Factors associated with mask use in New York City neighborhood parks during the COVID-19 pandemic: A field audit study

Background: Mask use is a cost-effective measure to decrease COVID-19 transmission. Mask mandates intend to increase mask compliance but are often ambiguous when it comes to public outdoor spaces. Methods: We used a field audit study to examine mask use in New York City neighborhood parks during COV...

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Main Authors: Lisa Hitch, Marie A. Sillice, Hanish Kodali, Katarzyna E Wyka, Javier Otero Peña, Terry TK Huang
Format: Article
Language:English
Published: Elsevier 2022-04-01
Series:Journal of Infection and Public Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1876034122000399
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author Lisa Hitch
Marie A. Sillice
Hanish Kodali
Katarzyna E Wyka
Javier Otero Peña
Terry TK Huang
author_facet Lisa Hitch
Marie A. Sillice
Hanish Kodali
Katarzyna E Wyka
Javier Otero Peña
Terry TK Huang
author_sort Lisa Hitch
collection DOAJ
description Background: Mask use is a cost-effective measure to decrease COVID-19 transmission. Mask mandates intend to increase mask compliance but are often ambiguous when it comes to public outdoor spaces. Methods: We used a field audit study to examine mask use in New York City neighborhood parks during COVID-19. 1453 park visitors were observed in 13 parks during July–August 2020 using a modified and validated park use audit tool (System for Observing Play and Recreation in Communities) that included items on general and proper mask use (i.e., mask covering both nose and mouth). Generalized estimating equation regression was used to determine the association between proper mask use and demographic (sex and age) and behavioral (physical and social activity) variables, while adjusting for community-level covariates. Results: Overall, 39.0% of park visitors used masks (24.4% properly, 14.6% improperly). Females (p = 0.023), adults (p = 0.025), and seniors (p = 0.006) showed higher rates of proper mask use compared to males and younger visitors. Physical and social activity were not significantly associated with proper mask use. Conclusion: There is a need for improved messaging regarding the proper use of masks among males and younger people. This is particularly important for future surges of new COVID-19 variants or other public health crises similar to COVID-19. Future research should focus on developing and evaluating targeted public health messages regarding mask use.
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spelling doaj.art-175fe9d25d984c699cc3bfbcd0bb45b82022-12-22T03:03:01ZengElsevierJournal of Infection and Public Health1876-03412022-04-01154460465Factors associated with mask use in New York City neighborhood parks during the COVID-19 pandemic: A field audit studyLisa Hitch0Marie A. Sillice1Hanish Kodali2Katarzyna E Wyka3Javier Otero Peña4Terry TK Huang5Center for Systems and Community Design, Graduate School of Public Health & Health Policy, City University of New York (CUNY), New York, NY, USACenter for Systems and Community Design, Graduate School of Public Health & Health Policy, City University of New York (CUNY), New York, NY, USACenter for Systems and Community Design, Graduate School of Public Health & Health Policy, City University of New York (CUNY), New York, NY, USACenter for Systems and Community Design, Graduate School of Public Health & Health Policy, City University of New York (CUNY), New York, NY, USACenter for Systems and Community Design, Graduate School of Public Health & Health Policy, City University of New York (CUNY), New York, NY, USA; Department of Psychology, The Graduate Center, City University of New York, New York, NY, USACenter for Systems and Community Design, Graduate School of Public Health & Health Policy, City University of New York (CUNY), New York, NY, USA; Corresponding author.Background: Mask use is a cost-effective measure to decrease COVID-19 transmission. Mask mandates intend to increase mask compliance but are often ambiguous when it comes to public outdoor spaces. Methods: We used a field audit study to examine mask use in New York City neighborhood parks during COVID-19. 1453 park visitors were observed in 13 parks during July–August 2020 using a modified and validated park use audit tool (System for Observing Play and Recreation in Communities) that included items on general and proper mask use (i.e., mask covering both nose and mouth). Generalized estimating equation regression was used to determine the association between proper mask use and demographic (sex and age) and behavioral (physical and social activity) variables, while adjusting for community-level covariates. Results: Overall, 39.0% of park visitors used masks (24.4% properly, 14.6% improperly). Females (p = 0.023), adults (p = 0.025), and seniors (p = 0.006) showed higher rates of proper mask use compared to males and younger visitors. Physical and social activity were not significantly associated with proper mask use. Conclusion: There is a need for improved messaging regarding the proper use of masks among males and younger people. This is particularly important for future surges of new COVID-19 variants or other public health crises similar to COVID-19. Future research should focus on developing and evaluating targeted public health messages regarding mask use.http://www.sciencedirect.com/science/article/pii/S1876034122000399COVID-19CoronavirusFace maskFace coveringParks
spellingShingle Lisa Hitch
Marie A. Sillice
Hanish Kodali
Katarzyna E Wyka
Javier Otero Peña
Terry TK Huang
Factors associated with mask use in New York City neighborhood parks during the COVID-19 pandemic: A field audit study
Journal of Infection and Public Health
COVID-19
Coronavirus
Face mask
Face covering
Parks
title Factors associated with mask use in New York City neighborhood parks during the COVID-19 pandemic: A field audit study
title_full Factors associated with mask use in New York City neighborhood parks during the COVID-19 pandemic: A field audit study
title_fullStr Factors associated with mask use in New York City neighborhood parks during the COVID-19 pandemic: A field audit study
title_full_unstemmed Factors associated with mask use in New York City neighborhood parks during the COVID-19 pandemic: A field audit study
title_short Factors associated with mask use in New York City neighborhood parks during the COVID-19 pandemic: A field audit study
title_sort factors associated with mask use in new york city neighborhood parks during the covid 19 pandemic a field audit study
topic COVID-19
Coronavirus
Face mask
Face covering
Parks
url http://www.sciencedirect.com/science/article/pii/S1876034122000399
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