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社区在新冠疫情期间使用口罩的影响和意义:一项定性叙事性访谈研究。

The impacts and implications of the community face mask use during the Covid-19 pandemic: A qualitative narrative interview study.

机构信息

Leicester School of Allied Health Sciences, De Montfort University, Leicester, UK.

The Healthcare Improvement Studies Institute, Cambridge University, Cambridge, UK.

出版信息

Health Expect. 2023 Jun;26(3):1349-1357. doi: 10.1111/hex.13752. Epub 2023 Mar 21.

Abstract

INTRODUCTION

A range of nonpharmaceutical public health interventions has been introduced in many countries following the rapid spread of Covid-19 since 2020, including recommendations or mandates for the use of face masks or coverings in the community. While the effectiveness of face masks in reducing Covid-19 transmission has been extensively discussed, scant attention has been paid to the lived experience of those wearing face masks.

METHOD

Drawing on 40 narrative interviews with a purposive sample of people in the United Kingdom, with a particular focus on marginalised and minoritized groups, our paper explores experiences of face mask use during the pandemic.

RESULTS

We find that face masks have a range of societal, health and safety impacts, and prompted positive and negative emotional responses for users. We map our findings onto Lorenc and Oliver's framework for intervention risks. We suggest that qualitative data offer particular insights into the experiences of public health interventions, allowing the potential downsides and risks of interventions to be more fully considered and informing public health policies that might avoid inadvertent harm, particularly towards marginalised groups.

PATIENT OR PUBLIC CONTRIBUTION

The study primarily involved members of the public in the conduct of the research, namely through participation in interviews (email and telephone). The conception for the study involved extensive discussions on social media with a range of people, and we received input and ideas from presentations we delivered on the preliminary analysis.

摘要

简介

自 2020 年以来,随着新冠病毒的迅速传播,许多国家都采取了一系列非药物公共卫生干预措施,包括建议或强制在社区中使用口罩或面罩。虽然口罩在减少新冠病毒传播方面的有效性已被广泛讨论,但很少有人关注佩戴口罩者的实际体验。

方法

本研究通过对英国的 40 名有特定目的的受访者(重点关注边缘化和少数群体)进行叙述性访谈,探讨了他们在疫情期间使用口罩的经历。

结果

我们发现,口罩对社会、健康和安全都有一系列的影响,并引发了使用者积极和消极的情绪反应。我们将这些发现映射到洛伦茨和奥利弗的干预风险框架上。我们认为,定性数据为公共卫生干预措施的经验提供了特殊的见解,使干预措施的潜在缺点和风险能够得到更充分的考虑,并为公共卫生政策提供信息,避免对边缘化群体造成无意的伤害。

患者或公众参与

该研究主要涉及公众参与研究的实施,即通过参与访谈(电子邮件和电话)。该研究的构思涉及在社交媒体上与一系列人进行广泛的讨论,我们从我们在初步分析上的演讲中收到了输入和想法。

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The Social Meanings of Artifacts: Face Masks in the COVID-19 Pandemic.物品的社会意义:新冠疫情中的口罩。
Front Public Health. 2022 Apr 14;10:829904. doi: 10.3389/fpubh.2022.829904. eCollection 2022.

本文引用的文献

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An evidence review of face masks against COVID-19.针对 COVID-19 的口罩有效性评估综述
Proc Natl Acad Sci U S A. 2021 Jan 26;118(4). doi: 10.1073/pnas.2014564118.
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Wearing Face Masks Strongly Confuses Counterparts in Reading Emotions.戴口罩会严重干扰他人对情绪的解读。
Front Psychol. 2020 Sep 25;11:566886. doi: 10.3389/fpsyg.2020.566886. eCollection 2020.
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Medical students and COVID-19: the need for pandemic preparedness.医学生与新冠疫情:大流行防范的必要性。
J Med Ethics. 2020 Sep;46(9):623-626. doi: 10.1136/medethics-2020-106353. Epub 2020 Jun 3.

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