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Predictors of self-reported adherence to COVID-19 guidelines. A longitudinal observational study of 51,600 UK adults.

作者信息

Wright Liam, Steptoe Andrew, Fancourt Daisy

机构信息

Department of Behavioural Science and Health, University College London, 1-19 Torrington Place, London WC1E 7HB, United Kingdom.

Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, London WC1E 7HB, United Kingdom.

出版信息

Lancet Reg Health Eur. 2021 May;4:100061. doi: 10.1016/j.lanepe.2021.100061. Epub 2021 Feb 26.


DOI:10.1016/j.lanepe.2021.100061
PMID:33997831
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7907734/
Abstract

BACKGROUND: In the absence of a vaccine, governments have focused on social distancing, self-isolation, and increased hygiene procedures to reduce the transmission of SARS-CoV-2 (COVID-19). Compliance with these measures requires voluntary cooperation from citizens. Yet, compliance is not complete. Existing research on the predictors of compliance is almost exclusively based on cross-sectional data, raising the possibility of reverse causality and confounding. METHODS: Using data from the UCL COVID-19 Social Study, a large weekly online panel of UK adults from first three months of lockdown in the UK (n = 51,600), we tested whether within-person changes in confidence in government, mental wellbeing, social experiences and awareness of COVID-19 were longitudinally related to self-reported compliance levels with guidelines from authorities using random intercept cross-lagged panel models. FINDINGS: We found evidence of a small longitudinal association between increased confidence in government to tackle the pandemic and higher self-reported compliance, but little evidence that factors such as mental health and wellbeing, worries about future adversities, and social isolation and loneliness were related to later compliance. We found higher self-reported compliance was longitudinally related to higher depressive symptoms. We found that low compliance was related to lower leisure engagement, providing care, and working outside the home. INTERPRETATION: Our results suggest that to effectively manage the pandemic, governments should ensure that confidence is maintained. FUNDING: Nuffield Foundation, Wellcome Trust and the MARCH Mental Health Network. MARCH is funded by the Cross-Disciplinary Mental Health Network Plus initiative supported by UK Research and Innovation.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b27/8454649/d567657306d6/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b27/8454649/0e1a7ff14786/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b27/8454649/59d9892bb5f7/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b27/8454649/d567657306d6/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b27/8454649/0e1a7ff14786/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b27/8454649/59d9892bb5f7/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b27/8454649/d567657306d6/gr3.jpg

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引用本文的文献

[1]
Principles and Pragmatics for Building Trust in Authority Comment on "Placing Trust at the Heart of Health Policy and Systems".

Int J Health Policy Manag. 2025

[2]
The Mental Health Paradox of COVID-19 Prevention: Adherence, Fatigue, and Depression in a Longitudinal Perspective.

J Prim Care Community Health. 2025

[3]
Behavioral and Health Outcomes of mRNA COVID-19 Vaccination: A Case-Control Study in Japanese Small and Medium-Sized Enterprises.

Cureus. 2024-12-13

[4]
Adherence to COVID-19 measures and the associated factors: evidence from a two-wave longitudinal study in Singapore.

BMC Public Health. 2024-10-15

[5]
Mental health and the overall tendency to follow official recommendations against COVID-19: A U-shaped relationship?

PLoS One. 2024

[6]
Predictors of adherence in Austrian employees during the COVID-19 pandemic: results of an online survey.

Front Public Health. 2024

[7]
Falsification of home rapid antigen lateral flow tests during the COVID-19 pandemic.

Sci Rep. 2024-2-9

[8]
The influence of emotional reactions and compliance with Ministry of Health guidelines during the COVID-19 pandemic in Israel: a longitudinal study of gender differences.

Glob Health Promot. 2024-9

[9]
Identity leadership and adherence to COVID-19 safety guidance in hospital settings.

PLoS One. 2024

[10]
Combatting SARS-CoV-2 With Digital Contact Tracing and Notification: Navigating Six Points of Failure.

JMIR Public Health Surveill. 2023-12-4

本文引用的文献

[1]
Fatalism, beliefs, and behaviors during the COVID-19 pandemic.

J Risk Uncertain. 2022

[2]
COVID-19 preventive behaviours among people with anxiety and depressive symptoms: findings from Japan.

Public Health. 2020-12

[3]
Trust and compliance to public health policies in times of COVID-19.

J Public Econ. 2020-12

[4]
Loneliness and COVID-19 preventive behaviours among Japanese adults.

J Public Health (Oxf). 2021-4-12

[5]
Predictors of COVID-19 voluntary compliance behaviors: An international investigation.

Glob Transit. 2020

[6]
The Cummings effect: politics, trust, and behaviours during the COVID-19 pandemic.

Lancet. 2020-8-15

[7]
Citizens' Adherence to COVID-19 Mitigation Recommendations by the Government: A 3-Country Comparative Evaluation Using Web-Based Cross-Sectional Survey Data.

J Med Internet Res. 2020-8-11

[8]
Physical distancing, face masks, and eye protection to prevent person-to-person transmission of SARS-CoV-2 and COVID-19: a systematic review and meta-analysis.

Lancet. 2020-6-1

[9]
Psychological status and behavior changes of the public during the COVID-19 epidemic in China.

Infect Dis Poverty. 2020-5-29

[10]
COVID-19 Worries and Behavior Changes in Older and Younger Men and Women.

J Gerontol B Psychol Sci Soc Sci. 2021-1-18

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