Impact of biological sex and genderrelated factors on public engagement in protective health behaviours during the COVID-19 pandemic : cross-sectional analyses from a global survey

dc.contributor.authorDev, Rubee
dc.contributor.authorRaparelli, Valeria
dc.contributor.authorBacon, Simón L.
dc.contributor.authorLavoie, Kim L.
dc.contributor.authorPilote, Louise
dc.contributor.authorNorris, Colleen M.
dc.contributor.authorLosada, Analía Verónica
dc.contributor.authoriCARE Study Team
dc.contributor.authorGOING-FWD Consortium
dc.date.accessioned2025-09-05T19:55:10Z
dc.date.available2025-09-05T19:55:10Z
dc.date.issued2022
dc.description.abstractObjective Given the role of sociocultural gender in shaping human behaviours, the main objective of this study was to examine whether sex and gender-related factors were associated with the public’s adherence to COVID-19-recommended protective health behaviours. Design This was a retrospective analysis of the survey that captured data on people’s awareness, attitudes and behaviours as they relate to the COVID-19 policies. Setting Data from the International COVID-19 Awareness and Responses Evaluation survey collected between March 2020 and February 2021 from 175 countries. Participants Convenience sample around the world. Main outcome measures We examined the role of sex and gender-related factors in relation to non-adherence of protective health behaviours including: (1) hand washing; (2) mask wearing; and (3) physical distancing. Multivariable logistic regression was conducted to determine the factors associated with non-adherence to behaviours. Results Among 48 668 respondents (mean age: 43 years; 71% female), 98.3% adopted hand washing, 68.5% mask wearing and 76.9% physical distancing. Compared with males, females were more likely to adopt hand washing (OR=1.97, 95% CI: 1.71 to 2.28) and maintain physical distancing (OR=1.28, 95% CI: 1.22 to 1.34). However, in multivariable sex stratified models, females in countries with higher Gender Inequality Indexes (GII) were less likely to report hand washing (adjusted OR (aOR)=0.47, 95% CI: 0.21 to 1.05). Females who reported being employed (aOR=0.22, 95% CI: 0.10 to 0.48) and in countries with low/medium GIIs (aOR=0.18, 95% CI 0.06 to 0.51) were less likely to report mask wearing. Females who reported being employed were less likely to report physical distancing (aOR=0.39, 95% CI: 0.32 to 0.49). Conclusion While females showed greater adherence to COVID-19 protective health behaviours, gender-related factors, including employment status and high countrywide gender inequality, were independently associated with non-adherence. These findings may inform public health and vaccination policies in current as well as future pandemics.en
dc.description.filiationDev, Rubee. Universidad de Alberta; Canadá.
dc.description.filiationRaparelli, Valeria. Universidad de Alberta; Canadá.
dc.description.filiationRaparelli, Valeria. Universidad de Ferrara; Italia.
dc.description.filiationBacon, Simón L. Centro de Medicina Conductual de Montreal; Canadá.
dc.description.filiationBacon, Simón L. Universidad Concordia; Canadá.
dc.description.filiationLavoie, Kim L. Centro de Medicina Conductual de Montreal; Canadá.
dc.description.filiationLavoie, Kim L. Universidad de Québec en Montreal; Canadá.
dc.description.filiationPilote, Louise. Universidad McGill; Canadá.
dc.description.filiationNorris, Colleen M. Universidad de Alberta; Canadá.
dc.description.filiationLosada, Analía Verónica. Universidad de Flores; Argentina.
dc.identifier.citationDev, R., Rapanelli, V., Bacon, S. L., Lavoie, K. L., Pilote, L., Norris, C. M., iCARE Study Team., & GOING-FWD Consortium. (2022). Impact of biological sex and genderrelated factors on public engagement in protective health behaviours during the COVID-19 pandemic : cross-sectional analyses from a global survey. BMJ Open, 12(6), 1-11. https://bmjopen.bmj.com/content/12/6/e059673en
dc.identifier.doi10.1136/ bmjopen-2021-059673
dc.identifier.issn2044-6055
dc.identifier.urihttps://hdl.handle.net/20.500.14340/2696
dc.language.isoenen
dc.publisherBMJ Publishing Group (Reino Unido)
dc.rightsopenAccess
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.subjectPANDEMIAes_AR
dc.subjectCOVID-19es_AR
dc.subjectCOMPORTAMIENTO RELACIONADO CON LA SALUDes_AR
dc.subjectCOMPORTAMIENTO SOCIALes_AR
dc.subjectPAPEL DE GENEROes_AR
dc.titleImpact of biological sex and genderrelated factors on public engagement in protective health behaviours during the COVID-19 pandemic : cross-sectional analyses from a global surveyen
dc.typeArtículoes_AR
dc.type.versionpublishedVersion
dspace.entity.typeArtículo

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