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Assessing community-level impacts of and responses to stay at home orders: The King County COVID-19 community study

Author

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  • Kathleen Moloney
  • Julio A Lamprea Montealegre
  • Tania M Busch Isaksen
  • Mallory Kennedy
  • Megan Archer
  • Carlos Contreras
  • Daaniya Iyaz
  • Juliette Randazza
  • Javier Silva
  • Nicole A Errett

Abstract

Background: At the beginning of the COVID-19 pandemic, non-pharmaceutical interventions (NPIs) of unprecedented scope and duration were implemented to limit community spread of COVID-19. There remains limited evidence about how these measures impacted the lived experience of affected communities. This study captured the early impacts and coping strategies implemented in King County, Washington, one of the first U.S. communities impacted by COVID-19. Methods: We conducted a cross-sectional web-based survey of 793 English- and Spanish-speaking adult King County residents from March 18, 2020 –May 30, 2020, using voluntary response sampling. The survey included close- and open-ended questions on participant demographics, wellbeing, protective actions, and COVID-19-related concerns, including a freeform narrative response to describe the pandemic’s individual-, family- and community-level impacts and associated coping strategies. Descriptive statistics were used to analyze close-ended questions, and qualitative content analysis methods were used to analyze free-form narrative responses. Results: The median age of participants was 45 years old, and 74% were female, 82% were White, and 6% were Hispanic/Latinx; 474 (60%) provided a qualitative narrative. Quantitative findings demonstrated that higher percentages of participants engaged in most types of COVID-19 protective behaviors after the stay-at-home order was implemented and schools and community spaces were closed, relative to before, and that participants tended to report greater concern about the pandemic’s physical health or healthcare access impacts than the financial or social impacts. Qualitative data analysis described employment or financial impacts (56%) and vitality coping strategies (65%), intended to support health or positive functioning. Conclusions: This study documented early impacts of the COVID-19 pandemic and the NPIs implemented in response, as well as strategies employed to cope with those impacts, which can inform early-stage policy formation and intervention strategies to mitigate the negative impacts. Future research should explore the endurance and evolution of the early impacts and coping strategies throughout the multiyear pandemic.

Suggested Citation

  • Kathleen Moloney & Julio A Lamprea Montealegre & Tania M Busch Isaksen & Mallory Kennedy & Megan Archer & Carlos Contreras & Daaniya Iyaz & Juliette Randazza & Javier Silva & Nicole A Errett, 2024. "Assessing community-level impacts of and responses to stay at home orders: The King County COVID-19 community study," PLOS ONE, Public Library of Science, vol. 19(2), pages 1-20, February.
  • Handle: RePEc:plo:pone00:0296851
    DOI: 10.1371/journal.pone.0296851
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    References listed on IDEAS

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    1. Egger, Dennis & Miguel, Edward & Warren, Shana S. & Shenoy, Ashish & Collins, Elliott & Karlan, Dean & Parkerson, Doug & Mobarak, A. Mushfiq & Fink, Günther & Udry, Christopher & Walker, Michael & Hau, 2021. "Falling living standards during the COVID-19 crisis: Quantitative evidence from nine developing countries," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 7(6), pages 1-1.
    2. Andrew T Gloster & Demetris Lamnisos & Jelena Lubenko & Giovambattista Presti & Valeria Squatrito & Marios Constantinou & Christiana Nicolaou & Savvas Papacostas & Gökçen Aydın & Yuen Yu Chong & Wai T, 2020. "Impact of COVID-19 pandemic on mental health: An international study," PLOS ONE, Public Library of Science, vol. 15(12), pages 1-20, December.
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