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10.1016/j.amepre.2020.05.001

http://scihub22266oqcxt.onion/10.1016/j.amepre.2020.05.001
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suck abstract from ncbi


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pmid32576418      Am+J+Prev+Med 2020 ; 59 (2): 157-167
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  • Relationships Between Initial COVID-19 Risk Perceptions and Protective Health Behaviors: A National Survey #MMPMID32576418
  • Bruine de Bruin W; Bennett D
  • Am J Prev Med 2020[Aug]; 59 (2): 157-167 PMID32576418show ga
  • INTRODUCTION: Perceptions of health risks inform decisions about protective behaviors, but COVID-19 was an unfamiliar risk as it began to spread across the U.S. In the initial stage of the epidemic, authors examined perceived risks for COVID-19 infection and infection fatality and whether these risk perceptions were associated with protective behaviors. They also examined whether findings differed between later versus earlier responders. METHODS: Between March 10 and March 31, 2020, a cross-sectional online survey was conducted with a nationally representative U.S. sample (n=6,684). Half responded before March 13, 2020 (versus later). Participants assessed their risks of COVID-19 infection and infection fatality (0%-100%) which were transformed into quartiles (1-4). They reported their implementation of protective behaviors like handwashing and social distancing (yes/no). Analyses were conducted in April?May 2020. RESULTS: Median perceived risk was 10.00% for COVID-19 infection and 5.00% for infection fatality, but respondents showed large disagreement. An increase of 1 quartile in perceived infection risk was associated with being 1.45 times (95% CI=1.33, 1.58) more likely to report handwashing, with perceived infection fatality risk showing no significant association. When predicting social distancing behaviors such as avoiding crowds, both quartile-based risk perceptions were significant (OR=1.24, 95% CI=1.17, 1.30 for infection and OR=1.19, 95% CI=1.13, 1.26 for infection fatality). Perceived COVID-19 infection risk, protective behaviors, and their relationship increased among later (versus earlier) responders. CONCLUSIONS: Despite disagreements about the risks, people perceiving greater risks were more likely to implement protective behaviors-especially later (versus earlier) in March 2020. These findings have implications for risk communication.
  • |*Health Behavior[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |COVID-19[MESH]
  • |Communicable Diseases, Emerging/*prevention & control[MESH]
  • |Coronavirus Infections/epidemiology/*prevention & control[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Disease Outbreaks/*prevention & control/statistics & numerical data[MESH]
  • |Female[MESH]
  • |Hand Disinfection/methods[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Masks/statistics & numerical data[MESH]
  • |Middle Aged[MESH]
  • |Pandemics/*prevention & control[MESH]
  • |Perception[MESH]
  • |Pneumonia, Viral/epidemiology/*prevention & control[MESH]
  • |Primary Prevention/*methods[MESH]
  • |Risk Assessment[MESH]
  • |Risk-Taking[MESH]
  • |Time Factors[MESH]


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