnaire was designed to evaluate adherence to preventive measures and the extent to which the taking of preventive measures was associated with people's anxiety level, psychological burden, their perceived vulnerability to disease, germ aversion and a number of demographic characteristics in the early stage of Covid-19 spread. The survey was active for 24 hours (13-14 March 2020). There were 12,307 responses and 7,764 questionnaires were completed in full. Higher preventive behaviour was found in individuals who experienced greater psychological distress, were more anxious, and expressed greater perceived infectability and germ aversion. Greater compliance with preventive behaviour was found among women, those sharing a household with people aged over 65, the elderly and those who knew somebody who had been infected. These groups also showed higher anxiety levels, which appeared to be significantly increased in general as a result of the specific situation. Quarantine was evaluated as the most efficient preventive measure, and was respected relatively strictly even before it became an officially announced protective measure. This research reveals a strong association between preventive behaviour and anxiety. Anxiety, together with social distancing, may affect physical and psychological health in the population in the long term. Other aspects of public health might therefore be influenced by the measures currently being enforced to prevent the spread of SARS-CoV-2.