Maintaining guard: A mixed method study on adherence to preventive behavior in the wake of COVID vaccination from Kerala

Background: Since the introduction of COVID vaccine, there has been a palpable decline in the disease morbidity and mortality. In addition to the vaccine, adherence to preventive measures is of prime importance when it comes to the prevention of disease spread. The available evidence reiterates the need to maintain the preventive precautions until the attainment of the target vaccination coverage. There exists a gap regarding the data on adherence to self-care practices after the introduction of the vaccine in the community. Objectives: To assess the adherence to preventive behaviors against COVID-19 among vaccinated adults in central Kerala. Materials and Methods: This cross-sectional study was conducted among adults aged between 25 and 65 years in Pathanamthitta District, Central Kerala. Variables were expressed using the percentages and proportions. The Chi-square test was used for the comparison of proportions across groups. Logistic regression analyses were used to find out the determinants of nonadherence. The qualitative data collected were analyzed using the thematic analysis and classified into themes and subthemes. Results: The study showed that 134 out of 235 (57%) were adherent to COVID preventive behavior. Education of the study participants was found to be significantly associated with nonadherent behavior. The study reconnoitered a gap in practicing the preventive measures for COVID-19. Conclusion: Continuing adherence to preventive measures is necessary to combat the COVID-19 pandemic till or beyond the desired level of vaccination coverage is attained.