Modelling COVID-19 vaccination status and adherence to public health and social measures, Eastern Mediterranean Region and Algeria

Nikoloski, Zlatko, Bain, Robert, Elzalabany, Manal K., Hanna, Peggy, Aynsley, Tara Rose, Samhouri, Dalia, Menchini, Leonardo, Kapil, Neha and Gillespie, Amaya (2023) Modelling COVID-19 vaccination status and adherence to public health and social measures, Eastern Mediterranean Region and Algeria. Bulletin of the World Health Organization, 101 (2). 111 - 120. ISSN 0042-9686

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Abstract

Objective To study the link between coronavirus disease 2019 (COVID-19) vaccination status and adherence to public health and social measures in Members of the Eastern Mediterranean Region and Algeria. Methods We analysed two rounds of a large, cross-country, repeated cross-sectional mobile phone survey in June–July 2021 and October–November 2021. The rounds included 14 287 and 14 131 respondents, respectively, from 23 countries and territories. Questions covered knowledge, attitudes and practices around COVID-19, and demographic, employment, health and vaccination status. We used logit modelling to analyse the link between self-reported vaccination status and individuals’ practice of mask wearing, physical distancing and handwashing. We used propensity score matching as a robustness check. Findings Overall, vaccinated respondents (8766 respondents in round 2) were significantly more likely to adhere to preventive measures than those who were unvaccinated (5297 respondents in round 2). Odds ratios were 1.5 (95% confidence interval, CI: 1.3–1.8) for mask wearing; 1.5 (95% CI: 1.3–1.7) for physical distancing; and 1.2 (95% CI: 1.0–1.4) for handwashing. Similar results were found on analysing subsamples of low-and middle-income countries. However, in high-income countries, where vaccination coverage is high, there was no significant link between vaccination and preventive practices. The association between vaccination status and adherence to public health advice was sustained over time, even though self-reported vaccination coverage tripled over 5 months (19.4% to 62.3%; weighted percentages). Conclusion Individuals vaccinated against COVID-19 maintained their adherence to preventive health measures. Nevertheless, reinforcement of public health messages is important for the public’s continued compliance with preventive measures.

Item Type:	Article
Official URL:	https://www.who.int/publications/journals/bulletin
Additional Information:	© 2023 The Authors; licensee World Health Organization.
Divisions:	Health Policy
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine H Social Sciences > HV Social pathology. Social and public welfare. Criminology
Date Deposited:	28 Feb 2023 15:24
Last Modified:	15 Apr 2024 19:21
URI:	http://eprints.lse.ac.uk/id/eprint/118290

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