This study examines reactions to the Covid-19 pandemic, focusing on routine and behavioral changes. It analyzes how vulnerability influenced behavior using microdata from 26 countries, targeting respondents over 50 from the eighth wave of the Survey of Health, Ageing and Retirement in Europe (SHARE), interrupted in March 2020, and the SHARE Corona Survey conducted via telephone in June–July 2020 and a year later. SHARE data integrates with macro-data to incorporate country-level indicators alongside individual characteristics. Findings reveal that vulnerability significantly affected precautionary behaviors. Older respondents were more likely to adopt protective measures, adjusting for demographic factors. Employment status also influenced behaviors, with employed individuals showing increased vigilance. Vaccination reduced the tendency for high precautionary behavior. Moreover, health vulnerability heightened the likelihood of precautionary measures. These insights highlight the interplay between individual and contextual factors in shaping pandemic-related behaviors, emphasizing vulnerability and demographic variables’ roles in precautionary actions.
AlsanMChandraASimonK (2021) The great unequalizer: Initial health effects of COVID-19 in the United States. Journal of Economic Perspectives35(3): 25–46.
2.
ArnaultLJusotFRenaudT (2022) Economic vulnerability and unmet healthcare needs among the population aged 50+ years during the COVID-19 pandemic in Europe. European Journal of Ageing19(4): 811–825.
3.
AspachsODuranteRGrazianoA, et al. (2021) Tracking the impact of COVID-19 on economic inequality at high frequency. PLoS One16(3): e0249121.
4.
BallaJHaggerMS (2025) Protection motivation theory and health behaviour: Conceptual review, discussion of limitations, and recommendations for best practice and future research. Health Psychology Review19(1): 145–171.
5.
Börsch-SupanABrandtMHunklerC, et al. (2013) Data resource profile: the Survey of Health, Ageing and Retirement in Europe (SHARE). International Journal of Epidemiology42(4): 992–1001.
6.
BressingtonDTCheungTCCLamSC, et al. (2020) Association between depression, health beliefs, and face mask use during the COVID-19 pandemic. Frontiers in Psychiatry11: 571179.
7.
BrewerNTCuiteCLHerringtonJE, et al. (2007) Risk compensation and vaccination: can getting vaccinated cause people to engage in risky behaviors?Annals of Behavioral Medicine34(1): 95–99.
8.
ConteducaFP (2021) Measuring COVID-19 Restrictions in Italy During the Second wave. Bank of Italy Covid Notes.
9.
DavradakisEZwartSMarchittoB, et al. (2020) The EIB Covid-19 Economic Vulnerability Index—An Analysis of Countries Outside the European Union. European Investment Bank.
10.
DenfordSMortonKSLambertH, et al. (2021) Understanding patterns of adherence to COVID-19 mitigation measures: a qualitative interview study. Journal of Public Health43(3): 508–516.
11.
DesrichardOMoussaouiLOfosuN (2022) Reduction of precautionary behaviour following vaccination against COVID-19: a test on a British cohort. Vaccines10(6): 936.
12.
DomínguezARuizMdel RíoM, et al. (2023) COVID-19 vaccine acceptance among Hispanic adolescents: application of the protection motivation theory. Vaccine X 14: 100288.
13.
ElazabKÖzdenMBaruhL, et al. (2024) “Oh no, they caught it!”: vicarious experience of COVID-19, protection motivation and protective behaviors. Journal of Health Psychology29(6): 510–521.
14.
Eurofound (2023) Economic and Social Inequalities in Europe in the Aftermath of the COVID-19 Pandemic. Luxembourg: Publications Office of the European Union.
FaheyT (2007) The case for an EU-wide measure of poverty. European Sociological Review23(1): 35–47.
17.
FallEIzauteMChakroun-BaggioniN (2018) How can the health belief model and self-determination theory predict both influenza vaccination and vaccination intention ? A longitudinal study among university students. Psychology and Health33(6): 746–764.
18.
FullertonMKRabbNMamidipakaS, et al. (2022) Evidence against risk as a motivating driver of COVID-19 preventive behaviors in the United States. Journal of Health Psychology27(9): 2129–2146.
19.
GallèFSabellaEARomaP, et al. (2021) Knowledge and lifestyle behaviors related to COVID-19 pandemic in people over 65 years old from southern Italy. International Journal of Environmental Research and Public Health18(20): 10872.
20.
GuJHeRWuX, et al. (2022) Analyzing risk communication, trust, risk perception, negative emotions, and behavioral coping strategies during the COVID-19 pandemic in China using a structural equation model. Frontiers in Public Health10: 843787.
HinssenMDohleS (2023) Predictors of adherence to COVID-19 preventive behaviors in a longitudinal German sample: an application of Protection Motivation Theory. Frontiers in Psychology14: 1195607.
23.
JoseRNarendranMBinduA, et al. (2021) Public perception and preparedness for the pandemic COVID 19: a health belief model approach. Clinical Epidemiology and Global Health9: 41–46.
24.
JylhäM (2009) What is self-rated health and why does it predict mortality? Towards a unified conceptual model. Social Science & Medicine69(3): 307–316.
25.
LiSFengBLuoY (2023) Applying protection motivation theory to COVID-19 prevention: a meta-analysis. Journal of Affective Disorders337: 246–257.
26.
LittleboyK (2021) Coronavirus and Vaccine Attitudes and Behaviours in England: Over 80s Population, 15 February to 20 February 2021. Office for National Statistics.
27.
LitwinHLevinskyM (2021) Network-exposure severity and self-protective behaviors: the case of COVID-19. Innovation in Aging5(2): igab015.
28.
LitwinHSapirEV (2009) Perceived income adequacy among older adults in 12 countries: findings from the Survey of Health, Ageing, and Retirement in Europe. Gerontologist49(3): 397–406.
29.
LiuYJiangX (2023) Application of protection motivation theory and cultural tightness-looseness for predicting individuals’ compliance with the government’s recommended preventive measures during regular prevention and control of the COVID-19 pandemic in China. Frontiers in Public Health11: 1043247.
30.
ManiscalcoLMiceliSBonoF, et al. (2020) Self-perceived health, objective health, and quality of life among people aged 50 and over: interrelationship among health indicators in Italy, Spain, and Greece. International Journal of Environmental Research and Public Health17(7): 2414.
31.
MoynihanRSandersSMichaleffZA, et al. (2021) Impact of COVID-19 pandemic on utilisation of healthcare services: a systematic review. BMJ Open11(3): e045343.
32.
OECD/European Union (2022) Health at a Glance: Europe 2022: State of Health in the EU Cycle. OECD Publishing.
33.
PalladinoRTayu LeeJAshworthM, et al. (2016) Associations between multimorbidity, healthcare utilisation and health status: Evidence from 16 European countries. Age and Ageing45(3): 431–435.
34.
PalmerKMonacoAKivipeltoM, et al. (2020) The potential long-term impact of the COVID-19 outbreak on patients with non-communicable diseases in Europe: consequences for healthy ageing. Aging Clinical and Experimental Research32(7): 1189–1194.
35.
PericoNFagiuoliSDi MarcoF, et al. (2021) Bergamo and COVID-19: how the dark can turn to light. Frontiers in Medicine8: 609440.
36.
Prentice-DunnSRogersRW (1986) Protection motivation theory and preventive health: beyond the health belief model. Health Education Research1(3): 153–161.
RogersRW (1975) A protection motivation theory of fear appeals and attitude change. The Journal of Psychology91(1): 93–114.
39.
RosenstockIM (1974) Historical origins of the health belief model. Health Education Monographs2: 328–335.
40.
SandGBristleJ (2024a) Motivating protective behavior against COVID-19: fear versus hope. Journal of Aging and Health36: 350–366.
41.
SandGBristleJ (2024b) Emotional responses and precautionary behaviors in older adults during the COVID-19 pandemic: evidence from 26 European countries. Journal of Aging and Health36(2): 321–345.
42.
ShahnaziHAhmadi-LivaniMPahlavanzadehB, et al. (2020) Assessing preventive health behaviors from COVID-19: a cross sectional study with health belief model in Golestan Province, Northern of Iran. Infectious Diseases of Poverty9: 157.
43.
SkinnerCSTiroJChampionVL (2015) Background on the health belief model. In: GlanzKRimerBKViswanathK (eds) Health Behavior: Theory, Research, and Practice, 5th ed. Jossey-Bass, pp.75–94.
44.
SoofiMNajafiFKarami-MatinB (2020) Using insights from behavioral economics to mitigate the spread of COVID-19. Applied Health Economics and Health Policy18: 345–350.
45.
UngerJBHerzigERodriguezV, et al. (2023) Application of protection motivation theory to COVID-19 vaccination among a predominantly Hispanic sample of adolescents. Preventive Medicine Reports34: 102245.
46.
VerropoulouG (2012) Determinants of change in self-rated health among older adults in Europe: a longitudinal perspective based on SHARE data. European Journal of Ageing9: 305–318.
47.
WelsJ, (2020) Assessing the impact of partial early retirement on self-perceived health, depression level and quality of life in Belgium: a longitudinal perspective using the Survey of Health, Ageing and Retirement in Europe (SHARE). Ageing & Society40(3): 512–536.
48.
WooldridgeJM (2010) Econometric Analysis of Cross Section and Panel Data. MIT Press.
ZewdieAMoseASahleT, et al. (2022) The health belief model’s ability to predict COVID-19 preventive behavior: a systematic review. Sage Open Medicine10: 20503121221113668.
