Survey of Adherence with COVID-19 Prevention Behaviors During the 2020 Thanksgiving and Winter Holidays Among Members of the COVID-19 Community Research Partnership

James E Peacock Jr, David M Herrington, Sharon L Edelstein, Austin L Seals, Ian D Plumb, Sharon Saydah, William H Lagarde, Michael S Runyon, Patrick D Maguire, Adolfo Correa, William S Weintraub, Thomas F Wierzba, John W Sanders, COVID-19 Community Research Partnership Study Group, John Walton, Mark A Espeland, Morgana Mongraw-Chaffin, Alain Bertoni, Martha A Alexander-Miller, Allison Mathews, Iqra Munawar, Brian Ostasiewski, Christine Ann Pittman Ballard, Metin Gurcan, Alexander Ivanov, Allison Matthews, Giselle Melendez Zapata, Marlena Westcott, Karen Blinson, Laura Blinson, Douglas McGlasson, Mark Mistysyn, Donna Davis, Lynda Doomy, Perrin Henderson, Alicia Jessup, Kimberly Lane, Beverly Levine, Jessica McCanless, Sharon McDaniel, Kathryn Melius, Christine O'Neill, Angelina Pack, Ritu Rathee, Scott Rushing, Jennifer Sheets, Sandra Soots, Michele Wall, Samantha Wheeler, John White, Lisa Wilkerson, Rebekah Wilson, Kenneth Wilson, Deb Burcombe, Lewis H McCurdy, Michael A Gibbs, Yhenneko J Taylor, Lydia Calamari, Hazel Tapp, Amina Ahmed, Michael Brennan, Lindsay Munn, Keerti L Dantuluri, Timothy Hetherington, Lauren C Lu, Connell Dunn, Melanie Hogg, Andrea Price, Mariana Leonidas, Laura Staton, Kennisha Spencer, Melinda Manning, Whitney Rossman, Frank Gohs, Anna Harris, Bella Gutnik, Jennifer S Priem, Ryan Burns, Kristen Miller, Chris Washington, Allison Moses, Sarahfaye Dolman, Julissa Zelaya-Portillo, John Erkus, Joseph Blumenthal, Ronald E Romero Barrientos, Sonita Bennett, Shrenik Shah, Shrey Mathur, Christian Boxley, Paul Kolm, La Long, Cheng Zhang, Eva Hochberger, Ella Franklin, Deliya Wesley, Naheed Ahmed, Richard Oberhelman, Joseph Keating, Patricia Kissinger, John Schieffelin, Joshua Yukich, Andrew J Beron, Devin Hayes, Johanna Teigen, Karen Kotloff, Wilbur Chen, DeAnna Friedman-Klabanoff, Andrea Berry, Helen Powell, Lynnee Roane, Reva Datar, Leandro Mena, Bhagyashri Navalkele, Yuan I Min, Alexandra Castillo, Lori Ward, Robert P Santos, Courtney Gomillia, Pramod Anugu, Yan Gao, Jason Green, Ramona Sandlin, Donald Moore, Lemichal Drake, Dorothy Horton, LaMonica Daniel, Charin L Hanlon, Lynette McFayden, Isaura Rigo, Kelli Hines, Lindsay Smith, Alexa Drilling, Monique Harris, Belinda Lissor, Vivian Cook, Maddy Eversole, Terry Herrin, Dennis Murphy, Lauren Kinney, Polly Diehl, Nicholas Abromitis, Tina St Pierre, Judy Kennedy, Lauren Kinney, Bill Heckman, Denise Evans, Vivian Cook, Maddy Eversole, Julian March, Ben Whitlock, Wendy Moore, Shakira Henderson, Thomas R Gallaher, Michael Zimmer, Danielle Oliver, Tina Dixon, Kasheta Jackson, Martha Reavis, Monica Menon, Brandon Bishop, Rachel Roeth, Mathew Johanson, Alesia Ceaser, Amada Fernandez, Carmen Williams, Jeremiah Hargett, Keeaira Boyd, Kevonna Forbes, Latasha Thomas, Markee Jenkins, Monica Coward, Derrick Clark, Omeshia Frost, Angela Darden, Lakeya Askew, Sarah Phipps, Victoria Barnes, Robin King-Thiele, Terri S Hamrick, Abdalla Ihmeidan, Chika Okafor, Regina B Bray Brown, Poornima Vinod, Lawrence Klima, Amber Brewster, Danius Bouyi, Katrina Lamont, Kazumi Yoshinaga, A Suman Peela, Giera Denbel, Jason Lo, Mariam Mayet-Khan, Akash Mittal, Reena Motwani, Mohamed Raafat, Evan Schultz, Aderson Joseph, Aalok Parkeh, Dhara Patel, Babar Afridi, Diane Uschner, Michele Santacatterina, Greg Strylewicz, Brian Burke, Mihili Gunaratne, Meghan Turney, Qin Zhou, Rebecca Laborde, Anne McKeague, Grace Tran, Johnathan Ward, Joyce Dieterly, Nana Darko, Kimberly Castellon, Isabella Malcolm, Ryan Brink, Atira Goodwin, Ruth Berkelman, Kimberly Hanson, Scott Zeger, Johns Hopkins, Cavan Reilly, Kathy Edwards, Helene Gayle, James E Peacock Jr, David M Herrington, Sharon L Edelstein, Austin L Seals, Ian D Plumb, Sharon Saydah, William H Lagarde, Michael S Runyon, Patrick D Maguire, Adolfo Correa, William S Weintraub, Thomas F Wierzba, John W Sanders, COVID-19 Community Research Partnership Study Group, John Walton, Mark A Espeland, Morgana Mongraw-Chaffin, Alain Bertoni, Martha A Alexander-Miller, Allison Mathews, Iqra Munawar, Brian Ostasiewski, Christine Ann Pittman Ballard, Metin Gurcan, Alexander Ivanov, Allison Matthews, Giselle Melendez Zapata, Marlena Westcott, Karen Blinson, Laura Blinson, Douglas McGlasson, Mark Mistysyn, Donna Davis, Lynda Doomy, Perrin Henderson, Alicia Jessup, Kimberly Lane, Beverly Levine, Jessica McCanless, Sharon McDaniel, Kathryn Melius, Christine O'Neill, Angelina Pack, Ritu Rathee, Scott Rushing, Jennifer Sheets, Sandra Soots, Michele Wall, Samantha Wheeler, John White, Lisa Wilkerson, Rebekah Wilson, Kenneth Wilson, Deb Burcombe, Lewis H McCurdy, Michael A Gibbs, Yhenneko J Taylor, Lydia Calamari, Hazel Tapp, Amina Ahmed, Michael Brennan, Lindsay Munn, Keerti L Dantuluri, Timothy Hetherington, Lauren C Lu, Connell Dunn, Melanie Hogg, Andrea Price, Mariana Leonidas, Laura Staton, Kennisha Spencer, Melinda Manning, Whitney Rossman, Frank Gohs, Anna Harris, Bella Gutnik, Jennifer S Priem, Ryan Burns, Kristen Miller, Chris Washington, Allison Moses, Sarahfaye Dolman, Julissa Zelaya-Portillo, John Erkus, Joseph Blumenthal, Ronald E Romero Barrientos, Sonita Bennett, Shrenik Shah, Shrey Mathur, Christian Boxley, Paul Kolm, La Long, Cheng Zhang, Eva Hochberger, Ella Franklin, Deliya Wesley, Naheed Ahmed, Richard Oberhelman, Joseph Keating, Patricia Kissinger, John Schieffelin, Joshua Yukich, Andrew J Beron, Devin Hayes, Johanna Teigen, Karen Kotloff, Wilbur Chen, DeAnna Friedman-Klabanoff, Andrea Berry, Helen Powell, Lynnee Roane, Reva Datar, Leandro Mena, Bhagyashri Navalkele, Yuan I Min, Alexandra Castillo, Lori Ward, Robert P Santos, Courtney Gomillia, Pramod Anugu, Yan Gao, Jason Green, Ramona Sandlin, Donald Moore, Lemichal Drake, Dorothy Horton, LaMonica Daniel, Charin L Hanlon, Lynette McFayden, Isaura Rigo, Kelli Hines, Lindsay Smith, Alexa Drilling, Monique Harris, Belinda Lissor, Vivian Cook, Maddy Eversole, Terry Herrin, Dennis Murphy, Lauren Kinney, Polly Diehl, Nicholas Abromitis, Tina St Pierre, Judy Kennedy, Lauren Kinney, Bill Heckman, Denise Evans, Vivian Cook, Maddy Eversole, Julian March, Ben Whitlock, Wendy Moore, Shakira Henderson, Thomas R Gallaher, Michael Zimmer, Danielle Oliver, Tina Dixon, Kasheta Jackson, Martha Reavis, Monica Menon, Brandon Bishop, Rachel Roeth, Mathew Johanson, Alesia Ceaser, Amada Fernandez, Carmen Williams, Jeremiah Hargett, Keeaira Boyd, Kevonna Forbes, Latasha Thomas, Markee Jenkins, Monica Coward, Derrick Clark, Omeshia Frost, Angela Darden, Lakeya Askew, Sarah Phipps, Victoria Barnes, Robin King-Thiele, Terri S Hamrick, Abdalla Ihmeidan, Chika Okafor, Regina B Bray Brown, Poornima Vinod, Lawrence Klima, Amber Brewster, Danius Bouyi, Katrina Lamont, Kazumi Yoshinaga, A Suman Peela, Giera Denbel, Jason Lo, Mariam Mayet-Khan, Akash Mittal, Reena Motwani, Mohamed Raafat, Evan Schultz, Aderson Joseph, Aalok Parkeh, Dhara Patel, Babar Afridi, Diane Uschner, Michele Santacatterina, Greg Strylewicz, Brian Burke, Mihili Gunaratne, Meghan Turney, Qin Zhou, Rebecca Laborde, Anne McKeague, Grace Tran, Johnathan Ward, Joyce Dieterly, Nana Darko, Kimberly Castellon, Isabella Malcolm, Ryan Brink, Atira Goodwin, Ruth Berkelman, Kimberly Hanson, Scott Zeger, Johns Hopkins, Cavan Reilly, Kathy Edwards, Helene Gayle

Abstract

Prevention behaviors represent important public health tools to limit spread of SARS-CoV-2. Adherence with recommended public health prevention behaviors among 20000 + members of a COVID-19 syndromic surveillance cohort from the mid-Atlantic and southeastern United States was assessed via electronic survey following the 2020 Thanksgiving and winter holiday (WH) seasons. Respondents were predominantly non-Hispanic Whites (90%), female (60%), and ≥ 50 years old (59%). Non-household members (NHM) were present at 47.1% of Thanksgiving gatherings and 69.3% of WH gatherings. Women were more likely than men to gather with NHM (p < 0.0001). Attending gatherings with NHM decreased with older age (Thanksgiving: 60.0% of participants aged < 30 years to 36.3% aged ≥ 70 years [p-trend < 0.0001]; WH: 81.6% of those < 30 years to 61.0% of those ≥ 70 years [p-trend < 0.0001]). Non-Hispanic Whites were more likely to gather with NHM than were Hispanics or non-Hispanic Blacks (p < 0.0001). Mask wearing, reported by 37.3% at Thanksgiving and 41.9% during the WH, was more common among older participants, non-Hispanic Blacks, and Hispanics when gatherings included NHM. In this survey, most people did not fully adhere to recommended public health safety behaviors when attending holiday gatherings. It remains unknown to what extent failure to observe these recommendations may have contributed to the COVID-19 surges observed following Thanksgiving and the winter holidays in the United States.

Trial registration: ClinicalTrials.gov NCT04342884.

Keywords: COVID-19; Gatherings; Holiday travel; Prevention behaviors.

Conflict of interest statement

JEP owns common stock in Pfizer, Inc. The other authors declare that they have no competing interests.

© 2021. The Author(s).

Figures

Fig. 1
Fig. 1
Questions included in electronic surveys completed by study participants following Thanksgiving and the winter holidays
Fig. 2
Fig. 2
Frequency of respondents who reported observing specific recommended safeguards to prevent COVID-19 among respondents who reported gathering with people outside their immediate household over Thanksgiving and the winter holidays. The six feet apart question was not asked in the winter holiday survey

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Source: PubMed

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