Face masks have been widely employed as a personal protective measure during the COVID-19 pandemic. However, concerns remain that masks create a false sense of security that reduces adherence to other public health measures, including social distancing. This paper tested whether mask-wearing was negatively associated with social distancing compliance. In two studies, we combined video-observational records of public mask-wearing in two Dutch cities with a natural-experimental approach to evaluate the effect of an area-based mask mandate. We found no observational evidence of an association between mask-wearing and social distancing but found a positive link between crowding and social distancing violations. Our natural-experimental analysis showed that an area-based mask mandate did not significantly affect social distancing or crowding levels. Our results alleviate the concern that mask use reduces social distancing compliance or increases crowding levels. On the other hand, crowding reduction may be a viable strategy to mitigate social distancing violations.
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Boston Childrens Hosp, Computat Epidemiol Lab, Boston, MA USA
Boston Univ, Sch Publ Hlth, Boston, MA USABoston Childrens Hosp, Computat Epidemiol Lab, Boston, MA USA
Popp, Z.
Gertz, A.
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Boston Childrens Hosp, Computat Epidemiol Lab, Boston, MA USABoston Childrens Hosp, Computat Epidemiol Lab, Boston, MA USA
Gertz, A.
Sewalk, K.
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Boston Childrens Hosp, Computat Epidemiol Lab, Boston, MA USABoston Childrens Hosp, Computat Epidemiol Lab, Boston, MA USA
Sewalk, K.
Brownstein, J.
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Boston Childrens Hosp, Computat Epidemiol Lab, Boston, MA USA
Harvard Univ, Harvard Med Sch, Cambridge, MA 02138 USABoston Childrens Hosp, Computat Epidemiol Lab, Boston, MA USA
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Stellenbosch Univ, Econ Dept, Stellenbosch, South AfricaStellenbosch Univ, Econ Dept, Stellenbosch, South Africa
Burger, Ronelle
Christian, Carmen
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Univ Western Cape, Econ Dept, Cape Town, South AfricaStellenbosch Univ, Econ Dept, Stellenbosch, South Africa
Christian, Carmen
English, Rene
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Stellenbosch Univ, Global Hlth Dept, Div Hlth Syst & Publ Hlth, Tygerberg Campus, Cape Town, South AfricaStellenbosch Univ, Econ Dept, Stellenbosch, South Africa
English, Rene
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Maughan-Brown, Brendan
Rossouw, Laura
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Univ Witwatersrand, Sch Econ & Finance, Johannesburg, South AfricaStellenbosch Univ, Econ Dept, Stellenbosch, South Africa