Population Adherence to Infection Control Behaviors during Hong Kong’s First and Third COVID-19 Waves: A Serial Cross-Sectional Study

Background: Although COVID-19 has affected over 220 countries by October 2021, there is limited research examining the patterns and determinants of adherence to infection control measures over time. Aims: Our study examines the sociodemographic factors associated with changes in the frequency of adh...

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Autores principales:	Emily Ying Yang Chan, Jean H. Kim, Kin-on Kwok, Zhe Huang, Kevin Kei Ching Hung, Eliza Lai Yi Wong, Eric Kam Pui Lee, Samuel Yeung Shan Wong
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	COVID-19 urban health risks serial cross-sectional pandemic population adherence Medicine R
Acceso en línea:	https://doaj.org/article/3cfe746a351740e59f303140e3d2684f
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spelling	oai:doaj.org-article:3cfe746a351740e59f303140e3d2684f2021-11-11T16:19:35ZPopulation Adherence to Infection Control Behaviors during Hong Kong’s First and Third COVID-19 Waves: A Serial Cross-Sectional Study10.3390/ijerph1821111761660-46011661-7827https://doaj.org/article/3cfe746a351740e59f303140e3d2684f2021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11176https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Background: Although COVID-19 has affected over 220 countries by October 2021, there is limited research examining the patterns and determinants of adherence to infection control measures over time. Aims: Our study examines the sociodemographic factors associated with changes in the frequency of adherence to personal hygiene and social distancing behaviors in Hong Kong. Methods: A serial cross-sectional telephone survey in the general population was conducted during the first (March 2020) (<i>n</i> = 765) and third wave (December 2020) (<i>n</i> = 651) of the local outbreak of the COVID-19 pandemic. Respondents were asked about their level of compliance with various personal hygiene and social distancing recommendations. Results: By the third wave, mask use increased to 100%, and throughout the study periods, >90% practiced frequent hand hygiene. However, adherence to social distancing measures significantly waned over time: avoidance of social gatherings (80.5% to 72.0%), avoidance of public places/public transport (53.3% to 26.0%), avoidance of international travel (85.8% to 76.6%) (<i>p</i> < 0.05). The practice of ordering food takeout/home delivery, however, increased, particularly among high-income respondents. Higher education, female gender and employment status were the most consistently associated factors with adherence to COVID-19 preventive practices in the multivariable models. Conclusions: In urban areas of this region, interventions to improve personal hygiene in a prolonged pandemic should target males and those with low education. In addition to these groups, the working population needs to be targeted in order to improve adherence to social distancing guidelines.Emily Ying Yang ChanJean H. KimKin-on KwokZhe HuangKevin Kei Ching HungEliza Lai Yi WongEric Kam Pui LeeSamuel Yeung Shan WongMDPI AGarticleCOVID-19urbanhealth risksserial cross-sectionalpandemicpopulation adherenceMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11176, p 11176 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	COVID-19 urban health risks serial cross-sectional pandemic population adherence Medicine R
spellingShingle	COVID-19 urban health risks serial cross-sectional pandemic population adherence Medicine R Emily Ying Yang Chan Jean H. Kim Kin-on Kwok Zhe Huang Kevin Kei Ching Hung Eliza Lai Yi Wong Eric Kam Pui Lee Samuel Yeung Shan Wong Population Adherence to Infection Control Behaviors during Hong Kong’s First and Third COVID-19 Waves: A Serial Cross-Sectional Study
description	Background: Although COVID-19 has affected over 220 countries by October 2021, there is limited research examining the patterns and determinants of adherence to infection control measures over time. Aims: Our study examines the sociodemographic factors associated with changes in the frequency of adherence to personal hygiene and social distancing behaviors in Hong Kong. Methods: A serial cross-sectional telephone survey in the general population was conducted during the first (March 2020) (<i>n</i> = 765) and third wave (December 2020) (<i>n</i> = 651) of the local outbreak of the COVID-19 pandemic. Respondents were asked about their level of compliance with various personal hygiene and social distancing recommendations. Results: By the third wave, mask use increased to 100%, and throughout the study periods, >90% practiced frequent hand hygiene. However, adherence to social distancing measures significantly waned over time: avoidance of social gatherings (80.5% to 72.0%), avoidance of public places/public transport (53.3% to 26.0%), avoidance of international travel (85.8% to 76.6%) (<i>p</i> < 0.05). The practice of ordering food takeout/home delivery, however, increased, particularly among high-income respondents. Higher education, female gender and employment status were the most consistently associated factors with adherence to COVID-19 preventive practices in the multivariable models. Conclusions: In urban areas of this region, interventions to improve personal hygiene in a prolonged pandemic should target males and those with low education. In addition to these groups, the working population needs to be targeted in order to improve adherence to social distancing guidelines.
format	article
author	Emily Ying Yang Chan Jean H. Kim Kin-on Kwok Zhe Huang Kevin Kei Ching Hung Eliza Lai Yi Wong Eric Kam Pui Lee Samuel Yeung Shan Wong
author_facet	Emily Ying Yang Chan Jean H. Kim Kin-on Kwok Zhe Huang Kevin Kei Ching Hung Eliza Lai Yi Wong Eric Kam Pui Lee Samuel Yeung Shan Wong
author_sort	Emily Ying Yang Chan
title	Population Adherence to Infection Control Behaviors during Hong Kong’s First and Third COVID-19 Waves: A Serial Cross-Sectional Study
title_short	Population Adherence to Infection Control Behaviors during Hong Kong’s First and Third COVID-19 Waves: A Serial Cross-Sectional Study
title_full	Population Adherence to Infection Control Behaviors during Hong Kong’s First and Third COVID-19 Waves: A Serial Cross-Sectional Study
title_fullStr	Population Adherence to Infection Control Behaviors during Hong Kong’s First and Third COVID-19 Waves: A Serial Cross-Sectional Study
title_full_unstemmed	Population Adherence to Infection Control Behaviors during Hong Kong’s First and Third COVID-19 Waves: A Serial Cross-Sectional Study
title_sort	population adherence to infection control behaviors during hong kong’s first and third covid-19 waves: a serial cross-sectional study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/3cfe746a351740e59f303140e3d2684f
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Population Adherence to Infection Control Behaviors during Hong Kong’s First and Third COVID-19 Waves: A Serial Cross-Sectional Study

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