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Social inequalities in protective behaviour uptake at the start of the COVID-19 pandemic: results from a national survey

OBJECTIVES: We aimed to assess social patterns of handwashing, social distancing, and working from home at the start of the COVID-19 pandemic in Canada, and determine what proportions of the overall prevalence and social inequalities in handwashing and social distancing are related to inequalities i...

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Autores principales: Blair, Alexandra, Parnia, Abtin, Shahidi, Faraz V., Siddiqi, Arjumand
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8375287/
https://www.ncbi.nlm.nih.gov/pubmed/34410654
http://dx.doi.org/10.17269/s41997-021-00553-0
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author Blair, Alexandra
Parnia, Abtin
Shahidi, Faraz V.
Siddiqi, Arjumand
author_facet Blair, Alexandra
Parnia, Abtin
Shahidi, Faraz V.
Siddiqi, Arjumand
author_sort Blair, Alexandra
collection PubMed
description OBJECTIVES: We aimed to assess social patterns of handwashing, social distancing, and working from home at the start of the COVID-19 pandemic in Canada, and determine what proportions of the overall prevalence and social inequalities in handwashing and social distancing are related to inequalities in the opportunity to work from home, to guide pandemic preparedness and response. METHODS: Using cross-sectional data from the Canadian Perspectives Survey Series, collected between March 29 and April 3, 2020, among Canadian adults (N=4455), we assessed prevalence of not working from home, social distancing in public, or practicing frequent handwashing, according to age, sex, marital status, immigration, education, chronic disease presence, and source of COVID-19 information. Multivariate regression, population attributable fraction estimation, and generalized product mediation analysis were applied. RESULTS: Absence of frequent handwashing and distancing was more common among those working outside than within the home (prevalence differences of 7% (95% CI: 4, 10) and 7% (95% CI: 3, 10), respectively). Inequalities in handwashing and distancing were observed across education and immigration status. Over 40% of the prevalence of non-uptake of handwashing and distancing was attributable to populations not being able to work from home. If all worked from home, over 40% (95% CI: 8, 70) of education-based inequalities in handwashing and distancing could be eliminated, but differences by immigration status would likely remain. CONCLUSION: For pandemic response, both workplace safety initiatives and mechanisms to address the inequitable distribution of health risks across socio-economic groups are needed to reduce broader inequalities in transmission risk. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.17269/s41997-021-00553-0.
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spelling pubmed-83752872021-08-20 Social inequalities in protective behaviour uptake at the start of the COVID-19 pandemic: results from a national survey Blair, Alexandra Parnia, Abtin Shahidi, Faraz V. Siddiqi, Arjumand Can J Public Health Special Section on COVID-19: Quantitative Research OBJECTIVES: We aimed to assess social patterns of handwashing, social distancing, and working from home at the start of the COVID-19 pandemic in Canada, and determine what proportions of the overall prevalence and social inequalities in handwashing and social distancing are related to inequalities in the opportunity to work from home, to guide pandemic preparedness and response. METHODS: Using cross-sectional data from the Canadian Perspectives Survey Series, collected between March 29 and April 3, 2020, among Canadian adults (N=4455), we assessed prevalence of not working from home, social distancing in public, or practicing frequent handwashing, according to age, sex, marital status, immigration, education, chronic disease presence, and source of COVID-19 information. Multivariate regression, population attributable fraction estimation, and generalized product mediation analysis were applied. RESULTS: Absence of frequent handwashing and distancing was more common among those working outside than within the home (prevalence differences of 7% (95% CI: 4, 10) and 7% (95% CI: 3, 10), respectively). Inequalities in handwashing and distancing were observed across education and immigration status. Over 40% of the prevalence of non-uptake of handwashing and distancing was attributable to populations not being able to work from home. If all worked from home, over 40% (95% CI: 8, 70) of education-based inequalities in handwashing and distancing could be eliminated, but differences by immigration status would likely remain. CONCLUSION: For pandemic response, both workplace safety initiatives and mechanisms to address the inequitable distribution of health risks across socio-economic groups are needed to reduce broader inequalities in transmission risk. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.17269/s41997-021-00553-0. Springer International Publishing 2021-08-19 /pmc/articles/PMC8375287/ /pubmed/34410654 http://dx.doi.org/10.17269/s41997-021-00553-0 Text en © The Canadian Public Health Association 2021
spellingShingle Special Section on COVID-19: Quantitative Research
Blair, Alexandra
Parnia, Abtin
Shahidi, Faraz V.
Siddiqi, Arjumand
Social inequalities in protective behaviour uptake at the start of the COVID-19 pandemic: results from a national survey
title Social inequalities in protective behaviour uptake at the start of the COVID-19 pandemic: results from a national survey
title_full Social inequalities in protective behaviour uptake at the start of the COVID-19 pandemic: results from a national survey
title_fullStr Social inequalities in protective behaviour uptake at the start of the COVID-19 pandemic: results from a national survey
title_full_unstemmed Social inequalities in protective behaviour uptake at the start of the COVID-19 pandemic: results from a national survey
title_short Social inequalities in protective behaviour uptake at the start of the COVID-19 pandemic: results from a national survey
title_sort social inequalities in protective behaviour uptake at the start of the covid-19 pandemic: results from a national survey
topic Special Section on COVID-19: Quantitative Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8375287/
https://www.ncbi.nlm.nih.gov/pubmed/34410654
http://dx.doi.org/10.17269/s41997-021-00553-0
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