{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T14:56:07Z","timestamp":1791212167799,"version":"4.1.0"},"reference-count":24,"publisher":"Pan American Health Organization","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,5]]},"abstract":"<title>ABSTRACT<\/title>\n                  <sec>\n                    <title>Objective:<\/title>\n                    <p>To evaluate factors associated with the adoption of coronavirus disease 2019 (COVID-19) preventive health behaviors among adults in Antigua and Barbuda.<\/p>\n                  <\/sec>\n                  <sec>\n                    <title>Methods:<\/title>\n                    <p>A nationally representative cross-sectional survey was conducted from September 22 to November 29, 2021. Data were collected via computer-assisted telephone interviewing to (1) assess the COVID-19 information sources utilized and the preventive behaviors adopted by study participants and (2) assess the impact of COVID-19 on noncommunicable diseases (NCDs) and mental health. The survey asked about demographic factors, the use of information sources regarding COVID-19, COVID-19 prevention behaviors, NCD diagnoses, and mental health. Findings for objective 1 are presented. A descriptive analysis for demographic variables and COVID-19 information sources utilized by study participants was performed. A multivariable logistic regression was conducted to investigate factors associated with the adoption of preventive behaviors.<\/p>\n                  <\/sec>\n                  <sec>\n                    <title>Results:<\/title>\n                    <p>Data from 2 001 telephone interviews were used in the analysis. Most participants were female (53.3%), never married (59.2%), and reported being educated beyond secondary school level (75.4%). The main media outlets accessed for COVID-19 prevention information were social networks, television, and radio, respectively. Participants reported that the Ministry of Health, Wellness and the Environment was viewed as the most trusted information source. We found no association with marital status, education level, main source of COVID-19 information, most trusted source that influenced behavior change, and the practicing of social distancing by persons who reported adhering to COVID-19 prevention strategies always or sometimes.<\/p>\n                  <\/sec>\n                  <sec>\n                    <title>Conclusion:<\/title>\n                    <p>Our characterization of information sources utilized and COVID-19 preventive behaviors provides baseline information for the development of future public health prevention and promotional efforts.<\/p>\n                  <\/sec>","DOI":"10.26633\/rpsp.2026.67","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T14:32:36Z","timestamp":1791210756000},"page":"1","source":"Crossref","is-referenced-by-count":0,"title":["Assessing information sources and preventive behaviors during the COVID-19 pandemic: a cross-sectional study in Antigua and Barbuda"],"prefix":"10.26633","volume":"50","author":[{"given":"Lorraine","family":"Francis","sequence":"first","affiliation":[{"name":"Department of Public and Ecosystem Health, Cornell University, Ithaca, New York"},{"name":"lf423@cornell.edu"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valarie","family":"Williams","sequence":"additional","affiliation":[{"name":"Ministry of Health, Wellness and the Environment, St. John\u2019s, Antigua."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gemma","family":"Chery","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Makella S.","family":"Coudray","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences, College of Medicine, University of Central Florida, Orlando, Florida, United States of America."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"11167","reference":[{"key":"ref1","unstructured":"World Health Organization (WHO). WHO statement regarding cluster of pneumonia cases in Wuhan, China [Internet]. Geneva: WHO; 2020 [cited 2025 Apr 21]. Available from: https:\/\/www.who.int\/hongkongchina\/news\/detail\/09-01-2020-who-statement-regarding-cluster-of-pneumonia-cases-in-wuhan-china"},{"key":"ref2","unstructured":"World Health Organization. Novel coronavirus (2019-nCoV) situation report-1 [Internet]. Geneva: WHO; 2020 [cited 2025 Apr 21]. Available from: https:\/\/www.who.int\/docs\/default-source\/coronaviruse\/situation-reports\/20200121-sitrep-1-2019-ncov.pdf"},{"key":"ref3","unstructured":"Government of Antigua and Barbuda. PM announces first case of coronavirus in Antigua and Barbuda \u2013 urges nation not to panic [Internet]. St. John\u2019s: Government of Antigua and Barbuda; 2020 [cited 2025 Apr 21]. Available from: https:\/\/covid19.gov.ag\/pm-announces-first-case-of-coronavirus-in-antigua-and-barbuda\/#:~:text=ST.,panic%2C%20arising%20from%20this%20case"},{"key":"ref4","unstructured":"Caribbean Community (CARICOM). CARICOM heads, ministers agree on COVID19 protocol [Internet]. Georgetown, Guyana: CARICOM; 2020 [cited 2025 Apr 21]. Available from: https:\/\/www.caricomstats.org\/E-CISTAR\/2020\/03\/02\/caricom-heads-ministers-agree-on-covid19-protocol\/"},{"key":"ref5","unstructured":"Government of Antigua and Barbuda. Office of the Prime Minister media statement [Internet]. St. John\u2019s: Government of Antigua and Barbuda; 2020 [cited 2025 Apr 21]. Available from: https:\/\/antigua-barbuda.com\/wp-content\/uploads\/2020\/03\/Media-Statement-on-the-closure-of-VC-Bird-International-from-Thursday-midnight-March-26-2020-edited2.pdf"},{"key":"ref6","unstructured":"Government of Antigua and Barbuda. Office of the Prime Minister media statement - state of emergency in Antigua and Barbuda [Internet]. St. John\u2019s: Government of Antigua and Barbuda; 2020 [cited 2025 Apr 21]. Available from: https:\/\/covid19.gov.ag\/wp-content\/uploads\/2020\/03\/mar_27_2020_State_of_Emergency_in_Antigua_and_Barbuda-1.pdf"},{"key":"ref7","unstructured":"Caribbean Development Bank. Country Economic Review 2020 - Antigua and Barbuda [Internet]. St. Michael, Barbados: Caribbean Development Bank; 2021 [cited 2026 May 13]. Available from: https:\/\/www.caribank.org\/publications-and-resources\/resource-library\/economic-reviews\/country-economic-review-2020-antigua-and-barbuda"},{"key":"ref8","unstructured":"Government of Antigua and Barbuda, Ministry of Foreign Affairs, Immigration and Trade. Antigua and Barbuda travel advisory [Internet]. St. John\u2019s: Government of Antigua and Barbuda; 2020 [cited 2025 Apr 22]. Available from: https:\/\/health.gov.ag\/wp-content\/uploads\/2020\/10\/Antigua-and-Barbuda-Travel-Advisory-June-022020.pdf"},{"key":"ref9","unstructured":"Goodwin T. State of emergency to end before Christmas, public health measures to remain in place [Internet]. Antigua Observer Newspaper; 2021 [cited 2025 Apr 22]. Available from: https:\/\/antiguaobserver.com\/state-of-emergency-to-end-before-christmas-public-health-measures-to-remain-in-place\/"},{"key":"ref10","unstructured":"Editor. Antigua begins first phase of COVID-19 vaccine rollout with healthcare workers - Antigua News Room [Internet]. Antigua News Room; 2021 [cited 2026 Jun 2]. Available from: https:\/\/antiguanewsroom.com\/antigua-begins-first-phase-of-covid-19-vaccine-rollout\/"},{"key":"ref11","doi-asserted-by":"crossref","unstructured":"Bish A, Michie S. Demographic and attitudinal determinants of protective behaviours during a pandemic: a review. Br J Health Psychol. 2010 Nov;15(4):797\u2013824. https:\/\/doi.org\/10.1348\/135910710X485826","DOI":"10.1348\/135910710X485826"},{"key":"ref12","unstructured":"Schwalbe N, Lehtimaki S, Gutierrez JP. Non-communicable diseases and COVID-19: a perfect storm. BMJ [Internet]. 2020 Jun 10 [cited 2025 Apr 22]. Available from: https:\/\/blogs.bmj.com\/bmj\/2020\/06\/10\/non-communicable-diseases-and-covid-19-a-perfect-storm\/"},{"key":"ref13","unstructured":"Pan American Health Organization (PAHO). RaMPS: rapid mobile phone survey [Internet]. Washington, DC; n.d. [cited 2025 Apr 22]. Available from: https:\/\/www.paho.org\/en\/enlace\/ramps-rapid-mobile-phone-survey"},{"key":"ref14","unstructured":"United Nations Population Fund (UNFPA). Antigua and Barbuda [Internet]. Kingston, Jamaica: UNFPA-Caribbean Office; 2017 Sep 9 [cited 2026 May 12]. Available from: https:\/\/caribbean.unfpa.org\/en\/news\/antigua-and-barbuda"},{"key":"ref15","unstructured":"Antigua and Barbuda, Ministry of Finance and Corporate Governance, Statistics Division. 2011 population and housing census, a demographic profile 2017 [Internet]. St. John\u2019s: Government of Antigua and Barbuda; 2017 [cited 2025 Apr 22]. Available from: https:\/\/statistics.gov.ag\/wp-content\/uploads\/2017\/11\/2011-Antigua-and-Barbuda-Population-and-Housing-Census-A-Demographic-Profile.pdf"},{"key":"ref16","unstructured":"World Bank. World Bank Open Data [Internet]. Washington, DC: World Bank [cited 2024 Oct 13]. Available from: https:\/\/data.worldbank.org\/country\/antigua-and-barbuda"},{"key":"ref17","doi-asserted-by":"crossref","unstructured":"Galasso V, Pons V, Profeta P, Becher M, Brouard S, Foucault M. Gender differences in COVID-19 attitudes and behavior: panel evidence from eight countries. PNAS. 2020 Nov 3;117(44):27285\u201391. Available from: https:\/\/doi.org\/10.1073\/pnas.2012520117","DOI":"10.1073\/pnas.2012520117"},{"key":"ref18","doi-asserted-by":"crossref","unstructured":"Sobol M, Blachnio A, Przepi\u00f3rka A. Time of pandemic: temporal perspectives related to compliance with public health regulations concerning the COVID-19 pandemic. Soc Sci Med. 2020 Nov:265:113408. https:\/\/www.doi.org\/10.1016\/j.socscimed.2020.113408","DOI":"10.1016\/j.socscimed.2020.113408"},{"key":"ref19","doi-asserted-by":"crossref","unstructured":"Kim S, Kim S. Analysis of the impact of health beliefs and resource factors on preventive behaviors against the COVID-19 pandemic. Int J Environ Res Public Health. 2020 Nov 22;17(22):8666. https:\/\/www.doi.org\/10.3390\/ijerph17228666","DOI":"10.3390\/ijerph17228666"},{"key":"ref20","doi-asserted-by":"crossref","unstructured":"Sanyaolu A, Okorie C, Marinkovic A, Patidar R, Younis K, Desai P, et al. Comorbidity and its impact on patients with COVID-19. SN Comp Clin Med. 2020 Jun 25;2(8):1069\u201376. Available from: https:\/\/www.doi.org\/10.1007\/s42399-020-00363-4","DOI":"10.1007\/s42399-020-00363-4"},{"key":"ref21","doi-asserted-by":"crossref","unstructured":"Bedewi J, Girum T, Tsegay T, Derese M, Yasin F, Kasahun A. Adherence to preventive behaviours and associated factors towards COVID-19 among adults in Gurage zone, Ethiopia, 2020: a community-based cross-sectional study. BMJ Open. 2023;13(5):e068090. Available from: http:\/\/dx.doi.org\/10.1136\/bmjopen-2022-068090","DOI":"10.1136\/bmjopen-2022-068090"},{"key":"ref22","doi-asserted-by":"crossref","unstructured":"Bollyky TJ, Castro E, Aravkin AY, Bhangdia K, Dalos J, Hulland EN, et al. Assessing COVID-19 pandemic policies and behaviours and their economic and educational trade-offs across US states from Jan 1, 2020, to July 31, 2022: an observational analysis. Lancet. 2023;401:1341\u201360. Available from: https:\/\/www.doi.org\/10.1016\/S0140-6736(23)00461-0","DOI":"10.1016\/S0140-6736(23)00461-0"},{"key":"ref23","doi-asserted-by":"crossref","unstructured":"Hambleton IR, Jeyaseelan SM, Murphy MM. COVID-19 in the Caribbean small island developing states: lessons learnt from extreme weather events. Lancet Glob Health. 2020 Jul;8(9):E1114\u2013E1115. https:\/\/www.doi.org\/10.1016\/S2214-109X(20)30291-6","DOI":"10.1016\/S2214-109X(20)30291-6"},{"key":"ref24","doi-asserted-by":"crossref","unstructured":"Faasse K, Newby J. Public perceptions of COVID-19 in Australia: perceived risk, knowledge, health-protective behaviors, and vaccine intentions. Front Psychol. 2020 Sep 30;11:551004. 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