由于公众遵守率下降,尤其是未接种疫苗者,封锁措施控制 COVID-19 传播的效果可能正在减弱:以色列的一项横断面研究。

Lockdown Efficacy in Controlling the Spread of COVID-19 May Be Waning Due to Decline in Public Compliance, Especially among Unvaccinated Individuals: A Cross-Sectional Study in Israel.

机构信息

Department of Emergency & Disaster Management, School of Public Health, Sackler Faculty of Medicine, Tel-Aviv University, P.O. Box 39040, Tel Aviv 6139001, Israel.

Israel National Center for Trauma & Emergency Medicine Research, The Gertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, Tel Hashomer, Ramat-Gan 5266202, Israel.

出版信息

Int J Environ Res Public Health. 2022 Apr 19;19(9):4943. doi: 10.3390/ijerph19094943.

Abstract

Public compliance is paramount for the success of public health measures and decision making, such as lockdowns, in controlling the spread of diseases. The aim of this population-based cross-sectional study was to investigate the level of reported compliance with home isolation among the adult Israeli population ( = 940) during the first three national lockdowns, compliance with a potential fourth national lockdown if enacted, risk perception of COVID-19, vaccination uptake status, perceived effectiveness of the vaccine, and compliance with additional protective health behaviors (e.g., mask wearing and social distancing). Following widespread compliance with initial lockdowns (90.7% reported "high" or "very high" compliance), as few as 60.1% of participants indicated that they would comply with a fourth lockdown if the government decides to enact it. Non-vaccinated individuals reported the lowest levels of compliance with previous lockdowns, compared to participants who received one or two vaccines and participants vaccinated with three doses. Adjusted for gender and age, the results suggest that fearing being infected with COVID-19, perceiving the vaccine to be effective, and reporting being compliant with other health behaviors-such as mask wearing and maintaining social distance from others-are predictors of lockdown compliance. Considering the effect of pandemic lockdown fatigue, there is little support for additional lockdowns among the Israeli public, unless dramatic changes occur in the characteristics of the COVID-19 pandemic. Compliance with lockdowns is reduced among individuals who are at higher risk of contracting COVID-19, therefore rendering this non-pharmaceutical intervention even less effective in reducing the spread of the disease.

摘要

公众的遵从对于公共卫生措施和决策的成功至关重要,例如封锁,以控制疾病的传播。本基于人群的横断面研究旨在调查以色列成年人口(n=940)在最初的三次全国封锁期间报告的家庭隔离遵从率,以及如果实施第四次全国封锁的潜在遵从率、对 COVID-19 的风险感知、疫苗接种状况、对疫苗有效性的感知,以及对其他保护健康行为(例如戴口罩和保持社交距离)的遵从率。在最初的封锁得到广泛遵守之后(90.7%的人报告“高度”或“非常高度”的遵守),只有 60.1%的参与者表示如果政府决定实施第四次封锁,他们会遵守。与接种了一到两剂疫苗和接种了三剂疫苗的参与者相比,未接种疫苗的个体报告的对先前封锁的遵从率最低。在调整了性别和年龄后,结果表明,担心感染 COVID-19、认为疫苗有效,以及报告遵守其他健康行为(如戴口罩和与他人保持社交距离),是封锁遵从的预测因素。考虑到大流行封锁疲劳的影响,除非 COVID-19 大流行的特征发生重大变化,否则以色列公众对额外的封锁措施几乎没有支持。在感染 COVID-19 的风险较高的个体中,封锁的遵从性降低,因此这种非药物干预措施在减少疾病传播方面的效果甚至更低。

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