Understanding patterns of adherence to COVID-19 mitigation measures: a qualitative interview study
Understanding patterns of adherence to COVID-19 mitigation measures: a qualitative interview study
Background: evidence highlights the disproportionate impact of measures that have been introduced to reduce the spread of coronavirus on individuals from Black, Asian and minority ethnic (BAME) communities, and among those on a low income. An understanding of barriers to adherence in these populations is needed. In this qualitative study, we examined the patterns of adherence to mitigation measures and reasons underpinning these behaviors.
Methods: semi-structured interviews were conducted with 20 participants from BAME and low-income White backgrounds. The topic guide was designed to explore how individuals are adhering to social distancing and self-isolation during the pandemic and to explore the reasons underpinning this behavior.
Results: we identified three categories of adherence to lockdown measures: (i) caution-motivated super-adherence (ii) risk-adapted partial-adherence and (iii) necessity-driven partial-adherence. Decisions about adherence considered potential for exposure to the virus, ability to reduce risk through use of protective measures and perceived importance of/need for the behavior.
Conclusions: this research highlights a need for a more nuanced understanding of adherence to lockdown measures. Provision of practical and financial support could reduce the number of people who have to engage in necessity-driven partial-adherence. More evidence is required on population level risks of people adopting risk-adapted partial-adherence.
COVID-19, adherence, infection control, public involvement, qualitative, risk assessment
508-516
Denford, Sarah
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Morton, Kate
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Lambert, H.
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Zhang, J
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Smith, L.E.
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Cai, S
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Robin, C.
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Lasseter, G.
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Zhang, T
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Hickman, M.
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Oliver, I.
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Yardley, Lucy
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9 February 2021
Denford, Sarah
8970b5a7-8cad-4356-ad0e-88297b67db37
Morton, Kate
6fa41cd3-ba4d-476c-9020-b8ef93c7ade7
Lambert, H.
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Zhang, J
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Smith, L.E.
3fc6797c-89cd-41fd-b561-8187ddd94911
Cai, S
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Robin, C.
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Lasseter, G.
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Zhang, T
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Hickman, M.
278b63b4-126b-4db6-88a7-fcd9474d814c
Oliver, I.
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Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e
Denford, Sarah, Morton, Kate, Lambert, H., Zhang, J, Smith, L.E., Cai, S, Robin, C., Lasseter, G., Zhang, T, Hickman, M., Oliver, I. and Yardley, Lucy
(2021)
Understanding patterns of adherence to COVID-19 mitigation measures: a qualitative interview study.
Journal of Public Health, 43 (3), .
(doi:10.1093/pubmed/fdab005).
Abstract
Background: evidence highlights the disproportionate impact of measures that have been introduced to reduce the spread of coronavirus on individuals from Black, Asian and minority ethnic (BAME) communities, and among those on a low income. An understanding of barriers to adherence in these populations is needed. In this qualitative study, we examined the patterns of adherence to mitigation measures and reasons underpinning these behaviors.
Methods: semi-structured interviews were conducted with 20 participants from BAME and low-income White backgrounds. The topic guide was designed to explore how individuals are adhering to social distancing and self-isolation during the pandemic and to explore the reasons underpinning this behavior.
Results: we identified three categories of adherence to lockdown measures: (i) caution-motivated super-adherence (ii) risk-adapted partial-adherence and (iii) necessity-driven partial-adherence. Decisions about adherence considered potential for exposure to the virus, ability to reduce risk through use of protective measures and perceived importance of/need for the behavior.
Conclusions: this research highlights a need for a more nuanced understanding of adherence to lockdown measures. Provision of practical and financial support could reduce the number of people who have to engage in necessity-driven partial-adherence. More evidence is required on population level risks of people adopting risk-adapted partial-adherence.
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Adherence to self isolation_accepted
- Accepted Manuscript
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Understanding patterns of adherence
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More information
Accepted/In Press date: 4 January 2021
e-pub ahead of print date: 9 February 2021
Published date: 9 February 2021
Keywords:
COVID-19, adherence, infection control, public involvement, qualitative, risk assessment
Identifiers
Local EPrints ID: 447549
URI: http://eprints.soton.ac.uk/id/eprint/447549
ISSN: 1741-3842
PURE UUID: 4edba992-6af5-4c78-8a98-62b4d4605327
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Date deposited: 16 Mar 2021 17:30
Last modified: 17 Mar 2024 02:47
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Contributors
Author:
Sarah Denford
Author:
H. Lambert
Author:
J Zhang
Author:
L.E. Smith
Author:
S Cai
Author:
C. Robin
Author:
G. Lasseter
Author:
T Zhang
Author:
M. Hickman
Author:
I. Oliver
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