Children’s Nutrition Research Center Staff Publications
Language
English
Publication Date
12-20-2022
Journal
PLoS One
DOI
10.1371/journal.pone.0279347
PMID
36538498
PMCID
PMC9767325
PubMedCentral® Posted Date
12-20-2022
PubMedCentral® Full Text Version
Post-print
Abstract
Background: Risk compensation, or matching behavior to a perceived level of acceptable risk, can blunt the effectiveness of public health interventions. One area of possible risk compensation during the SARS-CoV-2 pandemic is antibody testing. While antibody tests are imperfect measures of immunity, results may influence risk perception and individual preventive actions. We conducted a randomized control trial to assess whether receiving antibody test results changed SARS-CoV-2 protective behaviors.
Purpose: Assess whether objective information about antibody status, particularly for those who are antibody negative and likely still susceptible to SARS-CoV-2 infection, increases protective behaviors. Secondarily, assess whether a positive antibody test results in decreased protective behaviors.
Methods: In September 2020, we enrolled 1076 undergraduate students, used fingerstick tests for SARS-CoV-2 antibodies, and randomized participants to receive their results immediately or delayed by 4 weeks. Two weeks later, participants completed a survey about their engagement in 4 protective behaviors (mask use, social event avoidance, staying home from work/school, ensuring physical distancing). We estimated differences between conditions for each of these behaviors, stratified by antibody status. For negative participants at baseline, we also estimated the difference between conditions for seroconversion over 8 weeks of follow-up.
Results: For the antibody negative participants (n = 1029) and antibody positive participants (n = 47), we observed no significant differences in protective behavior engagement between those who were randomized to receive test results immediately or after 4 weeks. For the baseline antibody negative participants, we also observed no difference in seroconversion outcomes between conditions.
Conclusions: We found that receiving antibody test results did not lead to significant behavior change in undergraduate students whether the SARS-CoV-2 antibody result was positive or negative.
Keywords
Humans, COVID-19, SARS-CoV-2, Antibodies, Viral, Pandemics, Public Health
Published Open-Access
yes
Recommended Citation
Ludema, Christina; Rosenberg, Molly S; Macy, Jonathan T; et al., "Does Receiving a SARS-CoV-2 Antibody Test Result Change COVID-19 Protective Behaviors? Testing Risk Compensation in Undergraduate Students With a Randomized Controlled Trial" (2022). Children’s Nutrition Research Center Staff Publications. 215.
https://digitalcommons.library.tmc.edu/staff_pub/215
Included in
Biochemical Phenomena, Metabolism, and Nutrition Commons, COVID-19 Commons, Dietetics and Clinical Nutrition Commons, Endocrinology, Diabetes, and Metabolism Commons, Nutrition Commons