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Published in: BMC Public Health 1/2024

Open Access 01-12-2024 | COVID-19 | Research

Public acceptance of COVID-19 control measures and associated factors during Omicron-dominant period in China: a cross-sectional survey

Authors: Jiayi Zhong, Qianhong Zhong, Husheng Xiong, Dawei Wu, Caiyun Zheng, Shuang Liu, Qinyi Zhong, Yan Chen, Dingmei Zhang

Published in: BMC Public Health | Issue 1/2024

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Abstract

Objectives

This study aims to evaluate the public acceptance of coronavirus disease 2019 (COVID-19) control measures during the Omicron-dominant period and its associated factors.

Methods

A cross-sectional design was conducted and 1391 study participants were openly recruited to participate in the questionnaire survey. Logistic regression model was performed to assess the association between the public acceptance and potential factors more specifically.

Results

By August 26, 2022, 58.9% of the study participants were less acceptive of the control measures while 41.1% expressed higher acceptance. Factors associated with lower acceptance included young age, such as < 18 (OR = 8.251, 95% CI: 2.009 to 33.889) and 18–29 (OR = 2.349, 95% CI: 1.564 to 3.529), and household per capita monthly income lower than 5000 yuan (OR = 1.512, 95% CI: 1.085 to 2.105). Furthermore, individuals who perceived that the case fatality rate (CFR) of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) was very low (OR = 6.010, 95% CI: 2.475 to 14.595) and that the restrictions could be eased once the CFR dropped to 2–3 times of the influenza (OR = 2.792, 95% CI: 1.939 to 4.023) showed greater oppositional attitudes. Likewise, respondents who were dissatisfied with control measures (OR = 9.639, 95% CI: 4.425 to 20.998) or preferred fully relaxation as soon as possible (OR = 13.571, 95% CI: 7.751 to 23.758) had even lower acceptability. By contrast, rural residents (OR = 0.683, 95% CI: 0.473 to 0.987), students (OR = 0.510, 95% CI: 0.276 to 0.941), public (OR = 0.417, 95% CI: 0.240 to 0.727) and private (OR = 0.562, 95% CI: 0.320 to 0.986) employees, and vaccinated participants (OR = 0.393, 95% CI: 0.204 to 0.756) were more compliant with control measures.

Conclusion

More than half of the Chinese public were less supportive of COVID-19 control measures during Omicron-dominant period, which varied based on their different demographic characteristics, cognition and overall attitude towards SARS-CoV-2 infection. Control measures that struck a balance between public safety and individual freedom would be more acceptable during the pandemic.
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Literature
1.
go back to reference Pulliam JRC, van Schalkwyk C, Govender N, von Gottberg A, Cohen C, Groome MJ, Dushoff J, Mlisana K, Moultrie H. Increased risk of SARS-CoV-2 reinfection associated with emergence of Omicron in South Africa. Science. 2022;376(6593):eabn4947.CrossRefPubMed Pulliam JRC, van Schalkwyk C, Govender N, von Gottberg A, Cohen C, Groome MJ, Dushoff J, Mlisana K, Moultrie H. Increased risk of SARS-CoV-2 reinfection associated with emergence of Omicron in South Africa. Science. 2022;376(6593):eabn4947.CrossRefPubMed
3.
go back to reference Zhang L, Li Q, Liang Z, Li T, Liu S, Cui Q, Nie J, Wu Q, Qu X, Huang W, et al. The significant immune escape of pseudotyped SARS-CoV-2 variant Omicron. Emerg Microbes Infect. 2022;11(1):1–5.CrossRefPubMed Zhang L, Li Q, Liang Z, Li T, Liu S, Cui Q, Nie J, Wu Q, Qu X, Huang W, et al. The significant immune escape of pseudotyped SARS-CoV-2 variant Omicron. Emerg Microbes Infect. 2022;11(1):1–5.CrossRefPubMed
4.
go back to reference Zhou L, Nie K, Zhao H, Zhao X, Ye B, Wang J, Chen C, Wang H, Di J, Li J, et al. Eleven COVID-19 outbreaks with local transmissions caused by the Imported SARS-CoV-2 Delta VOC - China, July-August, 2021. China CDC Wkly. 2021;3(41):863–8.CrossRefPubMedPubMedCentral Zhou L, Nie K, Zhao H, Zhao X, Ye B, Wang J, Chen C, Wang H, Di J, Li J, et al. Eleven COVID-19 outbreaks with local transmissions caused by the Imported SARS-CoV-2 Delta VOC - China, July-August, 2021. China CDC Wkly. 2021;3(41):863–8.CrossRefPubMedPubMedCentral
5.
go back to reference Lou L, Zhang L, Guan J, Ning X, Nie M, Wei Y, Chen F. Retrospective modeling of the Omicron Epidemic in Shanghai, China: exploring the timing and performance of Control measures. Trop Med Infect Dis 2023, 8(1). Lou L, Zhang L, Guan J, Ning X, Nie M, Wei Y, Chen F. Retrospective modeling of the Omicron Epidemic in Shanghai, China: exploring the timing and performance of Control measures. Trop Med Infect Dis 2023, 8(1).
6.
go back to reference Meng Y, Wang X, Dong P, Yang Y, Wang K, Yan X, Hu G, Mao A, Qiu W. Comparative analysis of prevention and control measures toward COVID-19 epidemic between Shanghai and Beijing. Front Public Health. 2023;11:1121846.CrossRefPubMedPubMedCentral Meng Y, Wang X, Dong P, Yang Y, Wang K, Yan X, Hu G, Mao A, Qiu W. Comparative analysis of prevention and control measures toward COVID-19 epidemic between Shanghai and Beijing. Front Public Health. 2023;11:1121846.CrossRefPubMedPubMedCentral
7.
go back to reference Chen S, Qiu Z, Xu L, Chen J, Lin Y, Yang Y, Wang D. People groups’ responses to SARS in the community. Chin Rural Health Service Adm. 2003;23(6):15–8. Chen S, Qiu Z, Xu L, Chen J, Lin Y, Yang Y, Wang D. People groups’ responses to SARS in the community. Chin Rural Health Service Adm. 2003;23(6):15–8.
8.
go back to reference Liu Z, Gao H, Zhang S. Prevention and treatment knowledge towards SARS of urban population in Jinan. Prev Med Trib. 2004;10:659–60. Liu Z, Gao H, Zhang S. Prevention and treatment knowledge towards SARS of urban population in Jinan. Prev Med Trib. 2004;10:659–60.
9.
go back to reference Zhou X, Xiu C, Chu Q. Prevention and treatment knowledge and attitudes towards SARS of urban residents in Qingdao. Prev Med Trib. 2004;10:407–8. Zhou X, Xiu C, Chu Q. Prevention and treatment knowledge and attitudes towards SARS of urban residents in Qingdao. Prev Med Trib. 2004;10:407–8.
10.
go back to reference Nageshwaran G, Harris RC, Guerche-Seblain CE. Review of the role of big data and digital technologies in controlling COVID-19 in Asia: public health interest vs. privacy. Digit Health. 2021;7:20552076211002953.PubMedPubMedCentral Nageshwaran G, Harris RC, Guerche-Seblain CE. Review of the role of big data and digital technologies in controlling COVID-19 in Asia: public health interest vs. privacy. Digit Health. 2021;7:20552076211002953.PubMedPubMedCentral
11.
go back to reference Azlan AA, Hamzah MR, Sern TJ, Ayub SH, Mohamad E. Public knowledge, attitudes and practices towards COVID-19: a cross-sectional study in Malaysia. PLoS ONE. 2020;15(5):e0233668.CrossRefPubMedPubMedCentral Azlan AA, Hamzah MR, Sern TJ, Ayub SH, Mohamad E. Public knowledge, attitudes and practices towards COVID-19: a cross-sectional study in Malaysia. PLoS ONE. 2020;15(5):e0233668.CrossRefPubMedPubMedCentral
12.
go back to reference Voo TC, Ballantyne A, Ng CJ, Cowling BJ, Xiao J, Phang KC, Kaur S, Jenarun G, Kumar V, Lim JM, et al. Public acceptability of COVID-19 control measures in Singapore, Hong Kong, and Malaysia: a cross-sectional survey. Int J Infect Dis. 2022;120:51–8.CrossRefPubMedPubMedCentral Voo TC, Ballantyne A, Ng CJ, Cowling BJ, Xiao J, Phang KC, Kaur S, Jenarun G, Kumar V, Lim JM, et al. Public acceptability of COVID-19 control measures in Singapore, Hong Kong, and Malaysia: a cross-sectional survey. Int J Infect Dis. 2022;120:51–8.CrossRefPubMedPubMedCentral
13.
go back to reference Iqbal MA, Younas MZ. Public knowledge, attitudes, and practices towards COVID-19 in Pakistan: a cross-sectional study. Child Youth Serv Rev. 2021;120:105784.CrossRefPubMed Iqbal MA, Younas MZ. Public knowledge, attitudes, and practices towards COVID-19 in Pakistan: a cross-sectional study. Child Youth Serv Rev. 2021;120:105784.CrossRefPubMed
15.
go back to reference Dyer O. Covid-19: Lockdowns spread in China as omicron tests zero covid strategy. BMJ. 2022;376:o859.CrossRefPubMed Dyer O. Covid-19: Lockdowns spread in China as omicron tests zero covid strategy. BMJ. 2022;376:o859.CrossRefPubMed
18.
go back to reference Gan L, Chen Y, Hu P, Wu D, Zhu Y, Tan J, Li Y, Zhang D. Willingness to receive SARS-CoV-2 Vaccination and Associated Factors among Chinese adults: A Cross Sectional Survey. Int J Environ Res Public Health 2021, 18(4). Gan L, Chen Y, Hu P, Wu D, Zhu Y, Tan J, Li Y, Zhang D. Willingness to receive SARS-CoV-2 Vaccination and Associated Factors among Chinese adults: A Cross Sectional Survey. Int J Environ Res Public Health 2021, 18(4).
19.
go back to reference Juul A, Scheike T, Davidsen M, Gyllenborg J, Jørgensen T. Low serum insulin-like growth factor I is associated with increased risk of ischemic heart disease: a population-based case-control study. Circulation. 2002;106(8):939–44.CrossRefPubMed Juul A, Scheike T, Davidsen M, Gyllenborg J, Jørgensen T. Low serum insulin-like growth factor I is associated with increased risk of ischemic heart disease: a population-based case-control study. Circulation. 2002;106(8):939–44.CrossRefPubMed
20.
go back to reference Peduzzi P, Concato J, Kemper E, Holford TR, Feinstein AR. A simulation study of the number of events per variable in logistic regression analysis. J Clin Epidemiol. 1996;49(12):1373–9.CrossRefPubMed Peduzzi P, Concato J, Kemper E, Holford TR, Feinstein AR. A simulation study of the number of events per variable in logistic regression analysis. J Clin Epidemiol. 1996;49(12):1373–9.CrossRefPubMed
21.
go back to reference Cheng ZJ, Zhan Z, Xue M, Zheng P, Lyu J, Ma J, Zhang XD, Luo W, Huang H, Zhang Y, et al. Public Health Measures and the control of COVID-19 in China. Clin Rev Allergy Immunol. 2023;64(1):1–16.CrossRefPubMed Cheng ZJ, Zhan Z, Xue M, Zheng P, Lyu J, Ma J, Zhang XD, Luo W, Huang H, Zhang Y, et al. Public Health Measures and the control of COVID-19 in China. Clin Rev Allergy Immunol. 2023;64(1):1–16.CrossRefPubMed
22.
go back to reference Zhang A, Yang H, Tong S, Gao J. An investigation on Chinese Public Acceptance of COVID-19 Prevention Measures. Int J Environ Res Public Health 2022, 19(9). Zhang A, Yang H, Tong S, Gao J. An investigation on Chinese Public Acceptance of COVID-19 Prevention Measures. Int J Environ Res Public Health 2022, 19(9).
24.
go back to reference Constant A, Conserve D, Gallopel-Morvan K, Raude J. Cognitive factors Associated with Public Acceptance of COVID-19 Nonpharmaceutical Prevention Measures: cross-sectional study. JMIRx Med. 2022;3(2):e32859.CrossRefPubMedPubMedCentral Constant A, Conserve D, Gallopel-Morvan K, Raude J. Cognitive factors Associated with Public Acceptance of COVID-19 Nonpharmaceutical Prevention Measures: cross-sectional study. JMIRx Med. 2022;3(2):e32859.CrossRefPubMedPubMedCentral
25.
go back to reference Yue S, Zhang J, Cao M, Chen B. Knowledge, attitudes and practices of COVID-19 among urban and rural residents in China: a cross-sectional study. J Community Health. 2021;46(2):286–91.CrossRefPubMed Yue S, Zhang J, Cao M, Chen B. Knowledge, attitudes and practices of COVID-19 among urban and rural residents in China: a cross-sectional study. J Community Health. 2021;46(2):286–91.CrossRefPubMed
26.
go back to reference Fang T, Li Y, Jiang D, Liu L, Fan F, Chen Y, Zhao Z. Knowledge, attitudes, and practices toward COVID-19 among rural residents of Hebei Province: a cross-sectional survey. Disaster Med Public Health Prep. 2022;17:e330.CrossRefPubMed Fang T, Li Y, Jiang D, Liu L, Fan F, Chen Y, Zhao Z. Knowledge, attitudes, and practices toward COVID-19 among rural residents of Hebei Province: a cross-sectional survey. Disaster Med Public Health Prep. 2022;17:e330.CrossRefPubMed
27.
go back to reference Chai CS, Ng DL, Chua WJ, Tung YZ, Sindeh W, Ibrahim MA, Badlishah Sham SF, Tan SB. Knowledge, attitude, and practices among the General Population during the later stage of the COVID-19 pandemic in Malaysia: a cross-sectional study. Risk Manag Healthc Policy. 2022;15:389–401.CrossRefPubMedPubMedCentral Chai CS, Ng DL, Chua WJ, Tung YZ, Sindeh W, Ibrahim MA, Badlishah Sham SF, Tan SB. Knowledge, attitude, and practices among the General Population during the later stage of the COVID-19 pandemic in Malaysia: a cross-sectional study. Risk Manag Healthc Policy. 2022;15:389–401.CrossRefPubMedPubMedCentral
28.
go back to reference Zhong BL, Luo W, Li HM, Zhang QQ, Liu XG, Li WT, Li Y. Knowledge, attitudes, and practices towards COVID-19 among Chinese residents during the rapid rise period of the COVID-19 outbreak: a quick online cross-sectional survey. Int J Biol Sci. 2020;16(10):1745–52.CrossRefPubMedPubMedCentral Zhong BL, Luo W, Li HM, Zhang QQ, Liu XG, Li WT, Li Y. Knowledge, attitudes, and practices towards COVID-19 among Chinese residents during the rapid rise period of the COVID-19 outbreak: a quick online cross-sectional survey. Int J Biol Sci. 2020;16(10):1745–52.CrossRefPubMedPubMedCentral
29.
go back to reference Kundu S, Al Banna MH, Sayeed A, Begum MR, Brazendale K, Hasan MT, Habiba SJ, Abid MT, Khan MA, Chowdhury S et al. Knowledge, attitudes, and preventive practices toward the COVID-19 pandemic: an online survey among Bangladeshi residents. Z Gesundh Wiss 2021:1–15. Kundu S, Al Banna MH, Sayeed A, Begum MR, Brazendale K, Hasan MT, Habiba SJ, Abid MT, Khan MA, Chowdhury S et al. Knowledge, attitudes, and preventive practices toward the COVID-19 pandemic: an online survey among Bangladeshi residents. Z Gesundh Wiss 2021:1–15.
30.
go back to reference Barboza-Wilkes C, Gonzalez E, Resh W, Wong S. The emotional toll of the COVID-19 crisis on local government workers. Rev Public Personnel Adm 2022:0734371X221108501. Barboza-Wilkes C, Gonzalez E, Resh W, Wong S. The emotional toll of the COVID-19 crisis on local government workers. Rev Public Personnel Adm 2022:0734371X221108501.
31.
go back to reference Cheong HS, Kwon KT, Hwang S, Kim SW, Chang HH, Park SY, Kim B, Lee S, Park J, Heo ST, et al. Workload of Healthcare workers during the COVID-19 outbreak in Korea: a Nationwide Survey. J Korean Med Sci. 2022;37(6):e49.CrossRefPubMedPubMedCentral Cheong HS, Kwon KT, Hwang S, Kim SW, Chang HH, Park SY, Kim B, Lee S, Park J, Heo ST, et al. Workload of Healthcare workers during the COVID-19 outbreak in Korea: a Nationwide Survey. J Korean Med Sci. 2022;37(6):e49.CrossRefPubMedPubMedCentral
32.
go back to reference Yazicioglu B, Oruc MA, Ozdemir S. Evaluation of family physicians’ anxiety during the COVID-19 process: provincial example from Turkey. BMC Psychol. 2022;10(1):313.CrossRefPubMedPubMedCentral Yazicioglu B, Oruc MA, Ozdemir S. Evaluation of family physicians’ anxiety during the COVID-19 process: provincial example from Turkey. BMC Psychol. 2022;10(1):313.CrossRefPubMedPubMedCentral
33.
go back to reference Levy I. Stress, anxiety, and depression in times of COVID-19: gender, individual quarantine, pandemic duration and employment. Front Public Health. 2022;10:999795.CrossRefPubMedPubMedCentral Levy I. Stress, anxiety, and depression in times of COVID-19: gender, individual quarantine, pandemic duration and employment. Front Public Health. 2022;10:999795.CrossRefPubMedPubMedCentral
34.
go back to reference Tran DD, Fitzke RE, Wang J, Davis JP, Pedersen ER. Substance use, financial stress, employment disruptions, and anxiety among veterans during the COVID-19 pandemic. Psychol Rep. 2023;126(4):1684–700.CrossRefPubMed Tran DD, Fitzke RE, Wang J, Davis JP, Pedersen ER. Substance use, financial stress, employment disruptions, and anxiety among veterans during the COVID-19 pandemic. Psychol Rep. 2023;126(4):1684–700.CrossRefPubMed
35.
36.
go back to reference Gollwitzer M, Platzer C, Zwarg C, Göritz AS. Public acceptance of Covid-19 lockdown scenarios. Int J Psychol. 2021;56(4):551–65.CrossRefPubMed Gollwitzer M, Platzer C, Zwarg C, Göritz AS. Public acceptance of Covid-19 lockdown scenarios. Int J Psychol. 2021;56(4):551–65.CrossRefPubMed
37.
38.
go back to reference Liu Y, Yu Y, Zhao Y, He D. Reduction in the infection fatality rate of Omicron variant compared with previous variants in South Africa. Int J Infect Dis. 2022;120:146–9.CrossRefPubMedPubMedCentral Liu Y, Yu Y, Zhao Y, He D. Reduction in the infection fatality rate of Omicron variant compared with previous variants in South Africa. Int J Infect Dis. 2022;120:146–9.CrossRefPubMedPubMedCentral
39.
go back to reference Avramidou KTM. Psychological consequences of Covid on general population. Eur Psychiatry. 2023;66(S1):412–S412. Avramidou KTM. Psychological consequences of Covid on general population. Eur Psychiatry. 2023;66(S1):412–S412.
40.
go back to reference Alateeq D, Aljhani S, Alsubaie M, Althiyabi I, Majzoub S. Quarantine-related depression and anxiety during coronavirus disease (COVID-19) outbreak. Eur Psychiatry. 2021;64(S1):655–S656.CrossRef Alateeq D, Aljhani S, Alsubaie M, Althiyabi I, Majzoub S. Quarantine-related depression and anxiety during coronavirus disease (COVID-19) outbreak. Eur Psychiatry. 2021;64(S1):655–S656.CrossRef
Metadata
Title
Public acceptance of COVID-19 control measures and associated factors during Omicron-dominant period in China: a cross-sectional survey
Authors
Jiayi Zhong
Qianhong Zhong
Husheng Xiong
Dawei Wu
Caiyun Zheng
Shuang Liu
Qinyi Zhong
Yan Chen
Dingmei Zhang
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2024
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-024-17646-3

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