The association between community solidarity and adoption of public health preventive measures during the COVID-19 pandemic in a cross-sectional, multi-national sample

BACKGROUND: Few studies have examined the association between community solidarity and health-related behaviors. This study investigates solidarity in navigating challenges during the COVID-19 pandemic. METHODS: We used cross-sectional data from a multi-national survey of 1,346 respondents to examine (1) factors relating to feelings of solidarity, and (2) associations between solidarity and public health preventive behaviors. RESULTS: More than half (53.1%) of participants expressed feelings of solidarity; they were more likely to be aged 30 years or over, employed full-time, and residing in Eastern economies. We found a statistically significant association between positive feelings of solidarity and three of five COVID-19 prevention behaviors (social distancing, skipping an event, and masking in public). Those who reported previous influenza vaccination were also more likely to adopt these behaviors. DISCUSSION: The findings underscore the potential of fostering community solidarity to enhance prosocial actions amid widespread emergencies.