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Int J Environ Res Public Health . Association between Social Integration and Face Mask Use Behavior during the SARS-CoV-2 Pandemic in Japan: Result

tetano

Editor, Senior Moderator
Int J Environ Res Public Health


. 2021 Apr 28;18(9):4717.
doi: 10.3390/ijerph18094717.
Association between Social Integration and Face Mask Use Behavior during the SARS-CoV-2 Pandemic in Japan: Results from U-CORONA Study


Nobutoshi Nawa[SUP] 1 [/SUP], Yui Yamaoka[SUP] 2 [/SUP], Yuna Koyama[SUP] 2 [/SUP], Hisaaki Nishimura[SUP] 2 [/SUP], Shiro Sonoda[SUP] 3 [/SUP], Jin Kuramochi[SUP] 3 [/SUP], Yasunari Miyazaki[SUP] 4 [/SUP], Takeo Fujiwara[SUP] 2 [/SUP]



Affiliations

Abstract

Face mask use is a critical behavior to prevent the spread of SARS-CoV-2. We aimed to evaluate the association between social integration and face mask use during the COVID-19 pandemic in a random sample of households in Utsunomiya City, Greater Tokyo, Japan. Data included 645 adults in the Utsunomiya COVID-19 seROprevalence Neighborhood Association (U-CORONA) study, which was conducted after the first wave of the pandemic, between 14 June 2020 and 5 July 2020, in Utsunomiya City. Social integration before the pandemic was assessed by counting the number of social roles, based on the Cohen's social network index. Face mask use before and during the pandemic was assessed by questionnaire, and participants were categorized into consistent mask users, new users, and current non-users. Multinomial logistic regression analysis was used to examine the association between lower social integration score and face mask use. To account for possible differential non-response bias, non-response weights were used. Of the 645 participants, 172 (26.7%) were consistent mask users and 460 (71.3%) were new users, while 13 (2.0%) were current non-users. Lower social integration level was positively associated with non-users (RRR: 1.76, 95% CI: 1.10, 2.82). Social integration may be important to promote face mask use.

Keywords: communicable diseases; coronavirus infections; face mask use; social integration.
 
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