Understanding patterns of adherence to COVID-19 mitigation measures: A qualitative interview study
Understanding patterns of adherence to COVID-19 mitigation measures: A qualitative interview study
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了解遵守 COVID-19 缓解措施的模式：定性访谈研究
DOI：
10.1101/2020.12.11.20247528
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发表时间：
2020
期刊：
影响因子：
--
通讯作者：
Denford S
中科院分区：
文献类型：
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作者：
Denford S
背景证据突出了为减少冠状病毒在黑人、亚洲人和少数族裔(BAME)社区以及低收入人群中的传播而采取的措施的不成比例的影响。需要了解在这些人群中遵守的障碍。在这项定性研究中，我们考察了遵守缓解措施的模式和支持这些行为的原因。方法对来自BAME和低收入白人背景的20名参与者进行了半结构化访谈。该主题指南旨在探讨个人在大流行期间如何坚持社交疏远和自我孤立，并探索支持这种行为的原因。结果我们确定了三种遵守封锁措施的类别：(I)谨慎动机的超级遵守(Ii)风险适应的部分遵守和(Iii)必要性驱动的部分遵守。关于遵守的决定考虑了接触病毒的可能性、通过使用保护措施降低风险的能力以及行为的重要性/必要性。结论这项研究强调了需要对遵守封锁措施有更细微的理解。提供实际和财政支持可以减少因需要而不得不部分遵守的人数。需要更多关于采用风险适应部分依从性的人的人口水平风险的证据。
BackgroundEvidence highlights the disproportionate impact of measures that have been introduced to reduce the spread of coronavirus on individuals from Black, Asian and minority ethnic (BAME) communities, and among those on a low income. An understanding of barriers to adherence in these populations is needed. In this qualitative study, we examined the patterns of adherence to mitigation measures and reasons underpinning these behaviors.MethodsSemi-structured interviews were conducted with 20 participants from BAME and low-income White backgrounds. The topic guide was designed to explore how individuals are adhering to social distancing and self-isolation during the pandemic and to explore the reasons underpinning this behavior.ResultsWe identified three categories of adherence to lockdown measures: (i) caution-motivated super-adherence (ii) risk-adapted partial-adherence and (iii) necessity-driven partial-adherence. Decisions about adherence considered potential for exposure to the virus, ability to reduce risk through use of protective measures and perceived importance of/need for the behavior.ConclusionsThis research highlights a need for a more nuanced understanding of adherence to lockdown measures. Provision of practical and financial support could reduce the number of people who have to engage in necessity-driven partial-adherence. More evidence is required on population level risks of people adopting risk-adapted partial-adherence.