More caution needed to keep older adults safe from COVID-19

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Peer-reviewed: This work was reviewed and scrutinised by relevant independent experts.

Observational study: A study in which the subject is observed to see if there is a relationship between two or more things (eg: the consumption of diet drinks and obesity). Observational studies cannot prove that one thing causes another, only that they are linked.

Survey: A study based solely on people’s responses to a series of questions.

People: This is a study based on research using people.

When it comes to measures to prevent COVID-19, older people aren't being as cautious as expected, according to new survey data from 27 countries, including Australia. Older adults might be expected to be more compliant with social distancing rules, given the increased risk of COVID-19 at older ages. But a researcher from Scotland has found that elderly people are no more willing than those in their 50s and 60s to voluntarily self-isolate if they begin to feel ill or if they are advised to do so by a clinician or health official. The author says our elderly population must continue to be disciplined and diligent to protect themselves, especially as social distancing rules are loosened.

Journal/conference: PLOS One

Link to research (DOI): 10.1371/journal.pone.0235590

Organisation/s: University of Edinburgh, Scotland

Funder: The author received no specific funding (or salary) for this work. Competing Interests: YouGov provided the datasets pro bono to Imperial College London and the Institute of Global Health Innovation. This does not alter our adherence to PLOS ONE policies on sharing data and materials.

Media release

From: PLOS

Elderly People’s Response to COVID-19 Not As Expected

Despite being most vulnerable to severe illness, older adults do not comply to a greater extent with public health preventative measures. 

Survey results from 27 countries suggest that, despite their increased risk of severe illness due to COVID-19, elderly people are not more willing to isolate when asked to, and are not more compliant with several COVID-19 preventive measures. Jean-François Daoust of the University of Edinburgh, U.K., presents these findings in the open-access journal PLOS ONE on July 2, 2020.

Among those who become ill with COVID-19, older adults appear to be more likely to be hospitalized or die from the disease. Because of their increased vulnerability, one might expect that elderly people would be more disciplined in complying with preventive measures. However, few studies have yet examined their response.

In the first in-depth study of elderly people’s attitudes and compliance with COVID-19 preventative measures, Daoust examined survey results from 72,417 people of all ages across 27 different countries. The surveys asked about people’s willingness to self-isolate if necessary, as well as their compliance with specific preventive measures, such as hand washing or wearing a mask.

The analysis suggests that elderly people are no more willing than those in their 50s and 60s to voluntarily self-isolate if they begin to feel ill or if they are advised to do so by a clinician or health official. People aged 60 to 80 are also less likely than younger age groups to wear a mask outside their home. However, older people are more likely to avoid public transportation and to avoid small gatherings or having guests over.

These findings suggest that efforts are needed to improve public health strategies to encourage older adults to comply with preventive measures. A deeper understanding of elderly people’s attitudes and compliance could help inform such improvements and, ultimately, reduce the number of deaths to due to the pandemic.

Daoust adds: “Given the vulnerability of elderly people, we should expect nothing else but a greater level of compliance with preventive measures compared to their younger fellow citizens. However, Daoust finds that this expectation is not grounded in reality. The surprising (and quite shocking) findings entails major implications on how we managed and will manage the COVID-19 crises.”

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