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尼日利亚西南部州社区环境中预防 COVID-19 传播的口罩普遍使用:意愿和障碍。

Universal use of face mask for the prevention of the spread of COVID-19 in community settings in a South-western State of Nigeria: willingness and barriers.

机构信息

Department Medical Microbiology, College of Medicine, University of Lagos, Idiaraba, Lagos, Nigeria.

Department of Community Health and Primary Care, College of Medicine, University of Lagos, Idiaraba, Lagos, Nigeria.

出版信息

Antimicrob Resist Infect Control. 2023 Jul 5;12(1):64. doi: 10.1186/s13756-023-01267-3.


DOI:10.1186/s13756-023-01267-3
PMID:37408082
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10324105/
Abstract

BACKGROUND AND OBJECTIVES: One of the major drivers of the novel coronavirus (SARS-CoV-2) pandemic is community transmission. Nigeria, like other countries globally, took to strict preventive public health measures including good respiratory and hand hygiene, physical distancing, and the use of face mask to control the spread of COVID-19 disease. Furthermore, the government of Lagos State in Nigeria made a pronouncement on the universal use of face mask in the community. While the use of face masks has proven to be an effective barrier to the transmission of respiratory diseases, its use in the community is uncommon. This study assessed the willingness and compliance with wearing face masks for the reduction of the community spread of COVID-19 and identified possible barriers to use of mask among residents in Lagos State. METHODS: This was a descriptive cross-sectional study, that surveyed 552 respondents who were adult residents of Lagos State. Data collection was quantitative, using a pretested, interviewer-administered questionnaire, and findings were presented in frequencies and percentages. Pearson's chi-square and logistic regression analyses were used to test the association between variables. The level of significance was set at 5%. RESULTS: A majority (75.7%) of the respondents were willing to wear a face mask in public areas but only 21.9% of the respondents were willing to wear a mask at all times. The most identified barriers to wearing mask were discomfort (72.5%) and inconvenience (77.7%). Two-thirds of the respondents reported they were compliant with always wearing a face mask when leaving home. Only 15.0% of the respondents wore the mask continuously and appropriately, covering the nose and mouth. Having a post-secondary education and being older (40 years and above) were found to be positive predictors of both willingness to wear a mask and compliance with universal mask policy (wearing masks continuously and appropriately). CONCLUSION: Our findings suggest that willingness to wear a face mask influences compliance, and that having a post-secondary education and being older (> 40 years) were positive predictors of both willingness to wear a mask and compliance with universal mask policy (wearing it continuously and correctly). The major barriers to wearing masks were discomfort and inconvenience. Effective risk communication strategies to reach diverse groups for better compliance with public health measures are urgently needed even for the future.

摘要

背景与目的:新型冠状病毒(SARS-CoV-2)大流行的主要驱动因素之一是社区传播。与全球其他国家一样,尼日利亚采取了严格的预防性公共卫生措施,包括良好的呼吸和手部卫生、保持身体距离以及使用口罩来控制 COVID-19 疾病的传播。此外,尼日利亚拉各斯州政府宣布在社区内普遍使用口罩。虽然口罩的使用已被证明是阻止呼吸道疾病传播的有效屏障,但在社区中使用口罩并不常见。本研究评估了减少 COVID-19 在社区传播的情况下,居民佩戴口罩的意愿和遵守情况,并确定了居民使用口罩的可能障碍。

方法:这是一项描述性的横断面研究,调查了拉各斯州的 552 名成年居民。数据收集采用经过预测试的访谈员管理问卷进行定量收集,结果以频率和百分比表示。采用 Pearson's 卡方检验和逻辑回归分析来检验变量之间的关联。显著性水平设置为 5%。

结果:大多数(75.7%)受访者愿意在公共场所佩戴口罩,但只有 21.9%的受访者愿意一直佩戴口罩。佩戴口罩的主要障碍是不适(72.5%)和不便(77.7%)。三分之二的受访者报告说,他们离家时总是遵守佩戴口罩的规定。只有 15.0%的受访者连续且正确地佩戴口罩,遮住口鼻。接受过中学后教育和年龄较大(40 岁及以上)被发现是愿意佩戴口罩和遵守全民口罩政策(连续且正确地佩戴口罩)的积极预测因素。

结论:我们的研究结果表明,佩戴口罩的意愿会影响遵守情况,而接受过中学后教育和年龄较大(>40 岁)是愿意佩戴口罩和遵守全民口罩政策(连续且正确地佩戴口罩)的积极预测因素。佩戴口罩的主要障碍是不适和不便。即使是为了未来,也迫切需要采取有效的风险沟通策略,以便向不同群体进行宣传,从而更好地遵守公共卫生措施。

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引用本文的文献

[1]
Factors influencing mask-wearing behavior in the context of COVID-19 severity risks in the post-COVID-19 era: a Japanese Nationwide Epidemiological Survey in 2023.

Environ Health Prev Med. 2025

[2]
Factors influencing mask use and physical distancing for COVID-19: A qualitative evidence synthesis.

J Public Health Afr. 2025-4-14

本文引用的文献

[1]
'Long COVID': persistent COVID-19 symptoms in survivors managed in Lagos State, Nigeria.

BMC Infect Dis. 2021-3-25

[2]
Outcomes of COVID-19 patients with comorbidities in southwest Nigeria.

PLoS One. 2021

[3]
Community practice of using face masks for the prevention of COVID-19 in Saudi Arabia.

PLoS One. 2021

[4]
Contact Tracing and the COVID-19 Response in Africa: Best Practices, Key Challenges, and Lessons Learned from Nigeria, Rwanda, South Africa, and Uganda.

Am J Trop Med Hyg. 2021-2-11

[5]
Nigeria's public health response to the COVID-19 pandemic: January to May 2020.

J Glob Health. 2020-12

[6]
Presenting Symptoms and Predictors of Poor Outcomes Among 2,184 Patients with COVID-19 in Lagos State, Nigeria.

Int J Infect Dis. 2021-1

[7]
The COVID-19 Crisis in Sub-Saharan Africa: Knowledge, Attitudes, and Practices of the Nigerian Public.

Am J Trop Med Hyg. 2020-11

[8]
Community knowledge, perceptions and practices around COVID-19 in Sierra Leone: a nationwide, cross-sectional survey.

BMJ Open. 2020-9-17

[9]
Knowledge, Attitudes and Practices Towards COVID-19: An Epidemiological Survey in North-Central Nigeria.

J Community Health. 2021-6

[10]
Coronavirus outbreak in Nigeria: Burden and socio-medical response during the first 100 days.

Int J Infect Dis. 2020-9

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