Parent-for-child mask behavior during the COVID-19 pandemic in Canada and the United States: An investigation of attitudes, norms, and perceived control using the theory of planned behavior.

Parent-for-child mask behavior during the COVID-19 pandemic in Canada and the United States: An investigation of attitudes, norms, and perceived control using the theory of planned behavior.
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DOI:
10.1016/j.pmedr.2021.101533
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发表时间:
2021-12
影响因子:
2.8
通讯作者:
Geller AC
Geller AC
中科院分区:
医学3区
文献类型:
--
作者:
Coroiu A;Moran C;Lindsay BL;Geller AC

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儿童面具行为受父母态度、公认规范和自我效能感的影响。对于健康的儿童来说,口罩行为主要是由父母对口罩有效性的强烈信念驱动的。对于有可能使戴口罩变得困难的前置条件的儿童来说,口罩行为是由父母强制戴口罩的强烈意图驱动的。在包括儿童在内的很大一部分人接受新冠肺炎疫苗接种之前,口罩仍然是必需品。本研究的目的是运用计划行为理论探讨父母对口罩的态度和信念与亲子口罩行为之间的关系。我们于2020年8月对居住在美国和加拿大的学龄儿童的父母进行了一项调查。测量包括父母和孩子的社会人口学变量、态度、规范、对儿童口罩使用的感知控制、儿童佩戴口罩的意图和强制执行(也称为父母对孩子的口罩行为)。使用结构方程模型对数据进行分析。根据家长的报告,我们收集了866名家长的数据,其中43.5%的孩子有预先存在的疾病(如过敏、焦虑、冲动、皮肤敏感、哮喘),这些疾病使延长口罩的佩戴变得困难。在全样本中,负面态度(β=0.20,P=0.006)、规范(β=0.41,P=0.002)和控制感(β=0.33,P=0.006)预测了意图。规范(β=0.50,p=0.004)和意图(β=0.28,p=0.003)也可以预测父母对孩子使用口罩的情况,而态度和控制感则不能。意图分别在态度、规范、控制感和掩饰行为之间起到中介作用。亚组分析显示,意图是儿童使用亲子口罩的关键预测因素,在没有前提条件的儿童(即健康儿童)中,前置条件和规范是关键预测因素。未来的公共卫生信息应该针对父母对儿童口罩佩戴的意图、态度、规范和感知的控制。
Child mask behavior is influenced by their parents’ attitudes, accepted norms, and self-efficacy. For healthy children, mask behavior is primarily driven by parents’ strong beliefs about mask effectiveness. For children with pre-conditions that may make mask-wearing difficult, mask behavior is driven by parents’ strong intentions to enforce mask wearing. Face masks continue to be a necessity until a large proportion of the population, including children, receive immunizations for COVID-19. The aim of this study was to investigate the relationship between parental attitudes and beliefs about masks and parent-for-child mask behavior using the Theory of Planned Behavior. We administered a survey in August 2020 to parents of school-aged children residing in the United States and Canada. Measures included sociodemographic variables for the parent and child, attitudes, norms, perceived control over children’s mask use, intentions and enforcement of mask wearing among children (also titled “parent-for-child mask behavior”). Data were analyzed using structural equation modelling. We collected data from 866 parents and 43.5% had children with pre-existing conditions (e.g., allergies, anxiety, impulsivity, skin sensitivity, asthma) that made extended mask wearing difficult, as per parent’s report. Among the full sample, negative attitudes (β = -0.20, p = .006), norms (β = 0.41, p = .002), and perceived control (β = 0.33, p = .006) predicted intentions. Norms (β = 0.50, p = .004) and intentions (β = 0.28, p = .003) also predicted parent-for-child mask use, while attitudes and perceived control did not. Intentions mediated the associations between attitudes, norms, perceived control, respectively, and mask behavior. Subgroup analyses revealed intentions as the key predictor of parent-for-child mask use among children with pre-conditions and norms as the key predictor among children without pre-conditions (i.e. healthy). Future public health messaging should target parental intentions, attitudes, norms, and perceived control about children’s masks wearing.
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