An Unstoppable Marathon: Community Prevention and Residents' Sense of Security in the Period of Low Transmission

Background: With more and more countries entering the phase of COVID-19 low transmission, there is an urgent need to study the implementation of community prevention in this stage. This study investigated the implementation of community prevention measures in China and whether residents consent they have adequate community protection during the Spring Festival of 2021, with exploring the differences in the sense of security caused by different measures.Methods: A cross-sectional survey was conducted in China from 4 to 26 February 2021. Convenient sampling strategy was adopted to recruit participators. Participants were asked to filled out the questions that assessed questionnaire on the implementation of community protection and residents' perception. Descriptive statistics were used to assess the public's attitudes. A binary logistic regression analysis was performed to identify the risk factors affecting the residents' attitudes.Results: A total of 2,361 residents filled out the questionnaire. The results showed 24.95% of community/village issued personal protective equipment, 62.98% implemented epidemic screening , and 46.59% implemented health propaganda and education of COVID-19. For people outside the community/village entering the community/village, 19.78% of community/village implemented that appointment of people are admitted, 4.57 implemented that only occupants are admitted. 1910 (80.90%) of residents agreed they acquire adequate community prevention during the Spring Festival. In addition, age of residents, “personal protective equipment will been issued by the community/village”, “resident epidemic screening is implemented by the community/village”, “health propaganda and education of COVID-19 is implemented by the community/village”, “appointment of people are admitted can enter the community/village”, “be satisfied with regularly cleaning and disinfecting by the community/village”, and “be satisfied with community service” were the mainly factors associated with residents’ attitudes.Conclusions: This research is based on an innovative perspective to explore whether residents perceive themselves to be adequately protected after experiencing measures; at the same time, the differences in the sense of security brought to residents by various measures were discussed, which can provide a reference for Chinese and global public health policy makers.