ArticleBMC public health2023
A longitudinal study of COVID-19 preventive behavior fatigue in Hong Kong: a city with previous pandemic experience.
Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Factors associated with COVID-19 preventive behaviors among patients with hypertension and type 2 diabetes in southern Iran: a structural equation modeling study.BMC public health · 2026Article
- Individual feedback on risk for acquiring SARS-CoV-2 infection failed to change future risk behaviors during the COVID-19 pandemic in Japan.SSM - population health · 2026Article
- Understanding the drivers and barriers of elderly vaccination in post-pandemic China: a qualitative study in Shenzhen.BMC public health · 2025Article
- Alarming data on attitudes and practices toward COVID-19 - changes during the 1 st, 2nd and 3rd waves of the pandemic: a cross-sectional study.Scientific reports · 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
- Tailoring dengue health communication: Survey-based strategies to reduce message fatigue across risk areas.PLoS neglected tropical diseases · 2025Article
- Article
- Adherence to COVID-19 measures and the associated factors: evidence from a two-wave longitudinal study in Singapore.BMC public health · 2024Article
- A Systematic Review of the Definition, Measurement, and Associated Factors of Pandemic Fatigue.China CDC weekly · 2024Article
- The role of collectivism, liberty, COVID fatigue, and fatalism in public support for the zero-COVID policy and relaxing restrictions in China.BMC public health · 2024Article
- Heterogeneous risk tolerance, in-groups, and epidemic waves.Frontiers in applied mathematics and statistics · 2024Article
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Authors and funding
7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundIn addition to high vaccination levels, COVID-19 control requires uptake and continued adherence to personal hygiene and social distancing behaviors. It is unclear whether residents of a city with successive experience in worldwide pandemics such as SARS, would quickly adopt and maintain preventive behaviors.
methodsA population-based, longitudinal telephone survey was conducted between in first local wave of the COVID-19 pandemic (April 2020) and third local wave (December 2020) (n = 403). The study examined factors associated with personal hygiene and social distancing behavior fatigue, as measured by reduced adherence.
resultsOver 9 months, face mask use increased (96.5-100%, p < 0.001). Although habitual hand hygiene remained unchanged (92.0%), blue collar workers and non-working individuals showed higher risk of hand hygiene fatigue. There was a decline (p < 0.05) in avoidance of social gatherings (81.1 to 70.7%), avoidance of public places (52.9-27.5%) and avoidance of international travel (81.9-77.4%) even with rising caseloads. Lowered perception of COVID-19 disease severity was associated with decreased avoidance of social gatherings and public places while lower education was associated with decline in avoidance of social gatherings.
conclusionEven in regions with past pandemic experience, maintaining social distancing behaviors during a protracted pandemic remains a major public health challenge.
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