Table 3 Odds ratios for anxiety, depression, and adherence to public health guidelines by high level of COVID-19 leadership

Mental Health

 Anxiety with Impairment (Positive Screen)

0.43 (0.38, 0.48)*

0.54 (0.45, 0.64)*

 Depression with Impairment (Positive Screen)

0.36 (0.32, 0.41)*

0.46 (0.39, 0.54)*

COVID-19 Public Health Guidelines

 Wearing a mask or face covering

3.83 (3.26, 4.51)*

2.50 (2.01, 3.11)*

 Coughing/sneezing into your elbow or use a tissue

3.16 (2.73, 3.67)*

1.85 (1.51, 2.27)*

 Washing your hands frequently for 20 s with soap and water

2.70 (2.40, 3.06)*

2.31 (1.96, 2.71)*

 Using hand sanitizer when you can’t wash your hands

2.69 (2.39, 3.03)*

2.29 (1.96, 2.69)*

 Monitoring yourself for fever, coughing, or shortness of breath

2.57 (2.31, 2.86)*

2.17 (1.88, 2.50)*

 Avoiding people with COVID-19 symptoms

2.17 (1.96, 2.41)*

1.91 (1.66, 2.20)*

 Avoiding non-work related indoor gatherings

2.01 (1.82, 2.22)*

1.83 (1.60, 2.09)*

 Staying at home

1.58 (1.44, 1.74)*

1.58 (1.39, 1.80)*