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The Impact of the first COVID-19 shelter-in-place announcement on social distancing, difficulty in daily activities, and levels of concern in the San Francisco Bay Area: A cross-sectional social media survey

Author

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  • Holly Elser
  • Mathew V Kiang
  • Esther M John
  • Julia F Simard
  • Melissa Bondy
  • Lorene M Nelson
  • Wei-ting Chen
  • Eleni Linos

Abstract

Background: The U.S. has experienced an unprecedented number of orders to shelter in place throughout the ongoing COVID-19 pandemic. We aimed to ascertain whether social distancing; difficulty with daily activities; and levels of concern regarding COVID-19 changed after the March 16, 2020 announcement of the nation’s first shelter-in-place orders (SIPO) among individuals living in the seven affected counties in the San Francisco Bay Area. Methods: We conducted an online, cross-sectional social media survey from March 14 –April 1, 2020. We measured changes in social distancing behavior; experienced difficulties with daily activities (i.e., access to healthcare, childcare, obtaining essential food and medications); and level of concern regarding COVID-19 after the March 16 shelter-in-place announcement in the San Francisco Bay Area versus elsewhere in the U.S. Results: In this non-representative sample, the percentage of respondents social distancing all of the time increased following the shelter-in-place announcement in the Bay Area (9.2%, 95% CI: 6.6, 11.9) and elsewhere in the U.S. (3.4%, 95% CI: 2.0, 5.0). Respondents also reported increased difficulty obtaining hand sanitizer, medications, and in particular respondents reported increased difficulty obtaining food in the Bay Area (13.3%, 95% CI: 10.4, 16.3) and elsewhere (8.2%, 95% CI: 6.6, 9.7). We found limited evidence that level of concern regarding the COVID-19 crisis changed following the announcement. Conclusion: This study characterizes early changes in attitudes, behaviors, and difficulties. As states and localities implement, rollback, and reinstate shelter-in-place orders, ongoing efforts to more fully examine the social, economic, and health impacts of COVID-19, especially among vulnerable populations, are urgently needed.

Suggested Citation

  • Holly Elser & Mathew V Kiang & Esther M John & Julia F Simard & Melissa Bondy & Lorene M Nelson & Wei-ting Chen & Eleni Linos, 2021. "The Impact of the first COVID-19 shelter-in-place announcement on social distancing, difficulty in daily activities, and levels of concern in the San Francisco Bay Area: A cross-sectional social media," PLOS ONE, Public Library of Science, vol. 16(1), pages 1-18, January.
    • Handle: RePEc:plo:pone00:0244819
    DOI: 10.1371/journal.pone.0244819
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    References listed on IDEAS

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    2. Puhani, Patrick A., 2012. "The treatment effect, the cross difference, and the interaction term in nonlinear “difference-in-differences” models," Economics Letters, Elsevier, vol. 115(1), pages 85-87.
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