AUTHOR=Jroundi Imane , Fernández de Larrea-Baz Nerea , Rodríguez-Blázquez Carmen , Pastor-Barriuso Roberto , Pollán-Santamaría Marina , Forjaz Maria João , Pérez-Gómez Beatriz , the ENE-COVID Study Group , Aparicio Azcárraga Pilar , Blanco Faustino , Fernández Rodrigo Gutiérrez , Martín Mariano , Mezcua Navarro Saturnino , Molina Marta , Muñoz-Montalvo Juan F. , Salinero Hernández Matías , Sanmartín Jose L. , Cuenca-Estrella Manuel , Paniagua José León , Yotti Raquel , Fernández de Larrea Baz Nerea , Fernández-Navarro Pablo , Pastor-Barriuso Roberto , Pérez-Gómez Beatriz , Pollán Marina , Avellón Ana , Fedele Giovann , Fernández-García Aurora , Oteo Iglesias Jesús , Pérez Olmeda María Teresa , Cruz Israel , Fernández Martínez Maria Elena , Rodríguez-Cabrera Francisco D. , Harvard T.H. Chan , Hernán Miguel A. , Navarro Marí José M. , Padrones Fernández Susana , Palop Borrás Begoña , Pérez Jiménez Ana Belén , Rodríguez-Iglesias Manuel , José Manuel Rumbao Aguirre , Calvo Gascón Ana María , Lou Alcaine María Luz , Donate Suárez Ignacio , Rodríguez Pérez Mercedes , Suárez Álvarez Oscar , Carbo Saladrigas Lluis , Cases Sanchís Margarita , Hurtado Fernández Adoración , Oliver Antonio , Villafáfila Gomila Carlos Javier , Barrasa Fernández José María , Castro Feliciano Elías , González Quintana María Noemí , Hernández Betancor María Araceli , Hernández Febles Melisa , Martín Martín Leopoldo , De Benito Población Inés , López López Luis-Mariano , Ugarte Miota Teresa , Mancha Castilla-La , Celada Pérez María Sagrario , Vallés Fernández María Natalia , León Castilla y , Domínguez-Gil González Marta , Fernández-Natal Isabel , Maté Enríquez Tomás , Megías Lobón Gregoria , Muñoz Bellido Juan Luis , Villa Arranz Miguel , Ciruela Pilar , Doladé Botías Maria , Marcos Maeso M. Angeles , Mas i Casals Ariadna , Pérez del Campo Dúnia , Félix de Castro Antonio , Limón Ramírez Ramón , Francisca Elías Retamosa Maria , Rubio González Manuela , Aguilera Antonio , Blanco Lobeiras María Sinda , Bou German , Fuentes Losada Alberto , Caro Yolanda , Marauri Noemí , Soria Blanco Luis Miguel , Alonso Fernández Roberto , del Cura González Isabel , Hernández Pascual Montserrat , Merino-Amador Paloma , Cabrera Castro Natalia , Ramírez Almagro Cristóbal , Segovia Hernández Manuel , Aurora Tomás Lizcano , Ascunce Elizaga Nieves , Ederra Sanz María , Ezpeleta Baquedano Carmen , Bascaran Ana Bustinduy , Elorduy Otazua Luis , Iglesias Tamayo Susana , Benarroch Benarroch Rebeca , Lopera Flores Jesús , de la Villa Antonia Vázquez TITLE=Preventive behavior against SARS-CoV-2 infection in adults according to whether or not they live with children. A combined analysis of the nationwide COSMO-SPAIN and ENE-COVID surveys JOURNAL=Frontiers in Public Health VOLUME=11 YEAR=2023 URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2023.1061367 DOI=10.3389/fpubh.2023.1061367 ISSN=2296-2565 ABSTRACT=Introduction

The protection of children is a major driver of behavior among those in charge of their care. We evaluated whether compliance with preventive measures against SARS-CoV-2 infection among adults living with children was different from that of those not living with them, in 2020.

Methods

We used the COSMO-SPAIN (N = 867) and the nationally representative ENE-COVID (N = 29,926) surveys to estimate prevalence of compliance (95% confidence interval). Logistic model based standardization methods were applied to estimate standardized prevalence differences (SPrD) to the overall distribution of age, sex, education, history of COVID-19, and residence of other >60 yrs in the household.

Results

We observed that adults living with children more frequently avoided bars (SPrDENE−COVID: 4.2%; 95% CI: 2.3–6.1), crowded places (SPrDCOSMO: 8.0%; 95% CI: 0.6–15.1) and did not use public transportation (SPrDENE−COVID: 4.9%; 95% CI: 3.0–6.7). They were also more worried about work and family conciliation (SPrDCOSMO: 12.2%; 95% CI: 4.8–19.5) and about closure of education centers (SPrDCOSMO: 26.5%; 95% CI: 19.4–33.6).

Discussion

In general, adults living with children adopted slightly more frequently social distancing measures.