Factors associated with high compliance behaviour against COVID-19 in the early phase of pandemic: a cross-sectional study in 12 Asian countries
Introduction Regardless of having effective vaccines against COVID-19, containment measures such as enhanced physical distancing and good practice of personal hygiene remain the mainstay of controlling the COVID-19 pandemic. Countries across Asia have imposed these containment measures to varying ex...
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BMJ Publishing Group
2021-08-01
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| author | M Masudur Rahman Hiroto Miwa Yinglian Xiao Yeong Yeh Lee Tadayuki Oshima Chun En Chua Guan Sen Kew Scott Wong Hui Xing Lau Tze Liang Loh Shien Lung Ooi Uday C Ghoshal Ari F Syam Niandi Tan Jin-Song Liu Fang Lu Chien-Lin Chen Ruter M Maralit Yong-Sung Kim Kewin Tien Ho Siah Hao Gui Junxiong Pang Alla Demutska Sabrina Quek Evelyn Xiu Ling Loo En Xian Sarah Low Emily C W Hung Hei Wong Cynthia K Y Cheung |
| author_facet | M Masudur Rahman Hiroto Miwa Yinglian Xiao Yeong Yeh Lee Tadayuki Oshima Chun En Chua Guan Sen Kew Scott Wong Hui Xing Lau Tze Liang Loh Shien Lung Ooi Uday C Ghoshal Ari F Syam Niandi Tan Jin-Song Liu Fang Lu Chien-Lin Chen Ruter M Maralit Yong-Sung Kim Kewin Tien Ho Siah Hao Gui Junxiong Pang Alla Demutska Sabrina Quek Evelyn Xiu Ling Loo En Xian Sarah Low Emily C W Hung Hei Wong Cynthia K Y Cheung |
| author_sort | M Masudur Rahman |
| collection | DOAJ |
| description | Introduction Regardless of having effective vaccines against COVID-19, containment measures such as enhanced physical distancing and good practice of personal hygiene remain the mainstay of controlling the COVID-19 pandemic. Countries across Asia have imposed these containment measures to varying extents. However, residents in different countries would have a differing degree of compliance to these containment measures potentially due to differences in the level of awareness and motivation in the early phase of pandemic.Objectives In our study, we aimed to describe and correlate the level of knowledge and attitude with the level of compliance with personal hygiene and physical distancing practices among Asian countries in the early phase of pandemic.Methods A multinational cross-sectional study was carried out using electronic surveys between May and June 2020 across 14 geographical areas. Subjects aged 21 years and above were invited to participate through social media, word of mouth and electronic mail.Results Among the 2574 responses obtained, 762 (29.6%) participants were from East Asia and 1812 (70.4%) were from Southeast Asia (SEA). A greater proportion of participants from SEA will practise physical distancing as long as it takes (72.8% vs 60.6%). Having safe distancing practices such as standing more than 1 or 2 m apart (AdjOR 5.09 95% CI (1.08 to 24.01)) or more than 3 or 4 m apart (AdjOR 7.05 95% CI (1.32 to 37.67)), wearing a mask when they had influenza-like symptoms before the COVID-19 pandemic, preferring online news channels such as online news websites/applications (AdjOR 1.73 95% CI (1.21 to 2.49)) and social media (AdjOR 1.68 95% CI (1.13 to 2.50) as sources of obtaining information about COVID-19 and high psychological well-being (AdjOR 1.39 95% CI (1.04 to 1.87)) were independent factors associated with high compliance.Conclusions We found factors associated with high compliance behaviour against COVID-19 in the early phase of pandemic and it will be useful to consider them in risk assessment, communication and pandemic preparedness. |
| format | Article |
| id | doaj-art-dacaa2799f284ec1b88c32dfe1a9b463 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2021-08-01 |
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| spelling | doaj-art-dacaa2799f284ec1b88c32dfe1a9b4632024-12-09T03:30:10ZengBMJ Publishing GroupBMJ Open2044-60552021-08-0111810.1136/bmjopen-2020-046310Factors associated with high compliance behaviour against COVID-19 in the early phase of pandemic: a cross-sectional study in 12 Asian countriesM Masudur Rahman0Hiroto Miwa1Yinglian Xiao2Yeong Yeh Lee3Tadayuki Oshima4Chun En Chua5Guan Sen Kew6Scott Wong7Hui Xing Lau8Tze Liang Loh9Shien Lung Ooi10Uday C Ghoshal11Ari F Syam12Niandi Tan13Jin-Song Liu14Fang Lu15Chien-Lin Chen16Ruter M Maralit17Yong-Sung Kim18Kewin Tien Ho Siah19Hao Gui20Junxiong Pang21Alla Demutska22Sabrina Quek23Evelyn Xiu Ling Loo24En Xian Sarah Low25Emily C W Hung26Hei Wong27Cynthia K Y Cheung28Department of Gastroenterology, Dhaka Medical College and Hospital, Dhaka, Bangladesh12 Division of Gastroenterology and Hepatology, Department of Internal Medicine, Hyogo College of Medicine, Kobe, JapanDepartment of Gastroenterology, Sun Yan-sen University of Medical Sciences, Guangzhou, China46 School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia24 Division of Gastroenterology and Hepatology, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan1 Department of Medicine, Yong Loo Lin School of Medicine, National University Hospital, Singapore2 Division of Gastroenterology & Hepatology, Department of Medicine, National University Hospital, Singapore7 Department of Medicine, Ng Teng Fong General Hospital, Singapore8 Singapore Institute for Clinical Sciences (SICS), Agency for Science Technology and Research, Singapore9 Department of Otorhinolarygology, Head and Neck Surgery, Universiti Putra Malaysia, Serdang, Selangor, Malaysia10 Department of Anaesthesiology, Columbia Asia Hospitals Pvt Ltd, Sarawak, Malaysia13 Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute Medical Science, Lucknow, India16 Division of Gastroenterology, Department of Internal Medicine, University of Indonesia, Depok, Jawa Barat, Indonesia17 Departments of Gastroenterology and Hepatology, the First Affiliated Hospital, Sun Yat-sen University First Affiliated Hospital, Guangzhou, Guangdong, China19 China Academy of Chinese Medical Sciences, Xiyuan Hospital, Beijing, China20 Department of Medicine, Buddhist Tzu Chi Hospital and University School of Medicine, Hualien, TaiwanDepartment of Medicine, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation and Tzu Chi University, Hualien County, Taiwan22 Department of Medicine, The Medical City, Pasig City, Manila, Philippines23 Wonkwang Digestive Disease Research Institute, Gut and Food Healthcare, Wonkwang University School of Medicine Hospital, Iksan, Jeollabuk-do, Korea (the Republic of)University Medicine Cluster, National University Hospital, Singapore6 Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore6 Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore3 Department of Clinical Psychology, James Cook University, Singapore4 Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore5 Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore7 Department of Medicine, Ng Teng Fong General Hospital, Singapore11 Cambridge Paediatrics, Hong Kong14 Medicine and Therapeutics, The Chinese University of Hong Kong Faculty of Medicine, Hong Kong15 State Key Laboratory of Pharmaceutical Biotechnology, University of Hong Kong, Hong KongIntroduction Regardless of having effective vaccines against COVID-19, containment measures such as enhanced physical distancing and good practice of personal hygiene remain the mainstay of controlling the COVID-19 pandemic. Countries across Asia have imposed these containment measures to varying extents. However, residents in different countries would have a differing degree of compliance to these containment measures potentially due to differences in the level of awareness and motivation in the early phase of pandemic.Objectives In our study, we aimed to describe and correlate the level of knowledge and attitude with the level of compliance with personal hygiene and physical distancing practices among Asian countries in the early phase of pandemic.Methods A multinational cross-sectional study was carried out using electronic surveys between May and June 2020 across 14 geographical areas. Subjects aged 21 years and above were invited to participate through social media, word of mouth and electronic mail.Results Among the 2574 responses obtained, 762 (29.6%) participants were from East Asia and 1812 (70.4%) were from Southeast Asia (SEA). A greater proportion of participants from SEA will practise physical distancing as long as it takes (72.8% vs 60.6%). Having safe distancing practices such as standing more than 1 or 2 m apart (AdjOR 5.09 95% CI (1.08 to 24.01)) or more than 3 or 4 m apart (AdjOR 7.05 95% CI (1.32 to 37.67)), wearing a mask when they had influenza-like symptoms before the COVID-19 pandemic, preferring online news channels such as online news websites/applications (AdjOR 1.73 95% CI (1.21 to 2.49)) and social media (AdjOR 1.68 95% CI (1.13 to 2.50) as sources of obtaining information about COVID-19 and high psychological well-being (AdjOR 1.39 95% CI (1.04 to 1.87)) were independent factors associated with high compliance.Conclusions We found factors associated with high compliance behaviour against COVID-19 in the early phase of pandemic and it will be useful to consider them in risk assessment, communication and pandemic preparedness.https://bmjopen.bmj.com/content/11/8/e046310.full |
| spellingShingle | M Masudur Rahman Hiroto Miwa Yinglian Xiao Yeong Yeh Lee Tadayuki Oshima Chun En Chua Guan Sen Kew Scott Wong Hui Xing Lau Tze Liang Loh Shien Lung Ooi Uday C Ghoshal Ari F Syam Niandi Tan Jin-Song Liu Fang Lu Chien-Lin Chen Ruter M Maralit Yong-Sung Kim Kewin Tien Ho Siah Hao Gui Junxiong Pang Alla Demutska Sabrina Quek Evelyn Xiu Ling Loo En Xian Sarah Low Emily C W Hung Hei Wong Cynthia K Y Cheung Factors associated with high compliance behaviour against COVID-19 in the early phase of pandemic: a cross-sectional study in 12 Asian countries BMJ Open |
| title | Factors associated with high compliance behaviour against COVID-19 in the early phase of pandemic: a cross-sectional study in 12 Asian countries |
| title_full | Factors associated with high compliance behaviour against COVID-19 in the early phase of pandemic: a cross-sectional study in 12 Asian countries |
| title_fullStr | Factors associated with high compliance behaviour against COVID-19 in the early phase of pandemic: a cross-sectional study in 12 Asian countries |
| title_full_unstemmed | Factors associated with high compliance behaviour against COVID-19 in the early phase of pandemic: a cross-sectional study in 12 Asian countries |
| title_short | Factors associated with high compliance behaviour against COVID-19 in the early phase of pandemic: a cross-sectional study in 12 Asian countries |
| title_sort | factors associated with high compliance behaviour against covid 19 in the early phase of pandemic a cross sectional study in 12 asian countries |
| url | https://bmjopen.bmj.com/content/11/8/e046310.full |
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