Kinshasa School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of Congo.
Department of Epidemiology, University of California Jonathan and Karin Fielding School of Public Health, Los Angeles, California, USA.
BMJ Open. 2022 Jul 8;12(7):e060929. doi: 10.1136/bmjopen-2022-060929.
To describe face mask use among pregnant women seeking antenatal care (ANC) in Kinshasa, Democratic Republic of Congo and to identify factors associated with masking adherence in this population.
Facility-based cross-sectional study nested within a prospective cohort study.
Random sample of 10 health facilities, including 5 primary health centers and 5 secondary facilities or hospitals.
A total of 934 pregnant women aged 18 years or above with a gestational age of at least 32 weeks were consecutively surveyed from 17 August 2020 to 31 January 2021.
We estimated the proportions of pregnant women wearing a face mask and masking correctly (ie, over the mouth and nose), and assessed their knowledge regarding the COVID-19 pandemic. Multivariable logistic regression was employed to identify factors associated with overall and correct face mask use.
Overall, 309 (33.1%) women wore a mask during the interview after their antenatal appointments, but only 33 (10.7%) wore a mask correctly. The odds of masking and correct mask use were significantly higher among women who had their ANC visit in a facility that provided COVID-19 care. Additionally, women who experienced COVID-19-like symptoms in the past 6 months had higher odds of wearing a mask correctly compared with those reporting no recent symptoms. Although 908 (97.2%) women were aware of the COVID-19 pandemic, only 611 (67.3%) thought that COVID-19 was circulating locally in Kinshasa.
Overall and correct face mask adherence levels were low among pregnant women attending ANC in Kinshasa. Our study highlights the need for improving adherence to correct face mask use in order to help control the spread of COVID-19 within Kinshasa alongside other control measures, like vaccination.
描述在刚果民主共和国金沙萨寻求产前护理（ANC）的孕妇对面罩的使用情况，并确定与该人群口罩佩戴依从性相关的因素。
前瞻性队列研究中的嵌套病例对照研究。
10 家卫生机构的随机样本，包括 5 家初级保健中心和 5 家二级设施或医院。
2020 年 8 月 17 日至 2021 年 1 月 31 日期间，连续调查了 934 名年龄在 18 岁及以上、妊娠至少 32 周的孕妇。
我们估计了戴口罩和正确佩戴口罩（即覆盖口鼻）的孕妇比例，并评估了她们对 COVID-19 大流行的认识。多变量逻辑回归用于确定与总体和正确使用口罩相关的因素。
总体而言，309 名（33.1%）孕妇在产前预约后接受访谈时戴口罩，但只有 33 名（10.7%）正确佩戴口罩。在提供 COVID-19 护理的医疗机构就诊的孕妇，戴口罩和正确佩戴口罩的可能性显著更高。此外，与报告近期无症状的孕妇相比，过去 6 个月出现 COVID-19 样症状的孕妇正确佩戴口罩的可能性更高。尽管 908 名（97.2%）妇女了解 COVID-19 大流行，但只有 611 名（67.3%）认为 COVID-19 在金沙萨当地传播。
在金沙萨接受 ANC 的孕妇中，总体和正确戴口罩的比例较低。我们的研究强调需要提高正确使用口罩的依从性，以帮助控制 COVID-19 在金沙萨的传播，同时还需要采取其他控制措施，如接种疫苗。
