Yang Xin Yu, Gong Rui Ning, Sassine Samuel, Morsa Maxime, Tchogna Alexandra Sonia, Drouin Olivier, Chadi Nicholas, Jantchou Prévost
CHU Sainte-Justine Research Center, Montréal, QC H3T 1C5, Canada.
Faculty of Medicine, Université de Montréal, Montréal, QC H3T 1J4, Canada.
Children (Basel). 2020 Dec 21;7(12):311. doi: 10.3390/children7120311.
To explore factors influencing adolescents and young adults' (AYAs) risk perception of COVID-19 and adherence to public health measures, we conducted a cross-sectional online survey of AYAs (14-22 years old) from Quebec (Canada) recruited through school and community partners in April 2020 during the first wave of the COVID-19 pandemic. The study included 3037 participants (mean age = 17.7 years, 74.6% female). AYAs had higher mean (standard deviation (SD)) risk perception of COVID-19 for their relatives (8.2 (1.9)) than for themselves (5.6 (2.6)) ( < 0.001). Factors associated with higher risk perception included higher disease knowledge (adjusted odds ratio (aOR) 1.06, 95% CI 1.01-1.11), presence of chronic disease (aOR 2.31, 95%CI 1.82-2.93) and use of immunosuppressants (aOR 2.53, 95%CI 1.67-3.87). AYAs with a higher risk perception (aOR 1.06, 95%CI 1.02-1.10) those wishing to help flatten the disease curve (aOR 1.18, 95%CI 1.12-1.25) or to protect their family/friends (aOR 1.14, 95%CI 1.05-1.24) were more likely to engage in preventive behaviors. Self-perceived risk and desire to protect others were significantly associated with adherence to preventive measures among youth. These findings may help inform public health messaging to AYAs in the current and future pandemics.
为探究影响青少年及青年（AYAs）对新冠病毒疾病（COVID-19）风险认知及遵守公共卫生措施的因素，我们于2020年4月新冠疫情第一波期间，通过学校和社区合作伙伴，对来自加拿大魁北克的14至22岁青少年及青年开展了一项横断面在线调查。该研究纳入了3037名参与者（平均年龄 = 17.7岁，74.6%为女性）。AYAs对其亲属感染COVID-19的平均（标准差（SD））风险认知（8.2（1.9））高于对自身的风险认知（5.6（2.6））（P < 0.001）。与较高风险认知相关的因素包括较高的疾病知识水平（调整优势比（aOR）1.06，95%置信区间（CI）1.01 - 1.11）、慢性病的存在（aOR 2.31，95%CI 1.82 - 2.93）以及使用免疫抑制剂（aOR 2.53，95%CI 1.67 - 3.87）。风险认知较高的AYAs（aOR 1.06，95%CI 1.02 - 1.10）、希望帮助减缓疾病传播曲线的AYAs（aOR 1.18，95%CI 1.12 - 1.25）或希望保护家人/朋友的AYAs（aOR 1.14，95%CI 1.05 - 1.24）更有可能采取预防行为。自我感知风险和保护他人的意愿与青少年遵守预防措施显著相关。这些发现可能有助于为当前及未来疫情期间针对AYAs的公共卫生信息提供参考。
