COVID-19 worries, concerns and mitigation behaviours: A snapshot of Nepal during the first wave

Autor: Melanie S. Askari, Emily Treleaven, Dirgha Ghimire, William Axinn, Sabrina Hermosilla
Rok vydání: 2023
Předmět:
Zdroj: Trop Med Int Health
ISSN: 1365-3156
Popis: OBJECTIVES: As the COVID-19 crisis evolves, it is important to understand COVID-19 worries and how they influence COVID-19 mitigation behaviours, especially in communities prior to case surges. METHODS: Data related to COVID-19 impacts on life disruptions were collected from households in the Chitwan Valley Family Study, a 25-year community panel study, during February-April 2021. COVID-19 worry was measured by the extent of respondent concern for themselves or household members getting COVID-19 in the prior two weeks. Eleven items examined COVID-19 mitigation behaviours. Logistic regression models assessed associations between socio-demographic characteristics and COVID-19 worry and then the influence of worry on any mitigation behaviour and behaviour type adjusting for age, education, gender, ethnicity, and COVID-19 exposure, accounting for neighbourhood clustering. RESULTS: Of 2,678 households with a responding adult, ages 18–88, 394 (14.7%) reported moderate to extreme COVID-19 worry and 1,214 (45.3%) engaged in three or more mitigation behaviours. Prevalence of mitigation behaviours was higher among those with COVID-19 worry (e.g., avoided crowds: 62.7% versus 40.5% in those with minimal worry). Respondents self-reporting COVID-19 had higher odds of worry (adjusted odds ratio [aOR]: 2.73, 95% confidence interval [CI]: 1.13, 6.57). Odds of any mitigation behaviour were higher amongst those with COVID-19 worry compared to those with minimal worry (aOR: 6.19, 95% CI=1.88, 20.35). CONCLUSIONS: COVID-19 mitigation behaviours were more common in people with COVID-19 worry. To address current and potential future waves of the pandemic, public health efforts should include informational campaigns about mitigation behaviours particularly for those unconcerned with COVID-19 risks.
Databáze: OpenAIRE