Abstract：
BACKGROUND: Information on the public\'s preferences for current public health and social measures (PHSMs) and people\'s mental health under PHSMs is insufficient.
OBJECTIVE: This study aimed to quantify the public\'s preferences for varied PHSMs and measure the level of pandemic fatigue in the COVID-19 normalization stage in China.
METHODS: A nationwide cross-sectional study with a discrete choice experiment and psychometric scales was conducted to assess public preferences for and attitudes toward PHSMs, using the quota sampling method. The COVID-19 Pandemic Fatigue Scale (CPFS) was used to screen fatigue levels among respondents. The multinomial logit model, latent class model, and Mann-Whitney test were used for statistical analysis. We also conducted subgroup analysis based on sex, age, monthly income, mental health status, and pandemic fatigue status.
RESULTS: A total of 689 respondents across China completed the survey. The discrete choice experiment revealed that respondents attached the greatest importance to the risk of COVID-19 infection within 3 months (45.53%), followed by loss of income within 3 months (30.69%). Vulnerable populations (low-income populations and elderly people) were more sensitive to the risk of infection, while younger respondents were more sensitive to income loss and preferred nonsuspension of social places and transportation. Migrants and those with pandemic fatigue had less acceptance of the mandatory booster vaccination and suspension of transportation. Additionally, a higher pandemic fatigue level was observed in female respondents, younger respondents, migrants, and relatively lower-income respondents (CPFS correlation with age: r=-0.274, P<.001; correlation with monthly income: r=-0.25, P<.001). Mandatory booster COVID-19 vaccination was also not preferred by respondents with a higher level of pandemic fatigue, while universal COVID-19 booster vaccination was preferred by respondents with a lower level of pandemic fatigue.
CONCLUSIONS: Pandemic fatigue is widely prevalent in respondents across China, and respondents desired the resumption of normal social life while being confronted with the fear of COVID-19 infection in the normalization stage of COVID-19 in China. During future pandemics, the mental burden and adherence of residents should be considered for the proper implementation of PHSMs.
OBJECTIVE: This study aimed to quantify the public\'s preferences for varied PHSMs and measure the level of pandemic fatigue in the COVID-19 normalization stage in China.
METHODS: A nationwide cross-sectional study with a discrete choice experiment and psychometric scales was conducted to assess public preferences for and attitudes toward PHSMs, using the quota sampling method. The COVID-19 Pandemic Fatigue Scale (CPFS) was used to screen fatigue levels among respondents. The multinomial logit model, latent class model, and Mann-Whitney test were used for statistical analysis. We also conducted subgroup analysis based on sex, age, monthly income, mental health status, and pandemic fatigue status.
RESULTS: A total of 689 respondents across China completed the survey. The discrete choice experiment revealed that respondents attached the greatest importance to the risk of COVID-19 infection within 3 months (45.53%), followed by loss of income within 3 months (30.69%). Vulnerable populations (low-income populations and elderly people) were more sensitive to the risk of infection, while younger respondents were more sensitive to income loss and preferred nonsuspension of social places and transportation. Migrants and those with pandemic fatigue had less acceptance of the mandatory booster vaccination and suspension of transportation. Additionally, a higher pandemic fatigue level was observed in female respondents, younger respondents, migrants, and relatively lower-income respondents (CPFS correlation with age: r=-0.274, P<.001; correlation with monthly income: r=-0.25, P<.001). Mandatory booster COVID-19 vaccination was also not preferred by respondents with a higher level of pandemic fatigue, while universal COVID-19 booster vaccination was preferred by respondents with a lower level of pandemic fatigue.
CONCLUSIONS: Pandemic fatigue is widely prevalent in respondents across China, and respondents desired the resumption of normal social life while being confronted with the fear of COVID-19 infection in the normalization stage of COVID-19 in China. During future pandemics, the mental burden and adherence of residents should be considered for the proper implementation of PHSMs.
摘要：
背景：关于公众对当前公共卫生和社会措施（PHSMs）的偏好以及PHSMs下人们的心理健康的信息不足。
目的：本研究旨在量化公众对不同PHSM的偏好，并测量中国COVID-19正常化阶段的大流行疲劳水平。
方法：进行了一项具有离散选择实验和心理测量量表的全国性横断面研究，以评估公众对PHSM的偏好和态度，采用配额抽样法。使用COVID-19大流行疲劳量表（CPFS）筛查受访者的疲劳水平。多项式Logit模型,潜在类模型，采用Mann-Whitney检验进行统计分析。我们还进行了基于性别的亚组分析，年龄,月收入,心理健康状况,和大流行性疲劳状态。
结果：中国共有689名受访者完成了调查。离散选择实验显示，受访者最重视3个月内感染COVID-19的风险（45.53%），其次是3个月内的收入损失(30.69%)。弱势群体(低收入人群和老年人)对感染风险更加敏感,而年轻的受访者对收入损失更敏感，更喜欢不暂停社交场所和交通工具。移民和患有大流行性疲劳的人对强制性加强疫苗接种和暂停运输的接受程度较低。此外,女性受访者的大流行疲劳水平更高，年轻的受访者，移民,和收入相对较低的受访者（CPFS与年龄的相关性：r=-0.274，P<.001；与月收入的相关性：r=-0.25，P<.001）。流行性疲劳程度较高的受访者也不喜欢强制加强COVID-19疫苗接种，而流行性疲劳程度较低的受访者更喜欢普遍的COVID-19加强疫苗接种。
结论：大流行性疲劳在中国各地的受访者中广泛流行，在中国，在COVID-19正常化阶段，受访者希望恢复正常的社会生活，同时面临对COVID-19感染的恐惧。在未来的大流行期间，正确实施PHSMs应考虑居民的精神负担和依从性。
目的：本研究旨在量化公众对不同PHSM的偏好，并测量中国COVID-19正常化阶段的大流行疲劳水平。
方法：进行了一项具有离散选择实验和心理测量量表的全国性横断面研究，以评估公众对PHSM的偏好和态度，采用配额抽样法。使用COVID-19大流行疲劳量表（CPFS）筛查受访者的疲劳水平。多项式Logit模型,潜在类模型，采用Mann-Whitney检验进行统计分析。我们还进行了基于性别的亚组分析，年龄,月收入,心理健康状况,和大流行性疲劳状态。
结果：中国共有689名受访者完成了调查。离散选择实验显示，受访者最重视3个月内感染COVID-19的风险（45.53%），其次是3个月内的收入损失(30.69%)。弱势群体(低收入人群和老年人)对感染风险更加敏感,而年轻的受访者对收入损失更敏感，更喜欢不暂停社交场所和交通工具。移民和患有大流行性疲劳的人对强制性加强疫苗接种和暂停运输的接受程度较低。此外,女性受访者的大流行疲劳水平更高，年轻的受访者，移民,和收入相对较低的受访者（CPFS与年龄的相关性：r=-0.274，P<.001；与月收入的相关性：r=-0.25，P<.001）。流行性疲劳程度较高的受访者也不喜欢强制加强COVID-19疫苗接种，而流行性疲劳程度较低的受访者更喜欢普遍的COVID-19加强疫苗接种。
结论：大流行性疲劳在中国各地的受访者中广泛流行，在中国，在COVID-19正常化阶段，受访者希望恢复正常的社会生活，同时面临对COVID-19感染的恐惧。在未来的大流行期间，正确实施PHSMs应考虑居民的精神负担和依从性。
