TY - JOUR
T1 - Factors associated with willingness to wear a mask to prevent the spread of COVID-19 in a Midwestern Community
AU - Sinicrope, Pamela S.
AU - Maciejko, Laura A.
AU - Fox, Jean M.
AU - Steffens, Michelle T.
AU - Decker, Paul A.
AU - Wheeler, Philip
AU - Juhn, Young J.
AU - Wi, Chung Il
AU - Gorfine, Mary
AU - Patten, Christi A.
N1 - Funding Information:
We wish to thank members of the Community Engagement in Research Advisory Board (CERAB) for their input into the design, implementation, and dissemination of the study. We thank members of the FAITH! (Fostering African American Improvement in Total Health) Community Steering Committee COVID-19 Task Force, Mr. Clarence Jones, Mrs. Monisha Richard and Mrs. Jamia Erickson for their support with survey distribution. We thank Ms. Kimberly Kinnoin and Ms. Michelle Pearson for manuscript assistance. We appreciate the contributions of Dr. Kathleen Yost, PhD and Ms. Ann Harris from the Mayo Clinic Survey Research Center and Ms. Angelita Falla, from the Center Clinic who provided feedback on survey development and community outreach. We are grateful to Mayo Clinic, Rochester Division of Gastroenterology and their COVID-19 Focus Group for providing support for the development of this study.
Funding Information:
This work was supported by grant number UL1 TR002377 from the National Center for Advancing Translational Sciences. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the National Institutes of Health.
Publisher Copyright:
© 2021
PY - 2021/12
Y1 - 2021/12
N2 - Objective: To identify motivators and barriers to wearing a mask to prevent COVID-19. Participants and methods: An anonymous, online survey of adults from Southeastern Minnesota conducted August 2020. We assessed willingness to wear a mask and its associations with socio-demographics, COVID-19-related factors and prevention behaviors using multivariable ordinal logistic regression. Results: Of 7,786 respondents (78% women, 51% rural), 9% reported ‘not at all willing’, 27% ‘willing’, and 64% ‘very willing’ to wear a mask. Factors independently associated with willingness to wear a mask were: urban residence (OR = 1.23, 95% CI 1.05–1.44, p = 0.009); college degree or greater (OR 1.42, CI 1.05–1.93, p = 0.025); age (18–29 years OR 1.29, CI 01.02–1.64, p = 0.038; 30–39 OR = 1.37, CI 1.12–1.69, p = 0.003; 60–69 OR = 1.44, CI 1.09–1.91, p = 0.011; 70–89 OR 2.09, CI 1.32–3.37, p = 0.002; 40–49 reference group); and (all p < 0.001) democratic party affiliation (OR 1.79, CI 1.40–2.29), correct COVID-19 knowledge (OR 1.50, CI 1.28–1.75), 5 + COVID-19 prevention behaviors (OR 2.74, CI 1.98–3.81), positive perceived impacts for wearing a mask (OR 1.55, 1.52–1.59), perceived COVID-19 severity (OR 2.1, CI 1.44–3.1), and greater stress (OR 1.03, CI 1.02–1.04), and trust in the Centers for Disease Control (CDC) (OR 1.78, CI 1.45 –2.19). Conclusion: Results from this sample of SEMN residents suggest interventions to enhance COVID-19 knowledge, positive expectations for mask wearing, and trust in the CDC are warranted. Research is needed to understand cultural and other barriers and facilitators among sub-populations, e.g., rural residents less willing to wear a mask.
AB - Objective: To identify motivators and barriers to wearing a mask to prevent COVID-19. Participants and methods: An anonymous, online survey of adults from Southeastern Minnesota conducted August 2020. We assessed willingness to wear a mask and its associations with socio-demographics, COVID-19-related factors and prevention behaviors using multivariable ordinal logistic regression. Results: Of 7,786 respondents (78% women, 51% rural), 9% reported ‘not at all willing’, 27% ‘willing’, and 64% ‘very willing’ to wear a mask. Factors independently associated with willingness to wear a mask were: urban residence (OR = 1.23, 95% CI 1.05–1.44, p = 0.009); college degree or greater (OR 1.42, CI 1.05–1.93, p = 0.025); age (18–29 years OR 1.29, CI 01.02–1.64, p = 0.038; 30–39 OR = 1.37, CI 1.12–1.69, p = 0.003; 60–69 OR = 1.44, CI 1.09–1.91, p = 0.011; 70–89 OR 2.09, CI 1.32–3.37, p = 0.002; 40–49 reference group); and (all p < 0.001) democratic party affiliation (OR 1.79, CI 1.40–2.29), correct COVID-19 knowledge (OR 1.50, CI 1.28–1.75), 5 + COVID-19 prevention behaviors (OR 2.74, CI 1.98–3.81), positive perceived impacts for wearing a mask (OR 1.55, 1.52–1.59), perceived COVID-19 severity (OR 2.1, CI 1.44–3.1), and greater stress (OR 1.03, CI 1.02–1.04), and trust in the Centers for Disease Control (CDC) (OR 1.78, CI 1.45 –2.19). Conclusion: Results from this sample of SEMN residents suggest interventions to enhance COVID-19 knowledge, positive expectations for mask wearing, and trust in the CDC are warranted. Research is needed to understand cultural and other barriers and facilitators among sub-populations, e.g., rural residents less willing to wear a mask.
KW - Behavioral science
KW - COVID-19
KW - Community-engaged research
KW - Face covering
KW - Mask
KW - Public health
KW - Social cognitive theory
KW - Survey research
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U2 - 10.1016/j.pmedr.2021.101543
DO - 10.1016/j.pmedr.2021.101543
M3 - Article
AN - SCOPUS:85114768607
SN - 2211-3355
VL - 24
JO - Preventive Medicine Reports
JF - Preventive Medicine Reports
M1 - 101543
ER -