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Mask use, risk-mitigation behaviours and pandemic fatigue during the COVID-19 pandemic in five cities in Australia, the UK and USA: A cross-sectional survey

OBJECTIVES: To determine patterns of mask wearing and other infection prevention behaviours, over two time periods of the COVID-19 pandemic, in cities where mask wearing was not a cultural norm. METHODS: A cross-sectional survey of masks and other preventive behaviours in adults aged ≥18 years was c...

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Autores principales: MacIntyre, Chandini Raina, Nguyen, Phi-Yen, Chughtai, Abrar Ahmad, Trent, Mallory, Gerber, Brian, Steinhofel, Kathleen, Seale, Holly
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Authors. Published by Elsevier Ltd on behalf of International Society for Infectious Diseases. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7985682/
https://www.ncbi.nlm.nih.gov/pubmed/33771668
http://dx.doi.org/10.1016/j.ijid.2021.03.056
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author MacIntyre, Chandini Raina
Nguyen, Phi-Yen
Chughtai, Abrar Ahmad
Trent, Mallory
Gerber, Brian
Steinhofel, Kathleen
Seale, Holly
author_facet MacIntyre, Chandini Raina
Nguyen, Phi-Yen
Chughtai, Abrar Ahmad
Trent, Mallory
Gerber, Brian
Steinhofel, Kathleen
Seale, Holly
author_sort MacIntyre, Chandini Raina
collection PubMed
description OBJECTIVES: To determine patterns of mask wearing and other infection prevention behaviours, over two time periods of the COVID-19 pandemic, in cities where mask wearing was not a cultural norm. METHODS: A cross-sectional survey of masks and other preventive behaviours in adults aged ≥18 years was conducted in five cities: Sydney and Melbourne, Australia; London, UK; and Phoenix and New York, USA. Data were analysed according to the epidemiology of COVID-19, mask mandates and a range of predictors of mask wearing. RESULTS: The most common measures used were avoiding public areas (80.4%), hand hygiene (76.4%), wearing masks (71.8%) and distancing (67.6%). Over 40% of people avoided medical facilities. These measures decreased from March–July 2020. Pandemic fatigue was associated with younger age, low perceived severity of COVID-19 and declining COVID-19 prevalence. Predictors of mask wearing were location (US, UK), mandates, age <50 years, education, having symptoms and knowing someone with COVID-19. Negative experiences with mask wearing and low perceived severity of COVID-19 reduced mask wearing. Most respondents (98%) believed that hand washing and distancing were necessary, and 80% reported no change or stricter adherence to these measures when wearing masks. CONCLUSION: Pandemic mitigation measures were widely reported across all cities, but decreased between March and July 2020. Pandemic fatigue was more common in younger people. Cities with mandates had higher rates of mask wearing. Promotion of mask use for older people may be useful. Masks did not result in a reduction of other hygiene measures.
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spelling pubmed-79856822021-03-23 Mask use, risk-mitigation behaviours and pandemic fatigue during the COVID-19 pandemic in five cities in Australia, the UK and USA: A cross-sectional survey MacIntyre, Chandini Raina Nguyen, Phi-Yen Chughtai, Abrar Ahmad Trent, Mallory Gerber, Brian Steinhofel, Kathleen Seale, Holly Int J Infect Dis Article OBJECTIVES: To determine patterns of mask wearing and other infection prevention behaviours, over two time periods of the COVID-19 pandemic, in cities where mask wearing was not a cultural norm. METHODS: A cross-sectional survey of masks and other preventive behaviours in adults aged ≥18 years was conducted in five cities: Sydney and Melbourne, Australia; London, UK; and Phoenix and New York, USA. Data were analysed according to the epidemiology of COVID-19, mask mandates and a range of predictors of mask wearing. RESULTS: The most common measures used were avoiding public areas (80.4%), hand hygiene (76.4%), wearing masks (71.8%) and distancing (67.6%). Over 40% of people avoided medical facilities. These measures decreased from March–July 2020. Pandemic fatigue was associated with younger age, low perceived severity of COVID-19 and declining COVID-19 prevalence. Predictors of mask wearing were location (US, UK), mandates, age <50 years, education, having symptoms and knowing someone with COVID-19. Negative experiences with mask wearing and low perceived severity of COVID-19 reduced mask wearing. Most respondents (98%) believed that hand washing and distancing were necessary, and 80% reported no change or stricter adherence to these measures when wearing masks. CONCLUSION: Pandemic mitigation measures were widely reported across all cities, but decreased between March and July 2020. Pandemic fatigue was more common in younger people. Cities with mandates had higher rates of mask wearing. Promotion of mask use for older people may be useful. Masks did not result in a reduction of other hygiene measures. The Authors. Published by Elsevier Ltd on behalf of International Society for Infectious Diseases. 2021-05 2021-03-23 /pmc/articles/PMC7985682/ /pubmed/33771668 http://dx.doi.org/10.1016/j.ijid.2021.03.056 Text en © 2021 The Authors Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
MacIntyre, Chandini Raina
Nguyen, Phi-Yen
Chughtai, Abrar Ahmad
Trent, Mallory
Gerber, Brian
Steinhofel, Kathleen
Seale, Holly
Mask use, risk-mitigation behaviours and pandemic fatigue during the COVID-19 pandemic in five cities in Australia, the UK and USA: A cross-sectional survey
title Mask use, risk-mitigation behaviours and pandemic fatigue during the COVID-19 pandemic in five cities in Australia, the UK and USA: A cross-sectional survey
title_full Mask use, risk-mitigation behaviours and pandemic fatigue during the COVID-19 pandemic in five cities in Australia, the UK and USA: A cross-sectional survey
title_fullStr Mask use, risk-mitigation behaviours and pandemic fatigue during the COVID-19 pandemic in five cities in Australia, the UK and USA: A cross-sectional survey
title_full_unstemmed Mask use, risk-mitigation behaviours and pandemic fatigue during the COVID-19 pandemic in five cities in Australia, the UK and USA: A cross-sectional survey
title_short Mask use, risk-mitigation behaviours and pandemic fatigue during the COVID-19 pandemic in five cities in Australia, the UK and USA: A cross-sectional survey
title_sort mask use, risk-mitigation behaviours and pandemic fatigue during the covid-19 pandemic in five cities in australia, the uk and usa: a cross-sectional survey
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7985682/
https://www.ncbi.nlm.nih.gov/pubmed/33771668
http://dx.doi.org/10.1016/j.ijid.2021.03.056
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