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The Impact of the first COVID-19 shelter-in-place announcement on social distancing, difficulty in daily activities, and levels of concern in the San Francisco Bay Area: A cross-sectional social media survey.
Elser, Holly; Kiang, Mathew V; John, Esther M; Simard, Julia F; Bondy, Melissa; Nelson, Lorene M; Chen, Wei-Ting; Linos, Eleni.
  • Elser H; Stanford Medical School, Stanford University, Stanford, CA, United States of America.
  • Kiang MV; Center for Population Health Sciences, Stanford University, Stanford, CA, United States of America.
  • John EM; Center for Population Health Sciences, Stanford University, Stanford, CA, United States of America.
  • Simard JF; Department of Epidemiology and Population Health, Stanford University, Stanford, CA, United States of America.
  • Bondy M; Department of Epidemiology and Population Health, Stanford University, Stanford, CA, United States of America.
  • Nelson LM; Department of Epidemiology and Population Health, Stanford University, Stanford, CA, United States of America.
  • Chen WT; Department of Epidemiology and Population Health, Stanford University, Stanford, CA, United States of America.
  • Linos E; Department of Epidemiology and Population Health, Stanford University, Stanford, CA, United States of America.
PLoS One ; 16(1): e0244819, 2021.
Article in English | MEDLINE | ID: covidwho-1067402
ABSTRACT

BACKGROUND:

The U.S. has experienced an unprecedented number of orders to shelter in place throughout the ongoing COVID-19 pandemic. We aimed to ascertain whether social distancing; difficulty with daily activities; and levels of concern regarding COVID-19 changed after the March 16, 2020 announcement of the nation's first shelter-in-place orders (SIPO) among individuals living in the seven affected counties in the San Francisco Bay Area.

METHODS:

We conducted an online, cross-sectional social media survey from March 14 -April 1, 2020. We measured changes in social distancing behavior; experienced difficulties with daily activities (i.e., access to healthcare, childcare, obtaining essential food and medications); and level of concern regarding COVID-19 after the March 16 shelter-in-place announcement in the San Francisco Bay Area versus elsewhere in the U.S.

RESULTS:

In this non-representative sample, the percentage of respondents social distancing all of the time increased following the shelter-in-place announcement in the Bay Area (9.2%, 95% CI 6.6, 11.9) and elsewhere in the U.S. (3.4%, 95% CI 2.0, 5.0). Respondents also reported increased difficulty obtaining hand sanitizer, medications, and in particular respondents reported increased difficulty obtaining food in the Bay Area (13.3%, 95% CI 10.4, 16.3) and elsewhere (8.2%, 95% CI 6.6, 9.7). We found limited evidence that level of concern regarding the COVID-19 crisis changed following the announcement.

CONCLUSION:

This study characterizes early changes in attitudes, behaviors, and difficulties. As states and localities implement, rollback, and reinstate shelter-in-place orders, ongoing efforts to more fully examine the social, economic, and health impacts of COVID-19, especially among vulnerable populations, are urgently needed.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Patient Isolation / Activities of Daily Living / Social Media / Physical Distancing / COVID-19 Type of study: Experimental Studies / Observational study / Randomized controlled trials Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: North America Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2021 Document Type: Article Affiliation country: Journal.pone.0244819

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Patient Isolation / Activities of Daily Living / Social Media / Physical Distancing / COVID-19 Type of study: Experimental Studies / Observational study / Randomized controlled trials Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: North America Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2021 Document Type: Article Affiliation country: Journal.pone.0244819