School of Public Health, Sun Yat-Sen University, 510080, Guangzhou, Guangdong, China.
Department of Tuberculosis Control, The Fourth People's Hospital of Foshan city, 528000, Foshan, Guangdong, China.
BMC Public Health. 2024 Feb 21;24(1):543. doi: 10.1186/s12889-024-17646-3.
This study aims to evaluate the public acceptance of coronavirus disease 2019 (COVID-19) control measures during the Omicron-dominant period and its associated factors.
A cross-sectional design was conducted and 1391 study participants were openly recruited to participate in the questionnaire survey. Logistic regression model was performed to assess the association between the public acceptance and potential factors more specifically.
By August 26, 2022, 58.9% of the study participants were less acceptive of the control measures while 41.1% expressed higher acceptance. Factors associated with lower acceptance included young age, such as < 18 (OR = 8.251, 95% CI: 2.009 to 33.889) and 18-29 (OR = 2.349, 95% CI: 1.564 to 3.529), and household per capita monthly income lower than 5000 yuan (OR = 1.512, 95% CI: 1.085 to 2.105). Furthermore, individuals who perceived that the case fatality rate (CFR) of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) was very low (OR = 6.010, 95% CI: 2.475 to 14.595) and that the restrictions could be eased once the CFR dropped to 2-3 times of the influenza (OR = 2.792, 95% CI: 1.939 to 4.023) showed greater oppositional attitudes. Likewise, respondents who were dissatisfied with control measures (OR = 9.639, 95% CI: 4.425 to 20.998) or preferred fully relaxation as soon as possible (OR = 13.571, 95% CI: 7.751 to 23.758) had even lower acceptability. By contrast, rural residents (OR = 0.683, 95% CI: 0.473 to 0.987), students (OR = 0.510, 95% CI: 0.276 to 0.941), public (OR = 0.417, 95% CI: 0.240 to 0.727) and private (OR = 0.562, 95% CI: 0.320 to 0.986) employees, and vaccinated participants (OR = 0.393, 95% CI: 0.204 to 0.756) were more compliant with control measures.
More than half of the Chinese public were less supportive of COVID-19 control measures during Omicron-dominant period, which varied based on their different demographic characteristics, cognition and overall attitude towards SARS-CoV-2 infection. Control measures that struck a balance between public safety and individual freedom would be more acceptable during the pandemic.
本研究旨在评估在奥密克戎主导期间公众对 2019 年冠状病毒病（COVID-19）控制措施的接受程度及其相关因素。
采用横断面设计，公开招募了 1391 名研究参与者参与问卷调查。采用 logistic 回归模型更具体地评估公众接受程度与潜在因素之间的关联。
截至 2022 年 8 月 26 日，58.9%的研究参与者对控制措施的接受程度较低，而 41.1%的参与者表示更高的接受程度。与较低的接受程度相关的因素包括年龄较小，如<18 岁（OR=8.251，95%CI：2.009 至 33.889）和 18-29 岁（OR=2.349，95%CI：1.564 至 3.529），以及家庭人均月收入低于 5000 元（OR=1.512，95%CI：1.085 至 2.105）。此外，认为严重急性呼吸综合征冠状病毒 2（SARS-CoV-2）病死率（CFR）非常低（OR=6.010，95%CI：2.475 至 14.595）且一旦 CFR 降至流感的 2-3 倍即可放宽限制（OR=2.792，95%CI：1.939 至 4.023）的个体表现出更大的反对态度。同样，对控制措施不满意的受访者（OR=9.639，95%CI：4.425 至 20.998）或希望尽快完全放松（OR=13.571，95%CI：7.751 至 23.758）的受访者接受程度更低。相比之下，农村居民（OR=0.683，95%CI：0.473 至 0.987）、学生（OR=0.510，95%CI：0.276 至 0.941）、公共（OR=0.417，95%CI：0.240 至 0.727）和私营（OR=0.562，95%CI：0.320 至 0.986）雇员以及接种疫苗的参与者（OR=0.393，95%CI：0.204 至 0.756）更遵守控制措施。
在奥密克戎主导期间，超过一半的中国公众对 COVID-19 控制措施的支持度较低，这取决于他们不同的人口统计学特征、认知和对 SARS-CoV-2 感染的总体态度。在大流行期间，在公共安全和个人自由之间取得平衡的控制措施将更受欢迎。
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