Self protective behavior patterns and influencing factors of Chinese residents during the COVID-19 epidemic
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摘要:
目的 分析2020年我国居民在COVID-19疫情防控期间出门戴口罩、外出回家洗手、避免不必要外出和减少不必要聚会的行为特征,探讨以上4种个人防护行为的群体差异及其影响因素,从而为进一步做好疫情防控提供科学依据。 方法 从“2020年新冠疫情防控及其影响调查”中选取18周岁及以上的全国居民作为研究对象,共4 123人。采用χ2检验比较不同特征人群在出门戴口罩、外出回家洗手、避免不必要外出和减少不必要聚会4种行为上的差异,并利用多因素Logistic回归分析模型分析4种行为的影响因素。 结果 调查对象做到上述4种个人防护行为的比例都很高,分别为96.09%、94.66%、91.12%和95.22%。同时存在群体差异,多因素Logistic回归分析模型分析显示,出门戴口罩的影响因素为性别(OR=2.40, P < 0.001)、城乡(OR=0.48, P < 0.001)、居住地是否在武汉市(OR=0.27, P=0.001; OR=0.13, P < 0.001);外出回家洗手的影响因素为性别(OR=2.18, P < 0.001)、分组年龄(OR=3.14, P < 0.001; OR=8.29, P < 0.001; OR=4.69, P < 0.001)、城乡(OR=0.73, P=0.050)、受教育程度(OR=1.53, P=0.059; OR=2.35, P < 0.001)、居住地是否在武汉市(OR=0.70, P=0.089);避免不必要外出的影响因素为性别(OR=2.05, P < 0.001)、分组年龄(OR=2.77, P < 0.001; OR=3.30, P < 0.001; OR=5.43, P < 0.001)、城乡(OR=1.64, P=0.001)、受教育程度(OR=1.50, P=0.026)、居住地是否在武汉市(OR=0.73, P=0.056; OR=0.63, P=0.002);减少不必要聚会的影响因素为性别(OR=1.97, P < 0.001)、分组年龄(OR=2.94, P < 0.001; OR=3.00, P=0.002; OR=3.33, P=0.003)、受教育程度(OR=0.52, P=0.032; OR=0.61, P=0.097)、居住地是否在武汉市(OR=0.69, P=0.094; OR=0.58, P=0.006)。 结论 COVID-19疫情防控期间我国居民在个人防护方面总体做得很好,表现出一定的群体差异,相关政策的制定及个人防护的宣传应对特定人群和特定区域有所偏重。 Abstract:Objective To analyze Chinese residents′ behavior characteristics in regards to wearing masks, washing their hands upon returning home, avoiding unnecessary leaving home and reducing unnecessary parties during the COVID-19 epidemic in 2020. To investigate the demographic differences and influential factors of the above four individual protective behaviors, and to provide scientific basis for epidemic prevention and control. Methods A total of 4 123 Chinese residents aged 18 years and over were selected from the 2020 COVID-19 Prevention and Control and Its Impact Survey. The Chi-square test was used to examine the differences in the four behaviors among different demographic groups, and multiple Logistic regression analysis models were used to analyze the factors of the four behaviors. Results The percentage of practicing the above four individual protective behaviors was very high, which were 96.09%, 94.66%, 91.12%, 95.22%, respectively. Meanwhile, there were significant difference among different groups. Multivariate Logistic analysis showed that the analysis main factors affecting wearing masks were gender (OR=2.40, P < 0.001), urban or rural area (OR=0.48, P < 0.001), whether in Wuhan (OR=0.27, P=0.001; OR=0.13, P < 0.001); for washing their hands upon returning home the factors were gender (OR=2.18, P < 0.001), group age (OR=3.14, P < 0.001; OR=8.29, P < 0.001; OR=4.69, P < 0.001), urban or rural area (OR=0.73, P=0.050), education level (OR=1.53, P=0.059; OR=2.35, P < 0.001), whether in Wuhan (OR=0.70, P=0.089); for avoiding unnecessary leaving home the factors were gender (OR=2.05, P < 0.001), group age (OR=2.77, P < 0.001; OR=3.30, P < 0.001; OR=5.43, P < 0.001), urban or rural area (OR=1.64, P=0.001), education level (OR=1.50, P=0.026), whether in Wuhan (OR=0.73, P=0.056; OR=0.63, P=0.002); and for reducing unnecessary parties the factors were gender (OR=1.97, P < 0.001), group age (OR=2.94, P < 0.001; OR=3.00, P=0.002; OR=3.33, P=0.003), education level (OR=0.52, P=0.032; OR=0.61, P=0.097), whether in Wuhan (OR=0.69, P=0.094; OR=0.58, P=0.006). Conclusions During the COVID-19 epidemic, Chinese residents did a good job in personal protection. But there were still group differences. So, the formulation of relevant policies and personal protection publicity should be varied based on specific groups of people and specific areas. -
Key words:
- COVID-19 /
- Self-protective behavior /
- Influencing factors
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表 1 COVID-19疫情期间不同特征居民做到4类自我防护行为的比较[n(%)]
Table 1. Comparisons on four types of self-protective behavior among residents with different characteristics during the COVID-19 epidemic [n(%)]
变量 出门戴口罩 χ2值 P值 外出回家洗手 χ2值 P值 避免不必要外出 χ2值 P值 减少不必要聚会 χ2值 P值 个人特征 性别 23.95 < 0.001 21.79 < 0.001 32.52 < 0.001 14.21 < 0.001 男 2 573(94.95) 2 574(93.40) 2 573(89.16) 2 573(94.25) 女 1 548(98.00) 1 548(96.77) 1 547(94.38) 1 548(96.83) 分组年龄(岁) 0.75 0.861 54.77 < 0.001 78.95 < 0.001 59.45 < 0.001 18~<30 1 687(95.95) 1 688(91.59) 1 687(86.48) 1 687(92.18) 30~<50 1 620(96.17) 1 620(96.54) 1 619(94.19) 1 620(97.35) 50~<60 399(96.49) 399(98.25) 399(94.74) 399(97.49) ≥60 313(96.81) 313(96.49) 313(95.85) 313(97.76) 城乡 39.36 < 0.001 14.21 < 0.001 4.58 0.032 0.72 0.395 城市 3 165(97.16) 3 165(95.39) 3 164(90.61) 3 165(95.07) 农村 940(92.66) 941(92.24) 940(92.87) 940(95.74) 教育程度 7.69 0.021 4.09 0.130 1.81 0.405 12.09 0.002 初中及以下 747(94.91) 747(93.17) 747(92.37) 747(97.59) 高中、中专、技校 847(95.16) 847(94.81) 845(91.01) 846(95.27) 大学专科及以上 2 527(96.76) 2 528(95.06) 2 528(90.78) 2 528(94.50) 职业类型 29.80 0.001 25.18 0.005 22.30 0.014 21.81 0.016 高级管理人员 213(96.24) 213(96.71) 213(92.02) 213(95.77) 专业技术人员 646(97.52) 646(94.89) 646(91.18) 646(94.89) 一般职工、办事人员 517(98.07) 517(96.71) 517(91.30) 517(95.36) 商业与服务业人员 342(96.78) 342(93.86) 341(90.03) 342(94.74) 技术工人 296(94.59) 296(90.88) 296(89.53) 296(95.95) 普通工人 197(91.88) 197(94.92) 197(92.39) 196(97.45) 农民、初级劳动者 257(92.61) 257(92.61) 257(92.22) 257(97.28) 个体工商户 317(95.90) 317(93.38) 317(87.70) 317(93.06) 在读学生 391(95.65) 392(92.60) 392(87.24) 392(91.84) 退休或无业 600(96.67) 600(96.00) 600(94.17) 600(96.83) 其他 324(95.37) 324(96.30) 323(92.88) 324(95.06) 自评经济水平 0.43 0.805 1.12 0.571 3.08 0.215 0.87 0.647 中上等 335(95.82) 335(94.33) 335(91.64) 334(94.31) 中等 2 325(96.26) 2 326(95.01) 2 326(91.75) 2 326(95.23) 中下等 1 426(95.86) 1 426(94.25) 1 424(91.10) 1 426(95.25) 地区与疫情特征 居住地 62.54 < 0.001 14.59 0.001 18.36 < 0.001 12.40 0.002 武汉市 1 282(99.22) 1 282(96.57) 1 282(93.92) 1 281(96.96) 湖北省其他市 1 044(96.46) 1 044(93.20) 1 043(90.41) 1 044(94.54) 湖北省以外其他省 1 773(93.63) 1 774(94.14) 1 773(89.57) 1 774(94.36) 自评疫情等级 19.35 < 0.001 1.85 0.603 5.69 0.128 1.95 0.583 高风险 115(99.13) 115(93.04) 115(86.96) 115(95.65) 中风险 432(97.92) 432(95.14) 432(91.44) 432(96.53) 低风险 2 526(96.48) 2 526(94.89) 2 524(91.76) 2 525(95.13) 零风险 1 039(94.03) 1 040(94.04) 1 040(89.90) 1 040(94.90) 表 2 COVID-19疫情期间我国居民4类个人防护行为影响因素的多因素Logistic回归分析模型
Table 2. Multivariate Logistic regression analysis on four types of self-protective behavior of Chinese residents during the COVID-19 epidemic
自变量 出门戴口罩 外出回家洗手 避免不必要外出 减少不必要聚会 OR(95% CI)值 P值 OR(95% CI)值 P值 OR(95% CI)值 P值 OR(95% CI)值 P值 性别 男 1.00 1.00 1.00 1.00 女 2.40(1.59~3.61) < 0.001 2.18(1.56~3.05) < 0.001 2.05(1.59~2.65) < 0.001 1.97(1.40~2.76) < 0.001 分组年龄(岁) 18~<30 1.00 1.00 1.00 1.00 30~<50 1.03(0.70~1.50) 0.892 3.14(2.23~4.43) < 0.001 2.77(2.12~3.61) < 0.001 2.94(2.03~4.25) < 0.001 50~<60 1.34(0.71~2.52) 0.359 8.29(3.74~18.34) < 0.001 3.30(2.03~5.37) < 0.001 3.00(1.52~5.94) 0.002 ≥60 1.70(0.80~3.63) 0.167 4.69(2.34~9.37) < 0.001 5.43(2.86~10.34) < 0.001 3.33(1.49~7.44) 0.003 城乡 城市 1.00 1.00 1.00 1.00 农村 0.48(0.33~0.69) < 0.001 0.73(0.53~1.00) 0.050 1.64(1.21~2.22) 0.001 1.18(0.81~1.73) 0.389 教育程度 初中及以下 1.00 1.00 1.00 1.00 高中、中专、技校 0.78(0.47~1.27) 0.313 1.53(0.98~2.40) 0.059 1.08(0.73~1.58) 0.704 0.52(0.28~0.95) 0.032 大学专科及以上 1.06(0.65~1.71) 0.815 2.35(1.56~3.53) < 0.001 1.50(1.05~2.14) 0.026 0.61(0.34~1.09) 0.097 地区与疫情特征 居住地 武汉市 1.00 1.00 1.00 1.00 湖北省其他市 0.27(0.13~0.57) 0.001 0.70(0.47~1.05) 0.089 0.73(0.53~1.01) 0.056 0.69(0.44~1.07) 0.094 湖北省以外其他省 0.13(0.07~0.26) < 0.001 0.79(0.54~1.15) 0.211 0.63(0.47~0.84) 0.002 0.58(0.39~0.86) 0.006 -
[1] Coronaviridae Study Group of the International Committee on Taxonomy of Viruses. The species severe acute respiratory syndrome-related coronavirus: classifying 2019-nCoV and naming it SARS-CoV-2[J]. Nat Microbiol, 2020, 5(4): 536-544. DOI: 10.1038/s41564-020-0695-z. [2] World Health Organization. WHO timeline-COVID-19[EB/OL]. (2020-04-27)[2021-02-15]. https://www.who.int/news/item/27-04-2020-who-timeline-COVID-19. [3] 国务院应对新型冠状病毒肺炎疫情联防联控机制综合组. 新型冠状病毒肺炎防控方案(第七版)[EB/OL]. (2020-09-25)[2021-02-15]. http://www.gov.cn/xinwen/2020-09/15/content_5543680.htm.Comprehensive Group of the State Council for Joint Prevention and Control Mechanism of COVID-19. COVID-19 Control Plan (7th Edition)[EB/OL]. (2020-09-25)[2021-02-15]. http://www.gov.cn/xinwen/2020-09/15/content_5543680.htm. [4] 曹素珍, 温东森, 陈星, 等. 新冠肺炎疫情期间我国居民佩戴口罩防护行为研究[J]. 环境科学研究, 2020, 33(7): 1649-1658. DOI: 10.13198/j.issn.1001-6929.2020.06.18.Cao SZ, Wen DS, Chen X, et al. Protective behavior of Chinese population wearing masks during the COVID-19 epidemic[J]. Research of Environmental Sciences, 2020, 33(7): 1649-1658. DOI: 10.13198/j.issn.1001-6929.2020.06.18. [5] 周金华, 李晓宁, 伍浩颖, 等. 新型冠状病毒肺炎疫情期间居民使用口罩和消毒产品的影响因素[J]. 中华疾病控制杂志, 2020, 24(7): 845-850. DOI: 10.16462/j.cnki.zhjbkz.2020.07.019.Zhou JH, Li XN, Wu HY, et al. Analysis of the use of masks and disinfection products and their influencing factors during the outbreak of COVID-19[J]. Chin J Dis Control Prev, 2020, 24(7): 845-850. DOI: 10.16462/j.cnki.zhjbkz.2020.07.019. [6] 曹素珍, 魏佳宁, 陈星, 等. 新冠肺炎疫情期间我国居民洗手行为研究[J]. 环境科学研究, 2020, 33(7): 1659-1667. DOI: 10.13198/j.issn.1001-6929.2020.06.17.Cao SZ, Wei JN, Chen X, et al. Handwashing behavior of Chinese population during the COVID-19 epidemic[J]. Research of Environmental Sciences, 2020, 33(7): 1659-1667. DOI: 10.13198/j.issn.1001-6929.2020.06.17. [7] 孙启蒙, 覃青松, 陈柏欣, 等. 新型冠状病毒肺炎流行期非湖北地区民众心理应激、抑郁、焦虑情绪和失眠的调查[J]. 中华医学杂志, 2020, 100(43): 3419-3424. DOI: 10.3760/cma.j/cn112137-20200302-00557.Sun QM, Qin SQ, Chen BX, et al. Stress, anxiety, depression and insomnia in adults outside Hubei province during the COVID-19 pandemic[J]. Natl Med J China, 2020, 100(43): 3419-3424. DOI: 10.3760/cma.j/cn112137-20200302-00557. [8] 姜楠, 李赛, 曹素珍, 等. 新冠肺炎疫情期间我国人群交通出行行为分析[J]. 环境科学研究, 2020, 33(7): 1675-1682. DOI: 10.13198/j.issn.1001-6929.2020.06.16.Jiang N, Li S, Cao SZ, et al. Transportation activity patterns of Chinese population during the COVID-19 epidemic[J]. Research of Environmental Sciences, 2020, 33(7): 1675-1682. DOI: 10.13198/j.issn.1001-6929.2020.06.16. [9] 国家卫生健康委办公厅, 国家中医药管理局办公室. 新型冠状病毒肺炎诊疗方案(试行第八版)[EB/OL]. (2020-08-18)[2021-02-15]. http://www.gov.cn/zhengce/zhengceku/2020-08/19/5535757/files/da89edf7cc9244fbb34ecf6c61df40bf.pdfGeneral Office of National Health Commission, Office of National Administration of Traditional Chinese Medicine. COVID-19 Diagnostic Protocol (Trial 8th Edition)[EB/OL]. (2020-08-18)[2021-02-15]. http://www.gov.cn/zhengce/zhengceku/2020-08/19/5535757/files/da89edf7cc9244fbb34ecf6c61df40bf.pdf [10] 陈珅, 王玮, 王胜男, 等. 河南居民对新冠肺炎疫情的认知现状[J]. 中国心理卫生杂志, 2020, 34(5): 469-474. DOI: 10.3969/j.issn.1000-6729.2020.5.014.Chen K, Wang W, Wang SN, et al. Cognition of COVID-19 among Henan residents[J]. Chin Ment Heal J, 2020, 34(5): 469-474. DOI: 10.3969/j.issn.1000-6729.2020.5.014. [11] 中华人民共和国国家卫生健康委员会. 中国-世界卫生组织新型冠状病毒肺炎(COVID-19)联合考察报告[EB/OL]. (2020-02-29)[2021-02-15]. http://www.nhc.gov.cn/xcs/yqfkdt/202002/87fd92510d094e4b9bad597608f5cc2c.shtml.National Health Commission of the People's Republic of China. Report of the China-WHO COVID-19 (COVID-19) joint expedition[EB/OL]. (2020-02-29)[2021-02-15]. http://www.nhc.gov.cn/xcs/yqfkdt/202002/87fd92510d094e4b9bad597608f5cc2c.shtml. [12] 尹沙, 杨洪菊, 尹秀明, 等. 新冠肺炎流行期间居民防疫现状调查及对策探讨[J]. 卫生职业教育, 2020, 38(17): 108-111. DOI: 671-1246(2020)17-0108-04.Yin S, Yang HJ, Yin XM, et al. Investigation on epidemic prevention status of residents during COVID-19 epidemic period and discussion on countermeasures[J]. Heal Vocat Educ, 2020, 38(17): 108-111. DOI: 671-1246(2020)17-0108-04. -