Wearing one for the team: views and attitudes to face covering in New Zealand/Aotearoa during COVID-19 Alert Level 4 lockdown
Lesley Gray 1 , Carol MacDonald 2 , Natasha Tassell-Matamua 3 , James Stanley 1 , Amanda Kvalsvig 1 , Jane Zhang 1 , Samantha Murton 1 , Siouxsie Wiles 4 , Viliami Puloka 1 , Julia Becker 5 , David Johnston 5 , Michael G. Baker 11 University of Otago, PO Box 7343, Wellington, New Zealand
2 Independent Researcher, 6a Mahunga Drive, Masterton, New Zealand
3 Massey University, Manawatū Campus, Palmerston North, New Zealand
4 Bioluminescent Superbugs Lab, University of Auckland, Auckland, New Zealand
5 Joint Centre for Disaster Research, Massey University, Wellington, New Zealand
6 Corresponding author. Email: lesley.gray@otago.ac.nz
Journal of Primary Health Care 12(3) 199-206 https://doi.org/10.1071/HC20089
Published: 22 September 2020
Journal Compilation © Royal New Zealand College of General Practitioners 2020 This is an open access article licensed under a Creative Commons Attribution 4.0 International License
Abstract
INTRODUCTION: Mass masking is emerging as a key non-pharmaceutical intervention for reducing community spread of COVID-19. However, although hand washing, social distancing and bubble living have been widely adopted by the ‘team of 5 million’, mass masking has not been socialised to the general population.
AIM: To identify factors associated with face masking in New Zealand during COVID-19 Alert Level 4 lockdown to inform strategies to socialise and support mass masking.
METHODS: A quantitative online survey conducted in New Zealand during April 2020 invited residents aged ≥18 years to complete a questionnaire. Questions about face masking were included in the survey. The sample was drawn from a commissioned research panel survey, with boosted sampling for Māori and Pacific participants. Responses were weighted to reflect the New Zealand population for all analyses.
RESULTS: A total of 1015 individuals participated. Self-reported beliefs were strongly related to behaviours, with respondents viewing face masking measures as ‘somewhat’ or ‘very’ effective in preventing them from contracting COVID-19 more likely to report having worn a face mask than respondents who viewed them as ‘not at all’ effective. The strongest barriers to face mask use included beliefs that there was a mask shortage and that the needs of others were greater than their own.
DISCUSSION: Highlighting the efficacy of and dispelling myths about the relative efficacy of mask types and socialising people to the purpose of mass masking will contribute to community protective actions of mask wearing in the New Zealand response to COVID-19.
KEYwords: Infectious diseases; population health; risk management; self-care
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