COVID-safe behaviour before, during and after a youth mass gathering event: a longitudinal cohort study

Objective As mass gathering events resume in the wake of the COVID-19 pandemic, there is a pressing need to understand (a) engagement in COVID-safe behaviour at these events and (b) how attending a mass gathering impacts subsequent behaviours. This study examined anticipated COVID-safe behaviour bef...

Full description

Saved in:
Bibliographic Details
Main Authors: Tegan Cruwys, Joanne A Rathbone, Mark Stevens, Laura J Ferris
Format: Article
Language:English
Published: BMJ Publishing Group 2022-07-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/7/e058239.full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832577730141487104
author Tegan Cruwys
Joanne A Rathbone
Mark Stevens
Laura J Ferris
author_facet Tegan Cruwys
Joanne A Rathbone
Mark Stevens
Laura J Ferris
author_sort Tegan Cruwys
collection DOAJ
description Objective As mass gathering events resume in the wake of the COVID-19 pandemic, there is a pressing need to understand (a) engagement in COVID-safe behaviour at these events and (b) how attending a mass gathering impacts subsequent behaviours. This study examined anticipated COVID-safe behaviour before, during, and after a youth mass gathering event.Design Longitudinal cohort study.Setting Self-report data were collected online at five timepoints from secondary-school graduates participating in celebrations linked to an annual week-long youth mass gathering event in Australia.Participants Australian secondary-school graduates completed surveys before the event (N=397), on days 1 (N=183), 3 (N=158) and 5 (N=163) of the event, and 3 weeks after the event (N=140). Of those who completed the first survey, 72 indicated they would attend a primary mass gathering site where the largest mass gathering of graduates in Australia occurs in a typical (non-pandemic) year; 325 indicated they would be celebrating at other locations (ie, secondary sites).Primary outcome measures Anticipated COVID-safe behaviour: physical distancing from friends and strangers and additional protective behaviours (hand hygiene and mask wearing).Results At all timepoints, participants anticipated maintaining appropriate (>1.5 m) physical distance from strangers, but not from friends (<0.5 m). Attendees at the primary site reported less physical distancing from friends over time throughout the mass gathering, χ2(4)=16.89, p=0.002. Physical distancing from strangers, χ2(4)=26.93, p<0.001, and additional protective behaviours, χ2(4)=221.23, p<0.001, also declined across the mass gathering among both groups. These reductions in COVID-safe behaviour were significant and enduring, with all declines persisting at follow-up.Conclusion It is critical that public health messaging and interventions emphasise the risks of disease transmission arising from other attendees who are known to us during mass gathering events, and that such messaging is sustained during and following the event to combat reductions in COVID-safe behaviour.
format Article
id doaj-art-32a00c293f2746f6acc05c8c038bd58d
institution Kabale University
issn 2044-6055
language English
publishDate 2022-07-01
publisher BMJ Publishing Group
record_format Article
series BMJ Open
spelling doaj-art-32a00c293f2746f6acc05c8c038bd58d2025-01-30T15:50:09ZengBMJ Publishing GroupBMJ Open2044-60552022-07-0112710.1136/bmjopen-2021-058239COVID-safe behaviour before, during and after a youth mass gathering event: a longitudinal cohort studyTegan Cruwys0Joanne A Rathbone1Mark Stevens2Laura J Ferris3Research School of Psychology, Australian National University, Canberra, Australian Capital Territory, AustraliaResearch School of Psychology, Australian National University, Canberra, Australian Capital Territory, AustraliaResearch School of Psychology, Australian National University, Canberra, Australian Capital Territory, Australia1 Business School, The University of Queensland, St Lucia, Queensland, AustraliaObjective As mass gathering events resume in the wake of the COVID-19 pandemic, there is a pressing need to understand (a) engagement in COVID-safe behaviour at these events and (b) how attending a mass gathering impacts subsequent behaviours. This study examined anticipated COVID-safe behaviour before, during, and after a youth mass gathering event.Design Longitudinal cohort study.Setting Self-report data were collected online at five timepoints from secondary-school graduates participating in celebrations linked to an annual week-long youth mass gathering event in Australia.Participants Australian secondary-school graduates completed surveys before the event (N=397), on days 1 (N=183), 3 (N=158) and 5 (N=163) of the event, and 3 weeks after the event (N=140). Of those who completed the first survey, 72 indicated they would attend a primary mass gathering site where the largest mass gathering of graduates in Australia occurs in a typical (non-pandemic) year; 325 indicated they would be celebrating at other locations (ie, secondary sites).Primary outcome measures Anticipated COVID-safe behaviour: physical distancing from friends and strangers and additional protective behaviours (hand hygiene and mask wearing).Results At all timepoints, participants anticipated maintaining appropriate (>1.5 m) physical distance from strangers, but not from friends (<0.5 m). Attendees at the primary site reported less physical distancing from friends over time throughout the mass gathering, χ2(4)=16.89, p=0.002. Physical distancing from strangers, χ2(4)=26.93, p<0.001, and additional protective behaviours, χ2(4)=221.23, p<0.001, also declined across the mass gathering among both groups. These reductions in COVID-safe behaviour were significant and enduring, with all declines persisting at follow-up.Conclusion It is critical that public health messaging and interventions emphasise the risks of disease transmission arising from other attendees who are known to us during mass gathering events, and that such messaging is sustained during and following the event to combat reductions in COVID-safe behaviour.https://bmjopen.bmj.com/content/12/7/e058239.full
spellingShingle Tegan Cruwys
Joanne A Rathbone
Mark Stevens
Laura J Ferris
COVID-safe behaviour before, during and after a youth mass gathering event: a longitudinal cohort study
BMJ Open
title COVID-safe behaviour before, during and after a youth mass gathering event: a longitudinal cohort study
title_full COVID-safe behaviour before, during and after a youth mass gathering event: a longitudinal cohort study
title_fullStr COVID-safe behaviour before, during and after a youth mass gathering event: a longitudinal cohort study
title_full_unstemmed COVID-safe behaviour before, during and after a youth mass gathering event: a longitudinal cohort study
title_short COVID-safe behaviour before, during and after a youth mass gathering event: a longitudinal cohort study
title_sort covid safe behaviour before during and after a youth mass gathering event a longitudinal cohort study
url https://bmjopen.bmj.com/content/12/7/e058239.full
work_keys_str_mv AT tegancruwys covidsafebehaviourbeforeduringandafterayouthmassgatheringeventalongitudinalcohortstudy
AT joannearathbone covidsafebehaviourbeforeduringandafterayouthmassgatheringeventalongitudinalcohortstudy
AT markstevens covidsafebehaviourbeforeduringandafterayouthmassgatheringeventalongitudinalcohortstudy
AT laurajferris covidsafebehaviourbeforeduringandafterayouthmassgatheringeventalongitudinalcohortstudy