Rural and Urban Differences in COVID‐19 Prevention Behaviors

Timothy Callaghan · Jennifer A. Lueck · Kristin Lunz Trujillo · Alva O. Ferdinand

227 citations0/0 files storedThe Journal of Rural Health

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COVID-19 Prevention and Impact COVID-19 epidemiological studies Communication and COVID-19 Impact

Abstract

PURPOSE: To examine whether the adoption of COVID-19-related preventive health behaviors vary in rural versus urban communities of the United States while accounting for the influence of political ideology, demographic factors, and COVID-19 experiences. METHODS: We rely on a representative survey of 5009 American adults collected from May 28 to June 8, 2020. We analyze the influence of rural status, political ideology, demographic factors, and COVID-19 experiences on self-reported adoption of 8 COVID-19-related preventive health behaviors. FINDINGS: Rural residents are significantly less likely to have worn a mask in public, sanitized their home or workplace with disinfectant, avoided dining at restaurants or bars, or worked from home. These findings, with the exception of dining out, are robust to the inclusion of measures accounting for political ideology, demographic factors, and COVID-19 experiences. CONCLUSIONS: Rural residents are significantly less likely to participate in several COVID-19-related preventive health behaviors. This reality could exacerbate existing disparities in health access and outcomes for rural Americans. Health messaging targeted at improving COVID-19 preventive behavior adoption in rural America is warranted.

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References

1912The United States Department of Agriculture 2020Fighting COVID-19 Misinformation on Social Media: Experimental Evidence for a Scalable Accuracy-Nudge Intervention 20122013 NCHS Urban-Rural Classification Scheme for Counties.2019Validating the demographic, political, psychological, and experimental results obtained from a new source of online survey respondents 2016The Elusive Backfire Effect: Mass Attitudes' Steadfast Factual Adherence 2016Rise of the Trumpenvolk 2020Who is wearing a mask? Gender-, age-, and location-related differences during the COVID-19 pandemic 2015The Rising Rate of Rural Hospital Closures

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