Socioeconomic Status and Adherence to Preventive Measures During the COVID-19 Pandemic in Switzerland: A Population Based Digital Cohort Analysis.

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS

ACS Applied Bio Materials Pub Date : 2024-07-03 eCollection Date: 2024-01-01 DOI:10.3389/ijph.2024.1606861

Stefano Tancredi, Bernadette W A van der Linden, Arnaud Chiolero, Stéphane Cullati, Medea Imboden, Nicole Probst-Hensch, Dirk Keidel, Melissa Witzig, Julia Dratva, Gisela Michel, Erika Harju, Irene Frank, Elsa Lorthe, Hélène Baysson, Silvia Stringhini, Christian R Kahlert, Julia B Bardoczi, Moa Lina Haller, Patricia O Chocano-Bedoya, Nicolas Rodondi, Rebecca Amati, Emiliano Albanese, Laurie Corna, Luca Crivelli, Marco Kaufmann, Anja Frei, Viktor von Wyl

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引用次数: 0

Abstract

Objectives: To assess the association between socioeconomic status (SES) and self-reported adherence to preventive measures in Switzerland during the COVID-19 pandemic.

Methods: 4,299 participants from a digital cohort were followed between September 2020 and November 2021. Baseline equivalised disposable income and education were used as SES proxies. Adherence was assessed over time. We investigated the association between SES and adherence using multivariable mixed logistic regression, stratifying by age (below/above 65 years) and two periods (before/after June 2021, to account for changes in vaccine coverage and epidemiological situation).

Results: Adherence was high across all SES strata before June 2021. After, participants with higher equivalised disposable income were less likely to adhere to preventive measures compared to participants in the first (low) quartile [second (Adj.OR, 95% CI) (0.56, 0.37-0.85), third (0.38, 0.23-0.64), fourth (0.60, 0.36-0.98)]. We observed similar results for education.

Conclusion: No differences by SES were found during the period with high SARS-CoV-2 incidence rates and stringent measures. Following the broad availability of vaccines, lower incidence, and eased measures, differences by SES started to emerge. Our study highlights the need for contextual interpretation when assessing SES impact on adherence to preventive measures.

查看原文本刊更多论文

瑞士 COVID-19 大流行期间的社会经济状况和预防措施的坚持情况：基于人口的数字队列分析。

目的方法：在 2020 年 9 月至 2021 年 11 月期间，对数字队列中的 4299 名参与者进行跟踪调查。基线等值可支配收入和教育程度被用作社会经济地位的替代指标。随时间推移对依从性进行评估。我们使用多变量混合逻辑回归法研究了社会经济地位与依从性之间的关系，并按年龄（65 岁以下/65 岁以上）和两个时期（2021 年 6 月之前/之后，以考虑疫苗覆盖率和流行病学情况的变化）进行了分层：结果：2021 年 6 月之前，所有社会经济地位阶层的接种率都很高。之后，与第一（低）四分位数的参与者相比，等值可支配收入较高的参与者坚持采取预防措施的可能性较低[第二（Adj.OR，95% CI）（0.56，0.37-0.85），第三（0.38，0.23-0.64），第四（0.60，0.36-0.98）]。在教育方面，我们也观察到了类似的结果：结论：在 SARS-CoV-2 高发期和采取严格措施期间，没有发现社会经济地位的差异。随着疫苗的广泛使用、发病率的降低和措施的放松，社会经济地位的差异开始显现。我们的研究强调，在评估社会经济地位对遵守预防措施的影响时，需要根据具体情况作出解释。

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

ACS Applied Bio Materials Chemistry-Chemistry (all)

CiteScore

9.40

自引率

2.10%

发文量

464