Digital Health Communication Campaigns and Health Beliefs among Students of Tertiary Institutions in Akwa Ibom State, Nigeria

Authors

  • Uduak Udoudom Faculty of Communication and Media Studies, University of Uyo, Akwa Ibom State, Nigeria Author
  • Herbert Batta Faculty of Communication and Media Studies, University of Uyo, Akwa Ibom State, Nigeria Author

DOI:

https://doi.org/10.64229/6kwycg94

Keywords:

Cyberspace, Health Promotion, Youth Perception/Behaviour, Survey Research, South Eastern Nigeria

Abstract

This study sought to findout how digital health campaigns influence the health beliefs of students in tertiary institutions in Akwa Ibom State. The study examined the extent to which students were exposed to digital health campaigns and whether they observe the health advisory provided. The two theories used were the Social Cognitive Theory and the Health Belief Model. A cross-sectional survey design was employed. The population of the study consisted of 55, 849 male and female undergraduates from three tertiary institutions in Akwa Ibom State. The sample size for this study was determined using Krejcie and Morgan's formula, with a final sample size of 381. Also, six students from biomedical and digital health communication disciplines participated in the in-depth interview. Data were collected through the questionnaire and interviews. The findings showed that while students actively discussed digital health content and became more aware of health risks, their actual adoption of recommended health behaviours was low (WMS = 2.91). The actual behaviour change was also low (WMS = 2.24). Some students trusted health messages from reliable sources, but others were unsure due to personal beliefs, culture, or distractions from games and entertainment (WMS = 2.48). The study concluded that digital health campaigns increased awareness and promoted better choices, but their full impact was limited by certain challenges. It recommended that campaign creators should work with trusted health professionals and use clear, easy-to-understand messages. This would help build trust and make the health advice more useful and acceptable to students.

References

[1]S. Kaur-Gill and M. J. Dutta, "Strategic communication campaigns in health," in The Handbook of Strategic Communication, C. E. Botan, Ed., Wiley, 2021, pp. 309-319.

[2]Y. Hu, "Health communication research in the digital age: A systematic review," J. Commun. Healthc., vol. 8, no. 4, pp. 260-288, 2015.

[3]N. Al-Shorbaji, "Improving healthcare access through digital health: The use of information and communication technologies," Healthcare Access, vol. 10, no. 1, pp. 1-35, 2021, doi: 10.5772/intechopen.99607.

[4]S. Aondowase, U. I. Udoudom, and C. Pam, "Mass media and health communication messages: Implications for rural development in the 21st Century Nigeria," Int. J. Educ., Manag., Technol., vol. 1, no. 1, pp. 11-26, 2023, doi: 10.58578/ijemt.v1i1.1885.

[5]Centers for Disease Control and Prevention, Global health security, Aug. 9, 2020. [Online]. Available: https://www.cdc.gov/global-health/countries/nigeria.html

[6]Public Health England, *New Change4Life campaign encourages parents to ‘Be Food Smart’, Jan. 17, 2019. [Online]. Available: https://www.gov.uk/government/news/new-change4life-campaign-encourages-parents-to-be-food-smart

[7]S. Richardson et al., "A framework for digital health equity," NPJ Digit. Med., vol. 5, no. 1, pp. 1-19, 2022.

[8]H. Bonfadelli, "Theoretical approaches of health campaigns and practical applications to COVID-19 campaigns," Sci. J. Public Health, vol. 10, no. 1, pp. 60-72, 2022.

[9]World Bank, Nigeria at a glance, 2022. [Online]. Available: https://www.worldbank.org/en/country/nigeria.

[10]National Drug Law Enforcement Agency, War against drug abuse, 2023. [Online]. Available: https://ndleahelpline.com.ng/WADA.

[11]Youth Against Drug Abuse, Sober Nigeria, 2023. [Online]. Available: https://yadaf.org/sober-nigeria.

[12]Association of Psychiatrists in Nigeria, Speak-up Nigeria, 2023. [Online]. Available: https://www.apn.org.ng/

[13]Nigerian Heart Foundation, Heart of gold, 2023. [Online]. Available: https://www.nigerianheart.org/

[14]O. E. Johnson et al., "The prevalence and factors affecting psychoactive substance use among undergraduate students in University of Uyo, Nigeria," J. Community Med. Prim. Health Care, vol. 29, no. 2, pp. 11-22, 2017.

[15]E. C. Green, E. M. Murphy, and K. Gryboski, "The health belief model," in The Wiley Encyclopedia of Health Psychology, New Jersey: Wiley, 2020, pp. 211-214.

[16]J. Arousell and A. Carlbom, "Culture and religious beliefs in relation to reproductive health," Best Pract. Res. Clin. Obstet. Gynaecol., vol. 32, pp. 77-87, 2016, doi: 10.1016/j.bpobgyn.2015.08.011.

[17]U. Udoudom, "TikTok narratology, health belief system and sexual health awareness among students of Akwa Ibom State University," J. Health Sci. Med. Ther., vol. 3, no. 01, pp. 116-130, 2025, doi: 10.59653/jhsmt.v3i01.1461.

[18]W. T. Wiyane and S. Mansur, "Health communication campaign of clean and healthy living behaviour (PHBS) in COVID-19 pandemic era," J. Komun. Malays. J. Commun., vol. 37, no. 2, pp. 305-322, 2021.

[19]T. T. Adebayo, "The role of health information officers in the prevention and management of HIV/AIDS in three tertiary health institutions in South Western Nigeria," Lib. Philos. Pract. (e-journal), vol. 42, no. 2, pp. 1-53, 2019.

[20]D. N. Jackson, N. Trivedi, and C. Baur, "Re-prioritising digital health and health literacy in healthy people 2030 to affect health equity," Health Commun., vol. 36, no. 10, pp. 1155-1162, 2021.

[21]C. L. Thai, "Public health campaigns in the digital age: Targeting and tailoring using digital and social media," Advert. Soc. Q., vol. 18, no. 3, pp. 44-73, 2017.

[22]A. Wagner and D. Reifegerste, "Health-related communication in everyday life: Communication partners, channels, and patterns," Commun., vol. 48, no. 2, pp. 180-201, 2023.

[23]C. R. Lyles, R. M. Wachter, and U. Sarkar, "Focusing on digital health equity," JAMA, vol. 326, no. 18, pp. 1795-1796, 2021.

[24]K. J. Silk et al., "Public health communication campaigns," in The Routledge Handbook of Health Communication, Routledge, 2021, pp. 335-352.

[25]J. Kite et al., "A model of social media effects in public health communication campaigns: Systematic review," J. Med. Internet Res., vol. 25, p. e46345, 2023.

[26]X. Zhao, "Health communication campaigns: A brief introduction and call for dialogue," Int. J. Nurs. Sci., vol. 7, no. 1, pp. S11-S15, 2020.

[27]J. Shi, T. Poorisat, and C. T. Salmon, "The use of social networking sites (SNSs) in health communication campaigns: Review and recommendations," Health Commun., vol. 33, no. 1, pp. 49-56, 2018.

[28]A. L. Friedman et al., "Health communication and social marketing campaigns for sexually transmitted disease prevention and control: What is the evidence of their effectiveness?," *Sex. Transm. Dis.*, vol. 43, no. 2S, pp. S83-S101, 2016.

[29]H. Ustundag, "Assessment of the testicular self-examination knowledge and health belief model of health sciences students," Int. J. Caring Sci., vol. 12, no. 2, p. 972, 2019.

[30]U. Idiong, C. D. Akwaowo, and I. Umoh, "Sexual and reproductive health awareness and practices among the deaf/speech-impaired secondary school students in two cities in Nigeria," Ibom Med. J., vol. 14, no. 3, pp. 326-335, 2021.

[31]T. T. Adebayo, "The role of health information officers in the prevention and management of HIV/AIDS in three tertiary health institutions in South Western Nigeria," Lib. Philos. Pract. (e-journal), vol. 42, no. 2, pp. 1-53, 2019.

[32]G. J. Udoh, B. W. Onofiok, and I. O. James, "Personal self-concept and attitude to premarital sex activity among public secondary school students in Etim Ekpo Local Government Area, Akwa Ibom State," Akwapoly J. Commun. Sci. Res., vol. 6, no. 1, 2022.

[33]W. Rajapakshe et al., "Application of the Health Belief Model (HBM) to explore the quality of Sexual and Reproductive Health (SRH) education in Sri Lanka," Int. J. Environ. Res. Public Health, vol. 21, no. 12, p. 1703, 2024.

[34]J. I. Ime, "Re-engineering tertiary education for quality performance and sustainable development in Akwa Ibom State," J. Assert., vol. 11, no. 2, pp. 1-15, 2020.

[35]M. Uko and S. Udo, "Industrial development and environmental sustainability in Akwa Ibom State," Soc. Sci. Manag. Int. J., vol. 3, no. 2, pp. 59-89, 2022.

[36]T. N. Udo-Okon and X. M. Ekong, "Assessment of the innovative technologies and its implications on library services in tertiary institutions in Akwa Ibom State," Univ. J. Libr. Inf. Sci., vol. 3, no. 1, pp. 1-13, 2021.

[37]L. P. Wong et al., "The use of the health belief model to assess predictors of intent to receive the COVID-19 vaccine and willingness to pay," Hum. Vaccines Immunother., vol. 16, no. 9, pp. 2204-2214, 2020.

[38]M. S. Setia, "Methodology series module 3: Cross-sectional studies," Indian J. Dermatol., vol. 61, no. 3, pp. 261-264, 2016.

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Published

2025-07-23

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