乌干达农村家庭将佩戴口罩作为预防新冠病毒病的一项措施、面临的障碍及动力因素:一种混合方法研究
Community mask wearing as a COVID-19 preventive measure, its barriers, and motivators among rural households of Uganda: A mixed methods approach.
作者信息
Lubega Grace Biyinzika, Mendoza Hilbert, Nkeramahame Juvenal, Niyongabo Filimin, Gonza Joviah, Nakachwa Betty, Musoke David
机构信息
Department of Disease Control and Environmental Health, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda.
Faculty of Medicine and Health Sciences, Department of Family Medicine and Population Health, University of Antwerp, Antwerp, Belgium.
出版信息
PLOS Glob Public Health. 2022 Jul 13;2(7):e0000485. doi: 10.1371/journal.pgph.0000485. eCollection 2022.
Adherence to mask wearing has the potential to reduce coronavirus disease 2019 acquisition risk. However, there is limited information about community mask wearing and its predictors among rural populations. This study aimed to assess the level of adherence to community mask wearing as a COVID-19 prevention measure, its barriers, and motivators among the Ugandan rural population of Wakiso District. This cross-sectional study utilised both quantitative and qualitative data collection methods. The quantitative component employed a semi-structured interviewer-administered questionnaire among 400 participants, to assess the level of adherence and associated predictors towards mask wearing. Modified Poisson regression with robust standard error estimates was used to obtain crude and adjusted prevalence ratios associated with mask wearing. Quantitative data analysis was performed using Stata 15.0 Statistical software. The qualitative component was used to further explore the barriers and motivators of community mask wearing whereseven focus group discussions among 56 community health workers were conducted. Data was analysed using a thematic approach with the help of Nvivo Version 12 software. The quantitative results showed that 70.8% (283/400) of the participants were adherent to mask wearing. Furthermore, reusable (cloth masks) were the most common form of face masks worn by the participants; 71.9% (282/400). Adequate knowledge about mask wearing as a COVID-19 prevention measure was positively associated with mask wearing (adjusted prevalence ratio (95% CI); 3.2 (1.19-8.56)). The qualitative results revealed; sensitization from health workers, provision of free masks, and fear of fines and arrests as motivators to mask wearing. Barriers to mask wearing included: inability to buy masks due to financial constraints, one-time provision of free masks, ill-fitting and worn-out masks, discomfort, and bribery. The practice of community mask wearing was sub-optimal among the study rural communities. Initiatives to scale up the practice need to be feasible for rural communities.
坚持佩戴口罩有可能降低感染2019冠状病毒病的风险。然而,关于农村人口佩戴口罩及其影响因素的信息有限。本研究旨在评估乌干达瓦基索区农村人口中作为预防新冠肺炎措施的社区口罩佩戴依从水平、障碍及动机。这项横断面研究采用了定量和定性数据收集方法。定量部分在400名参与者中使用半结构化访谈式问卷,以评估口罩佩戴的依从水平及相关影响因素。使用稳健标准误差估计的修正泊松回归来获得与口罩佩戴相关的粗患病率和调整患病率。使用Stata 15.0统计软件进行定量数据分析。定性部分用于进一步探讨社区口罩佩戴的障碍及动机,为此对56名社区卫生工作者进行了七次焦点小组讨论。借助Nvivo 12软件使用主题分析法对数据进行分析。定量结果显示,70.8%(283/400)的参与者坚持佩戴口罩。此外,可重复使用的(布口罩)是参与者最常佩戴的口罩形式;71.9%(282/400)。对作为新冠肺炎预防措施的口罩佩戴有充分了解与口罩佩戴呈正相关(调整患病率(95%置信区间);3.2(1.19 - 8.56))。定性结果显示;卫生工作者的宣传、免费口罩的提供以及对罚款和逮捕的恐惧是佩戴口罩的动机。口罩佩戴的障碍包括:因经济限制无法购买口罩、一次性提供免费口罩、口罩不合身和破旧、不适以及贿赂。在研究的农村社区中,社区口罩佩戴的情况不理想。扩大这种做法的举措需要对农村社区可行。
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