Predictors of mask-wearing during the advent of the COVID-19 pandemic: Evidence from South Africa

dc.contributor.authorBurger, Ronelle
dc.contributor.authorEnglish, Rene
dc.contributor.authorMaughan-Brown, Brendan
dc.contributor.authorChristian, Carmen
dc.date.accessioned2022-06-08T08:54:29Z
dc.date.available2022-06-08T08:54:29Z
dc.date.issued2022
dc.description.abstractBackground: In the absence of a vaccine, the global spread of COVID-19 during 2020 has necessitated non-pharmaceutical interventions to curb the rise of cases. Purpose: The article uses the health belief model and a novel rapid mobile survey to examine correlates of reported mask-wearing as a nonpharmaceutical intervention in South Africa between May and August 2020. Methods: Two-way tabulations and multivariable analysis via logistic regression modeling describe correlations between reported mask-wearing and factors of interest among a sample of 7074 adults in a two-period national longitudinal survey, the National Income Dynamics Study-Coronavirus Rapid Mobile Survey (NIDS-CRAM). Results: In line with the health belief model, results showed that self-efficacy, the prevalence of others’ mask-wearing in the same district, and affluence were positively associated with reported mask-wearing. Those who reported staying at home were significantly less likely to report wearing a mask. There was little evidence that the expected severity of the disease if contracted, affects these decisions. Hypertension, obesity, or being overweight (measured three years earlier) did not have a significant association with maskwearing. The prevalence of mask-wearing increased significantly from May to August 2020 as COVID-19 cases increased and lockdown restrictions were eased. Contrary to the health belief model, we found that despite having a higher mortality risk, the elderly had significantly lower odds of mask-wearing. Conclusion: In South Africa, the mask-wearing adherence has increased rapidly. It is concerning that the elderly had lower odds of mask-wearing. This should be examined further in future research.en_US
dc.identifier.citationBurger, R., Christian, C., English, R., Maughan-Brown, B., & Rossouw, L. (2022). Predictors of mask-wearing during the advent of the COVID-19 pandemic: Evidence from south africa. Translational Behavioral Medicine, 12(1), 167-179. doi:10.1093/tbm/ibab132en_US
dc.identifier.urihttp://hdl.handle.net/10566/7501
dc.language.isoenen_US
dc.publisherOxford University Pressen_US
dc.subjectCOVID-19en_US
dc.subjectSouth Africaen_US
dc.subjectFace-coveringsen_US
dc.subjectMasksen_US
dc.subjectPreventionen_US
dc.titlePredictors of mask-wearing during the advent of the COVID-19 pandemic: Evidence from South Africaen_US
dc.typeArticleen_US

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