Social representations of mask wearing in the general population during the COVID-19 pandemic

IntroductionAlthough one of the most prominent interventions against COVID-19, face masks seem poorly adopted by the general population. A growing body of literature has found that using face masks has social meaning. This qualitative study assessed the perceptions, representations and practices of...

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Main Authors: Elvire Bornand, Frédérique Letourneux, Colin Deschanvres, David Boutoille, Jean-Christophe Lucet, Didier Lepelletier, Brice Leclere, Séverine Mayol, Nathan Peiffer-Smadja, Gabriel Birgand
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-04-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2023.1136980/full
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author Elvire Bornand
Frédérique Letourneux
Colin Deschanvres
David Boutoille
Jean-Christophe Lucet
Didier Lepelletier
Brice Leclere
Séverine Mayol
Nathan Peiffer-Smadja
Nathan Peiffer-Smadja
Nathan Peiffer-Smadja
Gabriel Birgand
Gabriel Birgand
author_facet Elvire Bornand
Frédérique Letourneux
Colin Deschanvres
David Boutoille
Jean-Christophe Lucet
Didier Lepelletier
Brice Leclere
Séverine Mayol
Nathan Peiffer-Smadja
Nathan Peiffer-Smadja
Nathan Peiffer-Smadja
Gabriel Birgand
Gabriel Birgand
author_sort Elvire Bornand
collection DOAJ
description IntroductionAlthough one of the most prominent interventions against COVID-19, face masks seem poorly adopted by the general population. A growing body of literature has found that using face masks has social meaning. This qualitative study assessed the perceptions, representations and practices of mask wearing in the general population.MethodsA qualitative survey by short semi-structured walking interviews was carried out from April to December 2021 in 11 cities in France's Pays de la Loire region. Study locations were selected for their varied geographical, social, and economic characteristics, with urbanized and rural areas. Four domains linked to perceptions of masks and wearing them were explored: (i) evolution in mask wearing, (ii) decision-making methods for wearing and not wearing; (iii) incorporating the mask into way of life; (iv) projecting into the future.ResultsA total of 116 people were interviewed. Masks marked a shift from the ordinary world to the pandemic. Overall, interviewees considered masks an obstacle to breathing, communication, and social interactions, leading to establishing strategies circumventing the mask mandate. Poor attention was paid to their medical usefulness as an obligatory clothing accessory. Mask-wearing decisions were driven by social relations, common sense, and vulnerability. The greater the feeling of security (i.e., being with close relatives), the less it was worn or worn properly, with decreased attention to others and their health. Most participants did not remember learning to wear a mask. Some were convinced that mask-wearing could not be learned (experiential knowledge). Institutions (school and work) played a central role by facilitating incorporation of masks into daily life.ConclusionsThis study emphasizes the need to reinforce the individual medical values of face masks to prevent COVID-19. Ambitious education and training programmes should be planned to learn how and when to wear masks. Institutions (work and school) may be critical for this purpose.
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spelling doaj.art-fceddc15181948bd8868ed0937a2a3772023-04-24T04:38:37ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-04-011110.3389/fpubh.2023.11369801136980Social representations of mask wearing in the general population during the COVID-19 pandemicElvire Bornand0Frédérique Letourneux1Colin Deschanvres2David Boutoille3Jean-Christophe Lucet4Didier Lepelletier5Brice Leclere6Séverine Mayol7Nathan Peiffer-Smadja8Nathan Peiffer-Smadja9Nathan Peiffer-Smadja10Gabriel Birgand11Gabriel Birgand12Centre Nantais de Sociologie (CENS), Université de Nantes, Nantes, FranceCentre G. Simmel, Ecole de Hautes Etudes en Sciences Sociales, Rennes, FranceDepartment of Infectious Diseases, University Hospital of Nantes and CIC 1413, INSERM, Nantes, FranceDepartment of Infectious Diseases, University Hospital of Nantes and CIC 1413, INSERM, Nantes, FranceEquipe de Prévention du Risque Infectieux, Claude Bernard Hospital, Assistance Publique—Hôpitaux de Paris, Paris, FranceUnité de Gestion du Risque Infectieux, Centre Hospitalo-Universitaire de Nantes, Nantes, FranceDepartment of Medical Evaluation and Epidemiology, CHU Nantes, Nantes, FranceDepartment of Medical Evaluation and Epidemiology, CHU Nantes, Nantes, FranceUniversité Paris Cité and Université Sorbonne Paris Nord, Inserm, IAME, Paris, FranceInfectious and Tropical Diseases Department, Bichat—Claude Bernard Hospital, Assistance Publique—Hôpitaux de Paris, Paris, FranceNIHR Health Protection Research Unit in Healthcare Associated Infection and Antimicrobial Resistance at Imperial College London, Hammersmith Campus, London, United KingdomNIHR Health Protection Research Unit in Healthcare Associated Infection and Antimicrobial Resistance at Imperial College London, Hammersmith Campus, London, United Kingdom0Center for the Prevention of Healthcare Associated Infections Pays de la Loire, Nantes, FranceIntroductionAlthough one of the most prominent interventions against COVID-19, face masks seem poorly adopted by the general population. A growing body of literature has found that using face masks has social meaning. This qualitative study assessed the perceptions, representations and practices of mask wearing in the general population.MethodsA qualitative survey by short semi-structured walking interviews was carried out from April to December 2021 in 11 cities in France's Pays de la Loire region. Study locations were selected for their varied geographical, social, and economic characteristics, with urbanized and rural areas. Four domains linked to perceptions of masks and wearing them were explored: (i) evolution in mask wearing, (ii) decision-making methods for wearing and not wearing; (iii) incorporating the mask into way of life; (iv) projecting into the future.ResultsA total of 116 people were interviewed. Masks marked a shift from the ordinary world to the pandemic. Overall, interviewees considered masks an obstacle to breathing, communication, and social interactions, leading to establishing strategies circumventing the mask mandate. Poor attention was paid to their medical usefulness as an obligatory clothing accessory. Mask-wearing decisions were driven by social relations, common sense, and vulnerability. The greater the feeling of security (i.e., being with close relatives), the less it was worn or worn properly, with decreased attention to others and their health. Most participants did not remember learning to wear a mask. Some were convinced that mask-wearing could not be learned (experiential knowledge). Institutions (school and work) played a central role by facilitating incorporation of masks into daily life.ConclusionsThis study emphasizes the need to reinforce the individual medical values of face masks to prevent COVID-19. Ambitious education and training programmes should be planned to learn how and when to wear masks. Institutions (work and school) may be critical for this purpose.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1136980/fullCOVID-19maskfacemask behaviorinfection controlgeneral populationqualitative study analysis
spellingShingle Elvire Bornand
Frédérique Letourneux
Colin Deschanvres
David Boutoille
Jean-Christophe Lucet
Didier Lepelletier
Brice Leclere
Séverine Mayol
Nathan Peiffer-Smadja
Nathan Peiffer-Smadja
Nathan Peiffer-Smadja
Gabriel Birgand
Gabriel Birgand
Social representations of mask wearing in the general population during the COVID-19 pandemic
Frontiers in Public Health
COVID-19
mask
facemask behavior
infection control
general population
qualitative study analysis
title Social representations of mask wearing in the general population during the COVID-19 pandemic
title_full Social representations of mask wearing in the general population during the COVID-19 pandemic
title_fullStr Social representations of mask wearing in the general population during the COVID-19 pandemic
title_full_unstemmed Social representations of mask wearing in the general population during the COVID-19 pandemic
title_short Social representations of mask wearing in the general population during the COVID-19 pandemic
title_sort social representations of mask wearing in the general population during the covid 19 pandemic
topic COVID-19
mask
facemask behavior
infection control
general population
qualitative study analysis
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.1136980/full
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