Original Article

Correlation of Population Factors, Compliance with Masking and Social Distance, Vaccination, and COVID-19 Infection in Central Appalachia

Authors: J. Suzanne Moore, MD, Hibah Virk, BA, Jeffrey A. Summers, MD

Abstract

Objectives: Compliance with coronavirus disease 2019 (COVID-19) guidelines, including the use of masks and social distancing and vaccinations, has been poor. Our study examined what factors may identify those who will be more or less compliant, especially in regard to those with identified higher risk.

Methods: A telephone survey of 200 adult patients from two practices, one general internal medicine and the other rheumatology, was performed in May and June 2021. Questions included age, sex, perception of immunocompetence, smoking history, mask and social distancing compliance, COVID-19 symptoms and/or test-proven infection, and immunization status for COVID-19. Those agreeing to participate also underwent chart review for body mass index, physician-assessed immunocompetence, and diabetes mellitus.

Results: No clinical factors approached statistical significance for the prediction of compliance or noncompliance. Compliance with mask and social distancing highly correlated with vaccination and avoidance of infection, however.

Conclusions: Attempts to improve compliance cannot be focused on any of the particular groups examined in this study.
Posted in: Infectious Disease143

Full Article

Having trouble viewing the article content below? Click here to open it directly.

Images

Download Image

Download Image

References

 
2. Centers for Disease Control and Prevention. COVID data tracker. https://covid.cdc.gov/covid-data-tracker/#datatracker-home. Accessed September 1, 2021.
 
3. Machingaidz S, Wiysonge CS. Understanding COVID-19 vaccine hesitancy. Nat Med 2021;27:1338–1339.
 
4. Shmueli L. Predicting intention to receive COVID-19 vaccine among the general population using the health belief model and the theory of planned behavior model. BMC Public Health 2021;21:804.
 
5. Pedersen M, Favero N. Social distancing during the COVID-19 pandemic: who are the present and future noncompliers? Public Admin Rev 2020;80: 805–814.
 
6. Fazio R, Ruisch B, Moore C, et al. Who is (not) complying with the U.S. social distancing direction and why? Testing a general framework of compliance with virtual measure of social distancing. PLoS ONE 2021;16:e0247520.