Correlation of Population Factors, Compliance With Masking and Social Distance, Vaccination and Covid-19 Infection in Central Appalachia: A Cross-Sectional Study
Abstract BackgroundCompliance with guidelines, including the use of masks and social distancing and vaccinations has been poor. Our study examined what factors may identify those who will be more or less compliant especially with regards to those with identified higher risk. MethodsA telephone survey of 200 adult patients from two practices, one General Internal Medicine and the other Rheumatology, was performed in May and June of 2021. Questions included age, sex, perception of immunocompetence, smoking history, mask and social distancing compliance, Covid-19 symptoms and/or test proven infection, and immunization status for Covid-19. Those agreeing to participate also had a chart review for body mass index (BMI), physician assessed immunocompetence, and diabetes.ResultsNo clinical factors approached statistical significance for prediction of compliance or non-compliance. However, compliance with mask and social distancing highly correlated with vaccination and avoidance of infection.ConclusionAttempts to improve compliance cannot be focused on any of the particular groups examined in this study.