Effect of Income Level and Perception of Susceptibility and Severity of COVID-19 on Stay-at-Home Preventive Behavior in a Group of Older Adults in Mexico City
Open Access
- 12 October 2020
- journal article
- research article
- Published by MDPI AG in International Journal of Environmental Research and Public Health
- Vol. 17 (20), 7418
- https://doi.org/10.3390/ijerph17207418
Abstract
Early information on public health behaviors adopted to prevent the spread of coronavirus (COVID-19) may be useful in controlling the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) transmission. The objective of this study was to assess the role of income level (IL) and the perception of older adults, regarding COVID-19 susceptibility and severity, on adopting stay-at-home preventive behavior during the first week of the outbreak in Mexico. Participants in this cross-sectional study were urban community dwellers, aged ≥ 65 years from Mexico City. A total of 380 interviews were conducted over the phone. The mean respondent age was 72.9 years, and 76.1% were women. Over half (54.2%) of the participants perceived their susceptibility to COVID-19 as very low or low. Similarly, 33.4% perceived COVID-19 severity as being very low or low, and 57.6% had decided to stay at home: this behavior was associated with IL (β = 1.05, p < 0.001), and its total effect was partially mediated (15.1%) by perceived severity. Educational attainment was also associated with staying at home (β = 0.10, p = 0.018) and its total effect was partially mediated (15.0%) by perceived susceptibility. Interventions aimed at low income and less educated older adults should be developed to improve preventive behaviors in this vulnerable group during the COVID-19 pandemic.This publication has 49 references indexed in Scilit:
- Trends in socioeconomic inequalities in preventable mortality in urban areas of 33 Spanish cities, 1996–2007 (MEDEA project)International Journal for Equity in Health, 2015
- Loneliness and Social Isolation as Risk Factors for MortalityPerspectives on Psychological Science, 2015
- Health-related quality of life and socioeconomic status: inequalities among adults with a chronic diseaseHealth and Quality of Life Outcomes, 2014
- The Social Determinants of Health and Pandemic H1N1 2009 Influenza SeverityAmerican Journal of Public Health, 2012
- Incorporating individual health-protective decisions into disease transmission models: a mathematical frameworkJournal of The Royal Society Interface, 2011
- Health behaviours, socioeconomic status and diabetes incidence: the Australian Diabetes Obesity and Lifestyle Study (AusDiab)Diabetologia, 2010
- Modelling the influence of human behaviour on the spread of infectious diseases: a reviewJournal of The Royal Society Interface, 2010
- Sex differences in the effect of education on depression: Resource multiplication or resource substitution?Social Science & Medicine (1982), 2006
- Indicators of socioeconomic position (part 1)Journal of Epidemiology and Community Health, 2006
- Women's education and economic well-beingFeminist Economics, 1995