Confronting COVID-19 pandemic, one's health belief and behavior are essential to mental well-being. Thus conceived, this study applied the Health Belief Model to test the mediating effect of risk perception and coping strategies on the relationship between self-efficacy and mental health problems. Six hundred and eighteen participants aged 17–52 (117 males and 501 females) completed our web-based survey from February 7 to April 10, 2020. 12.6–15.1% of participants were affected by COVID-19 outbreak in varying degrees. The mediating effects of risk perception and active coping were significant, so was the serial mediating effect of risk perception and passive coping. Individuals with higher general self-efficacy were more likely to have lower risk perception, less passive coping strategies, more active coping strategies, and subsequently had less mental health problems. In conclusion, application of the HBM would help understand how mental health problems happen during an infectious disease epidemic, and the relationships among the HBM constructs need further investigation.

面对 COVID-19 大流行，一个人的健康信念和行为对于心理健康至关重要。因此构想，本研究应用健康信念模型来测试风险感知和应对策略对自我效能与心理健康问题之间关系的中介作用。2020 年 2 月 7 日至 4 月 10 日，618 名年龄在 17-52 岁的参与者（117 名男性和 501 名女性）完成了我们基于网络的调查。12.6-15.1% 的参与者不同程度地受到 COVID-19 疫情的影响。风险感知和主动应对的中介作用显着，风险感知和被动应对的系列中介作用也显着。一般自我效能感较高的个体更可能有较低的风险感知、较少的被动应对策略、较多的主动应对策略、随后心理健康问题较少。总之，HBM 的应用将有助于理解在传染病流行期间心理健康问题是如何发生的，HBM 结构之间的关系需要进一步研究。