Age, gender, and health status affect Coronavirus concern, prevention behaviors, and willingness to return to behaviors when safe, but so does political party: Results of a large longitudinal cross-sectional survey (Preprint)
BACKGROUND With conflicting information about COVID-19, the general public may be uncertain about how to proceed in terms of precautionary behavior and decisions about whether to return to activity. OBJECTIVE To determine the factors associated with COVID-19 concern, precautionary behaviors, and willingness to return to activity. METHODS National survey data come from The Democracy Fund + UCLA Nationscape Project, an ongoing cross-sectional weekly survey. The sample was provided by Lucid, a market research online platform. Three outcomes were considered: (1) COVID-19 concern [C], (2) precautionary behaviors [P], and (3) willingness to return to activity [R]. Key independent variables included: age, gender, race/ethnicity, education, household income, political party identification, religion, news consumption, nu RESULTS The data include 125,508 online surveys conducted over 20 consecutive weeks (roughly 6,250 adults per week) between March 19 and August 5, 2020 during the COVID-19 pandemic, approved by the UCLA IRB for analysis. A substantial number of people would not be willing to return to activity. Weighted multivariate logistic regressions indicated the following groups had different outcomes (all P < .0001): aged 65+ (OR 2.05[C], CI [1.93, 2.18] , OR 2.38[P] CI [2.02, 2.80] I, OR 0.41[R] CI [0.37-0.46], vs. 18-40); men (OR 0.73[C] CI [0.70, 0.75], OR 0.74[P] CI [0.67, 0.81], OR 2.00[R] CI [1.88-2.12] , vs. women); taking 4 or more medications (OR 1.47[C] CI [1.40, 1.54], OR 1.36[P] CI [1.20, 1.555], OR 0.75[R] CI [0.69-0.81], vs. < 3 medications); Republicans (OR 0.40[C] CI [0.38, 0.42], OR 0.45[P] CI [0.40, 0.50], OR 2.22[R] CI [2.09-2.36], vs. Democrats); and adults who reported having COVID-19 (OR. 1.24[C] CI [1.12, 1.39] OR 0.65[P], CI [0.52, 0.81]; OR 3.99[R] CI [3.48-4.58], vs. those that did not). CONCLUSIONS Participants’ age, party affiliation, and perceived COVID-19 status were highly associated with COVID-related concern, precautionary behaviors, and return to activity. Future studies need to develop and test targeted messaging approaches, taking account of political partisanship, to encourage preventative and return to activities behaviors. CLINICALTRIAL