Table_1_Personal infection prevention behaviors and campaign to encourage travel during COVID-19: A cross-sectional study.xlsx

IntroductionThe Go To Travel campaign in Japan was launched to subsidize travel and accommodation costs for tourists through vouchers that could be used at domestic destinations. Infection prevention behavior can lead to refraining from travel owing to infection concerns; conversely, taking preventive action can promote travel. There is a lack of information about the association between infection prevention behaviors and desire to travel. During a pandemic of infection, there is the difficult challenge of balancing the promotion of infection prevention behavior with economic revitalization. Thus, we examined the relationship between personal infection prevention behaviors and using Go To Travel.
MethodsWe conducted a cross-sectional study of 26,637 workers who responded to a large-scale questionnaire survey about COVID-19 in Japan. We built multilevel logistic regression models adjusted for confounders to assess the association between each personal infection prevention behavior and using Go To Travel. We analyzed the seven infection prevention behavior individually: wearing a mask when among other people; disinfecting hands with alcohol before going indoors; washing hands after using the toilet; gargling upon returning home; opening a window to ventilate a room; carrying an alcohol sanitizer; and disinfecting hands after touching objects outside.
ResultsAmong the 26,637 participants, 7,959 (30%) used Go To Travel. For “wearing a mask in the presence of others” and “washing hands after using the toilet,” the majority of respondents answered “almost always: 86.5 and 85.6% respectively. Action “carrying alcohol disinfectant” was the least implemented, with 36.9% of respondents saying “almost never.” Two of the seven preventive behaviors (“disinfecting hands with alcohol before going indoors” and “carrying alcohol disinfectant”) were positively related to using Go To Travel, that is, the more of these actions they took, the more they used Go To Travel (p for trend <0.001).
ConclusionsTo balance pandemic preparedness with economic preparedness, it is also necessary to promote travel when the infection situation is calm. However, since human mobility can be a factor that exacerbates the infection situation, it is necessary to promote more infection prevention behaviors among individuals. We confirmed that Go To Travel users were basically doing a good infection prevention behaviors, but they tended not to wash their hands after touching things or carry alcohol sanitizer. It is necessary to encourage these measures to be taken when traveling.

引言
日本旅行支援计划（Go To Travel）旨在通过可在国内目的地使用的优惠券，为游客的出行与住宿成本提供补贴。感染预防行为可能会因对感染的担忧而使人放弃出行；反之，采取预防措施则可推动出行意愿。目前关于感染预防行为与出行意愿之间关联的研究信息尚显不足。在感染大流行期间，平衡感染预防行为推广与经济复苏是一项极具挑战性的难题。因此，本研究探讨了个人感染预防行为与参与该计划之间的关联。

方法
本研究针对日本国内针对新型冠状病毒病（COVID-19）开展的大规模问卷调查中回收的26637名职场人士应答数据开展横断面研究。我们构建了针对混杂因素进行校正的多水平logistic回归模型，以评估各项个人感染预防行为与参与该计划之间的关联。本次分析共纳入7项感染预防行为，分别为：在人群中佩戴口罩、进入室内前用酒精消毒双手、如厕后洗手、回家后漱口、开窗通风、携带酒精消毒用品，以及接触室外物品后消毒双手。

结果
在26637名研究对象中，共有7959人（占比30%）参与了该计划。针对“在他人在场时佩戴口罩”与“如厕后洗手”两项行为，绝大多数应答者选择了“几乎总是执行”，占比分别为86.5%与85.6%。“携带酒精消毒用品”是执行率最低的行为，仅有36.9%的应答者表示“几乎从不执行”。7项预防行为中，“进入室内前用酒精消毒双手”与“携带酒精消毒用品”两项与参与该计划呈正相关：即执行这些行为的频率越高，参与该计划的可能性也越高（趋势检验p<0.001）。

结论
为平衡大流行防控与经济复苏需求，在感染形势平稳时也应推动出行活动。但由于人员流动可能加剧感染形势，因此需在人群中进一步推广感染预防行为。本研究证实，参与该计划的人群整体感染预防行为执行情况良好，但在接触物品后洗手以及携带酒精消毒用品这两项行为上存在不足。因此，在出行过程中需鼓励民众落实上述两项预防措施。