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Social Distancing Compliance under COVID-19 Pandemic and Mental Health Impacts: A Population-Based Study.


ABSTRACT: The success of public health measures for controlling the coronavirus disease 2019 (COVID-19) pandemic relies on population compliance. We analyzed compliance with social distancing and its associations with mental health. The Hong Kong COVID-19 Health Information Survey was conducted from 9-23 April 2020 on 1501 adults randomly sampled for landline telephone interviews (n = 500) and online surveys (n = 1001). Compliance with social distancing and staying-at-home, stress (Perceived Stress Scale-4), anxiety (General Anxiety Disorders-2), and depressive symptoms (Patient Health Questionnaire-2) were collected. The associations between mental health symptoms and compliance were examined by multivariable regression models. Of the 1501 respondents (52.5% female, 72.3% aged 18-59 years), 74.2%, 72.7%, and 59.7% reported avoiding going out, going to crowded places, and attending social gatherings of more than four people, respectively. Most respondents had stayed-at-home for at least four of the past seven days (58.4%; mean 4.12, Standard Deviation 2.05). Adoption, perceived effectiveness, and perceived compliance with social distancing were associated with lower stress levels and less anxiety and depressive symptoms (all p < 0.01). However, more days stayed-at-home were associated with more depressive symptoms (adjusted Odds Ratio 1.09; 95%Confidence Interval 1.00, 1.18). The long-term psychological impact in relation to social distancing and staying-at-home requires further investigation.

SUBMITTER: Zhao SZ 

PROVIDER: S-EPMC7560229 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature

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Social Distancing Compliance under COVID-19 Pandemic and Mental Health Impacts: A Population-Based Study.

Zhao Sheng Zhi SZ   Wong Janet Yuen Ha JYH   Wu Yongda Y   Choi Edmond Pui Hang EPH   Wang Man Ping MP   Lam Tai Hing TH  

International journal of environmental research and public health 20200914 18


The success of public health measures for controlling the coronavirus disease 2019 (COVID-19) pandemic relies on population compliance. We analyzed compliance with social distancing and its associations with mental health. The Hong Kong COVID-19 Health Information Survey was conducted from 9-23 April 2020 on 1501 adults randomly sampled for landline telephone interviews (<i>n</i> = 500) and online surveys (<i>n</i> = 1001). Compliance with social distancing and staying-at-home, stress (Perceived  ...[more]

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