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Rural and urban residents’ attitudes and preferences toward COVID-19 prevention behaviors in a midwestern community

Rural populations are more vulnerable to the impacts of COVID-19 compared to their urban counterparts as they are more likely to be older, uninsured, to have more underlying medical conditions, and live further from medical care facilities. We engaged the Southeastern MN (SEMN) community (N = 7,781,...

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Autores principales: Maciejko, Laura A., Fox, Jean M., Steffens, Michelle T., Patten, Christi A., Newman, Hana R., Decker, Paul A., Wheeler, Phil, Juhn, Young J., Wi, Chung-Il, Gorfine, Mary, Brewer, LaPrincess, Sinicrope, Pamela S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10289401/
https://www.ncbi.nlm.nih.gov/pubmed/37352298
http://dx.doi.org/10.1371/journal.pone.0286953
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author Maciejko, Laura A.
Fox, Jean M.
Steffens, Michelle T.
Patten, Christi A.
Newman, Hana R.
Decker, Paul A.
Wheeler, Phil
Juhn, Young J.
Wi, Chung-Il
Gorfine, Mary
Brewer, LaPrincess
Sinicrope, Pamela S.
author_facet Maciejko, Laura A.
Fox, Jean M.
Steffens, Michelle T.
Patten, Christi A.
Newman, Hana R.
Decker, Paul A.
Wheeler, Phil
Juhn, Young J.
Wi, Chung-Il
Gorfine, Mary
Brewer, LaPrincess
Sinicrope, Pamela S.
author_sort Maciejko, Laura A.
collection PubMed
description Rural populations are more vulnerable to the impacts of COVID-19 compared to their urban counterparts as they are more likely to be older, uninsured, to have more underlying medical conditions, and live further from medical care facilities. We engaged the Southeastern MN (SEMN) community (N = 7,781, 51% rural) to conduct a survey of motivators and barriers to masking to prevent COVID-19. We also assessed preferences for types of and modalities to receive education/intervention, exploring both individual and environmental factors primarily consistent with Social Cognitive Theory. Our results indicated rural compared to urban residents performed fewer COVID-19 prevention behaviors (e.g. 62% rural vs. 77% urban residents reported wearing a mask all of the time in public, p<0.001), had more negative outcome expectations for wearing a mask (e.g. 50% rural vs. 66% urban residents thought wearing a mask would help businesses stay open, p<0.001), more concerns about wearing a mask (e.g. 23% rural vs. 14% urban were very concerned about being ‘too hot’, p<0.001) and lower levels of self-efficacy for masking (e.g. 13.9±3.4 vs. 14.9±2.8, p<0.001). It appears that masking has not become a social norm in rural SEMN, with almost 50% (vs. 24% in urban residents) disagreeing with the expectation ’others in my community will wear a mask to stop the spread of Coronavirus’. Except for people (both rural and urban) who reported not being at all willing to wear a mask (7%), all others expressed interest in future education/interventions to help reduce masking barriers that utilized email and social media for delivery. Creative public health messaging consistent with SCT tailored to rural culture and norms is needed, using emails and social media with pictures and videos from role models they trust, and emphasizing education about when masks are necessary.
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spelling pubmed-102894012023-06-24 Rural and urban residents’ attitudes and preferences toward COVID-19 prevention behaviors in a midwestern community Maciejko, Laura A. Fox, Jean M. Steffens, Michelle T. Patten, Christi A. Newman, Hana R. Decker, Paul A. Wheeler, Phil Juhn, Young J. Wi, Chung-Il Gorfine, Mary Brewer, LaPrincess Sinicrope, Pamela S. PLoS One Research Article Rural populations are more vulnerable to the impacts of COVID-19 compared to their urban counterparts as they are more likely to be older, uninsured, to have more underlying medical conditions, and live further from medical care facilities. We engaged the Southeastern MN (SEMN) community (N = 7,781, 51% rural) to conduct a survey of motivators and barriers to masking to prevent COVID-19. We also assessed preferences for types of and modalities to receive education/intervention, exploring both individual and environmental factors primarily consistent with Social Cognitive Theory. Our results indicated rural compared to urban residents performed fewer COVID-19 prevention behaviors (e.g. 62% rural vs. 77% urban residents reported wearing a mask all of the time in public, p<0.001), had more negative outcome expectations for wearing a mask (e.g. 50% rural vs. 66% urban residents thought wearing a mask would help businesses stay open, p<0.001), more concerns about wearing a mask (e.g. 23% rural vs. 14% urban were very concerned about being ‘too hot’, p<0.001) and lower levels of self-efficacy for masking (e.g. 13.9±3.4 vs. 14.9±2.8, p<0.001). It appears that masking has not become a social norm in rural SEMN, with almost 50% (vs. 24% in urban residents) disagreeing with the expectation ’others in my community will wear a mask to stop the spread of Coronavirus’. Except for people (both rural and urban) who reported not being at all willing to wear a mask (7%), all others expressed interest in future education/interventions to help reduce masking barriers that utilized email and social media for delivery. Creative public health messaging consistent with SCT tailored to rural culture and norms is needed, using emails and social media with pictures and videos from role models they trust, and emphasizing education about when masks are necessary. Public Library of Science 2023-06-23 /pmc/articles/PMC10289401/ /pubmed/37352298 http://dx.doi.org/10.1371/journal.pone.0286953 Text en © 2023 Maciejko et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Maciejko, Laura A.
Fox, Jean M.
Steffens, Michelle T.
Patten, Christi A.
Newman, Hana R.
Decker, Paul A.
Wheeler, Phil
Juhn, Young J.
Wi, Chung-Il
Gorfine, Mary
Brewer, LaPrincess
Sinicrope, Pamela S.
Rural and urban residents’ attitudes and preferences toward COVID-19 prevention behaviors in a midwestern community
title Rural and urban residents’ attitudes and preferences toward COVID-19 prevention behaviors in a midwestern community
title_full Rural and urban residents’ attitudes and preferences toward COVID-19 prevention behaviors in a midwestern community
title_fullStr Rural and urban residents’ attitudes and preferences toward COVID-19 prevention behaviors in a midwestern community
title_full_unstemmed Rural and urban residents’ attitudes and preferences toward COVID-19 prevention behaviors in a midwestern community
title_short Rural and urban residents’ attitudes and preferences toward COVID-19 prevention behaviors in a midwestern community
title_sort rural and urban residents’ attitudes and preferences toward covid-19 prevention behaviors in a midwestern community
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10289401/
https://www.ncbi.nlm.nih.gov/pubmed/37352298
http://dx.doi.org/10.1371/journal.pone.0286953
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