Now that teens and young adults across the country account for an increasing share of COVID-19 cases, and many have become eligible for vaccination, several recently published studies based on polls of this age group provide insights into the kinds of messaging that might work best for both preventing transmission and vaccine uptake.

Using data from text-message polls of people between the ages of 14 and 24 taken at several points in 2020, researchers from the University of Michigan find a clear theme: that most young people are taking COVID-19 seriously and trying to follow public health guidance, and that many of them they are motivated by the desire to protect others.

The latest paper, in the Journal of Adolescent Health's May issue, finds that 86% of young people are moderately or very concerned about spreading COVID-19. The data come from the MyVoice poll, which allows open-ended answers to questions texted to a national sample of young people.

At the time the poll was taken, 89% said they wear masks or other face coverings all or most of the time – and the most common reason they gave was to prevent themselves from spreading the coronavirus.

But nearly 20% said that they made exceptions when they were near people they considered close contacts or part of their "pod," and 16% said they based their mask-wearing behavior on social cues, such as whether they felt they could trust that the people they were with had been cautious about potential sources of exposure.

Melissa DeJonckheere, Ph.D., the first author of the paper and an assistant professor in U-M's Department of Family Medicine, says, "By and large, youth thought they were doing the right thing and following face covering guidelines, even when making exceptions. At the time our data were collected, youth were engaged and concerned about their impact on others, and overall wanted to do their part."

Kao-Ping Chua, M.D., Ph.D., senior author and an assistant professor of pediatrics, says that the findings have implications for improving messaging to young people around COVID-19 vaccination, as well as mask use. "Public health campaigns should leverage youths' desire to protect others and not be the cause of spread. Youth may not be very strongly motivated to get a vaccine to protect themselves. A message like "Get a vaccine to protect your grandparents" might be more effective."

Two other recent MyVoice papers found similarly high percentages of youth reported following rules about social distancing for the most part, but making exceptions for close contacts including situations where young people seemed to be misinterpreting public health guidance. Protecting others was cited as the most common motivation for distancing and following other guidance.

Papers cited: Journal of Adolescent Health, Preventive Medicine Reports, Annals of Family Medicine