Factors associated with wearing a facemask in shops in England following removal of a legal requirement to do so during the COVID-19 pandemic

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology Pub Date : 2023-08-03 DOI:10.1111/bjhp.12684

Louise E. Smith, Robert West, Henry W. W. Potts, Richard Amlôt, Nicola T. Fear, G. James Rubin, Susan Michie

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引用次数: 0

Abstract

Objectives

We aimed to identify psychological factors associated with the use of facemasks in shops in England following removal of legal requirements to do so, and to compare associations with and without legal restrictions.

Design

Repeated cross-sectional online surveys (n ≈ 2000 adults) between August 2020 and April 2022 (68,716 responses from 45,682 participants) using quota sampling.

Methods

The outcome measure was whether those who had visited a shop for essentials in the previous seven days reported always having worn a facemask versus sometimes or not at all. Psychological predictor variables included worry, perceived risk and severity of COVID-19 and the perceived effectiveness of facemasks. Socio-demographic variables and measures of clinical vulnerability were also measured. For the period following removal of legal restrictions, multivariable regression was used to assess associations between the primary outcome variable and predictors adjusting for socio-demographic and clinical vulnerability measures. The analysis was repeated including interactions between psychological predictors and presence versus absence of legal restrictions.

Results

Worry about COVID-19, beliefs about risks and severity of COVID-19 and effectiveness of facemasks were substantially and independently associated with the use of facemasks. Removal of legal obligations to wear facemasks was associated with a 25% decrease in wearing facemasks and stronger associations between psychological predictors and wearing facemasks.

Conclusions

Legal obligations increase rates of wearing a facemask. Psychological factors associated with wearing a facemask could be targets for interventions aiming to alter rates of wearing a facemask. These interventions may be more effective when there are no legal obligations to wear a face covering in place.

Abstract Image

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在 COVID-19 大流行期间，英国取消了佩戴口罩的法律要求，但在商店佩戴口罩的相关因素。

目的：我们的目的是确定在英国取消法律规定后，在商店使用口罩的相关心理因素，并比较有法律限制和没有法律限制的情况：我们旨在确定在英国取消法律规定后，在商店使用口罩的相关心理因素，并比较有法律限制和没有法律限制的相关因素：设计：在 2020 年 8 月至 2022 年 4 月期间，采用配额抽样法重复进行横截面在线调查（n ≈ 2000 名成人）（来自 45682 名参与者的 68716 份回复）：结果衡量标准是，在过去七天内曾到商店购买生活必需品的人是否表示一直戴着口罩，而不是有时戴或根本不戴。心理预测变量包括担忧、COVID-19 的感知风险和严重程度以及口罩的感知效果。此外，还对社会人口变量和临床易感性进行了测量。在取消法律限制后的一段时间内，采用多变量回归法评估主要结果变量与预测因素之间的关系，并对社会人口变量和临床脆弱性测量值进行调整。重复进行的分析包括心理预测因素与是否存在法律限制之间的交互作用：结果：对 COVID-19 的担忧、对 COVID-19 风险和严重性的看法以及口罩的有效性与口罩的使用有很大的独立相关性。取消佩戴口罩的法律义务后，佩戴口罩的人数减少了 25%，心理预测因素与佩戴口罩之间的关联性更强：结论：法律义务提高了佩戴口罩的比例。与佩戴口罩相关的心理因素可作为干预目标，以改变佩戴口罩的比例。如果没有佩戴面罩的法律义务，这些干预措施可能会更有效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

British Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

14.10

自引率

1.30%

发文量

期刊介绍： The focus of the British Journal of Health Psychology is to publish original research on various aspects of psychology that are related to health, health-related behavior, and illness throughout a person's life. The journal specifically seeks articles that are based on health psychology theory or discuss theoretical matters within the field.