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Factors Associated With Protective Mask-Wearing Behavior to Avoid COVID-19 Infection in China: Internet-Based
Yue Xu1, Qingqing Wu1, Shuiyang Xu1
1Department of Health Education, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China.
JMIR Public Health and Surveillance
|April 29, 2022
Summary
Chinese netizens show high mask knowledge but lower mask-wearing behavior for COVID-19 prevention. Improved public health information and targeted campaigns are needed to boost protective mask usage, especially for men and the elderly.
Area of Science:
- Public Health
- Epidemiology
- Behavioral Science
Background:
- The novel coronavirus disease (COVID-19) spreads through close contact.
- Public health initiatives, like handbooks from the Chinese CDC, aim to inform citizens about COVID-19 prevention, including mask usage.
- Understanding public knowledge and behavior regarding mask-wearing is crucial for effective disease control.
Purpose of the Study:
- To assess mask knowledge levels among Chinese internet users.
- To evaluate mask-wearing behavior and its determinants.
- To identify primary information sources for COVID-19 and mask-related guidance.
Main Methods:
- An internet-based survey was conducted using WeChat public accounts.
- Data on mask knowledge and behavior were collected from 10,304 respondents.
- Logistic regression analysis identified factors influencing protective mask behavior.
Main Results:
- While 97.9% believed masks are effective, only 67.5% practiced protective mask behavior.
- Correct mask usage was reported by 70.6% of participants.
- WeChat public accounts were the dominant source (89.6%) for health information.
Conclusions:
- A significant gap exists between mask knowledge and actual protective behavior in China.
- Enhancing information dissemination and improving mask-wearing guidance are essential.
- Targeted interventions are needed for specific demographics, including men, older adults, and less educated individuals.
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