Public Health Department, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
Medicine Department, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
Front Public Health. 2021 Mar 2;9:570242. doi: 10.3389/fpubh.2021.570242. eCollection 2021.
Containment of the coronavirus pandemic relied extensively on the combination of early implementation of quarantine and massive behavioral changes to ensure effectiveness. Decision-makers need to constantly monitor the outbreak situation and the impact of the measures implemented. Yet little is known about the factors influencing adherence and understanding of lockdown measures among the Palestinian community. This study aimed to assess the impact and factors affecting these early public health interventions. A cross-sectional web-based questionnaire was distributed throughout social media (Facebook and Instagram). We used a snowball recruiting technique to target Palestinian adult citizens during the coronavirus pandemic quarantine between 6 and 16 April 2020, which corresponded to almost the middle interval of the strict massive lockdown measures in Palestine that lasted from 22 March to 5 May 2020. Multivariate logistic regression models were developed for the outcome variables (staying home adherence, in-home precautions adherence, and quarantine understanding). Our questionnaire was completed by 2,819 participants. The mean (range) age was 29.47 (18-71) years. Of them, 1,144 (40.6%), 1,261 (44.7%), and 1,283 (45.5%) reported low levels of staying home adherence, in-home precautions adherence, and quarantine understanding, respectively. Females, city residents, those with higher educational levels, and those informed by official government sources were associated significantly with higher levels of both staying home adherence and quarantine understanding. Adequate food supply was associated with a higher level of staying home adherence. Higher levels of in-home precautions adherence were noticed in the elderly and those with a high-risk group living at home. Higher monthly income was inversely associated with higher levels of in-home precautions adherence and lower levels of quarantine understanding ( < 0.05). The socio-economic and financial status of the general population and coordination between the major information resources (official government), social media, and the press were the major factors affecting the community in regard to quarantine adherence. For maximum effectiveness and commitment levels amongst the people to decrease the spread of infection, policymakers need to address all those factors. In addition, clear communication between policymakers and the population is essential for reassuring the people and minimizing their fears regarding the unknown future.
遏制冠状病毒大流行在很大程度上依赖于早期实施隔离和大规模行为改变的结合，以确保其有效性。决策者需要不断监测疫情情况和所实施措施的影响。然而，人们对巴勒斯坦社区遵守和理解封锁措施的影响因素知之甚少。本研究旨在评估这些早期公共卫生干预措施的影响和影响因素。
我们通过社交媒体（脸书和照片墙）分发了一份基于网络的横断面调查问卷。我们使用滚雪球招募技术，在 2020 年 4 月 6 日至 16 日期间针对冠状病毒大流行隔离期间的巴勒斯坦成年公民进行目标定位，这几乎与 2020 年 3 月 22 日至 5 月 5 日期间在巴勒斯坦实施的严格大规模封锁措施的中间间隔相对应。针对因变量（居家遵守、家庭内预防措施遵守和隔离理解）建立了多变量逻辑回归模型。
我们的问卷由 2819 名参与者完成。平均（范围）年龄为 29.47 岁（18-71 岁）。其中，分别有 1144 人（40.6%）、1261 人（44.7%）和 1283 人（45.5%）报告居家遵守、家庭内预防措施遵守和隔离理解程度较低。女性、城市居民、教育程度较高者和从官方政府来源获得信息者与居家遵守和隔离理解程度较高显著相关。充足的食物供应与居家遵守程度较高相关。高龄者和家中有高危人群者的家庭内预防措施遵守程度较高。较高的月收入与家庭内预防措施遵守程度较高和隔离理解程度较低呈负相关（<0.05）。
一般人群的社会经济和财务状况以及主要信息资源（官方政府）、社交媒体和媒体之间的协调是影响社区遵守隔离措施的主要因素。为了最大限度地提高人民的效力和承诺水平，以减少感染的传播，政策制定者需要解决所有这些因素。此外，政策制定者与民众之间的清晰沟通对于安抚民众并最大程度地减少他们对未知未来的恐惧至关重要。
