Early perceptions and behavioural responses during the COVID-19 pandemic: a cross-sectional survey of UK adults.

Early perceptions and behavioural responses during the COVID-19 pandemic: a cross-sectional survey of UK adults.
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DOI:
10.1136/bmjopen-2020-043577
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发表时间:
2021-01-04
期刊:
影响因子:
2.9
通讯作者:
Ward H
Ward H
中科院分区:
医学3区
文献类型:
--
作者:
Atchison C;Bowman LR;Vrinten C;Redd R;Pristerà P;Eaton J;Ward H

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研究英国成年人口在COVID-19疫情早期阶段的风险认知和行为反应。横向调查。在英国政府建议公众停止与他人的非必要接触和所有不必要的旅行的48小时内,对英国成年人进行了全国代表性的抽样调查。2108名18岁及以上的英国成年人。有效率为84.3%(2108/2500)。数据于2020年3月17日至3月18日收集。所有调查问题的描述性统计,包括答复者人数和加权百分比。稳健泊松回归用于识别以下方面的社会人口统计学差异:(1)采用社交距离措施,(2)在家工作的能力,以及(3)自我隔离的能力和(4)意愿。总体而言,1992年(94.2%)的受访者报告至少有一种预防措施:85.8%的人更经常用肥皂洗手; 56.5%的人避免拥挤的地方,54.5%的人避免社交活动。与18-34岁的年轻人相比,70岁以上人群采用社交距离措施的比例更高(调整后的相对风险/aRR:1.2; 95% CI:1.1 - 1.5)。家庭收入最低的人在家工作的可能性要低三倍(aRR:0.33; 95%CI:0.24 - 0.45),自我隔离的可能性也要低三倍(aRR:0.92; 95%CI:0.88 - 0.96)。黑人和少数民族群体的自我孤立能力也较低(aRR:0.89; 95% CI:0.79 - 1.0)。所有受访者的自我孤立意愿都很高。在社会中经济处境最不利的人群中,采用和遵守某些非药物干预措施的能力较低。各国政府必须实施适当的社会和经济政策来缓解这种情况。通过将社会经济亚群之间NPI的这些差异纳入COVID-19传播动态的数学模型中,我们对流行病结果和对COVID-19的应对的建模可以得到改进。
To examine risk perceptions and behavioural responses of the UK adult population during the early phase of the COVID-19 epidemic in the UK. A cross-sectional survey. Conducted with a nationally representative sample of UK adults within 48 hours of the UK Government advising the public to stop non-essential contact with others and all unnecessary travel. 2108 adults living in the UK aged 18 years and over. Response rate was 84.3% (2108/2500). Data collected between 17 March and 18 March 2020. Descriptive statistics for all survey questions, including number of respondents and weighted percentages. Robust Poisson regression used to identify sociodemographic variation in: (1) adoption of social distancing measures, (2) ability to work from home, and (3) ability and (4) willingness to self-isolate. Overall, 1992 (94.2%) respondents reported at least one preventive measure: 85.8% washed their hands with soap more frequently; 56.5% avoided crowded areas and 54.5% avoided social events. Adoption of social distancing measures was higher in those aged over 70 years compared with younger adults aged 18–34 years (adjusted relative risk/aRR: 1.2; 95% CI: 1.1 to 1.5). Those with lowest household income were three times less likely to be able to work from home (aRR: 0.33; 95% CI: 0.24 to 0.45) and less likely to be able to self-isolate (aRR: 0.92; 95% CI: 0.88 to 0.96). Ability to self-isolate was also lower in black and minority ethnic groups (aRR: 0.89; 95% CI: 0.79 to 1.0). Willingness to self-isolate was high across all respondents. Ability to adopt and comply with certain non-pharmaceutical interventions (NPIs) is lower in the most economically disadvantaged in society. Governments must implement appropriate social and economic policies to mitigate this. By incorporating these differences in NPIs among socioeconomic subpopulations into mathematical models of COVID-19 transmission dynamics, our modelling of epidemic outcomes and response to COVID-19 can be improved.
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