埃塞俄比亚 COVID-19 预防措施的依从性及相关因素：系统评价和荟萃分析。
Adherence to COVID-19 preventive measures and associated factors in Ethiopia: A systematic review and meta-analysis.
机构信息
Department of Nursing, Adigrat University, Adigrat, Ethiopia.
School of Health and Social Care, Edinburgh Napier University, Edinburgh, United Kingdom.
出版信息
PLoS One. 2022 Oct 13;17(10):e0275320. doi: 10.1371/journal.pone.0275320. eCollection 2022.
BACKGROUND
Reluctance to the COVID-19 preventive measures have been repeatedly reported in Ethiopia although compliance with these actions is the key step to minimize the pandemic's burden. Hence, this systematic review and meta-analysis aims to address the gap in the literature by determining the pooled magnitude of adherence to COVID-19 preventive measures and identifying its associated factors in Ethiopia.
MATERIALS AND METHODS
The electronic databases used to search articles were PubMed/MEDLINE, CINAHL, Web of Science, ScienceDirect, Research4Life and other sources of grey literature including Google Scholar and World Health Organization (WHO) database portals for low- and middle-income countries. Full English-language articles published between 2019 and 2022 were eligible for the review and meta-analysis. Relevant data extracted and descriptive summaries of the studies presented in tabular form. The methodological quality of articles assessed using the Joanna Briggs Institute (JBI) quality assessment tool. The pooled magnitude of adherence determined by applying a random-effects model at a 95% CI.
RESULTS
Of 1029 records identified, 15 articles were included in the systematic review and 11 were selected for meta-analysis. The pooled estimate of adherence to COVID-19 preventive measures in Ethiopia was 41.15% (95% CI:32.16-50.14%). Furthermore, perceived COVID-19 disease severity (AOR:1.77, 95% CI: (1.40-2.25)), attitude (AOR:1.85, 95% CI: (1.36-2.53)) and knowledge (AOR:2.51, 95% CI: (1.67-3.78)) to COVID-19 preventive measures showed significant association with adherence to COVID-19 preventive measures.
CONCLUSION
The magnitude of adherence to COVID-19 preventive measures in Ethiopia appeared to be low. Therefore, the government of Ethiopia and other stakeholders should mobilize resources to improve the adherence level of the community to the COVID-19 preventive measures and decrease public fatigue.
背景
尽管遵守这些措施是减轻大流行负担的关键步骤，但埃塞俄比亚反复报告人们对 COVID-19 预防措施的抵触情绪。因此，本系统评价和荟萃分析旨在通过确定埃塞俄比亚 COVID-19 预防措施的依从程度的综合幅度，并确定其相关因素来填补文献中的空白。
材料和方法
用于搜索文章的电子数据库包括 PubMed/MEDLINE、CINAHL、Web of Science、ScienceDirect、Research4Life 和其他灰色文献来源，包括 Google Scholar 和世界卫生组织（WHO）数据库门户，用于中低收入国家。符合条件的综述和荟萃分析的文章为 2019 年至 2022 年间发表的全文英文文章。提取相关数据，并以表格形式呈现研究的描述性总结。使用 Joanna Briggs Institute（JBI）质量评估工具评估文章的方法学质量。通过应用 95%置信区间的随机效应模型确定依从性的综合幅度。
结果
在 1029 条记录中，有 15 篇文章被纳入系统评价，有 11 篇文章被纳入荟萃分析。埃塞俄比亚 COVID-19 预防措施依从性的汇总估计值为 41.15%（95%置信区间：32.16-50.14%）。此外，对 COVID-19 疾病严重程度的认知（AOR：1.77，95%置信区间：（1.40-2.25））、态度（AOR：1.85，95%置信区间：（1.36-2.53））和对 COVID-19 预防措施的知识（AOR：2.51，95%置信区间：（1.67-3.78））与 COVID-19 预防措施的依从性呈显著相关。
结论
埃塞俄比亚 COVID-19 预防措施的依从程度似乎较低。因此，埃塞俄比亚政府和其他利益相关者应调动资源，提高社区对 COVID-19 预防措施的依从水平，降低公众的疲劳感。
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