Social Distancing Behavior Research Articles

Ending the Pandemic: How Behavioural Science Can Help Optimize Global COVID-19 Vaccine Uptake.

Governments, public health officials and pharmaceutical companies have all mobilized resources to address the COVID-19 pandemic. Lockdowns, social distancing, and personal protective behaviours have been helpful but have shut down economies and disrupted normal activities. Vaccinations protect populations from COVID-19 and allow a return to pre-pandemic ways of living. However, vaccine development, distribution and promotion have not been sufficient to ensure maximum vaccine uptake. Vaccination is an individual choice and requires acceptance of the need to be vaccinated in light of any risks. This paper presents a behavioural sciences framework to promote vaccine acceptance by addressing the complex and ever evolving landscape of COVID-19. Effective promotion of vaccine uptake requires understanding the context-specific barriers to acceptance. We present the AACTT framework (Action, Actor, Context, Target, Time) to identify the action needed to be taken, the person needed to act, the context for the action, as well as the target of the action within a timeframe. Once identified a model for identifying and overcoming barriers, called COM-B (Capability, Opportunity and Motivation lead to Behaviour), is presented. This analysis identifies issues associated with capability, opportunity and motivation to act. These frameworks can be used to facilitate action that is fluid and involves policy makers, organisational leaders as well as citizens and families.

Extraversion Negatively Predicts Compliance with Social Distancing and Mask Usage Guidelines for Men but Not Women

Weeks into the COVID-19 pandemic, health agencies began recommending social distancing and mask usage to slow the spread of COVID-19; however, not all individuals adhered to these guidelines as consistently as others. This study investigated if extraversion negatively predicted social distancing behaviors and mask usage in a sample of participants from North America. Additionally, based on research on sex differences and engaging in health risk behaviors, it was hypothesized that the relationships between extraversion, social distancing, and mask usage would be moderated by biological sex, such that the relationships would be stronger for men than women. Results showed that extraversion was negatively related to mask usage and social distancing guidelines for men and that no relationship between extraversion and complying with these guidelines occurred for women.

Time Reallocation and the Cost and Benefit of School Closures during an Epidemic

School closures are an important public health intervention during epidemics. Yet, the existing estimates of policy costs and benefits overlook the impact of human behavior and labor market conditions. We use an integrated assessment framework to quantify the public health benefits and the economic costs of school closures based on activity patterns derived from the American Time-Use Survey (ATUS) for a pandemic like COVID-19. We develop a policy decision framework based on marginal benefits and costs to estimate the optimal school closure duration. The results suggest that the optimal school closure depends on how people reallocate their time when schools are closed. Widespread social distancing behavior implemented early and for a long duration can delay the epidemic for years, buying time for the development of pharmaceutical interventions and yielding substantial net benefits. Conversely, school closure, with behavior targeted to adjust only to the school closure, is unlikely to provide substantial delay or sufficient net benefits to justify closing schools for pathogen control.

Fatigue during the COVID-19 pandemic: Evidence of social distancing adherence from a panel study of young adults in Switzerland.

In this paper we analyze panel data (N = 400) to investigate the change in attitudes towards the Covid-19 measures and the change in compliance behavior between the first and second lockdowns in a sample of young adults from the University of Bern, Switzerland. We find considerable fatigue. While respondents expressed high acceptance of and compliance with the Covid-19 measures during the first lockdown, both acceptance and compliance behavior decreased substantially during the second lockdown. Moreover, we show via a structural equation model that respondents' compliance behavior is largely driven by the perception of how others behave and by the acceptance of the Covid-19 measures. All other effects scrutinized e.g., individual and social risk perception, trust in politics, and pro-social orientations affect compliance behavior via the acceptance of Covid-19 measures. We also conduct two tests of causality of the estimated relation between attitudes towards the measures and social distancing behavior. The first test incorporates the effect of compliance behavior reported during the first lockdown on attitudes during the second lockdown. The second test involves estimating a first difference panel regression model of attitudes on compliance behavior. The results of both tests suggest that the effect of Covid-19 attitudes on social distancing behavior can be interpreted causally.

Trust in Science, Perceived Media Exaggeration About COVID-19, and Social Distancing Behavior.

For many individuals, the media function as a primary source of information about preventative measures to combat COVID-19. However, a considerable number of citizens believe that the media coverage about pandemics is exaggerated. Although the perception of media exaggeration may be highly consequential for individual health behaviors, we lack research on the drivers and consequences of this perception. In a two-wave panel study, we examined associations between trust in science, perceptions of media exaggeration about COVID-19, and social distancing behavior during the lockdown in Austria (NT2 = 416). Results showed that trust in science at T1 led to less perceptions of media exaggeration about COVID-19 at T2. Furthermore, consistent with the theory of psychological reactance, perceptions of media exaggeration about COVID-19 at T1 caused less social distancing behavior at T2. Thus, findings suggest that trust in science may positively affect individuals' social distancing behavior by decreasing perceived media exaggeration about COVID-19 over time. Implications for research on media effects in times of COVID-19 and conclusions for journalists are discussed.

Changing pace: Using implementation intentions to enhance social distancing behavior during the COVID-19 pandemic.

Since the first case of COVID-19 in the U.S. on January 20, 2020, the disease caused by the new strain of coronavirus has spread exponentially across the country. While the spread of this disease can be significantly slowed if people practice "social distancing," it is difficult to break old habits and acquire new behaviors at the needed speed. The purpose of this study is to challenge how health risk messages are currently communicated (specifically by considering how the Center of Disease Control (CDC) communicates its recommendations for social distancing) and suggest an alternative way. We tested and applied the use of a robust behavioral intervention known as "if-then" plans (plans that spell out in advance how one wants to achieve a goal they have previously set) to encourage the acquisition of a new behavior (e.g., social distancing) during this time of crisis. Using a longitudinal mixed design (within-/between-subjects study) daily diary study, we hypothesized and observed (via multilevel modeling) that those randomized into the experimental group (those who created and practiced if-then plans) demonstrated increased social distancing over time, whereas engagement in social distancing did not change in the control condition (those who observed the CDC guidelines). These results were sustained in a 3-week follow-up examination for those who were strongly committed to the goal to social distance. Such evidence suggests that risk communication messaging that includes if-then plans is an effective way of acquiring new behaviors. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Risk perceptions and health behaviors as COVID-19 emerged in the United States: Results from a probability-based nationally representative sample.

Understanding psychosocial correlates of engaging in health-protective behaviors during an infectious disease outbreak can inform targeted intervention strategies. We surveyed a national probability-based sample of 6,514 Americans, with three separate, consecutive representative cohorts between March 18, 2020 and April 18, 2020, as the U.S. COVID-19 epidemic began. Americans adopted many health-protective behaviors (e.g., hand hygiene, social distancing) early, performing them, on average, "most of the time," with frequency increasing over time. In covariate-adjusted models, self-reported female gender (β = .16, p < .001), older age (β = .13, p < .001), more COVID-related secondary stressors (β = .17, p < .001), and greater perceptions of the risks of catching (β = .07, p = .001) and dying (β = .09, p < .001) from Coronavirus were associated with greater frequency of social-distancing behaviors. Wearing face masks and/or gloves was positively associated with female gender (β = .07, p < .001), older age (β = .14, p < .001), Black (β = .14, p < .001) and Hispanic (β = .07, p = .002) ethnicity, personal-COVID-19 exposure (β = .06, p < .001), reporting secondary stressors (β = .11, p < .001), and higher perceived risk of dying from Coronavirus (β = .13, p < .001). Participants in Cohorts 2 and 3 (compared to Cohort 1) wore face masks and gloves and engaged in social distancing more frequently. Overall, early in the U.S. COVID-19 outbreak, despite the novelty and uncertainty, Americans were responsive to guidelines, adopting them early and following them frequently. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Impact of excluding nursing home COVID-19 cases when assessing the relationship between county-level social distancing behavior and COVID-19 cases across the US during the early phase of the pandemic, February 2020-May 2020.

ObjectivesTo conduct a cross-sectional nationwide study examining how exclusion of nursing home COVID-19 cases influences the association between county level social distancing behavior and COVID-19 cases throughout the US during the early phase of the pandemic (February 2020-May 2020).MethodsUsing county-level COVID-19 data and social distancing metrics from tracked mobile devices, we investigated the impact social distancing had on a county’s total COVID-19 cases (cases/100,000 people) between when the first COVID-19 case was confirmed in a county and May 31st, 2020 when most statewide social distancing measures were lifted, representing the pandemic’s exponential growth phase. We created a mixed-effects negative binomial model to assess how implementation of social distancing measures when they were most stringent (March 2020-May 2020) influenced total COVID-19 cases while controlling for social distancing and COVID-19 related covariates in two scenarios: (1) when COVID-19 nursing home cases are not excluded from total COVID-19 cases and (2) when these cases are excluded. Model findings were compared to those from February 2020, a baseline when social distancing measures were not in place.Marginal effects at the means were generated to further isolate the influence of social distancing on COVID-19 from other factors and determine total COVID-19 cases during March 2020-May 2020 for the two scenarios.ResultsRegardless of whether nursing home COVID-19 cases were excluded from total COVID-19 cases, a 1% increase in average % of mobile devices leaving home was significantly associated with a 5% increase in a county’s total COVID-19 cases between March 2020-May 2020 and about a 2.5% decrease in February 2020. When the influence of social distancing was separated from other factors, the estimated total COVID-19 cases/100,000 people was comparable throughout the range of social distancing values (25%-45% of mobile phone devices leaving home between March 2020-May 2020) when nursing home COVID-19 cases were not excluded (25% of mobile phones leaving home: 163.84 cases/100,000 people (95% CI: 121.81, 205.86), 45% of mobile phones leaving home: 432.79 cases/100,000 people (95% CI: 256.91, 608.66)) and when they were excluded (25% of mobile phones leaving home: 149.58 cases/100,000 people (95% CI: 111.90, 187.26), 45% of mobile phones leaving home: 405.38 cases/100,000 people (95% CI: 243.14, 567.62)).ConclusionsExclusion of nursing home COVID-19 cases from total COVID-19 case counts has little impact when estimating the relationship between county-level social distancing and preventing COVID-19 cases with additional research needed to see whether this finding is also observed for COVID-19 growth rates and mortality.

Pengaruh Menonton Video Tentang ‘Corona’ dari Bintang Emon terhadap Perilaku Social Distancing Mahasiswa FPSB UII

Bintang Emon uploaded a video containing complaints and an invitation to netizens to fight Corona on Twitter and Instagram. The video got quite a lot of attention from netizens. This study aims to determine the effect of videos about Corona from Bintang Emon on the social distancing behavior of students of the Faculty of Psychology and Socio-Cultural Sciences, Islamic University of Indonesia. This research is quantitative research with explanative type. This study shows that Bintang Emon's video has a positive and significant influence on the social distancing behavior of students of the Faculty of Psychology and Socio-Cultural Sciences, Islamic University of Indonesia. In the regression test, the results obtained a significance value of 0.02, which means &gt; 0.05 and the t-count value of 3.144 &gt; from the t-table which is worth 1.988. These results show that there is an influence given by the variable watching videos about Corona' from Bintang Emon on the social distancing behavior of FPSB UII students.

The impacts of information factors and health beliefs on attitudes towards social distancing behaviour during COVID-19

ABSTRACT This study examines the relationship between information factors (trustworthiness and information overload) and health beliefs (perceived susceptibility to and perceived severity of COVID-19) on attitudes towards social distancing behaviour. A pre-test of 204 adults was conducted to develop four scale items of information overload and three scale items of perceived susceptibility, respectively, for a study of 299 adults in the United States via Prolific questionnaire. Results showed that perceived trustworthiness in the CDC positively affected, while perceived trustworthiness in the then President, Donald Trump, negatively affected, attitudes towards social distancing. Information overload had a negative effect. Health beliefs positively affect attitudes towards social distancing. These results support the predictions of both Cognitive Load Theory and Protection Motivation Theory, extending them to a new context. Practically, marketers must evaluate the trustworthiness and truthfulness of both the source and context of health-related messaging to influence consumer behaviours.

Effects of income and financial strain on risky social behaviour in the COVID-19 era: a comparison of the US and Canada

ABSTRACT The COVID-19 pandemic has forced marketers to adjust to different consumer responses the world over. Country responses have ranged from complete lockdowns to informal guidelines on avoiding infection. Limiting physical interactions through social distancing is key to mitigating health risks. Yet, some mitigating behaviours such as home delivery versus going to the supermarket come with a higher financial cost. A survey of American and Canadian consumers examined relationships among income, financial strain, and risky social distancing behaviours. Regression analyses found that financial strain had a stronger effect on the incidence of risky behaviours than did income. These relationships were found in the USA but not in Canada. The paper discusses the results and presents the implications for international marketers.

First snapshot on behavioral characteristics and related factors of patients with chronic kidney disease in South Korea during the COVID-19 pandemic (June to October 2020).

BackgroundThe recent novel coronavirus disease 2019 (COVID-19) pandemic has led to unprecedented changes in behavior. We evaluated the current status of precautionary behavior and physical activity in chronic kidney disease (CKD) patients during the COVID-19 pandemic.MethodsA population of CKD patients (n = 306) registered in the Study on Kidney Disease and Environmental Chemicals (SKETCH, Clinical Trial No. NCT04679168) cohort recruited from June 2020 to October 2020 was included in the study. We conducted a questionnaire survey related to risk perception of COVID-19, precautionary behavior, and physical activity.ResultsThere were 187 patients (61.1%) with estimated glomerular filtration rate of <45 mL/min/1.73 m2. This population showed a higher degree of risk perception for COVID-19 than the general population. Age was the most significant determinant of risk perception among CKD patients. During the pandemic, social distancing and hygiene-related behavior were significantly increased (p < 0.001). The frequency of exercise was decreased only in those who took regular exercise, without diabetes, or with a lower Charlson comorbidity index (CCI) (p < 0.001), with no change among the other groups. Socioeconomic status and comorbidities significantly affected behavioral characteristics regardless of the category. Education and income were significantly associated with precautionary behaviors such as staying at home and hand sanitizer use. Patients with higher CCI status significantly increased frequency of exercise (adjusted odds ratio, 2.10; 95% confidence interval, 1.01–4.38).ConclusionCKD patients showed higher risk perception with active precautionary behavioral changes than the general population. Healthcare providers should be aware of the characteristics to comprise precautionary behavior without reducing physical activity.

Effectiveness of an intervention to reduce stigma towards people with a severe mental disorder diagnosis in primary health care personnel: Programme Igual-Mente

This study assessed the effectiveness of a program (called Igual-Mente, Equal-Mind) designed to reduce stigma in primary health care personnel. A random clinical trial was performed (ISRCTN46464036). There were 316 primary care professionals and technicians who were randomized and assigned to the experimental or control group. The program considered as strategies the education, the contact and the development of skills. There were six sessions with the primary care staff and two sessions with the managers of the health centers. It was executed by two facilitators, a professional psychologist and an expert by experience, i.e., a person diagnosed with a severe mental disorder (SMD). Attitudes, social distance, and humane treatment behaviors toward people with SMD were assessed. The intervention was effective in reducing stigma attitudes y social distance towards people diagnosed with SMD. The magnitude of the changes ranged from moderate to high in all these variables and the effects were maintained for four months after the end of the program. Regarding humane treatment behaviors, the effects were less clear. This study shows good results indicating that well-designed interventions can effectively reduce stigma towards people diagnosed with SMD, which is one of the main challenges of health systems.

Polarized social distancing: Residents of Republican‐majority counties spend more time away from home during the COVID‐19 crisis

AbstractBackgroundThe COVID‐19 pandemic has presented unique challenges across the world in getting citizens to change their behaviors in response to a public health crisis. In the United States, it appears that partisan differences in willingness to comply with these measures have emerged: Democrats are typically more supportive than Republicans in their stated support of and willingness to comply with these measures. However, actual behaviors are notoriously hard to accurately capture with survey items.ObjectiveTo determine the extent to which county‐level partisanship influences average willingness to stay at home, and how these effects are moderated by county level characteristics.MethodsWe use personal device (cell phone) data provided by SafeGraph, aggregated at the county‐level, to determine how county‐level partisanship is correlated with willigness to stay at home. We additionally test whether these effects are conditional upon the prevalence of COVID‐19 in the county, and the percentage of the county under 30 years old.ResultsWe find that county‐level partisanship predicts aggregate level compliance with social distancing behavior—citizens of counties that are more Republican spend more time away from home than Democratic counties. We find that the number of COVID‐19 cases in the county and the percentage of the county under the age of 30 moderate these effects.ConclusionPartisanship appears to be a powerful predictor, at the county‐level, of willigness to follow stay at home orders in the early stages of the COVID‐19 pandemic.

지역사회 재난 레질리언스 강화를 위한 코어시스템적 접근

The purpose of this study is to analyze COVID-19 pandemic cases using the core system approach, and to confirm that the analysis results are applied to strengthening disaster resilience of communities to prepare for and respond to disasters. In this study, the core system model was used to examine how the conversion process must function to secure desirable output. In the core system, institutions, leadership, commitment (followership) and expertise (competence) are interconnected and interdependent based on values. The components have a desirable orientation for overcoming disasters. The main results are as follows. First, “leadership” and “expertise (competence)” were demonstrated based on communication and professional experience in the activities of the prevention and preparedness stage. Second, the “devotion (followership)” and “value” of medical staff, volunteer groups, and public officials became closer through independent thinking and active participation and cooperation. Third, in terms of ‘institution’, personal quarantine rules in a crisis situation became a reference for social distancing behaviors such as wearing a mask and refraining from close contact and gatherings.&#x0D;

The impact of ethnic segregation on neighbourhood-level social distancing in the United States amid the early outbreak of COVID-19.

The COVID-19 pandemic has been argued to be the 'great equaliser', but, in fact, ethnically and racially segregated communities are bearing a disproportionate burden from the disease. Although more people have been infected and died from the disease among these minority communities, still fewer people in these communities are complying with the suggested public health measures like social distancing. The factors contributing to these ramifications remain a long-lasting debate, in part due to the contested theories between ethnic stratification and ethnic community. To offer empirical evidence to this theoretical debate, we tracked public social-distancing behaviours from mobile phone devices across urban census tracts in the United States and employed a difference-in-difference model to examine the impact of racial/ethnic segregation on these behaviours. Specifically, we focussed on non-Hispanic Black and Hispanic communities at the neighbourhood level from three principal dimensions of ethnic segregation, namely, evenness, exposure, and concentration. Our results suggest that (1) the high ethnic diversity index can decrease social-distancing behaviours and (2) the high dissimilarity between ethnic minorities and non-Hispanic Whites can increase social-distancing behavior; (3) the high interaction index can decrease social-distancing behaviours; and (4) the high concentration of ethnic minorities can increase travel distance and non-home time but decrease work behaviours. The findings of this study shed new light on public health behaviours among minority communities and offer empirical knowledge for policymakers to better inform just and evidence-based public health orders.

Social Distancing and Adolescent Psychological Well-Being: The Role of Practical Knowledge and Exercise.

Background and ObjectivesThis intensive longitudinal study investigated 1) the extent to which engaging in social distancing predicted adolescents’ same- and next-day stress and positive affect and 2) whether COVID-19-related knowledge and exercise moderated these links during statewide stay-at-home orders that mandated schools and nonessential businesses to close during the coronavirus pandemic.MethodsOver the course of 28 days at the onset of the COVID-19 pandemic, a nationwide sample of 349 adolescents (Mean age = 15.0; 40% male; 44% Black, 39% White, 9% Latinx, 6% Asian American, 2% Native American) completed daily surveys about their social distancing behaviors, knowledge about the coronavirus, and exercise habits. Analysis was conducted on a total of 9372 assessments using longitudinal multilevel modeling approaches.ResultsDaily engagement in social distancing predicted increases in adolescents’ stress and decreases in their positive affect. Practical knowledge about COVID-19 and daily exercise moderated these links. Specifically, practical knowledge and exercise weakened the positive link between social distancing and stress as well as the negative link between social distancing and positive affect.ConclusionsAdolescents’ practical knowledge and exercise have the potential to buffer against the adverse effects of social distancing on stress and positive affect. However, it is critical for health care providers to recognize that youth are experiencing significant stress due to the disruption of developmentally normal patterns of social interaction. Pediatricians should focus on explaining the rationale behind social distancing while encouraging exercise as an adaptive coping mechanism that has benefits for psychological well-being.

Social distancing during COVID-19: threat and efficacy among university students in seven nations.

COVID-19 has been spreading fast worldwide, and until effective and safe vaccines have been widely adopted, preventive measures such as social distancing are crucial to keep the pandemic under control. The study's research questions asked which psychosocial factors predict social distancing behavior and whether there are country-level differences in social distancing? Using the Extended Parallel Process Model (EPPM) as a theoretical lens, we examined the predictive effects of threat and efficacy and demographic variables on adherence to the COVID-19 preventive behavior of social distancing using a survey among an international sample of university students. Using path modeling and analysis of covariance, we confirmed the predictive effects of the EPPM on social distancing behavior. Our final model showed that perceived susceptibility to COVID-19 was both directly and indirectly (through response efficacy) associated with social distancing behavior; that perceived severity of COVID-19 yielded a significant indirect effect on social distancing behavior through both self-efficacy and response efficacy; that perceived susceptibility is indirectly and positively associated with social distancing behavior through response efficacy; and that self-efficacy and response efficacy were directly associated with social distancing behavior. Additionally, there were country-level differences in social distancing. Possible explanations for and implications of these findings are discussed.

Population Adherence to Infection Control Behaviors during Hong Kong's First and Third COVID-19 Waves: A Serial Cross-Sectional Study.

Background: Although COVID-19 has affected over 220 countries by October 2021, there is limited research examining the patterns and determinants of adherence to infection control measures over time. Aims: Our study examines the sociodemographic factors associated with changes in the frequency of adherence to personal hygiene and social distancing behaviors in Hong Kong. Methods: A serial cross-sectional telephone survey in the general population was conducted during the first (March 2020) (n = 765) and third wave (December 2020) (n = 651) of the local outbreak of the COVID-19 pandemic. Respondents were asked about their level of compliance with various personal hygiene and social distancing recommendations. Results: By the third wave, mask use increased to 100%, and throughout the study periods, >90% practiced frequent hand hygiene. However, adherence to social distancing measures significantly waned over time: avoidance of social gatherings (80.5% to 72.0%), avoidance of public places/public transport (53.3% to 26.0%), avoidance of international travel (85.8% to 76.6%) (p < 0.05). The practice of ordering food takeout/home delivery, however, increased, particularly among high-income respondents. Higher education, female gender and employment status were the most consistently associated factors with adherence to COVID-19 preventive practices in the multivariable models. Conclusions: In urban areas of this region, interventions to improve personal hygiene in a prolonged pandemic should target males and those with low education. In addition to these groups, the working population needs to be targeted in order to improve adherence to social distancing guidelines.

Community Attachments are Associated with COVID-19 Public Health Behaviors Among Adolescents in Pakistan.

BackgroundCommunity attachments are thought to promote adolescents’ engagement in public health behaviors. To date, past research has exclusively examined the social benefits of community attachments among adolescents in the United States and less is known about these benefits among youth in low-income adolescent-dense countries such as Pakistan.ObjectiveThe present study examined associations between Pakistani adolescents’ community attachments and COVID-19 public health behaviors, including social distancing, disinfecting, hoarding, news monitoring.MethodAdolescents living in Pakistan (N = 1,110; 13–18 years; M = 16.70) reported on their COVID-19 public health behavior (social distancing, disinfecting behaviors, hoarding behaviors, news monitoring) and community attachments (social responsibility values, social trust, self-interest values).ResultsGreater social responsibility values were associated with greater social distancing (B = .09, p = .009) and disinfecting behavior (B = .39, p < .001). Greater social trust was significantly associated with greater disinfecting (B = .09, p < .001) and greater hoarding behaviors (B = .07, p = .001) and greater self-interest values were associated with lower social distancing (B = -.06, p = .010), greater disinfecting (B = .15, p < .001), and greater hoarding behaviors (B = .11, p = .001).ConclusionResults from this study demonstrate that community attachments may play an important role in guiding adolescents’ public health behavior in Pakistan. These findings extend past research and contribute to an inclusive and culturally sensitive model of the benefits of adolescents’ community attachments for public heatlh.Supplementary InformationThe online version contains supplementary material available at 10.1007/s10566-021-09657-7.