Voluntary adoption of social welfare-enhancing behavior: Mask-wearing in Spain during the COVID-19 outbreak

PLoS One. 2020 Dec 1;15(12):e0242764. doi: 10.1371/journal.pone.0242764. eCollection 2020.

Abstract

With the spread of COVID-19, more countries now recommend their citizens to wear facemasks in public. The uptake of facemasks, however, remains far from universal in countries where this practice lacks cultural roots. In this paper, we aim to identify the barriers to mask-wearing in Spain, a country with no mask-wearing culture. We conduct one of the first nationally representative surveys (n = 4,000) about this unprecedented public health emergency and identify the profile of citizens who are more resistant to face-masking: young, educated, unconcerned with being infected, and with an introverted personality. Our results further indicate a positive correlation between a social norm of mask-wearing and mask uptake and demonstrate that uptake of facemasks is especially high among the elderly living in localities where mask-wearing behavior is popular. These results are robust when controlling for respondents' demographics, time spent at home, and occupation fixed effects. Our findings can be useful for policymakers to devise effective programs for improving public compliance.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • COVID-19 / epidemiology*
  • Disease Outbreaks / statistics & numerical data*
  • Female
  • Health Behavior*
  • Humans
  • Male
  • Masks*
  • Middle Aged
  • Personality
  • Risk Assessment
  • Social Welfare / psychology*
  • Spain / epidemiology
  • Surveys and Questionnaires*
  • Young Adult

Grants and funding

New York University Abu Dhabi provided support in the form of salaries for authors JB and GS, but did not have any additional role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. The specific roles of these authors are articulated in the ‘author contributions’ section.