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埃塞俄比亚南部居民中 COVID-19 预防措施的实施情况评估及相关因素。

Assessment of practice of Covid-19 preventive measures and associated factors among residents in Southern, Ethiopia.

机构信息

School of Public Health, College of Medicine and Health Science, Dilla University, Dilla, Ethiopia.

Department of Public Health, College of Health Science, Arsi University, Assela, Ethiopia.

出版信息

PLoS One. 2021 Dec 10;16(12):e0261186. doi: 10.1371/journal.pone.0261186. eCollection 2021.

Abstract

INTRODUCTION

Coronavirus (Covid-19) is a respiratory disease mostly affecting old aged and those with comorbidities. Due to resource constraints in developing countries, control of Covid-19 was based on preventive measures. However, there is variation in adherence to these precautionary measures from place to place among communities. Therefore, this study assessed the practice of Covid-19 preventive measures and associated factors among residents of Southern, Ethiopia.

METHODS

A community-based cross-sectional study was employed on residents of Southern, Ethiopia. Interviewer administered questionnaire was used to collect data from households through systematic random sampling methods. Data was entered, coded, and analyzed using STATA version 16. Logistic regression analysis was used to explore the association between outcome variables and predictor variables. Finally, the interpretation of Adjusted Odds ratio (AOR) with 95% Confidence Interval (CI) and p-value was done for statistically significant factors of Covid-19 preventive measures practice.

RESULTS

The proportion of residents who had good practice of Covid-19 preventive measures was 31.3% (95% CI: 26.5, 36.1). Out of 364 residents, 264 (72.5%) used facemasks, 218 (59.9%) washed their hands frequently, 167 (45.9%) practiced social distancing, 135 (37.1%) stayed at home, 75 (18.1%) avoided handshaking and 228 (62.6%) used hand sanitizer. Following government directions (AOR = 225; 95% CI: 68.6, 738), good knowledge about Covid-19 (AOR = 3.47; 95% CI: 1.12, 10.73), having access to water supply (AOR = 2.92; 95% CI: 1.05, 8.18), belief towards protectiveness of preventive measure (AOR = 3.53; 95% CI: 1.08, 11.61) and chronic illness (AOR = 5.09; 95% CI: 1.44, 17.96) were significantly associated with practice of Covid-19 preventive measures.

CONCLUSION

In this study, the proportion of residents practicing Covid-19 preventive measures was low. Having comorbidity, following government directions, knowledge about Covid-19 and access to water supply were significantly associated with Covid-19 preventive measures practice. Therefore, government and all concerned stakeholders should increase the accessibility of infrastructure and provide continuous awareness creation campaigns regarding Covid-19 mode of transmission, sign and symptom, and protectiveness of Covid-19 preventive measures. Moreover, dissemination of teaching aids using local languages and close monitoring of community compliance to Covid-19 preventive measures is crucial.

摘要

引言

冠状病毒(Covid-19)是一种主要影响老年人群体和合并症患者的呼吸道疾病。由于发展中国家资源有限,对 Covid-19 的控制主要依赖预防措施。然而,社区之间在遵守这些预防措施方面存在差异。因此,本研究评估了埃塞俄比亚南部居民对 Covid-19 预防措施的实践情况及其相关因素。

方法

本研究采用了一项基于社区的横断面研究,对象为埃塞俄比亚南部的居民。通过系统随机抽样方法,使用访谈员管理的问卷从家庭中收集数据。数据采用 STATA 版本 16 进行录入、编码和分析。采用逻辑回归分析探讨了结局变量与预测变量之间的关联。最后,对 Covid-19 预防措施实践的有统计学意义的因素进行了调整后的优势比(AOR)及其 95%置信区间(CI)和 p 值的解释。

结果

在 364 名居民中,有 264 人(72.5%)使用口罩,218 人(59.9%)经常洗手,167 人(45.9%)践行社交距离,135 人(37.1%)居家,75 人(18.1%)避免握手,228 人(62.6%)使用手部消毒剂。遵循政府指示(AOR=225;95%CI:68.6,738)、对 Covid-19 有较好的了解(AOR=3.47;95%CI:1.12,10.73)、获得供水(AOR=2.92;95%CI:1.05,8.18)、相信预防措施的保护作用(AOR=3.53;95%CI:1.08,11.61)和患有慢性病(AOR=5.09;95%CI:1.44,17.96)与 Covid-19 预防措施的实践显著相关。

结论

在本研究中,居民实践 Covid-19 预防措施的比例较低。患有合并症、遵循政府指示、对 Covid-19 的了解以及获得供水与 Covid-19 预防措施的实践显著相关。因此,政府和所有相关利益攸关方应增加基础设施的可及性,并就 Covid-19 的传播途径、症状和体征以及 Covid-19 预防措施的保护作用开展持续的宣传活动。此外,使用当地语言传播教学辅助工具并密切监测社区对 Covid-19 预防措施的遵守情况至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29f6/8664224/d679d20ff876/pone.0261186.g001.jpg

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