Sinicrope Pamela S, Maciejko Laura A, Fox Jean M, Steffens Michelle T, Decker Paul A, Wheeler Philip, Juhn Young J, Wi Chung-Il, Gorfine Mary, Patten Christi A
Behavioral Health Research Program, Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, United States.
Mayo Clinic Alix School of Medicine, Rochester, MN, United States.
Prev Med Rep. 2021 Dec;24:101543. doi: 10.1016/j.pmedr.2021.101543. Epub 2021 Sep 2.
To identify motivators and barriers to wearing a mask to prevent COVID-19.
An anonymous, online survey of adults from Southeastern Minnesota conducted August 2020. We assessed willingness to wear a mask and its associations with socio-demographics, COVID-19-related factors and prevention behaviors using multivariable ordinal logistic regression.
Of 7,786 respondents (78% women, 51% rural), 9% reported 'not at all willing', 27% 'willing', and 64% 'very willing' to wear a mask. Factors independently associated with willingness to wear a mask were: urban residence (OR = 1.23, 95% CI 1.05-1.44, p = 0.009); college degree or greater (OR 1.42, CI 1.05-1.93, p = 0.025); age (18-29 years OR 1.29, CI 01.02-1.64, p = 0.038; 30-39 OR = 1.37, CI 1.12-1.69, p = 0.003; 60-69 OR = 1.44, CI 1.09-1.91, p = 0.011; 70-89 OR 2.09, CI 1.32-3.37, p = 0.002; 40-49 reference group); and (all p < 0.001) democratic party affiliation (OR 1.79, CI 1.40-2.29), correct COVID-19 knowledge (OR 1.50, CI 1.28-1.75), 5 + COVID-19 prevention behaviors (OR 2.74, CI 1.98-3.81), positive perceived impacts for wearing a mask (OR 1.55, 1.52-1.59), perceived COVID-19 severity (OR 2.1, CI 1.44-3.1), and greater stress (OR 1.03, CI 1.02-1.04), and trust in the Centers for Disease Control (CDC) (OR 1.78, CI 1.45 -2.19).
Results from this sample of SEMN residents suggest interventions to enhance COVID-19 knowledge, positive expectations for mask wearing, and trust in the CDC are warranted. Research is needed to understand cultural and other barriers and facilitators among sub-populations, e.g., rural residents less willing to wear a mask.
确定佩戴口罩预防新冠病毒病的动机和障碍。
2020年8月对明尼苏达州东南部成年人进行了一项匿名在线调查。我们使用多变量有序逻辑回归评估了佩戴口罩的意愿及其与社会人口统计学、新冠病毒病相关因素和预防行为的关联。
在7786名受访者中（78%为女性，51%为农村居民），9%表示“完全不愿意”佩戴口罩，27%表示“愿意”，64%表示“非常愿意”。与佩戴口罩意愿独立相关的因素有：城市居住（比值比[OR]=1.23，95%置信区间[CI]1.05 - 1.44，p=0.009）；大学及以上学历（OR 1.42，CI 1.05 - 1.93，p=0.025）；年龄（18 - 29岁OR 1.29，CI 01.02 - 1.64，p=0.038；30 - 39岁OR=1.37，CI 1.12 - 1.69，p=0.003；60 - 69岁OR=1.44，CI 1.09 - 1.91，p=0.011；70 - 89岁OR 2.09，CI 1.32 - 3.37，p=0.002；40 - 49岁为参照组）；以及（所有p<0.001）民主党党派归属（OR 1.79，CI 1.40 - 2.29）、正确的新冠病毒病知识（OR 1.50，CI 1.28 - 1.75）、5种及以上新冠病毒病预防行为（OR 2.74，CI 1.98 - 3.81）、对佩戴口罩的积极感知影响（OR 1.55，1.52 - 1.59）、感知到的新冠病毒病严重程度（OR 2.1，CI 1.44 - 3.1）、更大的压力（OR 1.03，CI 1.02 - 1.04）以及对疾病控制中心（CDC）的信任（OR 1.78，CI 1.45 - 2.19）。
来自明尼苏达州东南部居民样本的结果表明，有必要采取干预措施来增强新冠病毒病知识、对佩戴口罩的积极预期以及对疾病控制中心的信任。需要开展研究以了解亚人群（如不太愿意佩戴口罩的农村居民）中的文化和其他障碍及促进因素。
