Global trends and predictors of face mask usage during the COVID-19 pandemic

Abstract Background Guidelines and recommendations from public health authorities related to face masks have been essential in containing the COVID-19 pandemic. We assessed the prevalence and correlates of mask usage during the pandemic. Methods We examined a total of 13,723,810 responses to a daily...

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Autores principales: Elena Badillo-Goicoechea, Ting-Hsuan Chang, Esther Kim, Sarah LaRocca, Katherine Morris, Xiaoyi Deng, Samantha Chiu, Adrianne Bradford, Andres Garcia, Christoph Kern, Curtiss Cobb, Frauke Kreuter, Elizabeth A. Stuart
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Publicado: BMC 2021
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Acceso en línea:https://doaj.org/article/b1e9ed0335c444b3bfc47760c50083e3
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spelling oai:doaj.org-article:b1e9ed0335c444b3bfc47760c50083e32021-11-21T12:10:20ZGlobal trends and predictors of face mask usage during the COVID-19 pandemic10.1186/s12889-021-12175-91471-2458https://doaj.org/article/b1e9ed0335c444b3bfc47760c50083e32021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12175-9https://doaj.org/toc/1471-2458Abstract Background Guidelines and recommendations from public health authorities related to face masks have been essential in containing the COVID-19 pandemic. We assessed the prevalence and correlates of mask usage during the pandemic. Methods We examined a total of 13,723,810 responses to a daily cross-sectional online survey in 38 countries of people who completed from April 23, 2020 to October 31, 2020 and reported having been in public at least once during the last 7 days. The outcome was individual face mask usage in public settings, and the predictors were country fixed effects, country-level mask policy stringency, calendar time, individual sociodemographic factors, and health prevention behaviors. Associations were modeled using survey-weighted multivariable logistic regression. Results Mask-wearing varied over time and across the 38 countries. While some countries consistently showed high prevalence throughout, in other countries mask usage increased gradually, and a few other countries remained at low prevalence. Controlling for time and country fixed effects, sociodemographic factors (older age, female gender, education, urbanicity) and stricter mask-related policies were significantly associated with higher mask usage in public settings. Crucially, social behaviors considered risky in the context of the pandemic (going out to large events, restaurants, shopping centers, and socializing outside of the household) were associated with lower mask use. Conclusion The decision to wear a face mask in public settings is significantly associated with sociodemographic factors, risky social behaviors, and mask policies. This has important implications for health prevention policies and messaging, including the potential need for more targeted policy and messaging design.Elena Badillo-GoicoecheaTing-Hsuan ChangEsther KimSarah LaRoccaKatherine MorrisXiaoyi DengSamantha ChiuAdrianne BradfordAndres GarciaChristoph KernCurtiss CobbFrauke KreuterElizabeth A. StuartBMCarticleCOVID-19SARS-CoV-2Face maskMask usagePublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-12 (2021)
institution DOAJ
collection DOAJ
language EN
topic COVID-19
SARS-CoV-2
Face mask
Mask usage
Public aspects of medicine
RA1-1270
spellingShingle COVID-19
SARS-CoV-2
Face mask
Mask usage
Public aspects of medicine
RA1-1270
Elena Badillo-Goicoechea
Ting-Hsuan Chang
Esther Kim
Sarah LaRocca
Katherine Morris
Xiaoyi Deng
Samantha Chiu
Adrianne Bradford
Andres Garcia
Christoph Kern
Curtiss Cobb
Frauke Kreuter
Elizabeth A. Stuart
Global trends and predictors of face mask usage during the COVID-19 pandemic
description Abstract Background Guidelines and recommendations from public health authorities related to face masks have been essential in containing the COVID-19 pandemic. We assessed the prevalence and correlates of mask usage during the pandemic. Methods We examined a total of 13,723,810 responses to a daily cross-sectional online survey in 38 countries of people who completed from April 23, 2020 to October 31, 2020 and reported having been in public at least once during the last 7 days. The outcome was individual face mask usage in public settings, and the predictors were country fixed effects, country-level mask policy stringency, calendar time, individual sociodemographic factors, and health prevention behaviors. Associations were modeled using survey-weighted multivariable logistic regression. Results Mask-wearing varied over time and across the 38 countries. While some countries consistently showed high prevalence throughout, in other countries mask usage increased gradually, and a few other countries remained at low prevalence. Controlling for time and country fixed effects, sociodemographic factors (older age, female gender, education, urbanicity) and stricter mask-related policies were significantly associated with higher mask usage in public settings. Crucially, social behaviors considered risky in the context of the pandemic (going out to large events, restaurants, shopping centers, and socializing outside of the household) were associated with lower mask use. Conclusion The decision to wear a face mask in public settings is significantly associated with sociodemographic factors, risky social behaviors, and mask policies. This has important implications for health prevention policies and messaging, including the potential need for more targeted policy and messaging design.
format article
author Elena Badillo-Goicoechea
Ting-Hsuan Chang
Esther Kim
Sarah LaRocca
Katherine Morris
Xiaoyi Deng
Samantha Chiu
Adrianne Bradford
Andres Garcia
Christoph Kern
Curtiss Cobb
Frauke Kreuter
Elizabeth A. Stuart
author_facet Elena Badillo-Goicoechea
Ting-Hsuan Chang
Esther Kim
Sarah LaRocca
Katherine Morris
Xiaoyi Deng
Samantha Chiu
Adrianne Bradford
Andres Garcia
Christoph Kern
Curtiss Cobb
Frauke Kreuter
Elizabeth A. Stuart
author_sort Elena Badillo-Goicoechea
title Global trends and predictors of face mask usage during the COVID-19 pandemic
title_short Global trends and predictors of face mask usage during the COVID-19 pandemic
title_full Global trends and predictors of face mask usage during the COVID-19 pandemic
title_fullStr Global trends and predictors of face mask usage during the COVID-19 pandemic
title_full_unstemmed Global trends and predictors of face mask usage during the COVID-19 pandemic
title_sort global trends and predictors of face mask usage during the covid-19 pandemic
publisher BMC
publishDate 2021
url https://doaj.org/article/b1e9ed0335c444b3bfc47760c50083e3
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