Habitual Mask Wearing as Part of COVID-19 Control in Japan: An Assessment Using the Self-Report Habit Index

Although the Japanese government removed mask-wearing requirements in 2023, relatively high rates of mask wearing have continued in Japan. We aimed to assess psychological reasons and the strength of habitual mask wearing in Japan. An Internet-based cross-sectional survey was conducted with non-rand...

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Main Authors: Tianwen Li, Marie Fujimoto, Katsuma Hayashi, Asami Anzai, Hiroshi Nishiura
Format: Article
Language:English
Published: MDPI AG 2023-11-01
Series:Behavioral Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-328X/13/11/951
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author Tianwen Li
Marie Fujimoto
Katsuma Hayashi
Asami Anzai
Hiroshi Nishiura
author_facet Tianwen Li
Marie Fujimoto
Katsuma Hayashi
Asami Anzai
Hiroshi Nishiura
author_sort Tianwen Li
collection DOAJ
description Although the Japanese government removed mask-wearing requirements in 2023, relatively high rates of mask wearing have continued in Japan. We aimed to assess psychological reasons and the strength of habitual mask wearing in Japan. An Internet-based cross-sectional survey was conducted with non-random participant recruitment. We explored the frequency of mask usage, investigating psychological reasons for wearing masks. A regression analysis examined the association between psychological reasons and the frequency of mask wearing. The habitual use of masks was assessed in the participant’s most frequently visited indoor space and public transport using the self-report habit index. The principal component analysis with varimax rotation revealed distinct habitual characteristics. Among the 2640 participants surveyed from 6 to 9 February 2023, only 4.9% reported not wearing masks at all. Conformity to social norms was the most important reason for masks. Participants exhibited a slightly higher degree of habituation towards mask wearing on public transport compared to indoor spaces. The mask-wearing rate was higher in females than in males, and no significant difference was identified by age group. Daily mask wearing in indoor spaces was characterized by two traits (automaticity and behavioral frequency). A high mask-wearing frequency has been maintained in Japan during the social reopening transition period. Mask wearing has become a part of daily habit, especially on public transport, largely driven by automatic and frequent practice.
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spelling doaj.art-c2af62417756416d97085ab255032e012023-11-24T14:29:33ZengMDPI AGBehavioral Sciences2076-328X2023-11-01131195110.3390/bs13110951Habitual Mask Wearing as Part of COVID-19 Control in Japan: An Assessment Using the Self-Report Habit IndexTianwen Li0Marie Fujimoto1Katsuma Hayashi2Asami Anzai3Hiroshi Nishiura4Graduate School of Medicine, Kyoto University, Yoshida-Konoe-cho, Sakyo-ku, Kyoto 606-8501, JapanGraduate School of Medicine, Kyoto University, Yoshida-Konoe-cho, Sakyo-ku, Kyoto 606-8501, JapanGraduate School of Medicine, Kyoto University, Yoshida-Konoe-cho, Sakyo-ku, Kyoto 606-8501, JapanGraduate School of Medicine, Kyoto University, Yoshida-Konoe-cho, Sakyo-ku, Kyoto 606-8501, JapanGraduate School of Medicine, Kyoto University, Yoshida-Konoe-cho, Sakyo-ku, Kyoto 606-8501, JapanAlthough the Japanese government removed mask-wearing requirements in 2023, relatively high rates of mask wearing have continued in Japan. We aimed to assess psychological reasons and the strength of habitual mask wearing in Japan. An Internet-based cross-sectional survey was conducted with non-random participant recruitment. We explored the frequency of mask usage, investigating psychological reasons for wearing masks. A regression analysis examined the association between psychological reasons and the frequency of mask wearing. The habitual use of masks was assessed in the participant’s most frequently visited indoor space and public transport using the self-report habit index. The principal component analysis with varimax rotation revealed distinct habitual characteristics. Among the 2640 participants surveyed from 6 to 9 February 2023, only 4.9% reported not wearing masks at all. Conformity to social norms was the most important reason for masks. Participants exhibited a slightly higher degree of habituation towards mask wearing on public transport compared to indoor spaces. The mask-wearing rate was higher in females than in males, and no significant difference was identified by age group. Daily mask wearing in indoor spaces was characterized by two traits (automaticity and behavioral frequency). A high mask-wearing frequency has been maintained in Japan during the social reopening transition period. Mask wearing has become a part of daily habit, especially on public transport, largely driven by automatic and frequent practice.https://www.mdpi.com/2076-328X/13/11/951cultural tightnessbehaviorprecautionsocial normscross sectional studyepidemiology
spellingShingle Tianwen Li
Marie Fujimoto
Katsuma Hayashi
Asami Anzai
Hiroshi Nishiura
Habitual Mask Wearing as Part of COVID-19 Control in Japan: An Assessment Using the Self-Report Habit Index
Behavioral Sciences
cultural tightness
behavior
precaution
social norms
cross sectional study
epidemiology
title Habitual Mask Wearing as Part of COVID-19 Control in Japan: An Assessment Using the Self-Report Habit Index
title_full Habitual Mask Wearing as Part of COVID-19 Control in Japan: An Assessment Using the Self-Report Habit Index
title_fullStr Habitual Mask Wearing as Part of COVID-19 Control in Japan: An Assessment Using the Self-Report Habit Index
title_full_unstemmed Habitual Mask Wearing as Part of COVID-19 Control in Japan: An Assessment Using the Self-Report Habit Index
title_short Habitual Mask Wearing as Part of COVID-19 Control in Japan: An Assessment Using the Self-Report Habit Index
title_sort habitual mask wearing as part of covid 19 control in japan an assessment using the self report habit index
topic cultural tightness
behavior
precaution
social norms
cross sectional study
epidemiology
url https://www.mdpi.com/2076-328X/13/11/951
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