AUTHOR=Pengpid Supa , Peltzer Karl , Sathirapanya Chutarat , Thitichai Phanthanee , Faria de Moura Villela Edlaine , Rodrigues Zanuzzi Tamara , de Andrade Bandeira Felipe , Bono Suzanna A. , Siau Ching Sin , Chen Won Sun , Hasan M Tasdik , Sessou Philippe , Ditekemena John D. , Hosseinipour Mina C. , Dolo Housseini , Wanyenze Rhoda K. , Nelson Siewe Fodjo Joseph , Colebunders Robert 

TITLE=Psychosocial Factors Associated With Adherence to COVID-19 Preventive Measures in Low-Middle- Income Countries, December 2020 to February 2021

JOURNAL=International Journal of Public Health

VOLUME=Volume 67 - 2022

YEAR=2022

URL=https://www.ssph-journal.org/journals/international-journal-of-public-health/articles/10.3389/ijph.2022.1604398

DOI=10.3389/ijph.2022.1604398

ISSN=1661-8564

ABSTRACT=Objective: This study aimed to investigate psychosocial factors associated with adherence to COVID-19 preventive measures. 
Methods: This online cross-sectional survey included 10,183 adults (median age 45 years) from nine low- and middle- income countries.
Results: From the four assessed COVID-19 preventive measures, the highest adherence was found for wearing face masks (95.9%), followed by hand hygiene (88.7%), cough hygiene (66.9%) and physical distancing (66.8%). More than half of the participants (52.2%) adhered to all four assessed COVID-19 preventive measures. In adjusted ordinal logistic regression, the odds of adhering to more COVID-19 preventive measures increased by older age group, higher education, students or workers in the healthcare sector, and those whose trusted source of COVID-19 information was health personnel. While worry or fear about being (re)infected with COVID-19 increased the odds (1.14) of adhering to more preventive measures, general anxiety symptoms decreased the odds (0.73), and depressive symptoms did not influence them.
Conclusion: Psychosocial factors (worry, anxiety, knowledge, education, age, and country) seemed determinant in predicting the number of COVID-19 preventive measures to which participants adhered.