Association of masking policies with mask adherence and distancing during the SARS-COV-2 pandemic.

Association of masking policies with mask adherence and distancing during the SARS-COV-2 pandemic.
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DOI:
10.1016/j.ajic.2022.04.010
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发表时间:
2022-09
影响因子:
4.9
通讯作者:
--
中科院分区:
医学3区
文献类型:
--
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量化当地掩盖政策的影响可能有助于指导未来的政策干预,以减少SARS-COV-2疾病的传播。这项研究的目的是确定与遵守掩饰和社交距离指南相关的因素。来自美国16所学院和大学的教职员工培训了231名学生进行系统的直接观察。他们评估了美国126个城市从2020年9月到2021年8月在公共场所正确使用口罩和保持距离的情况。在美国126个城市的109,999名受试者中,48%的人正确佩戴口罩,其中女性、青少年和老年人的忠诚度最高,非西班牙裔白人、剧烈运动者和较大群体的忠诚度最低(P<.0001)。与没有推荐的口罩相比,有当地口罩强制令戴口罩的几率增加了近3倍(OR=2.99,P=4.0003)。在非商业区观察到的人最不可能戴口罩。正确的口罩使用率在2020年12月最高,直到2021年6月一直很高(P<.0001)。掩蔽策略要求与距离无关。口罩强制要求和正确使用口罩之间的紧密联系表明,公共政策对个人行为具有强大的影响。应在未来的大流行中考虑口罩强制令,以增加遵守情况。
Quantification of the impact of local masking policies may help guide future policy interventions to reduce SARS-COV-2 disease transmission. This study's objective was to identify factors associated with adherence to masking and social distancing guidelines. Faculty from 16 U.S. colleges and universities trained 231 students in systematic direct observation. They assessed correct mask use and distancing in public settings in 126 US cities from September 2020 through August 2021. Of 109,999 individuals observed in 126 US cities, 48% wore masks correctly with highest adherence among females, teens and seniors and lowest among non–Hispanic whites, those in vigorous physical activity, and in larger groups (P < .0001). Having a local mask mandate increased the odds of wearing a mask by nearly 3-fold (OR = 2.99, P = .0003) compared to no recommendation. People observed in non–commercial areas were least likely to wear masks. Correct mask use was greatest in December 2020 and remained high until June 2021 (P < .0001). Masking policy requirements were not associated with distancing. The strong association between mask mandates and correct mask use suggests that public policy has a powerful influence on individual behavior. Mask mandates should be considered in future pandemics to increase adherence.
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