The impact of believing you have had COVID-19 on behaviour: Cross-sectional survey

Smith, Louise; Mottershaw, Abigail; Egan, Mark; Waller, Jo; Marteau, Theresa; Rubin, G James

doi:10.1101/2020.04.30.20086223

Cited by 13 publications

(14 citation statements)

References 8 publications

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“…Evidence suggests that people who think they have had COVID-19 are less likely to adhere to personal protective measures which prevent the spread of the virus. 19 We found that that people who reported not adhering to physical distancing measures in the last two weeks were more likely to have been involved in confrontation. Therefore, people who reported having had COVID-19 may have been more likely to be involved in conflict due to non-adherence to personal protective behaviours.…”

Section: Resultsmentioning

confidence: 66%

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Anger and confrontation during the COVID-19 pandemic: a national cross-sectional survey in the UK

et al. 2020

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Objectives To investigate factors associated with anger or confronting others due to COVID-19. Design Online cross-sectional survey. Setting Data were collected between 17 and 20 July 2020. Participants A total of 2237 participants living in the UK aged 16–75 years. Main outcome measures Reporting having had arguments, felt angry or fallen out with others because of COVID-19. Reporting having confronted or reported someone to the authorities, or that you had been confronted or reported to the authorities, for not wearing a face covering; not keeping your distance from others or being in too large a group; or alternatively following recommended measures too carefully. We used logistic regression analyses to identify factors associated with anger and confrontation. Results Most participants reported having had arguments, feeling angry or fallen out with others because of COVID-19 (56%, n = 1255). Twenty-two percent (n = 500) of participants reported that they had confronted or reported someone. Fourteen percent (n = 304) of participants reported that they had been confronted or reported by someone. Confronting someone, having been confronted and feeling angry or having had arguments were strongly associated with each other. Anger and confrontation were associated with younger age, greater likelihood of experiencing significant financial difficulties due to the pandemic, greater perceived risk of COVID-19 and getting information about COVID-19 from social media. Conclusions Measures put in place to prevent the spread of COVID-19 have caused considerable strain. Increased support, clear messaging on the rationale for easing restrictions and combatting misinformation on social media may all help decrease tension.

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Section: Resultsmentioning

confidence: 66%

“…Objective knowledge was measured by asking participants what they thought the most common symptoms of COVID-19 were. 19 …”

Section: Methodsmentioning

confidence: 99%

Anger and confrontation during the COVID-19 pandemic: a national cross-sectional survey in the UK

et al. 2020

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“…In the absence of guidance, social distancing can decrease in those who believe (rightly or wrongly) they have had COVID-19. 10…”

Section: Isolationmentioning

confidence: 99%

Improving adherence to ‘test, trace and isolate’

et al. 2020

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Isolating sick patients, tracing their contacts and placing them into quarantine is a strategy used by generations of public health physicians in their fight against infectious disease. As coronavirus lockdowns around the world start to ease, new systems based on this strategy are being rolled out to prevent a resurgence of the pandemic. If these systems do not consider the behavioural issues posed by symptom reporting and quarantine, they will struggle to meet their goals. The goals of this commentary are to outline the key behavioural issues that a test, trace and isolate system for the management of COVID-19 will face, and to suggest specific ways that system design can address these. In this paper, we highlight five areas in which these behavioural issues should be taken into account, structured to follow the steps of the test, trace and isolate process: development of symptoms; reporting of symptoms; isolation; reporting of contacts; and quarantining contacts. The issues we highlight largely apply regardless of the modality of system, be it via an app, website or in-person consultation.

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“…There is some evidence that people who think they have had COVID-19 are less likely to adhere to lockdown measures. 6 …”

Section: Introductionmentioning

confidence: 99%

Factors associated with adherence to self-isolation and lockdown measures in the UK: a cross-sectional survey

et al. 2020

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Objectives To investigate factors associated with adherence to self-isolation and lockdown measures due to COVID-19 in the UK. Study design Online cross-sectional survey. Methods Data were collected between 6th and 7th May 2020. A total of 2240 participants living in the UK aged 18 years or older were recruited from YouGov's online research panel. Results A total of 217 people (9.7%) reported that they or someone in their household had symptoms of COVID-19 (cough or high temperature/fever) in the last 7 days. Of these people, 75.1% had left the home in the last 24 h (defined as non-adherent). Men were more likely to be non-adherent, as were people who were less worried about COVID-19, and who perceived a smaller risk of catching COVID-19. Adherence was associated with having received help from someone outside your household. Results should be taken with caution as there was no evidence for associations when controlling for multiple analyses. Of people reporting no symptoms in the household, 24.5% had gone out shopping for non-essentials in the last week (defined as non-adherent). Factors associated with non-adherence and with a higher total number of outings in the last week included decreased perceived effectiveness of government ‘lockdown’ measures, decreased perceived severity of COVID-19 and decreased estimates of how many other people were following lockdown rules. Having received help was associated with better adherence. Conclusions Adherence to self-isolation is poor. As we move into a new phase of contact tracing and self-isolation, it is essential that adherence is improved. Communications should aim to increase knowledge about actions to take when symptomatic or if you have been in contact with a possible COVID-19 case. They should also emphasise the risk of catching and spreading COVID-19 when out and about and the effectiveness of preventative measures. Using volunteer networks effectively to support people in isolation may promote adherence.

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The impact of believing you have had COVID-19 on behaviour: Cross-sectional survey

Cited by 13 publications

References 8 publications

Anger and confrontation during the COVID-19 pandemic: a national cross-sectional survey in the UK

Anger and confrontation during the COVID-19 pandemic: a national cross-sectional survey in the UK

Improving adherence to ‘test, trace and isolate’

Factors associated with adherence to self-isolation and lockdown measures in the UK: a cross-sectional survey

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