Uncovering Physical and Attitudinal Barriers to Adherence to Precautions for Preventing the Transmission of COVID-19 and Anxiety Level of People in Wuhan: 2 Months After the Lockdown.
Identifieur interne : 000A06 ( Main/Exploration ); précédent : 000A05; suivant : 000A07Uncovering Physical and Attitudinal Barriers to Adherence to Precautions for Preventing the Transmission of COVID-19 and Anxiety Level of People in Wuhan: 2 Months After the Lockdown.
Auteurs : Yulan Lin [République populaire de Chine] ; Haridah Alias [Malaisie] ; Xiao Luo [République populaire de Chine] ; Zhijian Hu [République populaire de Chine] ; Li Ping Wong [Malaisie]Source :
- Psychosomatics [ 1545-7206 ] ; 2020.
Abstract
BACKGROUND
Wuhan, the epicenter of the coronavirus diseases 2019 outbreak, was locked down on January 23, 2020. We aimed to investigate the barriers to the physical prevention, negative attitudes, and anxiety levels.
METHODS
A online cross-sectional survey was conducted with the people living in Wuhan between March 12th and 23rd, 2020.
RESULTS
Of a total of 2411 complete responses, the mean and standard deviation for the total physical prevention barriers score was 19.73 (standard deviation ± 5.3; range 12-45) out of a possible score of 48. Using a cut-off score of 44 for the State-Trait Inventory score, 79.9% (95% confidence interval [CI]: 78.2-81.5) of the participants reported moderate to severe anxiety during the early phase of the outbreak, and 51.3% (95% CI 49.2-53.3) reported moderate to severe anxiety after the peak of coronavirus diseases 2019 was over (during the study period). Comparing anxiety levels in the early phase of the outbreak and after the peak of the outbreak, 58.5% (95% CI 56.5-60.5) recorded a decreased anxiety. Females reported a higher likelihood of having decreased levels of anxiety than males (odds ratio = 1.78, 95% CI 1.48-2.14). Low negative attitudes score were associated with a higher decrease in anxiety (odds ratio = 1.59, 95% CI 1.33-1.89).
CONCLUSIONS
The attitudinal barriers to prevention of transmission of coronavirus diseases 2019 are more prominent than physical prevention barriers after the peak of coronavirus diseases 2019. High anxiety levels even after the peak warrant serious attention.
DOI: 10.1016/j.psym.2020.09.005
PubMed: 33183846
PubMed Central: PMC7506304
Affiliations:
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Electronic address: huzhijian@fjmu.edu.cn.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, Fujian Province</wicri:regionArea><wicri:noRegion>Fujian Province</wicri:noRegion></affiliation></author><author><name sortKey="Wong, Li Ping" sort="Wong, Li Ping" uniqKey="Wong L" first="Li Ping" last="Wong">Li Ping Wong</name><affiliation wicri:level="1"><nlm:affiliation>Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, Fujian Province, China; Centre for Epidemiology and Evidence-Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.</nlm:affiliation><country xml:lang="fr">Malaisie</country><wicri:regionArea>Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, Fujian Province, China; Centre for Epidemiology and Evidence-Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur</wicri:regionArea><wicri:noRegion>Kuala Lumpur</wicri:noRegion></affiliation></author></analytic><series><title level="j">Psychosomatics</title><idno type="eISSN">1545-7206</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Wuhan, the epicenter of the coronavirus diseases 2019 outbreak, was locked down on January 23, 2020. We aimed to investigate the barriers to the physical prevention, negative attitudes, and anxiety levels.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A online cross-sectional survey was conducted with the people living in Wuhan between March 12th and 23rd, 2020.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Of a total of 2411 complete responses, the mean and standard deviation for the total physical prevention barriers score was 19.73 (standard deviation ± 5.3; range 12-45) out of a possible score of 48. Using a cut-off score of 44 for the State-Trait Inventory score, 79.9% (95% confidence interval [CI]: 78.2-81.5) of the participants reported moderate to severe anxiety during the early phase of the outbreak, and 51.3% (95% CI 49.2-53.3) reported moderate to severe anxiety after the peak of coronavirus diseases 2019 was over (during the study period). Comparing anxiety levels in the early phase of the outbreak and after the peak of the outbreak, 58.5% (95% CI 56.5-60.5) recorded a decreased anxiety. Females reported a higher likelihood of having decreased levels of anxiety than males (odds ratio = 1.78, 95% CI 1.48-2.14). Low negative attitudes score were associated with a higher decrease in anxiety (odds ratio = 1.59, 95% CI 1.33-1.89).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>The attitudinal barriers to prevention of transmission of coronavirus diseases 2019 are more prominent than physical prevention barriers after the peak of coronavirus diseases 2019. High anxiety levels even after the peak warrant serious attention.</p></div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">33183846</PMID><DateRevised><Year>2020</Year><Month>11</Month><Day>17</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1545-7206</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Sep</Month><Day>22</Day></PubDate></JournalIssue><Title>Psychosomatics</Title><ISOAbbreviation>Psychosomatics</ISOAbbreviation></Journal><ArticleTitle>Uncovering Physical and Attitudinal Barriers to Adherence to Precautions for Preventing the Transmission of COVID-19 and Anxiety Level of People in Wuhan: 2 Months After the Lockdown.</ArticleTitle><ELocationID EIdType="pii" ValidYN="Y">S0033-3182(20)30250-4</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.psym.2020.09.005</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Wuhan, the epicenter of the coronavirus diseases 2019 outbreak, was locked down on January 23, 2020. We aimed to investigate the barriers to the physical prevention, negative attitudes, and anxiety levels.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A online cross-sectional survey was conducted with the people living in Wuhan between March 12th and 23rd, 2020.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Of a total of 2411 complete responses, the mean and standard deviation for the total physical prevention barriers score was 19.73 (standard deviation ± 5.3; range 12-45) out of a possible score of 48. Using a cut-off score of 44 for the State-Trait Inventory score, 79.9% (95% confidence interval [CI]: 78.2-81.5) of the participants reported moderate to severe anxiety during the early phase of the outbreak, and 51.3% (95% CI 49.2-53.3) reported moderate to severe anxiety after the peak of coronavirus diseases 2019 was over (during the study period). Comparing anxiety levels in the early phase of the outbreak and after the peak of the outbreak, 58.5% (95% CI 56.5-60.5) recorded a decreased anxiety. Females reported a higher likelihood of having decreased levels of anxiety than males (odds ratio = 1.78, 95% CI 1.48-2.14). Low negative attitudes score were associated with a higher decrease in anxiety (odds ratio = 1.59, 95% CI 1.33-1.89).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The attitudinal barriers to prevention of transmission of coronavirus diseases 2019 are more prominent than physical prevention barriers after the peak of coronavirus diseases 2019. High anxiety levels even after the peak warrant serious attention.</AbstractText><CopyrightInformation>Copyright © 2020 Academy of Consultation-Liaison Psychiatry. Published by Elsevier Inc. 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