Objective To examine rates of emerging adults’ (EA) adherence to preventative health behavior recommendations during early months of the COVID-19 pandemic and to investigate demographic (i.e., gender, years of education, socioeconomic status, school enrollment status, and living situation) and exposure and impact-related correlates of adherence. Methods Participants were 273 [M (SD) age = 22 (2.1) years, 55% female, 32% from minoritized groups] EA completed an online survey of adherence to 11 preventative health behaviors recommended by the Centers for Disease Control (CDC) during summer 2020. Participants rated adherence via a visual analog scale. Participants also reported demographic information and completed the COVID-19 Exposure and Family Impact Adolescent and Young Adult Version (CEFIS-AYA). Results Median levels of adherence to preventative recommendations ranged from 66% to 100%. Highest adherence levels (Mdn > 90%) were reported for quarantining if exposed to COVID-19; covering mouth when sneezing; avoiding the elderly/those at high risk; and avoiding large gatherings. Median adherence was <80% for mask wearing; maintaining a 6-foot distance; avoiding in-person visits with romantic partners or friends; and disinfecting surfaces. Female gender was the only variable significantly associated with overall adherence, and it explained 4% of the variance. Conclusions Following guidelines related to social distancing practices may be particularly challenging for EA, possibly because of unique developmental needs of this group, and males may be at greater risk for non-adherence to CDC recommendations. Therefore, public health messaging and adherence intervention development should be designed with males and social distancing practices in mind.

中文翻译：

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新兴成年人遵守预防性健康指南以应对 COVID-19

目的 调查在 COVID-19 大流行的最初几个月中，新兴成年人 (EA) 对预防性健康行为建议的遵守率，并调查人口统计学（即性别、受教育年限、社会经济地位、入学状况和生活状况）以及与暴露和影响相关的依从性相关性。方法 参与者为 273 [M (SD) 年龄 = 22 (2.1) 岁，55% 女性，32% 来自少数群体] EA 完成了一项关于遵守疾病控制中心 (CDC) 期间推荐的 11 种预防性健康行为的在线调查。 2020 年夏季。参与者通过视觉模拟量表对依从性进行评分。参与者还报告了人口统计信息并完成了 COVID-19 暴露和家庭影响青少年和年轻成人版本 (CEFIS-AYA)。结果 对预防性建议的依从率中位数为 66% 至 100%。如果暴露于 COVID-19，则报告的隔离依从性水平最高（Mdn > 90%）；打喷嚏时捂住嘴；避开老年人/高危人群；并避免大型聚会。戴口罩的中位依从性＜80%；保持 6 英尺的距离；避免与恋人或朋友亲自拜访；和消毒表面。女性性别是唯一与整体依从性显着相关的变量，它解释了 4% 的方差。结论 遵循与社会疏远实践相关的指南可能对 EA 尤其具有挑战性，这可能是因为该群体的独特发展需求，并且男性可能面临更大的不遵守 CDC 建议的风险。所以，