tetano
Editor, Senior Moderator
Med Care
. 2023 Apr 10.
doi: 10.1097/MLR.0000000000001855. Online ahead of print.
Early Coronavirus Disease 2019 Attitudes and Behaviors and Their Associations With Later Infection: A Local Perspective From One U.S. City
Sophia W Light[SUP] 1 [/SUP], Lauren Opsasnick[SUP] 1 [/SUP], Stacy C Bailey[SUP] 1 [/SUP], Julia Yoshino Benavente[SUP] 1 [/SUP], Morgan Eifler[SUP] 1 [/SUP], Rebecca M Lovett[SUP] 1 [/SUP], Andrea Russell[SUP] 1 [/SUP], Esther Yoon[SUP] 1 [/SUP], Kirsten McCaffery[SUP] 2 [/SUP], Michael S Wolf[SUP] 1 [/SUP]
Affiliations
Abstract
Background: At the onset of the pandemic, there was poor public awareness and inaction in response to coronavirus disease 2019 (COVID-19); it is less known whether this translated to subsequent infections.
Objectives: To explore whether adults who perceived COVID-19 as less of a threat and who were not taking early actions were more likely to become infected over the following year.
Research design: Survey data from the ongoing (COVID-19 & Chronic Conditions (C3) anonymized for review) cohort study.
Participants: Six hundred forty-two adults with a mean age of 63 and ≥1 chronic condition.
Measures: Self-reported attitudes and behaviors regarding COVID-19 were assessed from March 13 to April 3, 2020, and COVID-19 infection status was captured between May 2020 and January 2021. Bivariate and multivariable analyses examined associations between early perceptions and behaviors with later infection.
Results: Approximately 7% reported infection with COVID-19 (N = 46). Adults who perceived the threat of COVID-19 less seriously at the initial outbreak were more likely to test positive over the following year [odds ratio (OR): 0.81, CI: 0.70-0.94; P = 0.006]. Those who were less likely to believe their actions would affect whether they would become infected were more likely to test positive (OR: 0.87, CI: 0.77-0.99; P = 0.03), as were adults who reported not changing their routines (OR: 0.45; CI: 0.24-0.85; P = 0.01).
Conclusions: Adults with delayed responses in acknowledging the threat of COVID-19 and in changing behaviors were more likely to contract the virus. This investigation provides insight into the consequences of inadequate public understanding and response to COVID-19, and it highlights the importance of promoting early awareness among high-risk groups during public health crises.
. 2023 Apr 10.
doi: 10.1097/MLR.0000000000001855. Online ahead of print.
Early Coronavirus Disease 2019 Attitudes and Behaviors and Their Associations With Later Infection: A Local Perspective From One U.S. City
Sophia W Light[SUP] 1 [/SUP], Lauren Opsasnick[SUP] 1 [/SUP], Stacy C Bailey[SUP] 1 [/SUP], Julia Yoshino Benavente[SUP] 1 [/SUP], Morgan Eifler[SUP] 1 [/SUP], Rebecca M Lovett[SUP] 1 [/SUP], Andrea Russell[SUP] 1 [/SUP], Esther Yoon[SUP] 1 [/SUP], Kirsten McCaffery[SUP] 2 [/SUP], Michael S Wolf[SUP] 1 [/SUP]
Affiliations
- PMID: 37068043
- DOI: 10.1097/MLR.0000000000001855
Abstract
Background: At the onset of the pandemic, there was poor public awareness and inaction in response to coronavirus disease 2019 (COVID-19); it is less known whether this translated to subsequent infections.
Objectives: To explore whether adults who perceived COVID-19 as less of a threat and who were not taking early actions were more likely to become infected over the following year.
Research design: Survey data from the ongoing (COVID-19 & Chronic Conditions (C3) anonymized for review) cohort study.
Participants: Six hundred forty-two adults with a mean age of 63 and ≥1 chronic condition.
Measures: Self-reported attitudes and behaviors regarding COVID-19 were assessed from March 13 to April 3, 2020, and COVID-19 infection status was captured between May 2020 and January 2021. Bivariate and multivariable analyses examined associations between early perceptions and behaviors with later infection.
Results: Approximately 7% reported infection with COVID-19 (N = 46). Adults who perceived the threat of COVID-19 less seriously at the initial outbreak were more likely to test positive over the following year [odds ratio (OR): 0.81, CI: 0.70-0.94; P = 0.006]. Those who were less likely to believe their actions would affect whether they would become infected were more likely to test positive (OR: 0.87, CI: 0.77-0.99; P = 0.03), as were adults who reported not changing their routines (OR: 0.45; CI: 0.24-0.85; P = 0.01).
Conclusions: Adults with delayed responses in acknowledging the threat of COVID-19 and in changing behaviors were more likely to contract the virus. This investigation provides insight into the consequences of inadequate public understanding and response to COVID-19, and it highlights the importance of promoting early awareness among high-risk groups during public health crises.