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Record W4407113656 · doi:10.33137/utjph.v6i1.41810

Contextual and Psychological Factors of Face Mask-Wearing Among Secondary School Students: A Cross-Sectional Survey from Toronto

2025· article· en· W4407113656 on OpenAlexaffabout
Thomas Liang, Alan Kraguljac

Bibliographic record

VenueUniversity of Toronto Journal of Public Health · 2025
Typearticle
Languageen
FieldMedicine
TopicFacial Nerve Paralysis Treatment and Research
Canadian institutionsUniversity of TorontoWestern University
Fundersnot available
KeywordsCross-sectional studyPsychologyFace (sociological concept)Medical educationApplied psychologyMedicineSociology

Abstract

fetched live from OpenAlex

Background: Several studies have investigated the factors associated with mask-wearing in adults, but very few studies have explored mask wearing in children or schools. As such, our study aims to explore the knowledge, attitudes, and psychological factors impacting mask-wearing in high school students. Methods: In February 2023, a cross-sectional survey was distributed online to Grade 9–12 students in a school located in Toronto. The association between knowledge, attitudes and psychological variables was evaluated using descriptive statistics and Kendall’s tau-b rank correlation tests. Thematic analysis was then used to summarize the qualitative responses. Results: A total of 62 participants fully completed the survey. 46.8% (n = 29) identified as male, 43.5% (n = 27) as female, and the median age was 16 years (IQR, 15–17 years). Almost all participants indicated that they were knowledgeable about COVID-19's modes of transmission (n = 57, 92.0%) and preventative measures (n = 60, 96.8%). More participants supported voluntary masking in schools (n = 34, 54.9%) compared to mask mandates (n = 16, 25.9%). Attitudes towards masking in schools, perceived susceptibility, perceived aesthetic, and anxiety-reduction benefits were positively correlated with higher frequencies of mask-wearing (τb = 0.238 to 0.491, p = 0.03 to <0.001). However, perceived barriers (e.g., physical discomfort, hindrance to communication, inconvenience) were negatively correlated (τb = -0.259 to -0.385, p = 0.0019 to <0.001). Age, sex, self-reported COVID-19 knowledge, perceived severity, and perceived medical benefits were not significant correlates of masking behaviour. Qualitative reasons that encouraged individuals to wear masks included protection and aesthetic reasons. Students who did not wear masks questioned the necessity of mask-wearing and commented on the new social norm of not wearing a mask among their classmates. Conclusion: Adolescent mask-wearing is significantly correlated with pre-existing attitudes towards masks, while perceived barriers strongly discourage students from wearing masks. Future research should investigate how to best promote positive beliefs regarding mask-wearing to youth.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.077
Threshold uncertainty score0.999

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.001
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0020.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.101
GPT teacher head0.403
Teacher spread0.303 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes2
Has abstractyes

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