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. 2023 May 31:1–15. Online ahead of print. doi: 10.1007/s40615-023-01638-x

Table 3.

Agreement with behavioral theory construct statements and association between agreement and “always” wearing a maska by race/ethnicity, United States, May–November 2020

Hispanic respondentsb (n=381) Non-Hispanic Black respondentsc (n=385) Non-Hispanic Asian respondentsd (n=158) Non-Hispanic White respondentse (n=2,240)
% Crude OR AORf % Crude OR AOR % Crude OR AOR % Crude OR AOR
Descriptive (observed) social norm—when going out, seeing others wearing cloth or other face coveringg,h
Sometimes 19.3 3.6 3.4 23.2 0.8 0.3 18.7 0.5 18.4 1.4 1.5
(16.1, 22.8) (1.4, 8.8) (1.1, 10.0) (19.2, 27.5) (0.3, 2.1) (0.1, 1.3) (13.4, 25.5) (0, 6.0) (16.8, 20.2) (0.8, 2.7) (0.7, 3.1)
Often/always 73.4 8.4 6.7 71.8 2.2 0.8 79.3 0.7 79.1 3.8 3.1
(69.6, 77.1) (3.6, 19.7) (2.5, 18.3) (67.2, 76.0) (0.9, 5.6) (0.2, 2.8) (72.4, 85.0) (0.1, 8.2) (77.3, 80.8) (2.1, 7.1) (1.6, 6.1)
Subjective (perceived) social norm—People who are important to me believe that I should wear a mask when I go out in publici,j
Neutral 13.9 1.3 0.6 14.7 2.1 1.9 14.3 2.4 17.4 1.7 0.8
(11.1, 17.0) (0.7, 2.7) (0.2, 1.6) (11.4, 18.3) (0.6, 7.3) (0.4, 9.5) (9.7, 20.6) (0.3, 22.3) (15.8, 19.1) (1.1, 2.5) (0.5, 1.3)
Agree/strongly agree 73.6% 5.0 0.9 80.2 7.0 3.4 82.7 5.1 72.4 7.0 1.4
(69.8, 77.3) (2.8, 8.9) (0.4, 2.1) (76.2, 84.0 (2.2, 22.4) (0.8, 15) (75.9, 87.7) (0.6, 41.9) (70.5, 74.4) (4.9, 9.9) (0.9, 2.2)
Attitude toward behavior—It is important for me to wear a mask when I am out in publick
Neutral 13.1 1.1 0.6 13.7 0.5 0.4 13.6 0.2 12.8 1.7 1.2
(10.4, 16.1) (0.5, 2.5) (0.2, 1.8) (10.7, 17.5) (0.2, 1.5) (0.1, 1.4) (9.1, 19.8 (0.0, 2.0) (11.4, 14.3) (1.1, 2.5) (0.7, 2.1)
Agree/strongly agree 76.6 6.7 1.8 77.3 3.9 1.6 83.8 0.4 74.9 8.5 2.3
(72.8, 80.0) (3.5, 13.0) (0.7, 4.6) (73.0, 81.2) (1.8, 8.2) (0.5, 4.5) (77.3, 88.8) (0.0, 4.9) (72.9, 76.7) (6.1, 11.9) (1.4, 3.6)
Belief about importance of multiple preventive behaviors—it is important to use both social distancing and mask wearing to prevent the spread of coronavirus
Neutral 13.4 1.5 0.9 14.6 0.8 0.6 9.6 0.9 11.8 1.5 0.8
(10.7, 16.6) (0.7, 3.5) (0.3, 2.6) (11.4, 18.3) (0.3, 2) (0.2, 2.3) (5.6, 14.7) (0.1, 6.7) (10.4, 13.3) (1.0, 2.3) (0.5, 1.5)
Agree/strongly agree 75.8 8.0 3.0 78.4 3.0 0.4 87.0 2.3 79.2 6.0 1.0
(72.0, 79.3) (4.1, 15.7) (1.1, 8.1) (74.1, 82.2) (1.3, 6.8) (0.1, 1.5) (80.9, 91.4) (0.4, 13.1) (77.4, 80.9) (4.2, 8.6) (0.6, 1.7)
Outcome expectations—I would protect others from coronavirus if I wear a mask when I go out in public l
Neutral 15.4 2.4 2.5 13.5 1.3 2.1 14.1 0.3 15.3 2.2 1.6
(12.5, 18.6) (1.1, 5.2) (0.9, 6.9) (10.5, 17.2) (0.5, 3.7) (0.6, 7.7) (9.1, 19.8) (0, 3.8) (13.8, 16.9) (1.5, 3.2) (1.0, 2.6)
Agree/strongly agree 74.2 6.7 1.6 77.7 6.8 5.1 84.0 0.7 72.1 6.8 1.7
(70.4, 77.8) (3.5, 13.1) (0.6, 4.1) (73.6, 81.7) (2.9, 16) (1.8, 15.0) (78.0, 89.3) (0.1, 8.4) (70.2, 74.1) (5.0, 9.4) (1.1, 2.8)
Personal agency—I am confident that I can wear a mask when out in public to prevent the spread of coronavirus
Neutral 13.5 1.9 2.1 13.9 1.1 2.8 11.4 0.6 13.6 1.8 1.1
(10.7, 16.6) (0.9, 3.9) (0.8, 5.7) (10.7, 17.5) (0.3, 3.3) (0.7, 11.9) (7.1, 16.9) (0.1, 4.2) (12.2, 5.2) (1.1, 2.7) (0.7, 1.9)
Agree/strongly agree 74.7 4.7 1.9 79.8 5.4 3.8 84.8 2.5 76.1 8.4 2.1
(71.0, 78.4) (2.6, 8.4) (0.9, 4.3) (75.7, 83.6) (2.1, 14.4) (1.1, 13.9) (78.7, 89.8 (0.5, 13.1) (74.2, 7.9) (5.9, 12.1) (1.3, 3.5)
Cue to action—Which of the following actions have you heard are important things to do to protect yourself and others from coronavirus?…Wear a mask in public.m
Yes 77.1 2.1 0.9 79.5 4.1 3.6 84.3 1.3 87.2 2.8 1.6
(73.4, 80.5) (1.4, 3.1) (0.5, 1.5) (75.4, 83.3) (2.4, 7.0) (1.7, 7.3) (78.0, 89.3) (0.5, 3.0) (85.7, 88.6) (2.1, 3.6) (1.1, 2.2)
Perceived severity of infection—I’m worried I would become seriously ill if I became infected with COVID-19.
Neutral 20.0 0.9 0.8 21.2% 0.7 0.7 25.5 0.4 19.1 1.7 1.5
(16.8, 23.7 (0.5, 1.5) (0.4, 1.6) (17.4, 25.4 (0.4, 1.4) (0.3, 1.6) (18.9, 32.3) (0.1, 1.3) (17.5, 20.9) (1.3, 2.3) (1.1, 2.2)
Agree/strongly agree 60.6 2.0 0.9 61.7 1.4 0.7 63.3 0.8 59.3 3.1 1.5
(56.4, 64.7) (1.3, 3.2) (0.5, 1.7) (56.9, 66.4 (0.8, 2.4) (0.3, 1.4) (55.9, 70.7) (0.3, 2.3) (57.1, 61.4) (2.5, 3.9) (1.1, 1.9)
Perceived susceptibility to infection - I think it is likely that I will become infected with COVID-19.
Neutral 32.7 1.2 1.0 32.5 1.0 1.6 31.6 1.1 33.2 1.1 0.9
(28.9, 36.9) (0.8, 1.9) (0.6, 1.8) (28.0, 37.2) (0.6, 1.6) (0.9, 2.9) (24.6, 38.9) (0.5, 2.4) (31.2, 35.3) (0.9, 1.3) (0.7, 1.2)
Agree/strongly agree 36.0 1.6 1.3 24.6 0.9 1.3 27.7 0.9 24.0 1.2 0.9
(32.0, 40.1) (1.0, 2.4) (0.8, 2.2) (20.6, 29.1) (0.6, 1.5) (0.6, 2.5) (21.2, 35.0) (0.4, 2.0) (22.2, 25.9) (1.0, 1.5) (0.7, 1.2)

Values in bold indicate statistically significant associations at p < .05

aWhen leaving the home in the prior week

bHispanic respondents; model chi sq: 142.8; p<.001

cNon-Hispanic Black respondents; model chi-sq: 115.9; p<.001

dNon-Hispanic Asian respondents; model chi-sq: 32.4; p=.594 (model did not converge)

eNon-Hispanic White respondents; model chi-sq: 474.4; p<.001

fAdjusted odds ratios were estimated controlling for all other behavioral construct variables, as well as age, gender, education, presence of a mask mandate in respondent’s county, cumulative COVID-19 cases in the county the day prior to the interview, and interview month. None of the demographic, county, or time variables were statistically significant in models

g“Never/rarely” is the referent level

hIn May and June, survey items referred to a “cloth face covering.” From July forward, all items were revised to refer to “face covering/mask.” After examination of frequency time trends revealed general consistency in responses between the slight wording differences, the questions were merged, and the term “mask” was used for all of the merged items

iUnless otherwise noted, “Strongly disagree/disagree” is the referent level

jFor non-Hispanic White respondents, the statement was: “People who are important to me want me to wear a face covering/mask when I go out in public”

kFor Hispanic respondents the statement was: “It is important for everyone to wear a face covering/mask when they are out in public”

lFor non-Hispanic White respondents, the statement was: “I can help stop the coronavirus outbreak in my community if I wear a face covering/mask while out in public”

m“No” is the referent level