Associations among political voting preference, high-risk health status, and preventative behaviors for COVID-19.
Associations among political voting preference, high-risk health status, and preventative behaviors for COVID-19.
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DOI：
10.1186/s12889-022-12633-y
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发表时间：
2022-02-04
影响因子：
4.5
通讯作者：
Ladin K
中科院分区：
文献类型：
--
作者：
Porteny T;Corlin L;Allen JD;Monahan K;Acevedo A;Stopka TJ;Levine P;Ladin K
我们调查了政治偏好、COVID-19 并发症风险以及遵守预防行为（例如社交距离、隔离和疫苗接种）之间的关系，因为这些关系仍不完全清楚。由于那些有基础健康问题的人的死亡风险最高，因此针对他们及其照顾者的有效预防策略可以挽救生命。了解看护者的依从性也至关重要，因为他们的行为会影响传播的可能性和护理质量，但尚未得到充分研究。检查这些人群中的健康状况与投票偏好（美国预防行为的关键预测因素）对预防措施的遵守程度的影响，对于改善有针对性的公共卫生信息至关重要。了解这些关联可以为有针对性的 COVID-19 运动提供信息，以提高那些面临严重后果风险的人的依从性。我们在 2020 年 5 月至 6 月期间对美国成年人进行了一项具有全国代表性的在线调查，评估：1）尝试保持社交距离； 2）自我隔离的意愿/能力； 3) 接种 COVID-19 疫苗的意图。我们估计了 1) 政治偏好 2) 基本健康状况和 3) 患有高风险疾病的人的看护者与每个因变量之间的关系。敏感性分析检查了患有高风险疾病和/或肥胖的参与者的政治偏好与因变量之间的关联。在 908 名参与者中，75.2% 的人保持社交距离，94.4% 的人愿意/能够自我隔离，60.1% 的人打算接种疫苗。与打算投票给拜登的参与者相比，打算投票给特朗普的参与者尝试保持社交距离、自我隔离或打算接种疫苗的可能性要小得多。我们在仅限于有潜在健康状况的参与者及其照顾者的分析中观察到了相同的趋势。潜在的健康状况与肥胖和另一种高风险疾病患者的社交距离独立相关，但与其他结果无关。参与预防行为与政治投票偏好相关，而不是与严重 COVID-19 的个人风险或作为高风险个人的看护者相关。基于社区的策略和公共卫生信息应根据政治偏好针对个人量身定制，特别是对于那些患有肥胖症和其他高风险疾病的人。这些努力必须伴随着更广泛的公共政策。
We investigate the relationships among political preferences, risk for COVID-19 complications, and complying with preventative behaviors, such as social distancing, quarantine, and vaccination, as they remain incompletely understood. Since those with underlying health conditions have the highest mortality risk, prevention strategies targeting them and their caretakers effectively can save lives. Understanding caretakers’ adherence is also crucial as their behavior affects the probability of transmission and quality of care, but is understudied. Examining the degree to which adherence to prevention measures within these populations is affected by their health status vs. voting preference, a key predictor of preventative behavior in the U. S, is imperative to improve targeted public health messaging. Knowledge of these associations could inform targeted COVID-19 campaigns to improve adherence for those at risk for severe consequences. We conducted a nationally-representative online survey of U.S. adults between May–June 2020 assessing: 1) attempts to socially-distance; 2) willingness/ability to self-quarantine; and 3) intention of COVID-19 vaccination. We estimated the relationships between 1) political preferences 2) underlying health status, and 3) being a caretaker to someone with high-risk conditions and each dependent variable. Sensitivity analyses examined the associations between political preference and dependent variables among participants with high-risk conditions and/or obesity. Among 908 participants, 75.2% engaged in social-distancing, 94.4% were willing/able to self-quarantine, and 60.1% intended to get vaccinated. Compared to participants intending to vote for Biden, participants who intended to vote for Trump were significantly less likely to have tried to socially-distance, self-quarantine, or intend to be vaccinated. We observed the same trends in analyses restricted to participants with underlying health conditions and their caretakers Underlying health status was independently associated with social distancing among individuals with obesity and another high-risk condition, but not other outcomes. Engagement in preventative behavior is associated with political voting preference and not individual risk of severe COVID-19 or being a caretaker of a high-risk individual. Community based strategies and public health messaging should be tailored to individuals based on political preferences especially for those with obesity and other high-risk conditions. Efforts must be accompanied by broader public policy.
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影响因子：
4.5
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Hills S;Eraso Y
通讯作者：
Eraso Y
影响因子：
56.9
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作者：
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通讯作者：
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