Shittu Ekundayo, Adewumi Funmilayo, Ene Nkemdilim, Keluo-Udeke Somto Chloe, Wonodi Chizoba
Department of Engineering Management and Systems Engineering, School of Engineering and Applied Science, George Washington University, Washington, DC 20052, USA.
Women Advocates for Vaccine Access (WAVA), 15 Amazon Street, Off Alvan Ikoku Way, Maitama, Abuja 904101, Nigeria.
Healthcare (Basel). 2022 Mar 21;10(3):585. doi: 10.3390/healthcare10030585.
We examine the psychosocial factors influencing community adoption of non-pharmaceutical interventions (NPI) to limit the spread of COVID-19. Using data from 990 respondents in communities across Nigeria, we examine the correlation of health behaviors and socioeconomic indicators. We conduct logistic regression to estimate the relationship between mask wearing as a health-seeking NPI with demographic and socioeconomic variables. We estimate separate models in the sensitivity robustness checks with other NPIs and control for differences across sex, age, education, number in household, and the presence of a student in the respondent's household. A crucial finding is that health-seeking NPI behaviors are statistically significantly affected in different ways by the menu of socioeconomic indicators. The control for age, sex, education, and household size indicates that there is intersectionality of how these factors influence specific mitigation practices. We find that women are more likely to engage in mask wearing, hand washing, and use of hand sanitizers and tissues than men, and the provision of palliatives and access to family supplies significantly enhances community mitigation. Palliatives and access to family supplies enhance most health-seeking behaviors. The implication for pandemic mitigation policy is that minimizing incidence rates requires having responsive initiatives such as information updates on pandemic progression.
我们研究了影响社区采用非药物干预措施（NPI）以限制新冠病毒传播的社会心理因素。利用来自尼日利亚各地社区990名受访者的数据，我们研究了健康行为与社会经济指标之间的相关性。我们进行逻辑回归分析，以估计作为寻求健康的非药物干预措施的佩戴口罩行为与人口统计学和社会经济变量之间的关系。在敏感性稳健性检验中，我们针对其他非药物干预措施估计了单独的模型，并控制了性别、年龄、教育程度、家庭人数以及受访者家庭中是否有学生等方面的差异。一个关键发现是，寻求健康的非药物干预措施行为受到社会经济指标组合的不同方式的显著统计影响。对年龄、性别、教育程度和家庭规模的控制表明，这些因素影响特定缓解措施的方式存在交叉性。我们发现，女性比男性更有可能佩戴口罩、洗手、使用洗手液和纸巾，而提供救济物资和获得家庭用品显著增强了社区的缓解措施。救济物资和获得家庭用品增强了大多数寻求健康的行为。对疫情缓解政策的启示是，要将发病率降至最低，需要采取诸如更新疫情进展信息等响应性举措。
