Social Distancing as a Health Behavior: County-Level Movement in the United States During the COVID-19 Pandemic Is Associated with Conventional Health Behaviors
Social Distancing as a Health Behavior: County-Level Movement in the United States During the COVID-19 Pandemic Is Associated with Conventional Health Behaviors
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DOI：
10.1093/abm/kaaa049
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发表时间：
2020-08-01
影响因子：
3.8
通讯作者：
Moffitt, Terrie E.
中科院分区：
文献类型：
--
作者：
Bourassa, Kyle J.;Sbarra, David A.;Moffitt, Terrie E.
背景社会距离--即人们限制与家庭以外的其他人的密切接触--是对抗COVID-19大流行的主要干预措施。在有效的治疗方法或疫苗广泛使用之前，保持社交距离的重要性不太可能改变。然而，人们对如何最好地促进社会距离知之甚少。将社会和行为研究的知识应用于传统的健康行为（例如，吸烟，体育活动），以支持公共卫生的努力和研究的社会距离是有前途的，但实证证据支持这一做法是必要的。目的我们检查是否一种类型的社会距离行为-减少运动以外的家庭-是与传统的健康行为。方法我们检查了全球定位系统派生的运动行为之间的关联，在2,858个县，从3月1日至4月7日，结果运动变化与居民传统健康行为相关，且运动变化与传统健康行为之间的相关程度与传统健康行为之间的相关程度相似。县与健康的行为，特别是更少的肥胖和更大的体育活动，证明了更大的减少在家庭以外的运动在美国的流行病的初始阶段。结论社会距离，减少家庭以外的运动的形式，与传统的健康行为。现有关于健康行为和健康行为改变的科学文献可以更有把握地用于在COVID-19大流行期间促进社交距离行为。
Background Social distancing-when people limit close contact with others outside their household-is a primary intervention available to combat the COVID-19 pandemic. The importance of social distancing is unlikely to change until effective treatments or vaccines become widely available. However, relatively little is known about how best to promote social distancing. Applying knowledge from social and behavioral research on conventional health behaviors (e.g., smoking, physical activity) to support public health efforts and research on social distancing is promising, but empirical evidence supporting this approach is needed.Purpose We examined whether one type of social distancing behavior-reduced movement outside the home-was associated with conventional health behaviors.Method We examined the association between GPS-derived movement behavior in 2,858 counties in USA from March 1 to April 7, 2020 and the prevalence of county-level indicators influenced by residents' conventional health behaviors.Results Changes in movement were associated with conventional health behaviors, and the magnitude of these associations were similar to the associations among the conventional health behaviors. Counties with healthier behaviors-particularly less obesity and greater physical activity-evidenced greater reduction in movement outside the home during the initial phases of the pandemic in the USA.Conclusions Social distancing, in the form of reduced movement outside the home, is associated with conventional health behaviors. Existing scientific literature on health behavior and health behavior change can be more confidently used to promote social distancing behaviors during the COVID-19 pandemic.