Drivers of Acceptance of COVID-19 Proximity Tracing Apps in Switzerland: Panel Survey Analysis.

Drivers of Acceptance of COVID-19 Proximity Tracing Apps in Switzerland: Panel Survey Analysis.
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DOI:
10.2196/25701
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发表时间:
2021-01-06
影响因子:
8.5
通讯作者:
Puhan MA
Puhan MA
中科院分区:
医学3区
文献类型:
--
作者:
von Wyl V;Höglinger M;Sieber C;Kaufmann M;Moser A;Serra-Burriel M;Ballouz T;Menges D;Frei A;Puhan MA

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近日,中国发布了数字邻近追踪应用,以缓解SARS-CoV-2病毒的传播。SARS-CoV-2是一种已知的导致新冠肺炎的病毒。然而,目前还不清楚如何才能提高这些应用程序的接受度和接受度。这项研究旨在调查瑞士新冠肺炎病例增加期间SwissCovid应用程序的覆盖范围以及不使用该应用程序的原因。我们通过一项全国性的在线小组调查(新冠肺炎社交监测,N=1511)收集了2020年9月28日至10月8日的数据。我们使用多变量Logistic回归分析了与APP使用相关的社会人口学和行为因素,同时描述性地分析了不使用APP的原因。总体而言,46.5%(703/1511)的调查参与者报告他们使用SwissCovid应用程序,这一比例高于2020年7月进行的上一次研究浪潮中报告的43.9%(662/1508)。较高的月家庭收入(即收入10,000瑞士法郎或11,000美元与收入≤6,000瑞士法郎或<6600美元[参考]:优势比[OR]1.92,95%可信区间1.40-2.64),更频繁地上网(即每天[参考]vs每周不足:OR 0.37,95%CI 0.16-0.85),更好地遵守戴口罩的建议(即,总是或大部分时间[参考]vs很少或从不:或0.28,95%CI 0.15-0.52),以及不吸烟状态(OR 1.32,95%CI 1.01-1.71)与APP摄取的可能性增加相关。公民身份(即非瑞士公民身份与瑞士公民身份[参考]:OR 0.61,95%CI 0.43-0.87)和语言地区(法语与瑞士德语[参考]:OR 0.61,95%CI 0.46-0.80)与APP接受的可能性较低相关。对随机选择的具有更详细信息的子样本(n=712)的进一步分析表明,对政府和卫生当局的信任程度越高,APP接受的可能性也越高(即,高[参考]信任:或3.13,95%可信区间1.58-6.22)。最常见的不使用应用程序的原因是缺乏使用应用程序的好处(297/808,36.8%),其次是缺乏兼容的手机(184/808,22.8%),以及隐私问题(181/808,22.4%)。消除技术障碍并宣传数字邻近跟踪应用程序的好处对于促进此类应用程序的进一步采用和遵守至关重要,并最终提高其有效性,以帮助制定缓解流行病的战略。
Digital proximity tracing apps have been released to mitigate the transmission of SARS-CoV-2, the virus known to cause COVID-19. However, it remains unclear how the acceptance and uptake of these apps can be improved. This study aimed to investigate the coverage of the SwissCovid app and the reasons for its nonuse in Switzerland during a period of increasing incidence of COVID-19 cases. We collected data between September 28 and October 8, 2020, via a nationwide online panel survey (COVID-19 Social Monitor, N=1511). We examined sociodemographic and behavioral factors associated with app use by using multivariable logistic regression, whereas reasons for app nonuse were analyzed descriptively. Overall, 46.5% (703/1511) of the survey participants reported they used the SwissCovid app, which was an increase from 43.9% (662/1508) reported in the previous study wave conducted in July 2020. A higher monthly household income (ie, income >CHF 10,000 or >US $11,000 vs income ≤CHF 6000 or <US $6600 [reference]: odds ratio [OR] 1.92, 95% CI 1.40-2.64), more frequent internet use (ie, daily [reference] vs less than weekly: OR 0.37, 95% CI 0.16-0.85), better adherence to recommendations for wearing masks (ie, always or most of the time [reference] vs rarely or never: OR 0.28, 95% CI 0.15-0.52), and nonsmoker status (OR 1.32, 95% CI 1.01-1.71) were associated with an increased likelihood for app uptake. Citizenship status (ie, non-Swiss citizenship vs. Swiss [reference]: OR 0.61, 95% CI 0.43-0.87), and language region (French vs Swiss German [reference]: OR 0.61, 95% CI 0.46-0.80) were associated with a lower likelihood for app uptake. Further analysis in a randomly selected subsample (n=712) with more detailed information showed that higher levels of trust in government and health authorities were also associated with a higher likelihood for app uptake (ie, high vs low [reference] trust: OR 3.13, 95% CI 1.58-6.22). The most frequent reasons for app nonuse were lack of perceived benefit of using the app (297/808, 36.8%), followed by the lack of a compatible phone (184/808, 22.8%), and privacy concerns (181/808, 22.4%). Eliminating technical hurdles and communicating the benefits of digital proximity tracing apps are crucial to promote further uptake and adherence of such apps and, ultimately, enhance their effectiveness to aid pandemic mitigation strategies.
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