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Effect of Income Level and Perception of Susceptibility and Severity of COVID-19 on Stay-at-Home Preventive Behavior in a Group of Older Adults in Mexico City

Author

Listed:
  • Maria Esther Irigoyen-Camacho

    (Health Care Department, Metropolitan Autonomous University, Unit Xochimilco, Mexico City 04960, Mexico)

  • Maria Consuelo Velazquez-Alva

    (Health Care Department, Metropolitan Autonomous University, Unit Xochimilco, Mexico City 04960, Mexico)

  • Marco Antonio Zepeda-Zepeda

    (Health Care Department, Metropolitan Autonomous University, Unit Xochimilco, Mexico City 04960, Mexico)

  • Maria Fernanda Cabrer-Rosales

    (Health Care Department, Metropolitan Autonomous University, Unit Xochimilco, Mexico City 04960, Mexico)

  • Irina Lazarevich

    (Health Care Department, Metropolitan Autonomous University, Unit Xochimilco, Mexico City 04960, Mexico)

  • Antonio Castaño-Seiquer

    (Director of The Master Program of Family and Community Dentistry, Faculty of Dentistry, University of Sevilla, Street Avicenna, 41009 Sevilla, Spain)

Abstract

Early information on public health behaviors adopted to prevent the spread of coronavirus (COVID-19) may be useful in controlling the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) transmission. The objective of this study was to assess the role of income level (IL) and the perception of older adults, regarding COVID-19 susceptibility and severity, on adopting stay-at-home preventive behavior during the first week of the outbreak in Mexico. Participants in this cross-sectional study were urban community dwellers, aged ≥ 65 years from Mexico City. A total of 380 interviews were conducted over the phone. The mean respondent age was 72.9 years, and 76.1% were women. Over half (54.2%) of the participants perceived their susceptibility to COVID-19 as very low or low. Similarly, 33.4% perceived COVID-19 severity as being very low or low, and 57.6% had decided to stay at home: this behavior was associated with IL (β = 1.05, p < 0.001), and its total effect was partially mediated (15.1%) by perceived severity. Educational attainment was also associated with staying at home (β = 0.10, p = 0.018) and its total effect was partially mediated (15.0%) by perceived susceptibility. Interventions aimed at low income and less educated older adults should be developed to improve preventive behaviors in this vulnerable group during the COVID-19 pandemic.

Suggested Citation

  • Maria Esther Irigoyen-Camacho & Maria Consuelo Velazquez-Alva & Marco Antonio Zepeda-Zepeda & Maria Fernanda Cabrer-Rosales & Irina Lazarevich & Antonio Castaño-Seiquer, 2020. "Effect of Income Level and Perception of Susceptibility and Severity of COVID-19 on Stay-at-Home Preventive Behavior in a Group of Older Adults in Mexico City," IJERPH, MDPI, vol. 17(20), pages 1-16, October.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:20:p:7418-:d:426599
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