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1.
Article in English | MEDLINE | ID: mdl-35162369

ABSTRACT

Unparalleled levels of misinformation have contributed to widespread misunderstandings about the nature of the coronavirus, its cure and preventative measures. Misinformation crosses borders rapidly with the help of social media, and this phenomenon is constantly increasing. Thus, the current study proposes a research framework to explore how citizens' trust in government and social media influences their readiness to follow COVID-19 preventive measures. Additionally, the role of a health infodemic was explored in perceptions and relationships among factors influencing an individual's readiness to follow COVID-19 preventive measures with data collected from 396 participants in Taiwan. The findings indicate citizens' trust in social media (TRSM), attitude (ATT), perceived benefit (PBT), personal innovativeness, and how peer referents positively influence their readiness. However, the relationship between citizens' trust in the government (TRGT) and their readiness to follow COVID-19 preventive measures (INT) is not statistically significant. The current study also explores the negative moderating effect of health infodemics on the relationship between TRSM and INT, TRGT and INT, ATT and INT, PBT and INT. Thus, the Taiwanese government must consider the current study's findings to develop attractively, informed, and evidence-based content, which helps its citizens improve their health literacy and counter the spread of misinformation.


Subject(s)
COVID-19 , Social Media , Communication , Humans , Infodemic , SARS-CoV-2
2.
BMC Public Health ; 21(1): 1831, 2021 10 09.
Article in English | MEDLINE | ID: mdl-34627173

ABSTRACT

BACKGROUND: In July 1984, Taiwan officially began a nationwide hepatitis B virus (HBV) vaccination program where only infants born to HBsAg-positive mothers were vaccinated free of charge until June 1986. However, from July 1986, all infants were vaccinated against HBV. The impact of the July 1986 HBV vaccination program on first-time blood donors has not been exhaustively studied. We, therefore, determined the risk of HBV among male and female first-time blood donors born before and after the July 1986 HBV vaccination program in Taiwan. METHODS: Initially, we recruited 857,310 first-time blood donors whose data were collected between 2013 and 2018 from 5 blood donation centers in Taiwan. However, we excluded donors with incomplete and outlying data (n = 12,213) and those born between July 1984 and June 1986 (n = 21,054). The final study participants comprised 9118 HBV positive and 814,925 HBV negative individuals. We divided the participants into two birth cohorts (born before and after July 1986) and assumed that those born before July 1986 were not vaccinated at birth while those born after July 1986 were vaccinated. RESULTS: The prevalence of HBV among those born before and after July 1986 was 4.53 and 0.25%, respectively. Individuals born after July 1986 had a lower risk of HBV than those born before July 1986. The adjusted odds ratio (OR), 95% confidence interval (CI) was 0.16, 0.13-0.19. Men had a higher risk of HBV than women (OR = 1.40, 95% CI = 1.34-1.47). The interaction between sex and birth date was significant (p-value = 0.0067). Stratification of participants by birth date revealed a higher risk of HBV in men compared to women in both birth cohorts. The OR, 95% CI was 1.47, 1.40-1.55 for those born before July 1986 but declined to 1.15, 1.02-1.29 for those born after July 1986. CONCLUSIONS: The risk of HBV was lower among those born after than those born before the July 1986 vaccination program. In both cohorts, the risk was high in men relative to women. The seemingly protective effect among those born after July 1986 was higher in women than men.


Subject(s)
Hepatitis B virus , Hepatitis B , Blood Donors , Female , Hepatitis B/epidemiology , Hepatitis B/prevention & control , Hepatitis B Surface Antigens , Hepatitis B Vaccines , Humans , Infant , Infant, Newborn , Male , Taiwan/epidemiology , Vaccination
3.
Libyan J Med ; 14(1): 1648963, 2019 Dec.
Article in English | MEDLINE | ID: mdl-31357919

ABSTRACT

The use of health information technology (HIT) is expected to deliver benefits for patients, nurses, physicians, and organizations, but the benefits of HIT can only be attained if nurses accept and intend to use it as they are the leading user-group. The use of the tablet is becoming commonplace in healthcare organizations to improve patient care. The current study incorporates Technology Acceptance Model2 (TAM2) with two antecedents, facilitating condition and personal, to identify and understand the factors that influence nurses' intention to use the Tablet PC. The survey methodology was used to collect data from the nurses working in a regional healthcare center in Taiwan. The structural equation modeling (SEM) technique was employed to analyze the research framework. A total of 110 valid responses for analysis. The results suggest that the modified proposed research framework explains about 41.7% of the variance of nurses' behavioral intention. The partial least squares (PLS) regression indicated that perceived usefulness, subjective norm, and personal a positive and significant influence on nurses' intention to use the Tablet PC. But concerning the perceived ease of use, the insignificant path coefficient was reported. The finding also indicated that personal on the research model is much stronger than the subjective norm on Tablet PC performance. The proposed research framework contributes to the conclusive explanation for understanding nurses' intention to use. The current study brings perspectives from the technological and attitudinal differences that have largely been missing in the existing literature of the nurses' intention to use HIT. Thus, health care providers must take these factors into consideration as the findings of the current study advance theory and contribute to the basis for future study intended for enhancing our understanding of nurses' adoption behavior regarding HIT.


Subject(s)
Computers, Handheld/standards , Intention , Medical Informatics/methods , Nurses/psychology , Patient Care/instrumentation , Adult , Attitude of Health Personnel , Humans , Job Satisfaction , Middle Aged , Models, Theoretical , Perception/physiology , Quality of Health Care/standards , Surveys and Questionnaires , Taiwan/epidemiology
4.
Libyan J Med ; 13(1): 1500349, 2018 Dec.
Article in English | MEDLINE | ID: mdl-30037314

ABSTRACT

BACKGROUND: With the development of information technology (IT) and medical technology, medical information has been developed from traditional paper-based records into up-to-date medical information exchange system called personal health record (PHR). Empowering PHR provides health awareness and intention for health promotion. OBJECTIVE: The purpose of this study was to present a research framework to examine individuals' intention to PHR use. METHODS: This cross-sectional study used the questionnaire to collect data from the individual in Taiwan. Individual's intention to use PHR has been examined by a framework based on extended technology acceptance model (TAM), with gender and health-care technology self-efficacy (HTSE) as external variables. Additionally, gender differences were explored in perceptions and relationships among factors influencing an individual's intention to PHR use. The research framework was evaluated by structural equation modeling (SEM) and represented by Analysis of a Moment Structures (AMOS). RESULTS: A total of 234 valid responses were used for analysis. The results suggest that the extended TAM model explains 40.6% of the variance of intention to PHR use (R2 = 0.406). The findings also supported that perceived usefulness, perceived ease of use, and attitude toward using PHR significantly influenced individual's intention to PHR use. Additionally, results also indicated that women were more strongly influenced by perceptions of HTSE. CONCLUSIONS: The extended TAM model contributes reasonable explanation for interprets and anticipates of individuals' intention to use and adopt PHR. Moreover, the results have provided support for HTSE and gender as significant variables in TAM. However, the study identified three relevant factors directly and one factor indirectly influencing on individuals' intention to PHR use. Thus, health care providers and hospital authorities must take these factors and gender difference into consideration in the development and validation of the theories regarding the acceptance of PHR. Based on the findings, the theoretical and practical implications are discussed.


Subject(s)
Health Records, Personal/psychology , Intention , Patient Acceptance of Health Care/psychology , Self Efficacy , Sex Factors , Adult , Biomedical Technology , Cross-Sectional Studies , Female , Humans , Male , Middle Aged , Perception , Surveys and Questionnaires , Taiwan , Young Adult
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