Socioeconomic Status and Adherence to Preventive Measures During the COVID-19 Pandemic in Switzerland: A Population Based Digital Cohort Analysis.

Tancredi, Stefano; van der Linden, Bernadette W A; Chiolero, Arnaud; Cullati, Stéphane; Imboden, Medea; Probst-Hensch, Nicole; Keidel, Dirk; Witzig, Melissa; Dratva, Julia; Michel, Gisela; Harju, Erika; Frank, Irene; Lorthe, Elsa; Baysson, Hélène; Stringhini, Silvia; Kahlert, Christian R; Bardoczi, Julia B; Haller, Moa Lina; Chocano-Bedoya, Patricia O; Rodondi, Nicolas; ... (2024). Socioeconomic Status and Adherence to Preventive Measures During the COVID-19 Pandemic in Switzerland: A Population Based Digital Cohort Analysis. International journal of public health, 69, p. 1606861. Frontiers 10.3389/ijph.2024.1606861

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OBJECTIVES

To assess the association between socioeconomic status (SES) and self-reported adherence to preventive measures in Switzerland during the COVID-19 pandemic.

METHODS

4,299 participants from a digital cohort were followed between September 2020 and November 2021. Baseline equivalised disposable income and education were used as SES proxies. Adherence was assessed over time. We investigated the association between SES and adherence using multivariable mixed logistic regression, stratifying by age (below/above 65 years) and two periods (before/after June 2021, to account for changes in vaccine coverage and epidemiological situation).

RESULTS

Adherence was high across all SES strata before June 2021. After, participants with higher equivalised disposable income were less likely to adhere to preventive measures compared to participants in the first (low) quartile [second (Adj.OR, 95% CI) (0.56, 0.37-0.85), third (0.38, 0.23-0.64), fourth (0.60, 0.36-0.98)]. We observed similar results for education.

CONCLUSION

No differences by SES were found during the period with high SARS-CoV-2 incidence rates and stringent measures. Following the broad availability of vaccines, lower incidence, and eased measures, differences by SES started to emerge. Our study highlights the need for contextual interpretation when assessing SES impact on adherence to preventive measures.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Medical Education > Institute of General Practice and Primary Care (BIHAM)
04 Faculty of Medicine > Department of General Internal Medicine (DAIM) > Clinic of General Internal Medicine

UniBE Contributor:

Chiolero, Arnaud, Bardoczi, Julia Bianca, Haller, Moa Lina, Chocano Bedoya, Patricia Orializ, Rodondi, Nicolas

Subjects:

300 Social sciences, sociology & anthropology > 360 Social problems & social services
600 Technology > 610 Medicine & health

ISSN:

1661-8564

Publisher:

Frontiers

Language:

English

Submitter:

Pubmed Import

Date Deposited:

18 Jul 2024 15:51

Last Modified:

24 Jul 2024 08:42

Publisher DOI:

10.3389/ijph.2024.1606861

PubMed ID:

39022447

Uncontrolled Keywords:

COVID-19 pandemic SARS-CoV-2 income preventive measures socioeconomic status

BORIS DOI:

10.48350/199089

URI:

https://boris.unibe.ch/id/eprint/199089

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