关键词: COVID-19 infection control primary prevention

Mesh : Humans COVID-19 / prevention & control epidemiology Rwanda / epidemiology Female Adult Male Cross-Sectional Studies Middle Aged Masks / statistics & numerical data Aged Hand Disinfection Young Adult SARS-CoV-2 Physical Distancing Aged, 80 and over Surveys and Questionnaires Patient Compliance / statistics & numerical data

来  源:   DOI:10.1136/bmjopen-2023-078610   PDF(Pubmed)

Abstract:
OBJECTIVE: To assess the level of compliance with COVID-19 preventive measures and compliance-associated factors in the Rwanda community.
METHODS: Cross-sectional study.
METHODS: Country-wide community survey in Rwanda.
METHODS: 4763 participants were randomly sampled following the sampling frame used for the recent Rwanda Demographic Health Survey. Participants were aged between 22 years and 94 years.
RESULTS: The participants\' compliance with three preventive measures (wearing a face mask, washing hands and social distancing) was the main outcome.
METHODS: From 14 February 2022 to 27 February 2022, a cross-sectional survey using telephone calls was conducted. Study questionnaires included different questions such as participants\' demographics and compliance with COVID-19 preventives measures. Verbal consent was obtained from each participant. The compliance on three main preventive measures (wearing a mask, washing hands and social distancing) were the main outcomes. Univariate and multivariable logistic regression analyses were performed to evaluate factors associated with compliance (age, gender, level of education, socioeconomic status).
RESULTS: Compliance with the three primary preventive measures (washing hands 98%, wearing a mask 97% and observing social distance 98%) was at a rate of 95%. The respondents\' mean age was 46±11 SD (range 22-98) years. In addition, 69% were female and 86% had attended primary education. Bivariate and regression analyses indicated a significant association among the three primary preventive measures (p<0.05). The results showed factors associated significantly between the different models (p<0.05): proper mask use and social distancing in the hand washing model; hand washing, social distancing, avoiding handshakes and not attending gatherings in the proper mask use model; hand washing and avoiding handshakes in the social distancing model.
CONCLUSIONS: Compliance with the three key preventive measures against COVID-19 was high in the Rwandan community and these measures were interdependent. Therefore, the importance of all three measures should be emphasised for effective disease control.
摘要:
目的:评估卢旺达社区对COVID-19预防措施的依从性水平和依从性相关因素。
方法:横断面研究。
方法:卢旺达全国社区调查。
方法:4763名参与者按照最近卢旺达人口健康调查的抽样框架进行随机抽样。参与者年龄在22岁至94岁之间。
结果:参与者遵守三项预防措施(戴口罩,洗手和社交距离)是主要结果。
方法:从2022年2月14日至2022年2月27日,使用电话进行了横断面调查。研究问卷包括不同的问题,如参与者的人口统计学和对COVID-19预防措施的遵守情况。获得每位参与者的口头同意。遵守三项主要预防措施(戴口罩,洗手和社交距离)是主要结果。进行了单变量和多变量逻辑回归分析,以评估与依从性相关的因素(年龄,性别,教育水平,社会经济地位)。
结果:遵守三项主要预防措施(洗手98%,佩戴口罩的比例为97%,观察社交距离的比例为98%)。受访者的平均年龄为46±11SD(范围22-98)岁。此外,69%为女性,86%曾接受过初等教育。双变量和回归分析表明三种主要预防措施之间存在显着关联(p<0.05)。结果表明,不同模型之间存在显着相关的因素(p<0.05):正确使用口罩和洗手模型中的社交距离;洗手,社交距离,避免握手和不参加聚会在适当的面具使用模式;洗手和避免握手在社会距离模式。
结论:卢旺达社区对COVID-19三项关键预防措施的依从性很高,这些措施相互依赖。因此,对于有效控制疾病,应强调所有三项措施的重要性。
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