ArticleBMJ open2022
Psychosocial determinants of adherence to public health and social measures (PHSMs) in 18 African Union Member States during the early phase of the COVID-19 pandemic: results of a cross-sectional survey.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Shadow pandemics: violence and vulnerability as part of the COVID-19 experience in Sub-Saharan Africa.Health promotion international · 2026Article
- The lingering impacts of COVID-19 on older women in Kenya and Uganda: A quantitative analysis of health, wellbeing, and WASH insecurity.Journal of public health research · 2026Article
- A Review and Future Directions for Global Public Health Security Assessment Tools.China CDC weekly · 2026Article
- Exploring barriers to social distancing during the COVID-19 pandemic in Zimbabwe: a qualitative study.BMJ public health · 2025Article
- A practical agenda for incorporating trust into pandemic preparedness and response.Bulletin of the World Health Organization · 2024Article
- Understanding facilitators and barriers to COVID-19 vaccination in the Zimbabwean population: a qualitative analysis.BMC public health · 2024Article
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Authors and funding
12 authors.
Funding
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Abstract
objectiveThe objective of this study was to gain a better understanding of the psychosocial and sociodemographic factors that affected adherence to COVID-19 public health and social measures (PHSMs), and to identify the factors that most strongly related to whether citizens followed public health guidance.
designCross-sectional study. SETTING AND
participantsNationally representative telephone surveys were conducted from 4-17 August 2020 in 18 African Union Member States. A total of 21 600 adults (mean age=32.7 years, SD=11.4) were interviewed (1200 in each country). OUTCOME MEASURES: Information including sociodemographics, adherence to PHSMs and psychosocial variables was collected. Logistic regression models examined the association between PHSM adherence (eg, physical distancing, gathering restrictions) and sociodemographic and psychosocial characteristics (eg, risk perception, trust). Factors affecting adherence were ranked using the Shapley regression decomposition method.
resultsAdherence to PHSMs was high, with better adherence to personal than community PHSMs (65.5% vs 30.2%, p<0.05). Psychosocial measures were significantly associated with personal and community PHSMs (p<0.05). Women and older adults demonstrated better adherence to personal PHSMs (adjusted OR (aOR): women=1.43, age=1.01, p
conclusionsPsychosocial factors, particularly trust in authorities and institutions, played a critical role in PHSM adherence. Adherence to community PHSMs was lower than personal PHSMs since they can impose significant burdens, particularly on the socially vulnerable.
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