Differences in Household Preparedness and Adaptation for COVID-19.

ABSTRACT

OBJECTIVE: To quantify differences in preparedness for and adaptations to COVID-19 in a cohort sample of New York City residents. METHODS: A proportional quota sample (n=1,020) of individuals residing in New York City during the COVID-19 pandemic participated in a Qualtrics web survey. Quotas were set for age, sex, race, and income to mirror the population of New York City based on the 2018 American Community Survey. RESULTS: Low self-efficacy, low social support, and low sense of community increased the odds of securing provisions to prepare for COVID-19. Being an essential worker, poor mental health, and children in the household reduced the likelihood of engaging in preparedness practices. Essential workers and individuals with probable serious mental illness were less likely to report preparedness planning for the pandemic. CONCLUSIONS: The findings contribute to evolving theories of preparedness. There are differences across the sample in preparedness types, and different kinds of preparedness are associated with different household characteristics. Findings suggest that public officials and others concerned with population wellbeing might productively turn attention to education and outreach activities indexed to these characteristics.