ERIC Number: EJ1476557
Record Type: Journal
Publication Date: 2025-Aug
Pages: 7
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-0022-4391
EISSN: EISSN-1746-1561
Available Date: 2025-06-05
After Mandates End: Complex Decision Making Regarding COVID-19 Masking in San Diego Elementary Schools through the Social Ecological Model
Ashkan Hassani1; Marlene Flores2; Sam Streuli2; Yan Jiang2; Alison Wishard Guerra2; Rebecca Fielding-Miller2
Journal of School Health, v95 n8 p597-603 2025
Background: While mask mandates are unlikely to return in the event of a major resurgence in COVID-19 or another major respiratory disease surge, voluntary masking still shows promise. This ethnographic study seeks to understand the masking decision-making processes of parents and children in the diverse San Diego region, including US-Mexico Border school districts and military housing school communities. Methods: We conducted 19 interviews with parents and their young children focused on COVID-19 efforts at their child's school in English and Spanish and collected detailed field notes on masking culture from over 60 systematic observations from elementary schools across San Diego County from December 2021 to May 2022. We conducted analysis using Dedoose, including multiple rounds of coding and ongoing consensus meetings between researchers. Results: Guided by the social ecological model (SEM), we categorized the results into the following categories: Children's Attitudes and Behaviors, Parent Belief and Influence, School Culture, and District/School Mask Mandates. Each level of the SEM influenced individual and family masking behavior. In our data, School Culture in particular differentiated schools in mask adherence and encouraged masking after state mandates ended. Implications for School Health Policy, Practice and Equity: Masking does not need to end with mandates. Masking has been proven to reduce COVID-19 transmission, and school health policies should consider encouraging masking beyond mandates. Conclusions: Adapting health messaging to the local context, partnering with trusted community champions, and building trust across governmental, school, and public health entities can improve the effectiveness of public health messaging.
Descriptors: COVID-19, Pandemics, Health Behavior, Hygiene, Decision Making, Parent Attitudes, Student Attitudes, Elementary School Students, School Culture, Board of Education Policy
Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
Publication Type: Journal Articles; Reports - Research
Education Level: Elementary Education
Audience: N/A
Language: English
Sponsor: National Institute of Mental Health (NIMH) (DHHS/NIH); Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) (DHHS/NIH)
Authoring Institution: N/A
Identifiers - Location: California (San Diego)
Grant or Contract Numbers: 17295200001; 30878800001
Author Affiliations: 1College of Osteopathic Medicine, Touro University Nevada, Las Vegas, Nevada, USA; 2University of California san Diego, La Jolla, California, USA