Factors associated with adherence to self-isolation and lockdown measures in the UK: a cross-sectional survey

Factors associated with adherence to self-isolation and lockdown measures in the UK: a cross-sectional survey
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DOI:
10.1016/j.puhe.2020.07.024
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发表时间:
2020-10-01
期刊:
影响因子:
5.2
通讯作者:
Rubin, G. J.
Rubin, G. J.
中科院分区:
医学3区
文献类型:
--
作者:
Smith, L. E.;Amlot, R.;Rubin, G. J.

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目的:调查英国因新冠肺炎而坚持自我隔离和封锁措施的相关因素。研究设计:在线横断面调查。方法:收集2020年5月6日至7日的数据。来自YouGov的在线研究小组招募了2,240名18岁或以上居住在英国的参与者。结果:共有217人(9.7%)报告他们或他们的家人在过去7天内出现新冠肺炎症状(咳嗽或高烧/发烧)。在这些人中,75.1%的人在过去24小时内离开了家(定义为不遵守规定)。男性更有可能不遵守新冠肺炎,那些不那么担心新冠肺炎的人,以及那些认为感染新冠肺炎的风险较小的人也是如此。坚持与接受过家庭以外的人的帮助有关。应谨慎对待结果,因为在控制多项分析时没有证据表明两者之间存在关联。在报告家庭中没有症状的人中,24.5%的人在过去一周内外出购买非必需品(定义为不遵守规定)。不遵守新冠肺炎以及上周郊游总次数增加的相关因素包括:人们对政府封锁措施的有效性感觉降低,对新冠肺炎严重程度的感知降低,以及对还有多少人遵守封锁规则的估计减少。接受过帮助与更好的坚持有关。结论:对自我隔离的坚持较差。随着我们进入接触者追踪和自我隔离的新阶段,提高依从性是至关重要的。沟通应旨在增加有关在出现症状时或如果您接触过可能的新冠肺炎病例时应采取的措施的知识。他们还应该强调在外出和外出时感染和传播新冠肺炎的风险,以及预防措施的有效性。有效地利用志愿者网络来支持与世隔绝的人,可能会促进人们的坚持。(C)2020作者。由爱思唯尔有限公司代表皇家公共卫生学会出版。
Objectives: To investigate factors associated with adherence to self-isolation and lockdown measures due to COVID-19 in the UK.Study design: Online cross-sectional survey.Methods: Data were collected between 6th and 7th May 2020. A total of 2240 participants living in the UK aged 18 years or older were recruited from YouGov's online research panel.Results: A total of 217 people (9.7%) reported that they or someone in their household had symptoms of COVID-19 (cough or high temperature/fever) in the last 7 days. Of these people, 75.1% had left the home in the last 24 h (defined as non-adherent). Men were more likely to be non-adherent, as were people who were less worried about COVID-19, and who perceived a smaller risk of catching COVID-19. Adherence was associated with having received help from someone outside your household. Results should be taken with caution as there was no evidence for associations when controlling for multiple analyses. Of people reporting no symptoms in the household, 24.5% had gone out shopping for nonessentials in the last week (defined as non-adherent). Factors associated with non-adherence and with a higher total number of outings in the last week included decreased perceived effectiveness of government `lockdown' measures, decreased perceived severity of COVID-19 and decreased estimates of how many other people were following lockdown rules. Having received help was associated with better adherence.Conclusions: Adherence to self-isolation is poor. As we move into a new phase of contact tracing and self-isolation, it is essential that adherence is improved. Communications should aim to increase knowledge about actions to take when symptomatic or if you have been in contact with a possible COVID-19 case. They should also emphasise the risk of catching and spreading COVID-19 when out and about and the effectiveness of preventative measures. Using volunteer networks effectively to support people in isolation may promote adherence. (c) 2020 The Authors. Published by Elsevier Ltd on behalf of The Royal Society for Public Health.