Preventive Behavior Against SARS-CoV-2 Infection in Adults According to Whether or Not They Live with Children. A Combined Analysis of the Nationwide COSMO-SPAIN and ENE-COVID Surveys

Overview

Journal Front Public Health

Specialty Public Health

Date 2023 Mar 13

PMID 36908466

Authors

Imane Jroundi

Nerea Fernandez de Larrea-Baz

Carmen Rodriguez-Blazquez

Roberto Pastor-Barriuso

Marina Pollan-Santamaria

Maria Joao Forjaz

Beatriz Perez-Gomez

Affiliations

Soon will be listed here.

Abstract

Introduction: The protection of children is a major driver of behavior among those in charge of their care. We evaluated whether compliance with preventive measures against SARS-CoV-2 infection among adults living with children was different from that of those not living with them, in 2020.

Methods: We used the COSMO-SPAIN ( = 867) and the nationally representative ENE-COVID ( = 29,926) surveys to estimate prevalence of compliance (95% confidence interval). Logistic model based standardization methods were applied to estimate standardized prevalence differences (SPrD) to the overall distribution of age, sex, education, history of COVID-19, and residence of other >60 yrs in the household.

Results: We observed that adults living with children more frequently avoided bars (SPrD: 4.2%; 95% CI: 2.3-6.1), crowded places (SPrD: 8.0%; 95% CI: 0.6-15.1) and did not use public transportation (SPrD: 4.9%; 95% CI: 3.0-6.7). They were also more worried about work and family conciliation (SPrD: 12.2%; 95% CI: 4.8-19.5) and about closure of education centers (SPrD: 26.5%; 95% CI: 19.4-33.6).

Discussion: In general, adults living with children adopted slightly more frequently social distancing measures.

References

Yoder P . Negotiating relevance: belief, knowledge, and practice in international health projects. Med Anthropol Q. 1997; 11(2):131-46. DOI: 10.1525/maq.1997.11.2.131. View

Wright L, Paul E, Steptoe A, Fancourt D . Facilitators and barriers to compliance with COVID-19 guidelines: a structural topic modelling analysis of free-text data from 17,500 UK adults. BMC Public Health. 2022; 22(1):34. PMC: 8734128. DOI: 10.1186/s12889-021-12372-6. View

Tang S, Xiang M, Cheung T, Xiang Y . Mental health and its correlates among children and adolescents during COVID-19 school closure: The importance of parent-child discussion. J Affect Disord. 2020; 279:353-360. PMC: 7550131. DOI: 10.1016/j.jad.2020.10.016. View

Brown S, Doom J, Lechuga-Pena S, Watamura S, Koppels T . Stress and parenting during the global COVID-19 pandemic. Child Abuse Negl. 2020; 110(Pt 2):104699. PMC: 7440155. DOI: 10.1016/j.chiabu.2020.104699. View

Ulaszewska K, Jodczyk A, Dlugolecki P, Emerla S, Stanska W, Kasiak P . Factors Associated with Willingness to Receive a COVID-19 Vaccine in Adult Polish Population-A Cross-Sectional Survey. Vaccines (Basel). 2022; 10(10). PMC: 9609836. DOI: 10.3390/vaccines10101715. View

Betsch C, Wieler L, Habersaat K . Monitoring behavioural insights related to COVID-19. Lancet. 2020; 395(10232):1255-1256. PMC: 7163179. DOI: 10.1016/S0140-6736(20)30729-7. View

Hertwig R, Wulff D . A Description-Experience Framework of the Psychology of Risk. Perspect Psychol Sci. 2021; 17(3):631-651. PMC: 9069661. DOI: 10.1177/17456916211026896. View

Lino M, Di Giuseppe G, Albano L, Angelillo I . Parental knowledge, attitudes and behaviours towards influenza A/H1N1 in Italy. Eur J Public Health. 2011; 22(4):568-72. DOI: 10.1093/eurpub/ckr115. View

Rattay P, Michalski N, Domanska O, Kaltwasser A, De Bock F, Wieler L . Differences in risk perception, knowledge and protective behaviour regarding COVID-19 by education level among women and men in Germany. Results from the COVID-19 Snapshot Monitoring (COSMO) study. PLoS One. 2021; 16(5):e0251694. PMC: 8116045. DOI: 10.1371/journal.pone.0251694. View

10.

Bhuiyan M, Stiboy E, Hassan M, Chan M, Islam M, Haider N . Epidemiology of COVID-19 infection in young children under five years: A systematic review and meta-analysis. Vaccine. 2020; 39(4):667-677. PMC: 7833125. DOI: 10.1016/j.vaccine.2020.11.078. View

11.

Rattay P, Von der Lippe E . Association between Living with Children and the Health and Health Behavior of Women and Men. Are There Differences by Age? Results of the "German Health Update" (GEDA) Study. Int J Environ Res Public Health. 2020; 17(9). PMC: 7246668. DOI: 10.3390/ijerph17093180. View

12.

Brankston G, Merkley E, Fisman D, Tuite A, Poljak Z, Loewen P . Socio-demographic disparities in knowledge, practices, and ability to comply with COVID-19 public health measures in Canada. Can J Public Health. 2021; 112(3):363-375. PMC: 7989685. DOI: 10.17269/s41997-021-00501-y. View

13.

Pollan M, Perez-Gomez B, Pastor-Barriuso R, Oteo J, Hernan M, Perez-Olmeda M . Prevalence of SARS-CoV-2 in Spain (ENE-COVID): a nationwide, population-based seroepidemiological study. Lancet. 2020; 396(10250):535-544. PMC: 7336131. DOI: 10.1016/S0140-6736(20)31483-5. View

14.

Russell B, Hutchison M, Tambling R, Tomkunas A, Horton A . Initial Challenges of Caregiving During COVID-19: Caregiver Burden, Mental Health, and the Parent-Child Relationship. Child Psychiatry Hum Dev. 2020; 51(5):671-682. PMC: 7398861. DOI: 10.1007/s10578-020-01037-x. View

15.

Tso W, Wong R, Tung K, Rao N, Fu K, Yam J . Vulnerability and resilience in children during the COVID-19 pandemic. Eur Child Adolesc Psychiatry. 2020; 31(1):161-176. PMC: 7671186. DOI: 10.1007/s00787-020-01680-8. View

16.

Glenister K, Ervin K, Podubinski T . Detrimental Health Behaviour Changes among Females Living in Rural Areas during the COVID-19 Pandemic. Int J Environ Res Public Health. 2021; 18(2). PMC: 7830307. DOI: 10.3390/ijerph18020722. View

17.

Greenland S . Model-based estimation of relative risks and other epidemiologic measures in studies of common outcomes and in case-control studies. Am J Epidemiol. 2004; 160(4):301-5. DOI: 10.1093/aje/kwh221. View

18.

Tooher R, Collins J, Street J, Braunack-Mayer A, Marshall H . Community knowledge, behaviours and attitudes about the 2009 H1N1 Influenza pandemic: a systematic review. Influenza Other Respir Viruses. 2013; 7(6):1316-27. PMC: 4634241. DOI: 10.1111/irv.12103. View

19.

Rodriguez-Blazquez C, Romay-Barja M, Falcon M, Ayala A, Forjaz M . The COSMO-Spain Survey: Three First Rounds of the WHO Behavioral Insights Tool. Front Public Health. 2021; 9:678926. PMC: 8202823. DOI: 10.3389/fpubh.2021.678926. View

20.

Carpenter C . A meta-analysis of the effectiveness of health belief model variables in predicting behavior. Health Commun. 2010; 25(8):661-9. DOI: 10.1080/10410236.2010.521906. View