tetano
Editor, Senior Moderator
J Public Health (Oxf)
. 2021 Feb 9;fdab005.
doi: 10.1093/pubmed/fdab005. Online ahead of print.
Understanding patterns of adherence to COVID-19 mitigation measures: a qualitative interview study
Sarah Denford[SUP] 1 2 3 [/SUP], Kate S Morton[SUP] 4 [/SUP], Helen Lambert[SUP] 1 3 [/SUP], Juan Zhang[SUP] 1 [/SUP], Louise E Smith[SUP] 5 6 [/SUP], G James Rubin[SUP] 5 6 [/SUP], Shenghan Cai[SUP] 1 [/SUP], Tingting Zhang[SUP] 1 [/SUP], Charlotte Robin[SUP] 3 7 8 9 [/SUP], Gemma Lasseter[SUP] 1 3 [/SUP], Mathew Hickman[SUP] 1 3 [/SUP], Isabel Oliver[SUP] 10 [/SUP], Lucy Yardley[SUP] 1 2 3 4 [/SUP]
Affiliations
Abstract
Background: Evidence highlights the disproportionate impact of measures that have been introduced to reduce the spread of coronavirus on individuals from Black, Asian and minority ethnic (BAME) communities, and among those on a low income. An understanding of barriers to adherence in these populations is needed. In this qualitative study, we examined the patterns of adherence to mitigation measures and reasons underpinning these behaviors.
Methods: Semi-structured interviews were conducted with 20 participants from BAME and low-income White backgrounds. The topic guide was designed to explore how individuals are adhering to social distancing and self-isolation during the pandemic and to explore the reasons underpinning this behavior.
Results: We identified three categories of adherence to lockdown measures: (i) caution-motivated super-adherence (ii) risk-adapted partial-adherence and (iii) necessity-driven partial-adherence. Decisions about adherence considered potential for exposure to the virus, ability to reduce risk through use of protective measures and perceived importance of/need for the behavior.
Conclusions: This research highlights a need for a more nuanced understanding of adherence to lockdown measures. Provision of practical and financial support could reduce the number of people who have to engage in necessity-driven partial-adherence. More evidence is required on population level risks of people adopting risk-adapted partial-adherence.
Keywords: COVID-19; adherence; infection control; public involvement; qualitative; risk assessment
. 2021 Feb 9;fdab005.
doi: 10.1093/pubmed/fdab005. Online ahead of print.
Understanding patterns of adherence to COVID-19 mitigation measures: a qualitative interview study
Sarah Denford[SUP] 1 2 3 [/SUP], Kate S Morton[SUP] 4 [/SUP], Helen Lambert[SUP] 1 3 [/SUP], Juan Zhang[SUP] 1 [/SUP], Louise E Smith[SUP] 5 6 [/SUP], G James Rubin[SUP] 5 6 [/SUP], Shenghan Cai[SUP] 1 [/SUP], Tingting Zhang[SUP] 1 [/SUP], Charlotte Robin[SUP] 3 7 8 9 [/SUP], Gemma Lasseter[SUP] 1 3 [/SUP], Mathew Hickman[SUP] 1 3 [/SUP], Isabel Oliver[SUP] 10 [/SUP], Lucy Yardley[SUP] 1 2 3 4 [/SUP]
Affiliations
- PMID: 33559682
- DOI: 10.1093/pubmed/fdab005
Abstract
Background: Evidence highlights the disproportionate impact of measures that have been introduced to reduce the spread of coronavirus on individuals from Black, Asian and minority ethnic (BAME) communities, and among those on a low income. An understanding of barriers to adherence in these populations is needed. In this qualitative study, we examined the patterns of adherence to mitigation measures and reasons underpinning these behaviors.
Methods: Semi-structured interviews were conducted with 20 participants from BAME and low-income White backgrounds. The topic guide was designed to explore how individuals are adhering to social distancing and self-isolation during the pandemic and to explore the reasons underpinning this behavior.
Results: We identified three categories of adherence to lockdown measures: (i) caution-motivated super-adherence (ii) risk-adapted partial-adherence and (iii) necessity-driven partial-adherence. Decisions about adherence considered potential for exposure to the virus, ability to reduce risk through use of protective measures and perceived importance of/need for the behavior.
Conclusions: This research highlights a need for a more nuanced understanding of adherence to lockdown measures. Provision of practical and financial support could reduce the number of people who have to engage in necessity-driven partial-adherence. More evidence is required on population level risks of people adopting risk-adapted partial-adherence.
Keywords: COVID-19; adherence; infection control; public involvement; qualitative; risk assessment