Literature DB >> 33397344

Do they really wash their hands? Prevalence estimates for personal hygiene behaviour during the COVID-19 pandemic based on indirect questions.

Laura Mieth1, Maike M Mayer2, Adrian Hoffmann2, Axel Buchner2, Raoul Bell2.   

Abstract

BACKGROUND: During the COVID-19 pandemic, billions of people have to change their behaviours to slow down the spreading of the virus. Protective measures include self-isolation, social (physical) distancing and compliance with personal hygiene rules, particularly regular and thorough hand washing. Prevalence estimates for the compliance with the COVID-19 measures are often based on direct self-reports. However, during a health crisis there is strong public pressure to comply with health and safety regulations so that people's responding in direct self-reports may be seriously compromised by social desirability.
METHODS: In an online survey, an indirect questioning technique was used to test whether the prevalence of hygiene practices may be lower than in conventional surveys when confidentiality of responding is guaranteed. The Extended Crosswise Model is an indirect questioning technique that guarantees the confidentiality of responding. To the degree that direct self-reports are biased by social desirability, prevalence estimates of hygiene practices such as thorough hand washing based on the Extended Crosswise Model should be lower than those based on direct self-reports.
RESULTS: We analysed data of 1434 participants. In the direct questioning group 94.5% of the participants claimed to practice proper hand hygiene; in the indirect questioning group a significantly lower estimate of only 78.1% was observed.
CONCLUSIONS: These results indicate that estimates of the degree of commitment to measures designed to counter the spread of the disease may be significantly inflated by social desirability in direct self-reports. Indirect questioning techniques with higher levels of confidentiality seem helpful in obtaining more realistic estimates of the degree to which people follow the recommended personal hygiene measures. More realistic estimates of compliance can help to inform and to adjust public information campaigns on COVID-19 hygiene recommendations.

Entities:  

Keywords:  COVID-19; Coronavirus; Extended crosswise model; Indirect questioning; Randomised response technique; Survey

Year:  2021        PMID: 33397344     DOI: 10.1186/s12889-020-10109-5

Source DB:  PubMed          Journal:  BMC Public Health        ISSN: 1471-2458            Impact factor:   3.295


  10 in total

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Authors:  S L Warner
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5.  Reducing socially desirable responses in epidemiologic surveys: an extension of the randomized-response technique.

Authors:  Morten Moshagen; Jochen Musch; Martin Ostapczuk; Zengmei Zhao
Journal:  Epidemiology       Date:  2010-05       Impact factor: 4.822

6.  Detecting nonadherence without loss in efficiency: A simple extension of the crosswise model.

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Review 7.  Using social and behavioural science to support COVID-19 pandemic response.

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Journal:  Nat Hum Behav       Date:  2020-04-30

8.  A Strong Validation of the Crosswise Model Using Experimentally-Induced Cheating Behavior.

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Journal:  Exp Psychol       Date:  2015

9.  How will country-based mitigation measures influence the course of the COVID-19 epidemic?

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  10 in total
  8 in total

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6.  "I Can Sense When My Hands Need Washing": A Qualitative Study and Thematic Analysis of Factors Affecting Young Adults' Hand Hygiene.

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7.  Functionality of the Crosswise Model for Assessing Sensitive or Transgressive Behavior: A Systematic Review and Meta-Analysis.

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  8 in total

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