ArticleLancet regional health. Americas2022
Public health guideline compliance and perceived government effectiveness during the COVID-19 pandemic in Canada: Findings from a longitudinal cohort study.
Article in Lancet regional health. Americas, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Physical activity in social contexts during the COVID-19 pandemic: a latent transition analysis.BMC public health · 2026Article
- A community-engaged public health research and outreach program for immigrant and racialized workers in meat processing during the COVID-19 pandemic.BMC public health · 2026Article
- Non-compliance with COVID-19 Health Recommendations: Five- and Ten-Month Effects on Mental Health and Academic Self-efficacy Among University Students in Sweden.International journal of behavioral medicine · 2026Article
- Trust in community as a predictor of public health measure adherence: Insights from a national Canadian survey.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2025Article
- Challenges faced by health policymakers responding to COVID-19 in remote communities in Northwest Territories, Canada.Health promotion international · 2025Article
- Understanding the dynamics and interplay of public support and adherence to five key mitigation behaviors over the course of the evolving COVID-19 pandemic.SSM - population health · 2025Article
- Mapping the intersection of demographics, behavior, and government response to the COVID-19 pandemic: an observational cohort study.BMC global and public health · 2025Article
- The increase in risk classification using Canada's Guidance on Alcohol and Health: an empirical examination in a sample of community adults in Ontario.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2025Observational
- Differential impact of the COVID-19 pandemic on chlamydia and gonorrhoea cases among youth and young adults in Canada: an interrupted time series analysis.BMJ public health · 2025Article
- Predictors of Change in Vaccination Decisions Among the Vaccine Hesitant: Examining the Roles of Age and Intolerance of Uncertainty.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2024Article
- Article
- 'It's quite a balancing act': A qualitative study of parents' experiences and information needs related to the COVID-19 pandemic.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Article
- Assessment of Knowledge and Attitudes Over Time in Postacute COVID-19 Environments: Protocol for an Epidemiological Study.JMIR research protocols · 2023Article
- Development and validation of the Trust in Government measure (TGM).BMC public health · 2023Article
- Compliance Trajectory and Patterns of COVID-19 Preventive Measures, Japan, 2020-2022.Emerging infectious diseases · 2023Article
- How level of understanding and type of used sources relate to adherence to COVID-19 public health measures in Canada.Scientific reports · 2023Article
- Article
- Compassion fatigue in healthcare providers during the COVID-19 pandemic: a scoping review protocol.BMJ open · 2023Article
- Stepping into the shoes of the policy maker: Results of a Participatory Value Evaluation for the Dutch long term COVID-19 strategy.Social science & medicine (1982) · 2022Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe coronavirus disease 2019 (COVID-19) pandemic has imposed enormous adversity worldwide. Public health guidelines have been a first line of defense but rely on compliance with evolving recommendations and restrictions. This study sought to characterize adherence to and perceptions of public health guidelines over a one-year timeframe during the pandemic.
methodsParticipants were 1435 community adults in Ontario who completed assessments at five time points (April 2020, July 2020, October 2020, January 2021, and April 2021; 92% retention). Participants were assessed for self-reported adherence to government protocols and perceptions of government response (importance, compliance, and effectiveness). Analyses used general linear mixed-effects modelling of overall changes by time and examined differences based on age and sex.
findingsOver time, participants reported high or increasing behavioural engagement in public health guidelines, including physical distancing, restricting activity, and masking. In contrast, participants exhibited significant reductions in perceived importance and compliance, with evidence of more negative changes in younger participants. The largest changes were a substantial reduction in perceived government effectiveness, from predominantly positive perceptions to predominantly negative perceptions.
interpretationThese results illuminate evolving trends in public health compliance and perceptions over the course of the pandemic in Canada, revealing the malleability of public perceptions of public health recommendations and government effectiveness.
fundingThis research was funded by a grant from the Canadian Institutes of Health Research (CIHR). CIHR had no role in study design, data collection, data analysis, interpretation, or writing of the report.
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