Adherence to COVID-19 protective behaviours in India from May to December 2020: evidence from a nationally representative longitudinal survey.
Adherence to COVID-19 protective behaviours in India from May to December 2020: evidence from a nationally representative longitudinal survey.
复制标题
DOI：
10.1136/bmjopen-2021-058065
复制
发表时间：
2022-02-01
期刊：
影响因子：
2.9
通讯作者：
Dey AB
中科院分区：
文献类型：
--
作者：
Schaner S;Theys N;Angrisani M;Banerjee J;Khobragade PY;Petrosyan S;Agarwal A;Chien S;Weerman B;Chakrawarty A;Chatterjee P;Madaan N;Bloom D;Lee J;Dey AB
自COVID-19疫情爆发以来，减少疾病传播的行为干预一直是全球公共卫生政策的核心。在低收入和中等收入环境中，维持个人保护行为尤其重要，因为这些环境中的卫生系统资源较少，接种疫苗的机会有限。这项研究旨在评估印度COVID-19防护行为的时间趋势。具有国家代表性、基于小组的纵向研究。我们对印度家庭进行了一项小组调查，以了解COVID-19防护行为的采用如何随着时间的推移而变化。我们的数据涵盖了2020年5月至12月期间疾病传播的高峰和低谷。受访者包括来自1766个印度家庭的3719名成年人，他们参加了印度纵向老龄化研究的痴呆症协调诊断评估。我们使用普通最小二乘回归分析来量化保护行为的时间趋势。我们发现，在观察期内，与社交距离相关的保护行为下降了30.6个百分点（95% CI（26.7至34.5）; p<0.01）。相比之下，戴口罩和洗手仅从高基数下降了4.3个百分点（95% CI（0.97至7.6）; p<0.05）。在调整记录的COVID-19病例量和全国COVID-19遏制政策后，我们的结论没有变化;我们还观察到年龄、性别、教育和城市化的社会经济阶层的显著下降。我们认为，这些变化至少部分反映了“COVID-19疲劳”，即无论周围的疾病环境如何，随着时间的推移，坚持社交距离变得更加困难。
Since the onset of the COVID-19 pandemic, behavioural interventions to reduce disease transmission have been central to public health policy worldwide. Sustaining individual protective behaviour is especially important in low-income and middle-income settings, where health systems have fewer resources and access to vaccination is limited. This study seeks to assess time trends in COVID-19 protective behaviour in India. Nationally representative, panel-based, longitudinal study. We conducted a panel survey of Indian households to understand how the adoption of COVID-19 protective behaviours has changed over time. Our data span peaks and valleys of disease transmission over May–December 2020. Respondents included 3719 adults from 1766 Indian households enrolled in the Harmonised Diagnostic Assessment of Dementia for the Longitudinal Ageing Study in India. We used ordinary least squares regression analysis to quantify time trends in protective behaviours. We find a 30.6 percentage point (95% CI (26.7 to 34.5); p<0.01) decline in protective behaviours related to social distancing over the observation period. Mask wearing and handwashing, in contrast, decreased by only 4.3 percentage points (95% CI (0.97 to 7.6); p<0.05) from a high base. Our conclusions are unchanged after adjusting for recorded COVID-19 caseload and nationwide COVID-19 containment policy; we also observe significant declines across socioeconomic strata spanning age, gender, education and urbanicity. We argue that these changes reflect, at least in part, ‘COVID-19 fatigue,’ where adherence to social distancing becomes more difficult over time irrespective of the surrounding disease environment.
登录
查看更多内容
DOI：
10.3390/ijerph17197177
发表时间：
2020-09-30
影响因子：
--
作者：
Kuang J;Ashraf S;Das U;Bicchieri C
通讯作者：
Bicchieri C
DOI：
10.15585/mmwr.mm6949e2
发表时间：
2020-12-11
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Honein MA;Christie A;Rose DA;Brooks JT;Meaney-Delman D;Cohn A;Sauber-Schatz EK;Walker A;McDonald LC;Liburd LC;Hall JE;Fry AM;Hall AJ;Gupta N;Kuhnert WL;Yoon PW;Gundlapalli AV;Beach MJ;Walke HT;CDC COVID-19 Response Team
通讯作者：
CDC COVID-19 Response Team
影响因子：
3.3
作者：
Saha, Jay;Barman, Bikash;Chouhan, Pradip
通讯作者：
Chouhan, Pradip
影响因子：
5.1
作者：
Pal, Rimesh;Yadav, Urmila;Bhadada, Sanjay K.
通讯作者：
Bhadada, Sanjay K.
影响因子：
39
作者：
Geldsetzer, Pascal;Manne-Goehler, Jennifer;Atun, Rifat
通讯作者：
Atun, Rifat