Attitude to health and readiness for treatment in the situation of pandemic

Background. The COVID-19 pandemic has created an unprecedented model for psychology to explore the factors of adherence to recommendations, vaccination and protective actions in a situation of uncertainty.

Objective. The aim of the study is to reveal the relationship between attitudes towards health and readiness for treatment with adherence to recommendations and protective actions during the pandemic.

Methods. In November-December 2020, 523 respondents aged 18 to 65 filled in scales to assess their tendency for monitoring information about the pandemic, level of anxiety caused by the pandemic, vaccination, and protective actions during the pandemic, their readiness for vaccination, illness-related locus of control, self-efficacy in relation to treatment, “hypochondriac discourse”, as well as readiness for treatment and ideas on the specifics of medication.

Results. Respondents were more willing to actively comply with safety recommendations if they (1) had external locus of control in treatment — this effect was both direct and indirect, which implied higher pandemic anxiety; (2) believed in alternative medicine methods; (3) declared readiness for treatment; and also (4) valued health care as a resource conservation, which influenced compliance indirectly — through the higher pandemic anxiety. Adherence to self-isolation was higher with health being more important as a means of protection against risk (both direct and indirect effects) and indirectly (because of greater pandemic anxiety) as well as with an external locus of control for treatment. Vaccination readiness depended on the internal locus of control for illness causes, lower internal and higher external locus of control for treatment, and also distrust toward the medical system. At the same time, mistrust in the medical system was characterized by two indirect effects in relation to lower readiness for vaccination: on the one hand, distrust was associated with greater anxiety about the pandemic and therefore greater readiness for vaccination, and on the other hand, with greater anxiety about vaccination and therefore less readiness for it. Respondents reported better lifestyle control in cases of more pronounced self-efficacy, confidence in the importance of taking care of health and resorting to the methods of alternative medicine, as well as declared readiness for treatment. Outdoor trips were associated with self-efficacy and confidence in the importance of treatment with alternative medicine. Both of these effects were not explained by pandemic anxiety and vaccination anxiety.

Conclusion. Active and passive adherence to recommendations, as well as other ways of caring for health, depend differently on attitudes towards health and readiness for treatment.

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