Older people more likely to embrace COVID prevention steps, study finds
A PLOS One study yesterday showed that behavioral responses to the pandemic differ by age and change over time, with older people more likely to practice pandemic-mitigating behaviors—hygiene, quarantining, and physical distancing—and all age-groups demonstrating greater likelihood of engaging in risky behavior over time.
Researchers analyzed survey data from 5,128 US adults during four "waves" of the pandemic from Mar 10 to May 26, using nationally representative responses from the Understanding Coronavirus in America Tracking Survey. Respondents reported their participation in the past 7 days in six preventive personal activities—mask wearing, avoiding crowds, etc—and four risky social behaviors—non-household member contacts, eating in restaurants, etc.
At the beginning of the pandemic, people of all ages reported a similar likelihood of engaging in preventive personal behaviors, but people 65 and older quickly adopted preventive behaviors during wave 2—Apr 1 to Apr 28. Older participants showed the most change in preventive behaviors from March to May, perhaps because of an awareness of their increased disease risk.
By wave 4—from Apr 29 to May 26—people 65 and older were significantly less likely to engage in risky activities, reporting a 38.7% rate of contacts with non-household members, versus 54.0% for those aged 18 to 34. As the pandemic progressed, all age-groups showed a decrease in preventive practices, with older people maintaining higher rates of adherence than younger individuals.
Greater adoption of pandemic-mitigating behaviors was seen for women, racial/ethnic minorities, and those with higher socioeconomic status. Higher state case rates, a greater perceived risk of infection and dying, and a more left-leaning political orientation were also associated with increased adoption of preventive behaviors.
"It is encouraging to observe older people taking more preventive personal behaviors as the pandemic progressed, which may have alleviated their risk of infection," the authors wrote. "However, at the same time, it is concerning that people started loosening observance of recommendations to avoid risky behaviors, particularly older people who could have more adverse consequences from meeting with family and friends."
Nov 10 PLOS One study
Poll: 28% of parents say pandemic made them less likely to vaccinate for flu
A survey of US parents found that the COVID-19 pandemic has not made them more likely to have their children vaccinated against seasonal flu. Most—60%—reported that the pandemic had changed their intentions to vaccinate, with changes significantly influenced by previous flu vaccination history. Parents who did not vaccinate their child for the flu last year reported that the pandemic made them less likely to vaccinate in 2020-21.
The Pediatrics study recruited 1,893 US parents or guardians of children ages 5 months to 5 years of age for an online survey exploring their flu vaccination history for their child, intention to vaccinate for the 2020-21 season, and whether this changed as a result of the pandemic. Responses were measured on a scale from 1 (much less likely to get the flu shot for their child) to 5 (much more likely).
Overall, 28% of parents (532) reported that they are less likely to have their child vaccinated for flu this year as a result of the pandemic.
Changes in vaccine intentions differed significantly between parents who vaccinated their children in 2019-20 and those who did not. Parents whose children did not receive the flu vaccine last year reported that the pandemic made them less likely to have their child receive the current year vaccine (34%; 95% confidence interval [CI], 30% to 37%). Among those whose children did receive the 2019-20 vaccine, this figure was just 24% (95% CI, 22% to 27%).
Only 21% (95% CI, 18% to 24%) of parents whose children did not receive the 2019-20 vaccine reported that the COVID-19 pandemic made them more likely to have their child receive the 2020-21 vaccine, compared with 39% (95% CI, 36% to 41%) of parents whose children were vaccinated in 2019-20.
"The COVID-19 pandemic alone does not appear sufficient to encourage the uptake of pediatric seasonal influenza vaccination," the authors note. "Instead, the COVID-19 pandemic may exacerbate polarity in vaccination uptake."
Nov 11 Pediatrics study