Htun Ye Minn, Maung Nyan Lin, Ko Dwe Kyaw, Htut Han Myo, Phyo Min Khant, Aung Wai Lynn, Zaw Hein Khant, Min Aung Kyaw, Kyaw Aung Phyo, Swe Thet, Zaw Kaung Khant, Win Kyaw Swar Naing, Ko Khant Ko, Thaw Khant Min, Aung Saw Pyae, Aung Saw Yan, Htun Soe San, Paing Soe Htet, Htun Soe Lin, Naing Zaw Myo, Htun Zin Ko, Naung Htoo, Oo Htun Htun, Hla Naing Ye, San Aung Kyaw, Myat Hpone Myint, Htet Phone Shan, Mon Min Khant, Paing Ye Myat, Phyo Wai Lin, Paing Win Khant, Rein Thu, Oo Thit Lwin, Zaw Thet Paing, Oo Thet Lynn, Thu Thint Myat, Aung Than Toe, Soe Hein Htet, Soe Aung Kyaw, Oo Aung Myint, Aung Aung, Aung Pyae Phyo, Kyaw Htun Aung, Kyaw Hpone Pji, Soe Yan Naing Myint, Ko Myint Myat, Aung Zin Ko, Aung Kyaw Thiha, Lwin Yan Paing Chit, Yan Wai, Soe Phyo Tayza, Htet Zin Linn, Sint Nay Hein, Aung Zayar, Winn Zin Thu, Thu Kaung Si, Shan Nyan Htet, Htun Nyan Sint, Win Tun Tun, Tun Kyaw Myo
Department of Prevention and Research Development of Hepatitis, AIDS and Other Viral Diseases, Health and Disease Control Unit, Nay Pyi Taw, 15011, Myanmar.
Department of Research and Development, Defence Services Medical School, Yangon, Myanmar.
Trop Med Health. 2024 May 11;52(1):36. doi: 10.1186/s41182-024-00603-6.
To fight the current coronavirus disease (COVID-19) pandemic, many countries have implemented various mitigation measures to contain the spread of the disease. By engaging with health service providers, the community's participation in adherence to preventive measures is certainly required in the implementation of COVID-19 mitigation strategies. Therefore, this study aimed to assess the level of adherence to COVID-19 preventive measures and its associated factors among the residents, Yangon Region, Myanmar.
A community-based cross-sectional study was carried out among 636 residents in Yangon Region, Myanmar, from October to December 2021. A multistage non-probability sampling method, purposively selected for three townships in Yangon Region and convenience sampling for 212 participants from each township, was applied and the data were collected by face-to-face interviews using structured and pretested questionnaires. Data were entered, coded, and analyzed using IBM SPSS version 25.0. Simple and multiple logistic regression analysis were performed to identify the significant variables of adherence to COVID-19 preventive measures.
As a level of adherence to COVID-19 preventive measures, the proportion of residents who had good adherence was 39.3% (95% CI 35.5-43.2%), moderate adherence was 37.6% (95% CI 33.8-41.5%), and poor adherence was 23.1% (95% CI 19.9-26.6%). The age group of 31-40 years (AOR: 3.13, 95% CI 1.62-6.05), 30 years and younger (AOR: 3.22, 95% CI 1.75-5.92), Burmese ethnicity (AOR: 2.52, 95% CI 1.44-4.39), own business (AOR: 3.19, 95% CI 1.15-8.87), high school education level and below (AOR: 1.64, 95% CI 1.02-2.69), less than 280.90 USD of monthly family income (AOR: 1.51, 95% CI 1.01-2.29), low knowledge about COVID-19 (AOR: 1.90, 95% CI 1.26-2.88) were significantly associated with poor adherence to COVID-19 preventive measures.
In this study, nearly one-fourth of the residents were experiencing poor adherence to COVID-19 preventive measures. Therefore, building up the risk communication through the community using widely used mainstream media, the continuation of disease surveillance and announcement of updated information or advice for the public to increase awareness towards COVID-19, and enforcement to follow the recommended directions and regulations of health institutions are vital to consider for improving the adherence to preventive measures against COVID-19 among the residents.
为应对当前的冠状病毒病（COVID-19）大流行，许多国家已实施各种缓解措施以遏制疾病传播。在实施COVID-19缓解策略时，通过与卫生服务提供者合作，社区参与遵守预防措施是必不可少的。因此，本研究旨在评估缅甸仰光地区居民对COVID-19预防措施的遵守程度及其相关因素。
2021年10月至12月，在缅甸仰光地区的636名居民中开展了一项基于社区的横断面研究。采用多阶段非概率抽样方法，有目的地选择仰光地区的三个乡镇，并从每个乡镇方便抽样212名参与者，通过使用结构化且经过预测试的问卷进行面对面访谈收集数据。使用IBM SPSS 25.0版本对数据进行录入、编码和分析。进行单因素和多因素逻辑回归分析以确定遵守COVID-19预防措施的显著变量。
作为对COVID-19预防措施的遵守程度，遵守情况良好的居民比例为39.3%（95%置信区间35.5 - 43.2%），中等遵守程度为37.6%（95%置信区间33.8 - 41.5%），遵守情况较差为23.1%（95%置信区间19.9 - 26.6%）。31 - 40岁年龄组（调整后比值比：3.13，95%置信区间1.62 - 6.05）、30岁及以下年龄组（调整后比值比：3.22，95%置信区间1.75 - 5.92）、缅甸族裔（调整后比值比：2.52，95%置信区间1.44 - 4.39）、自营职业（调整后比值比：3.19，95%置信区间1.15 - 8.87）、高中及以下教育水平（调整后比值比：1.64，95%置信区间1.02 - 2.69）、家庭月收入低于280.90美元（调整后比值比：1.51，95%置信区间1.01 - 2.29）、对COVID-19了解程度低（调整后比值比：1.90，95%置信区间1.26 - 2.88）与对COVID-19预防措施遵守情况较差显著相关。
在本研究中，近四分之一的居民对COVID-19预防措施的遵守情况较差。因此，通过社区利用广泛使用的主流媒体开展风险沟通、持续进行疾病监测并向公众发布最新信息或建议以提高对COVID-19的认识，以及强制遵守卫生机构推荐的指导方针和规定，对于提高居民对COVID-19预防措施的遵守情况至关重要。
