Cited by 106COVID-19 and Mental HealthHealth Literacy and Information AccessibilityCommunication and COVID-19 Impact

The Association between Future Anxiety, Health Literacy and the Perception of the COVID-19 Pandemic: A Cross-Sectional Study

Open access
Duplaga, Mariusz, Grysztar, Marcin·2021·Healthcare

Abstract

Increased anxiety related to the Coronavirus Disease 2019 (COVID-19) pandemic in society and specific professional groups has been reported by many authors. Most have applied tools enabling assessing the general traits of anxiety. Tools specifically designed for an assessment of anxiety or fear related to COVID-19 have also been developed. However, no study has assessed the future anxiety in relation to the pandemic. This concept was defined by Zaleski in the end of the 20th century as the state of apprehension, fear, worry, and concern regarding unfavourable changes in the more remote personal future. The aim of this study was an analysis to establish the level and the determinants of future anxiety in Polish society related to the COVID-19 pandemic three months after the introduction of the state of epidemic. The analysis reported in the paper is based on the data obtained through a web-based survey carried out on a representative sample of 1002 Polish adults aged 18–74 years. The hierarchical linear regression model was developed for the analysis of the determinants of future anxiety from the responses to a questionnaire consisting of five items. The independent variables selected for inclusion in the model, apart from sociodemographic characteristics, encompassed health literacy (HL) and ehealth literacy (eHL), perceived health threat related to COVID-19 (PHTC19), and a COVID-19-related conspiracy belief score (CCBS) derived from three items asking about the most popular conspiracy theories. The regression model developed in the final step showed that the future anxiety scale score (FASS) was significantly associated with gender, vocational status, HL, PHTC19, and CCBS. The FASS was lower among men than women (regression coefficient (B) (standard error, SE) = −1.28 (0.39), p = 0.001), among entrepreneurs or farmers rather than among employees of the public or private sector (B(SE) = −1.55, p = 0.010), in persons with a higher HL (B(SE) = −0.43 (0.06), p < 0.001). A higher FASS was observed in respondents with higher rather than lower PHTC19 (B(SE) = 1.49 (0.17), p < 0.001) and in those with a higher CCBS (B(SE) = 0.33 (0.07), p < 0.001). The model accounted for 15.2% of the variance of the FASS. In conclusion, the COVID-19 pandemic is not only a cause of increased mental symptoms, but also of increased future anxiety. Health-related measures are significantly associated with the FASS.

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  1. [2]Satterfield J.M. Feldman M.D. Anxiety Behavioral Medicine: A Guide for Clinical Practice Feldman M.D. Christensen J.F. Satterfield J.M. Laponis R. McGraw-Hill Education New York, NY, USA 2020
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Authors
Duplaga, M., & Grysztar, M.
Affiliations
Jagiellonian University (PL)
Corresponding author
Duplaga, Mariusz
Venue
Healthcare
Publisher
MDPI AG
Published
2021-01-05
Volume
9
Issue
1
Pages
43
ISSN
2227-9032 (ISSN-L)
OpenAlex
W3120587867
Cited by
106
References
105
Citations by year
2026: 7 · 2025: 10 · 2024: 22 · 2023: 16 · 2022: 32 · 2021: 17 · 2020: 2
FWCI
14.83
Type
journal article
Language
en
Open access
Locations
  • Healthcare (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, other-oa)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Homo Politicus (Academy of Humanities and Economics in Lodz) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Uniwersytet Jagielloński Collegium Medicum (N43/DBS/000050)
Topics
  • Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
  • Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
  • Social Sciences › Communication › Communication and COVID-19 Impact
Keywords
future anxiety, COVID-19 pandemic, health literacy, digital health literacy, perceived health threat, conspiracy beliefs, COVID-19 conspiracy theories, gender differences, occupational status, Polish adults, public health communication, health education, health policy, health care costs

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