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从接触者追踪到新冠通行证持有者;法国“全民抗疫”接触者追踪应用程序的曲折历程。

From contact tracing to COVID-19 pass holder; the tortured journey of the French TousAntiCovid contact tracing app.

作者信息

Schultz Émilien, Touzani Rajae, Mancini Julien, Ward Jeremy K

机构信息

Université de Paris, IRD, CEPED, 75006 Paris, France; Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de La Santé & Traitement de L'Information Médicale, ISSPAM, Equipe CANBIOS Labellisée Ligue Contre le Cancer, Marseille, France.

Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de La Santé & Traitement de L'Information Médicale, ISSPAM, Equipe CANBIOS Labellisée Ligue Contre le Cancer, Marseille, France; Institut Paoli-Calmettes, SESSTIM U1252, Marseille, France.

出版信息

Public Health. 2022 May;206:5-7. doi: 10.1016/j.puhe.2022.02.009. Epub 2022 Feb 17.

DOI:10.1016/j.puhe.2022.02.009
PMID:35306194
Abstract

OBJECTIVES

Our study aimed to provide an updated overview of the use of the French contact tracing application, TousAntiCovid, and identify evolutions since the beginning of the pandemic.

STUDY DESIGN

We conducted a survey study on a representative sample of the French adult population.

METHODS

Our data were collected by the Obervatoire Régional de la Santé (ORS) using a self-administered online questionnaire. This was completed by a sample of 2,022 people stratified to match French official census statistics for gender, age, occupation, and area of housing. We conducted statistical analysis using Python (Pandas - Scipy - Statsmodels) with chi-squared and Wilcoxon rank-sum tests to control for statistical significance.

RESULTS

A small majority of respondents used TousAntiCovid (55.5%), while 41.0% had never downloaded it. Only one-quarter of the respondents (23.3%) used it for contact tracing with Bluetooth, while a third (32.2%) used it only for storing their health pass. The app's use increased with education level, income, and younger age. A large majority (85%) of non-vaccinated respondents had never downloaded TousAntiCovid.

CONCLUSION

Our results suggest that the role and use of France's official COVID-19 app TousAntiCovid has evolved in line with the government's strategy; while initially focusing on contact tracing, its development has led to the possibility to store test and vaccination documentation. The survey also confirmed previous results pointing to the lasting differences in socio-economic status in terms of adoption of the app. This is problematic because the long-term nature of the pandemic could require the government to keep a range of strategies open, including contact tracing. Public discussion of the current and future roles of the French contact tracing app is therefore needed.

摘要

目的

我们的研究旨在提供法国接触者追踪应用程序TousAntiCovid使用情况的最新概述,并确定自大流行开始以来的演变情况。

研究设计

我们对法国成年人口的代表性样本进行了一项调查研究。

方法

我们的数据由地区卫生观察站(ORS)通过自行填写的在线问卷收集。该问卷由2022人组成的样本完成,这些样本按性别、年龄、职业和住房区域进行分层,以匹配法国官方人口普查统计数据。我们使用Python(Pandas - Scipy - Statsmodels)进行统计分析,并使用卡方检验和威尔科克森秩和检验来控制统计显著性。

结果

一小部分多数受访者使用了TousAntiCovid(55.5%),而41.0%的人从未下载过该应用程序。只有四分之一的受访者(23.3%)使用它通过蓝牙进行接触者追踪,而三分之一(32.2%)的人仅将其用于存储健康通行证。该应用程序的使用随着教育水平、收入和年龄的降低而增加。绝大多数(85%)未接种疫苗的受访者从未下载过TousAntiCovid。

结论

我们的结果表明,法国官方COVID-19应用程序TousAntiCovid的作用和使用情况已根据政府战略发生了演变;虽然最初侧重于接触者追踪,但其发展使得存储检测和疫苗接种文件成为可能。该调查还证实了先前的结果,即表明在应用程序采用方面社会经济地位存在持久差异。这是个问题,因为大流行的长期性可能要求政府保留一系列策略,包括接触者追踪。因此,需要对法国接触者追踪应用程序的当前和未来作用进行公开讨论。

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