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Risk Perception, Perception of Collective Efficacy and Sleep Quality in Chinese Adults during COVID-19 Pandemic in Hong Kong: A Cross-Sectional Study

Author

Listed:
  • Shiang-Yi Lin

    (Department of Early Childhood Education, The Education University of Hong Kong, Tai Po, Hong Kong, China
    Division of Social Science, Hong Kong University of Science and Technology, Kowloon, Hong Kong, China)

  • Kevin Kien Hoa Chung

    (Department of Early Childhood Education, The Education University of Hong Kong, Tai Po, Hong Kong, China
    Centre for Child and Family Science, The Education University of Hong Kong, Tai Po, Hong Kong, China)

Abstract

Background: Only a few studies have studied the link between risk perception and sleep in the context of the COVID-19 pandemic. The purpose of our study is to propose and test a theoretical model to understand the relationships between COVID-19 risk appraisals—risk perception and perception of collective coordinated defense (PCCD) in particular—and subjective sleep quality in Chinese adults in Hong Kong during the COVID-19 pandemic. COVID-19-related fear and rumination were examined as potential mediators of the relationships. Methods: Data were collected using a self-report online questionnaire from a convenience sample of 224 Chinese adults during the fourth wave of the COVID-19 pandemic in Hong Kong. Results: Risk perception and PCCD were found to predict poor sleep quality. Mediation analysis showed that both fear and rumination mediated the relationship between risk perception and sleep quality, whereas only fear mediated the relationship between PCCD and sleep quality. The model was an excellent fit to the data and accounted for 44% of the variance in sleep quality in Chinese adults. This study indicated that both perception of high risks of contracting COVID-19 and anticipations of collective disease preventive efforts had adverse effects on subjective sleep quality via increasing COVID-19-related fear. Conclusions: These findings underscore the need for addressing sleep problems induced by psychological consequences of the pandemic. While policy makers often deliver public messaging campaigns that frame disease prevention as a collective goal, developing evidence-based coping strategies to combat COVID-19 adverse impacts on psychological health is equally important.

Suggested Citation

  • Shiang-Yi Lin & Kevin Kien Hoa Chung, 2021. "Risk Perception, Perception of Collective Efficacy and Sleep Quality in Chinese Adults during COVID-19 Pandemic in Hong Kong: A Cross-Sectional Study," IJERPH, MDPI, vol. 18(21), pages 1-12, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:21:p:11533-:d:671001
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    References listed on IDEAS

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    1. Sarah Dryhurst & Claudia R. Schneider & John Kerr & Alexandra L. J. Freeman & Gabriel Recchia & Anne Marthe van der Bles & David Spiegelhalter & Sander van der Linden, 2020. "Risk perceptions of COVID-19 around the world," Journal of Risk Research, Taylor & Francis Journals, vol. 23(7-8), pages 994-1006, August.
    2. Ye, Baojuan & Wu, Dehua & Im, Hohjin & Liu, Mingfan & Wang, Xinqiang & Yang, Qiang, 2020. "Stressors of COVID-19 and stress consequences: The mediating role of rumination and the moderating role of psychological support," Children and Youth Services Review, Elsevier, vol. 118(C).
    3. Yao Sun & Shiang-Yi Lin & Kevin Kien Hoa Chung, 2020. "University Students’ Perceived Peer Support and Experienced Depressive Symptoms during the COVID-19 Pandemic: The Mediating Role of Emotional Well-Being," IJERPH, MDPI, vol. 17(24), pages 1-13, December.
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