Relationship between mask wearing, testing, and vaccine willingness among Los Angeles County adults during the peak of the COVID-19 pandemic

Chun Nok Lam · Cameron M. Kaplan · Sonali Saluja

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Vaccine Coverage and Hesitancy COVID-19 epidemiological studies COVID-19 Prevention and Impact

Abstract

BACKGROUND: Mask wearing mitigates the spread of COVID-19; however, many individuals have not adopted the protective behavior. PURPOSE: We examine mask wearing behavior during the height of the pandemic in Los Angeles County, and its association with COVID-19 testing and willingness to get vaccinated. METHODS: We conducted a cross-sectional survey using representative sampling between December 2020 and January 2021, through an online platform targeting Los Angeles County residents. Survey items include demographic characteristics, health conditions, access to health care, mask wearing, COVID-19 testing, exposure risk factors, and willingness to receive COVID-19 vaccine. We performed logistic regression models to examine factors associated with always mask wearing. RESULTS: Of the analytic sample (n = 1,984), 75.3% reported always wearing a face mask when leaving home. Being a female, Asian or African American, or non-Republican resident, or having higher education, having poor or fair health, having a regular doctor, knowing someone hospitalized for COVID-19, and being willing to receive the COVID-19 vaccine were associated with always wearing a mask. Residents who were younger, had a highest risk health condition, and had ≥2 COVID-19 tests had lower odds of always mask wearing. CONCLUSION: Mask wearing guidelines are easing; however, as vaccination rates plateau and new virus variants emerge, mask wearing remains an important tool to protect vulnerable populations. Encouraging protective measures among younger adults, those with less education, republicans, men, and White residents-groups that are least likely to be vaccinated or wear a mask-may be critical to reducing transmission.

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References

1974The Health Belief Model and Sick Role Behavior 1995A Tale of Two Theories: A Critical Comparison of Identity Theory with Social Identity Theory 2008Web Surveys versus other Survey Modes: A Meta-Analysis Comparing Response Rates 2021Understanding COVID-19 vaccine hesitancy 2020Who is wearing a mask? Gender-, age-, and location-related differences during the COVID-19 pandemic 2020National Trends in the US Public’s Likelihood of Getting a COVID-19 Vaccine—April 1 to December 8, 2020 2021Mask usage, social distancing, racial, and gender correlates of COVID-19 vaccine intentions among adults in the US 2020A Tale of Two Diverse Qualtrics Samples: Information for Online Survey Researchers

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2023Modelling COVID-19 vaccination status and adherence to public health and social measures, Members of Eastern Mediterranean Region and Algeria

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