Department of Public Health, School of Health Sciences, South Eastern Kenya University, Kitui, Kenya.
Department of Public Health, School of Public Health and Biomedical Sciences, Masinde Muliro University of Science and Technology, Kakamega, Kenya.
Pan Afr Med J. 2024 Jan 24;47:30. doi: 10.11604/pamj.2024.47.30.40558. eCollection 2024.
the World Health Organization (WHO) recommended various measures to tackle COVID-19, and were adopted by many governments, targeting behavior change among citizens to lower the transmission. There was a paucity of data on the patterns of compliance with different measures within individuals and whether people adhere to all recommended measures or cautiously prefer few but not others. Understanding compliance behaviors and associated factors is important for developing interventions to increase compliance.
cross-sectional study was conducted among adults in the western region of Kenya. A sample of 806 participants was selected using a stratified sampling method. A structured questionnaire was used to gather data from the participants. Compliance was assessed with six behaviors: hand sanitation, proper hygiene, no handshaking, social distancing, and other guidelines. Latent analysis was used to identify behavioral patterns. Descriptive statistics were used to assess demographic characteristics, in terms of frequency distribution, and percentages. Multinomial logistic regression was used to assess the association between demographic characteristics and compliance level.
compliance was highest for masking (85.3%), and was lowest for social distancing (60.2%). The majority of participants were found to be full compliers (class 1: 40.5%), there was an increased probability of full compliance among those aged between 18-30 years (OR= 1.042; 95% CI: 0.307-13.052, p < 0.040) compared to those aged ≥70.
using facemasks had the highest rate of compliance, followed by hand sanitization and proper hygiene. However, overall, the findings showed that while compliance with some protocol behaviors is high, individuals comply consistently across recommended compliance behaviors.
世界卫生组织（WHO）推荐了各种针对 COVID-19 的措施，这些措施被许多政府采纳，旨在改变公民的行为，降低传播风险。关于个人遵守不同措施的模式以及人们是否遵守所有建议的措施或谨慎地只选择其中的少数措施，数据很少。了解合规行为及其相关因素对于制定干预措施以提高合规性非常重要。
在肯尼亚西部地区进行了一项横断面研究。采用分层抽样法抽取了 806 名参与者作为样本。使用结构化问卷从参与者那里收集数据。通过六项行为评估合规性：手部卫生、适当的卫生、不握手、保持社交距离和其他指南。采用潜在分析来识别行为模式。采用描述性统计评估人口统计学特征，以频率分布和百分比表示。采用多项逻辑回归评估人口统计学特征与合规水平之间的关联。
戴口罩的合规率最高（85.3%），保持社交距离的合规率最低（60.2%）。大多数参与者被认为是完全合规者（第 1 类：40.5%），与≥70 岁的参与者相比，18-30 岁的参与者完全合规的可能性更高（OR=1.042；95%CI：0.307-13.052，p<0.040）。
使用口罩的合规率最高，其次是手部卫生和适当的卫生。然而，总体而言，研究结果表明，虽然某些协议行为的合规率很高，但个人在遵守建议的合规行为方面是一致的。
