COVID-19 risk perceptions of social interaction and essential activities and inequity in the USA: results from a nationally representative survey.

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  • Additional Information
    • Source:
      Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101552874 Publication Model: Electronic Cited Medium: Internet ISSN: 2044-6055 (Electronic) Linking ISSN: 20446055 NLM ISO Abbreviation: BMJ Open Subsets: MEDLINE
    • Publication Information:
      Original Publication: [London] : BMJ Publishing Group Ltd, 2011-
    • Subject Terms:
      COVID-19*; Adult ; Aged ; Female ; Humans ; Male ; Pandemics ; SARS-CoV-2 ; Social Interaction ; Surveys and Questionnaires ; United States
    • Abstract:
      Introduction: SARS-CoV-2 has disproportionately affected disadvantaged communities across the USA. Risk perceptions for social interactions and essential activities during the COVID-19 pandemic may vary by sociodemographic factors.
      Methods: We conducted a nationally representative online survey of 1592 adults in the USA to understand risk perceptions related to transmission of COVID-19 for social (eg, visiting friends) and essential activities (eg, medical visits or returning to work). We assessed relationships for activities using bivariate comparisons and multivariable logistic regression modelling, between responses of safe and unsafe, and participant characteristics. Data were collected and analysed in 2020.
      Results: Among 1592 participants, risk perceptions of unsafe for 13 activities ranged from 29.2% to 73.5%. Large gatherings, indoor dining and visits with elderly relatives had the highest proportion of unsafe responses (>58%), while activities outdoor, accessing healthcare and going to the grocery store had the lowest (<36%). Older respondents were more likely to view social gatherings and indoor activities as unsafe but less likely for other activities, such as going to the grocery store and accessing healthcare. Compared with white/Caucasian respondents, black/African-American and Hispanic/Latino respondents were more likely to view activities such as dining and visiting friends outdoor as unsafe. Generally, men versus women, Republicans versus Democrats and independents, and individuals with higher versus lower income were more likely to view activities as safe.
      Conclusion: Evidence-based interventions should be tailored to sociodemographic differences in risk perception, access to information and health behaviours when implementing efforts to control the COVID-19 pandemic.
      Competing Interests: Competing interests: SHM reports personal fees from Gilead Sciences, outside the submitted work. SSS reports grants/products from Gilead Sciences and grants/products from Abbott Diagnostics, outside the submitted work.
      (© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
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    • Contributed Indexing:
      Keywords: COVID-19; epidemiology; public health
    • Publication Date:
      Date Created: 20220208 Date Completed: 20220210 Latest Revision: 20220216
    • Publication Date:
      20221213
    • Accession Number:
      PMC8822534
    • Accession Number:
      10.1136/bmjopen-2021-051882
    • Accession Number:
      35131820