PDF(Pubmed)
Abstract：
OBJECTIVE: To assess the levels of adherence among pregnant women to the basic COVID-19 preventive measures, and to analyze the effect of risk perception and sociodemographic and clinical factors on adherence.
METHODS: A multicenter, cross-sectional study was conducted at the obstetrics clinics of 50 primary care centers selected using a multistage sampling method. An online-administered, structured questionnaire was used to collect self-reported levels of adherence to four basic preventive measures against COVID-19, along with perceived COVID-19 severity, infectiousness, and harmfulness to the baby, besides sociodemographic and clinical data including obstetrical and other medical history.
RESULTS: A total of 2460 pregnant women were included with a mean (SD) age of 30.21 (6.11) years. Levels of self-reported compliance were highest for hand hygiene (95.7%), followed by social distancing (92.3%), masking (90.0%), and avoidance of contact with a COVID-19 infected person (70.3%). Perceived COVID-19 severity and infectiousness, and harmfulness to the baby were observed in 89.2%, 70.7%, and 85.0% of the participants, respectively, and were variably associated with compliance to preventive measures. Analysis of sociodemographic factors highlighted the significance of education and economic status in determining adherence to preventive measures, which represents a potential inequity in the risk of COVID-19 infection.
CONCLUSIONS: This study highlights the importance of patients\' education to enable functional perception of COVID-19 that promotes self-efficacy, besides investigating the specific social determinants of health to tackle inequalities in terms of prevention efficiency and the subsequent health outcomes.
METHODS: A multicenter, cross-sectional study was conducted at the obstetrics clinics of 50 primary care centers selected using a multistage sampling method. An online-administered, structured questionnaire was used to collect self-reported levels of adherence to four basic preventive measures against COVID-19, along with perceived COVID-19 severity, infectiousness, and harmfulness to the baby, besides sociodemographic and clinical data including obstetrical and other medical history.
RESULTS: A total of 2460 pregnant women were included with a mean (SD) age of 30.21 (6.11) years. Levels of self-reported compliance were highest for hand hygiene (95.7%), followed by social distancing (92.3%), masking (90.0%), and avoidance of contact with a COVID-19 infected person (70.3%). Perceived COVID-19 severity and infectiousness, and harmfulness to the baby were observed in 89.2%, 70.7%, and 85.0% of the participants, respectively, and were variably associated with compliance to preventive measures. Analysis of sociodemographic factors highlighted the significance of education and economic status in determining adherence to preventive measures, which represents a potential inequity in the risk of COVID-19 infection.
CONCLUSIONS: This study highlights the importance of patients\' education to enable functional perception of COVID-19 that promotes self-efficacy, besides investigating the specific social determinants of health to tackle inequalities in terms of prevention efficiency and the subsequent health outcomes.
摘要：
目的：评估孕妇对COVID-19基本预防措施的依从性，并分析风险感知和社会人口统计学和临床因素对依从性的影响。
方法：多中心，采用多阶段抽样方法,在50个初级保健中心的产科诊所进行了横断面研究.一个在线管理的，使用结构化问卷收集自我报告的对COVID-19四项基本预防措施的依从性水平，以及感知的COVID-19严重程度，传染性,对婴儿有害，除了社会人口统计学和临床数据，包括产科和其他病史。
结果：共纳入2460名孕妇，平均（SD）年龄为30.21（6.11）岁。手部卫生的自我报告依从性水平最高(95.7%)，其次是社交距离(92.3%)，掩蔽(90.0%)，避免与COVID-19感染者接触（70.3%）。感知COVID-19的严重程度和传染性，对婴儿的危害性占89.2%，70.7%,85.0%的参与者，分别,并且与预防措施的遵守程度不同。对社会人口因素的分析强调了教育和经济状况在确定坚持预防措施方面的重要性，这代表了COVID-19感染风险的潜在不平等。
结论：这项研究强调了患者教育的重要性，以使COVID-19的功能感知能够促进自我效能，除了调查健康的具体社会决定因素，以解决预防效率和随后的健康结果方面的不平等。
方法：多中心，采用多阶段抽样方法,在50个初级保健中心的产科诊所进行了横断面研究.一个在线管理的，使用结构化问卷收集自我报告的对COVID-19四项基本预防措施的依从性水平，以及感知的COVID-19严重程度，传染性,对婴儿有害，除了社会人口统计学和临床数据，包括产科和其他病史。
结果：共纳入2460名孕妇，平均（SD）年龄为30.21（6.11）岁。手部卫生的自我报告依从性水平最高(95.7%)，其次是社交距离(92.3%)，掩蔽(90.0%)，避免与COVID-19感染者接触（70.3%）。感知COVID-19的严重程度和传染性，对婴儿的危害性占89.2%，70.7%,85.0%的参与者，分别,并且与预防措施的遵守程度不同。对社会人口因素的分析强调了教育和经济状况在确定坚持预防措施方面的重要性，这代表了COVID-19感染风险的潜在不平等。
结论：这项研究强调了患者教育的重要性，以使COVID-19的功能感知能够促进自我效能，除了调查健康的具体社会决定因素，以解决预防效率和随后的健康结果方面的不平等。
