Jroundi, ImaneFernandez de Larrea-Baz, NereaRodriguez-Blazquez, CarmenPastor-Barriuso, RobertoPollan-Santamaria, MarinaForjaz, Maria JoãoPerez-Gomez, BeatrizENE-COVID Study GroupCuenca-Estrella, ManuelPaniagua-Caparros, Jose LeonYotti-Alvarez, RaquelFernandez-Navarro, Pablo LAvellón, AnaFedele, Cesare GiovanniFernandez-Garcia, AuroraOteo-Iglesias, JesusPerez-Olmeda, MayteCruz, IsraelFernández-Martínez, María ElenaRodriguez-Cabrera, Francisco David2023-04-182023-04-182023-02-23Front Public Health. 2023 Feb 23;11:1061367.http://hdl.handle.net/20.500.12105/15834Introduction: The protection of children is a major driver of behavior among those in charge of their care. We evaluated whether compliance with preventive measures against SARS-CoV-2 infection among adults living with children was different from that of those not living with them, in 2020. Methods: We used the COSMO-SPAIN (N = 867) and the nationally representative ENE-COVID (N = 29,926) surveys to estimate prevalence of compliance (95% confidence interval). Logistic model based standardization methods were applied to estimate standardized prevalence differences (SPrD) to the overall distribution of age, sex, education, history of COVID-19, and residence of other >60 yrs in the household. Results: We observed that adults living with children more frequently avoided bars (SPrDENE-COVID: 4.2%; 95% CI: 2.3-6.1), crowded places (SPrDCOSMO: 8.0%; 95% CI: 0.6-15.1) and did not use public transportation (SPrDENE-COVID: 4.9%; 95% CI: 3.0-6.7). They were also more worried about work and family conciliation (SPrDCOSMO: 12.2%; 95% CI: 4.8-19.5) and about closure of education centers (SPrDCOSMO: 26.5%; 95% CI: 19.4-33.6). Discussion: In general, adults living with children adopted slightly more frequently social distancing measures.engVoRhttp://creativecommons.org/licenses/by/4.0/COVID-19PandemicChildren’s exposureSociodemographic characteristicsPrevention behaviorsHealth literacyHealth knowledgeAttitudes and practicesCOVID-19HumansChildPandemicsHealth Knowledge, Attitudes, PracticeMaleFemaleAdultMiddle AgedRisk Reduction BehaviorPhysical DistancingAtribución 4.0 Internacional3690846611106136710.3389/fpubh.2023.10613672296-2565Frontiers in public healthopen access