Effect of Income Level and Perception of Susceptibility and Severity of COVID-19 on Stay-at-Home Preventive Behavior in a Group of Older Adults in Mexico City.
Effect of Income Level and Perception of Susceptibility and Severity of COVID-19 on Stay-at-Home Preventive Behavior in a Group of Older Adults in Mexico City.
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DOI：
10.3390/ijerph17207418
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发表时间：
2020-10-12
影响因子：
--
通讯作者：
Castaño-Seiquer A
中科院分区：
文献类型：
--
作者：
Irigoyen-Camacho ME;Velazquez-Alva MC;Zepeda-Zepeda MA;Cabrer-Rosales MF;Lazarevich I;Castaño-Seiquer A
有关预防冠状病毒 (COVID-19) 传播的公共卫生行为的早期信息可能有助于控制严重急性呼吸系统综合症冠状病毒 2 (SARS-CoV-2) 的传播。本研究的目的是评估墨西哥疫情爆发第一周期间，收入水平 (IL) 和老年人对 COVID-19 易感性和严重程度的看法对采取居家预防行为的影响。这项横断面研究的参与者是来自墨西哥城、年龄≥ 65 岁的城市社区居民。总共进行了 380 次电话采访。受访者的平均年龄为 72.9 岁，其中 76.1% 为女性。超过一半 (54.2%) 的参与者认为自己对 COVID-19 的易感性非常低或很低。同样，33.4% 的人认为 COVID-19 严重程度非常低或较低，57.6% 的人决定呆在家里：这种行为与 IL 相关（β = 1.05，p < 0.001），其总影响部分由感知的严重程度介导（15.1%）。教育程度也与呆在家里有关（β = 0.10，p = 0.018），其总效应部分由感知易感性介导（15.0%）。应制定针对低收入和受教育程度较低的老年人的干预措施，以改善这一弱势群体在 COVID-19 大流行期间的预防行为。
Early information on public health behaviors adopted to prevent the spread of coronavirus (COVID-19) may be useful in controlling the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) transmission. The objective of this study was to assess the role of income level (IL) and the perception of older adults, regarding COVID-19 susceptibility and severity, on adopting stay-at-home preventive behavior during the first week of the outbreak in Mexico. Participants in this cross-sectional study were urban community dwellers, aged ≥ 65 years from Mexico City. A total of 380 interviews were conducted over the phone. The mean respondent age was 72.9 years, and 76.1% were women. Over half (54.2%) of the participants perceived their susceptibility to COVID-19 as very low or low. Similarly, 33.4% perceived COVID-19 severity as being very low or low, and 57.6% had decided to stay at home: this behavior was associated with IL (β = 1.05, p < 0.001), and its total effect was partially mediated (15.1%) by perceived severity. Educational attainment was also associated with staying at home (β = 0.10, p = 0.018) and its total effect was partially mediated (15.0%) by perceived susceptibility. Interventions aimed at low income and less educated older adults should be developed to improve preventive behaviors in this vulnerable group during the COVID-19 pandemic.
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