Factors associated with non-adherence to social distancing rules during the COVID-19 pandemic: a logistic regression analysis.
Factors associated with non-adherence to social distancing rules during the COVID-19 pandemic: a logistic regression analysis.
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DOI：
10.1186/s12889-021-10379-7
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发表时间：
2021-02-13
影响因子：
4.5
通讯作者：
Eraso Y
中科院分区：
文献类型：
--
作者：
Hills S;Eraso Y
2020年3月23日，英国政府告诉英国人民呆在家里，这是一个前所未有的要求，旨在限制COVID-19病毒的传播，并阻止国民医疗服务体系不堪重负。本研究采用横断面设计，通过在线问卷调查了681名北伦敦居民的社交距离行为、人口统计学、住房状况、政治、心理和社会支持。Logistic回归用于测量这些解释因素与不遵守所有SD规则和故意不遵守SD规则之间的关联。绝大多数（92.8%）的参与者没有遵守所有的SD规则，近一半（48.6%）的参与者故意不遵守规则。如果参与者没有被确定为对COVID-19高度易感[OR = 4.5]，对他人疏远的控制力较低[OR = .724]，对不可避免地与他人接触的责任的控制力较低[OR = .642]，以及是否在首次放松封锁后报告SD行为[OR = .261]。如果参与者对社交距离的意图较低[OR = 0.468]，对他人距离的控制较低[OR = 0.829]，与硕士学位相比具有博士学位[OR = 0.332]，专业资格[OR = 0.307]，学士学位[OR = .361]或与工作相关的资格[OR = .174]，投票支持英国政府与不投票支持政府[OR = .461]，感知来自邻居的规范性压力更大[OR = 1.121]，来自朋友的支持更大[OR = 1.465]。不遵守所有SD规则与对COVID-19的脆弱性和对SD的控制有更强的关联，而故意不遵守与意图和反社会心理因素有更强的关联。建议生活在高风险环境中的人，如生活在多人居住的房屋中的人，在被要求留在家中时应得到特别支持，公共卫生信息应强调共同责任和公共意识。在线版本包含补充材料，可通过10.1186/s12889-021-10379-7获得。
On March 23, 2020, the government of the United Kingdom told the British people to stay home, an unprecedented request designed to limit the spread of the COVID-19 virus and stop the National Health Service from being overwhelmed. This study undertook a cross-sectional design to survey a convenience sample of 681 residents of North London on their social distancing (SD) behaviours, demographics, housing situation, politics, psychology and social support using an online questionnaire. Logistic regression was used to measure the associations between these explanatory factors and non-adherence to all SD rules and intentional non-adherence to SD rules. The vast majority (92.8%) of participants did not adhere to all SD rules and nearly half (48.6%) engaged in intentional non-adherence of rules. The odds of not adhering to all SD rules increased if a participant was not identified as highly vulnerable to COVID-19 [OR = 4.5], had lower control over others’ distancing [OR = .724], had lower control over responsibilities for which coming into contact with others was unavoidable [OR = .642], and if SD behaviours were reported after lockdown was first relaxed [OR = .261]. The odds of intentionally not adhering to SD rules increased if a participant had a lower intention to socially distance [OR = .468], had lower control over others’ distancing [OR = .829], had a doctoral degree compared to a master’s degree [OR = .332], a professional qualification [OR = .307], a bachelor’s degree [OR = .361] or work-related qualification [OR = .174], voted for the UK Government compared to not voting for the Government [OR = .461], perceived higher normative pressure from neighbours [OR = 1.121] and had greater support from friends [OR = 1.465]. Non-adherence to all SD rules had a stronger association with vulnerability to COVID-19 and control over SD, whereas intentional non-adherence had a stronger association with intention and anti-social psychological factors. It is recommended that people living in high-risk environments, such as those living in houses of multiple occupancy, should be specially supported when asked to stay at home, and public health messaging should emphasise shared responsibility and public consciousness. The online version contains supplementary material available at 10.1186/s12889-021-10379-7.
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