What Drives Resistance to Public Health Measures in Canada's COVID-19 Pandemic? A Rapid Assessment of Knowledge, Attitudes, and Practices

Underschultz, Jack; Barber, Paul

doi:10.2139/ssrn.3605193

Cited by 12 publications

(22 citation statements)

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“…Study characteristics for the 29 included studies are summarized in Table 2 . Studies originated from Europe, 10–18 the USA, 19–26 Canada, 27 , 28 the UK, 29 , 30 Australia 31 and Mexico. 32 Further, seven papers reported international samples.…”

Section: Resultsmentioning

confidence: 99%

“… 37 Convenience sampling methods were used in almost all included studies ( k = 14 convenience samples and k = 13 stratified convenience samples), with the exception of two studies that relied on random sampling 14 and quota sampling 34 methods. About one-third of the included studies ( k = 11) were preprints 10 , 12 , 13 , 15 , 21 , 23 , 28 , 32 , 33 , 36 , 38 and one study was a report by an organization (i.e. the Institute of Labor Economics).…”

Section: Resultsmentioning

confidence: 99%

“…tested, diagnosed, etc. ), 18 Media attention, 37 Prevalence and existing policies, 25 Provincial Residence and 28 Social networks (i.e. family, school and quality of social networks).…”

Section: Resultsmentioning

confidence: 99%

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Predictors of attitudes and adherence to COVID-19 public health guidelines in Western countries: a rapid review of the emerging literature

Moran

Campbell

et al. 2021

Journal of Public Health

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Background Physical distancing, wearing face masks and hand hygiene are evidence-based methods to protect the public from coronavirus disease 2019 (COVID-19) infection. There has been a proliferation of research examining characteristics that can be targeted by public health interventions. This rapid review sought to identify predictors of attitudes toward and adherence to COVID-19 public health guidelines, and identify interventions aiming to improve adherence. Methods Articles were retrieved from multiple databases (e.g. MEDLINE, CINAHL and medRxiv) on 6 August 2020. Studies were limited to samples collected from Western countries. Studies were classified according to the types of factor (s) examined as independent variables. The consistency of evidence for each factor was scored by two reviewers. Results In total, 1323 unique articles were identified in the initial search, resulting in 29 studies in the final synthesis. The available evidence suggests individuals who are older, identify as women, trust governments, perceive COVID-19 as threatening and access information through traditional news media are more likely to adhere with COVID-19 public health guidelines. Interventions for improving adherence have not yet been investigated thoroughly, and this review identified only three experimental studies. Conclusions This review has identified several characteristics that impact attitudes and adherence to COVID-19 public health guidelines.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Predictors of attitudes and adherence to COVID-19 public health guidelines in Western countries: a rapid review of the emerging literature

Moran

Campbell

et al. 2021

Journal of Public Health

View full text Add to dashboard Cite

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“…Support for public health measures including physical distancing, masking, staying home while sick, avoiding crowded indoor spaces and technology driven contact tracing (contact tracing and exposure notification applications) remain critical for reducing spread of the virus. Prior research has identified variability in individuals' willingness to follow public health recommendations as well as accept a COVID-19 vaccine [7][8][9][10]. Demographic factors associated with greater uptake of public health behaviours include being female, older age (> 50 years old) and highly educated [9,11].…”

Section: Introductionmentioning

confidence: 99%

“…Prior research has identified variability in individuals' willingness to follow public health recommendations as well as accept a COVID-19 vaccine [7][8][9][10]. Demographic factors associated with greater uptake of public health behaviours include being female, older age (> 50 years old) and highly educated [9,11]. Expressing higher concern for COVID-19 as well as greater knowledge of the pandemic is also associated with increased uptake of behaviours [9].…”

Section: Introductionmentioning

confidence: 99%

Attitudes, behaviours and barriers to public health measures for COVID-19: a survey to inform public health messaging

et al. 2021

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Background Public support of public health measures including physical distancing, masking, staying home while sick, avoiding crowded indoor spaces and contact tracing/exposure notification applications remains critical for reducing spread of COVID-19. The aim of our work was to understand current behaviours and attitudes towards public health measures as well as barriers individuals face in following public health measures. We also sought to identify attitudes persons have regarding a COVID-19 vaccine and reasons why they may not accept a vaccine. Methods A cross-sectional online survey was conducted in August 2020, in Alberta, Canada in persons 18 years and older. This survey evaluated current behaviours, barriers and attitudes towards public health measures and a COVID-19 vaccine. Cluster analysis was used to identify key patterns that summarize data variations among observations. Results Of the 60 total respondents, the majority of persons were always or often physically distancing (73%), masking (65%) and staying home while sick (67%). Bars/pubs/lounges or nightclubs were visited rarely or never by 63% of respondents. Persons identified staying home while sick to provide the highest benefit (83%) in reducing spread of COVID-19. There were a large proportion of persons who had not downloaded or used a contact tracing/exposure notification app (77%) and who would not receive a COVID-19 vaccine when available (20%) or were unsure (12%). Reporting health authorities as most trusted sources of health information was associated with greater percentage of potential uptake of vaccine but not related to contact tracing app download and use. Individuals with lower concern of getting and spreading COVID-19 showed the least uptake of public health measures except for avoiding public places such as bars. Lower concern regarding COVID-19 was also associated with more negative responses to taking a potential COVID-19 vaccine. Conclusion These results suggest informational frames and themes focusing on individual risks, highlighting concern for COVID-19 and targeting improving trust for health authorities may be most effective in increasing public health measures. With the ultimate goal of preventing spread of COVID-19, understanding persons’ attitudes towards both public health measures and a COVID-19 vaccine remains critical to addressing barriers and implementing targeted interventions and messaging to improve uptake.

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Characterization of non-adopters of COVID-19 non-pharmaceutical interventions through a national cross-sectional survey to assess attitudes and behaviours

Lang

Atabati

Oxoby

et al. 2021

Sci Rep

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Adoption of non-pharmaceutical interventions (NPIs) remains critical to curtail the spread of COVID-19. Using self-reported adherence to NPIs in Canada, assessed through a national cross-sectional survey of 4498 respondents, we aimed to identify and characterize non-adopters of NPIs, evaluating their attitudes and behaviours to understand barriers and facilitators of adoption. A cluster analysis was used to group adopters separately from non-adopters of NPIs. Associations with sociodemographic factors, attitudes towards COVID-19 and the public health response were assessed using logistic regression models comparing non-adopters to adopters. Of the 4498 respondents, 994 (22%) were clustered as non-adopters. Sociodemographic factors significantly associated with the non-adoption cluster were: (1) being male, (2) age 18–34 years, (3) Albertans, (4) lower education level and (5) higher conservative political leaning. Participants who expressed low concern for COVID-19 and distrust towards several institutions had greater odds of being non-adopters. This information characterizes individuals at greatest odds for non-adoption of NPIs to inform targeted marketing interventions.

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What Drives Resistance to Public Health Measures in Canada's COVID-19 Pandemic? A Rapid Assessment of Knowledge, Attitudes, and Practices

Cited by 12 publications

References 0 publications

Predictors of attitudes and adherence to COVID-19 public health guidelines in Western countries: a rapid review of the emerging literature

Predictors of attitudes and adherence to COVID-19 public health guidelines in Western countries: a rapid review of the emerging literature

Attitudes, behaviours and barriers to public health measures for COVID-19: a survey to inform public health messaging

Characterization of non-adopters of COVID-19 non-pharmaceutical interventions through a national cross-sectional survey to assess attitudes and behaviours

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