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Demographic and social correlates and indicators for behavioural compliance with personal protection among Chinese community-dwellers during COVID-19: a cross-sectional study.
Xu, Xin; Chew, Kimberly Ann; Xu, Xiaolin; Wu, Zhihua; Xiao, Xiaohua; Yang, Qian.
  • Xu X; Department of Dig Data and Health Sciences, School of Public Health, Zhejiang University School of Medicine and the Second Affiliated Hospital, Hangzhou, Zhejiang, China.
  • Chew KA; Deparetment of Pharmacology, Yong Loo Lin School of Medicine, National University Singapore, Singapore.
  • Xu X; Deparetment of Pharmacology, Yong Loo Lin School of Medicine, National University Singapore, Singapore.
  • Wu Z; Department of Dig Data and Health Sciences, School of Public Health, Zhejiang University School of Medicine and the Second Affiliated Hospital, Hangzhou, Zhejiang, China.
  • Xiao X; Department of Dig Data and Health Sciences, School of Public Health, Zhejiang University School of Medicine and the Second Affiliated Hospital, Hangzhou, Zhejiang, China.
  • Yang Q; Department of Dig Data and Health Sciences, School of Public Health, Zhejiang University School of Medicine and the Second Affiliated Hospital, Hangzhou, Zhejiang, China.
BMJ Open ; 11(1): e041453, 2021 01 06.
Article in English | MEDLINE | ID: covidwho-1013050
Semantic information from SemMedBD (by NLM)
1. Protection COEXISTS_WITH COVID-19
Subject
Protection
Predicate
COEXISTS_WITH
Object
COVID-19
2. Compliance PROCESS_OF Community
Subject
Compliance
Predicate
PROCESS_OF
Object
Community
3. Compliance PROCESS_OF Male population group
Subject
Compliance
Predicate
PROCESS_OF
Object
Male population group
4. Compliance PROCESS_OF Participant
Subject
Compliance
Predicate
PROCESS_OF
Object
Participant
5. Protection COEXISTS_WITH COVID-19
Subject
Protection
Predicate
COEXISTS_WITH
Object
COVID-19
6. Compliance PROCESS_OF Community
Subject
Compliance
Predicate
PROCESS_OF
Object
Community
7. Compliance PROCESS_OF Male population group
Subject
Compliance
Predicate
PROCESS_OF
Object
Male population group
8. Compliance PROCESS_OF Participant
Subject
Compliance
Predicate
PROCESS_OF
Object
Participant
ABSTRACT

OBJECTIVES:

Examine compliance with personal protective measures in communities for the prevention and control of local transmission of the COVID-19, and explore indicators for such behavioural compliance.

DESIGN:

Cross-sectional design with a self-selecting sample. Data collected in February 2020.

SETTING:

Community dwellers in China.

PARTICIPANTS:

2956 participants aged 16 and above completed the study and were included in the analysis. OUTCOME

MEASURES:

Nationwide COVID-19 survey. Demographics and self-reported compliance with four personal protective measures-home quarantine, mask-wearing, temperature-taking and hand-sanitising were collected. Outbreak severity and timeliness of personal protection order were obtained from the China Center for Disease Control and Prevention website. Logistic regression models were employed to examine the association between demographic and social indicators and behavioural compliance.

RESULTS:

Compliance with home quarantine was only associated with gender (men, OR=0.61 (0.51-0.73), inverse association) but no other indicators. In contrast, men had higher compliance with mask-wearing (OR=1.79 (1.49-2.16)) and temperature-taking (OR=1.27 (1.05-1.53)). Compared with younger adults (≤20 years), the middle-age groups (31-40 and 41-50 years of age) were more compliant with all protective behaviours, except for home quarantine (OR=0.71 (0.54-0.93) and 0.67 (0.46-0.97), respectively).

CONCLUSION:

Male gender was associated with lower compliance with home quarantine yet higher compliance with mask-wearing and temperature-taking. The middle-age participants (31-50 years) had lower compliance with home quarantine but higher with other measures. These findings may be supported by the economic considerations and the long-inherited Confucian values among Chinese. In light of the ongoing COVID-19 pandemic, public health authorities should tailor policy implementation to disparities in psychosocial indicators.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Behavior / Patient Compliance / Disease Transmission, Infectious / Pandemics / Personal Protective Equipment / SARS-CoV-2 / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: Asia Language: English Journal: BMJ Open Year: 2021 Document Type: Article Affiliation country: Bmjopen-2020-041453

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Behavior / Patient Compliance / Disease Transmission, Infectious / Pandemics / Personal Protective Equipment / SARS-CoV-2 / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: Asia Language: English Journal: BMJ Open Year: 2021 Document Type: Article Affiliation country: Bmjopen-2020-041453