缅甸仰光地区部分城镇居民对 COVID-19 预防措施的遵守情况:一项基于社区的横断面研究。

IF 3.6 Q1 TROPICAL MEDICINE Tropical Medicine and Health Pub Date : 2024-05-11 DOI:10.1186/s41182-024-00603-6
Ye Minn Htun, Nyan Lin Maung, Dwe Kyaw Ko, Han Myo Htut, Min Khant Phyo, Wai Lynn Aung, Hein Khant Zaw, Aung Kyaw Min, Aung Phyo Kyaw, Thet Swe, Kaung Khant Zaw, Kyaw Swar Naing Win, Khant Ko Ko, Khant Min Thaw, Saw Pyae Aung, Saw Yan Aung, Soe San Htun, Soe Htet Paing, Soe Lin Htun, Zaw Myo Naing, Zin Ko Htun, Htoo Naung, Htun Htun Oo, Naing Ye Hla, Aung Kyaw San, Hpone Myint Myat, Phone Shan Htet, Min Khant Mon, Ye Myat Paing, Wai Lin Phyo, Win Khant Paing, Thu Rein, Thit Lwin Oo, Thet Paing Zaw, Thet Lynn Oo, Thint Myat Thu, Than Toe Aung, Hein Htet Soe, Aung Kyaw Soe, Aung Myint Oo, Aung Aung, Pyae Phyo Aung, Htun Aung Kyaw, Hpone Pji Kyaw, Yan Naing Myint Soe, Myint Myat Ko, Zin Ko Aung, Kyaw Thiha Aung, Yan Paing Chit Lwin, Wai Yan, Phyo Tayza Soe, Zin Linn Htet, Nay Hein Sint, Zayar Aung, Zin Thu Winn, Kaung Si Thu, Nyan Htet Shan, Nyan Sint Htun, Tun Tun Win, Kyaw Myo Tun
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引用次数: 0

摘要

背景:为抗击当前的冠状病毒病(COVID-19)大流行,许多国家都实施了各种缓解措施来遏制疾病的传播。在实施 COVID-19 缓解战略的过程中,当然需要社区与医疗服务提供者共同参与,坚持采取预防措施。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:方法:2021 年 10 月至 12 月,对缅甸仰光地区的 636 名居民进行了社区横断面研究。研究采用多阶段非概率抽样法,在仰光地区的三个乡镇有目的性地抽取 212 名参与者,在每个乡镇方便地抽取 212 名参与者。数据使用 IBM SPSS 25.0 版进行输入、编码和分析。对数据进行了输入、编码和 IBM SPSS 25.0 版分析,并进行了简单和多重逻辑回归分析,以确定遵守 COVID-19 预防措施的重要变量:从对 COVID-19 预防措施的依从性来看,依从性良好的居民比例为 39.3%(95% CI 35.5-43.2%),依从性中等的居民比例为 37.6%(95% CI 33.8-41.5%),依从性差的居民比例为 23.1%(95% CI 19.9-26.6%)。31-40 岁(AOR:3.13,95% CI 1.62-6.05)、30 岁及以下(AOR:3.22,95% CI 1.75-5.92)、缅甸族(AOR:2.52,95% CI 1.44-4.39)、自己做生意(AOR:3.19,95% CI 1.15-8.87)、高中及以下文化程度(AOR:1.64,95% CI 1.02-2.69)、家庭月收入低于 280.90 美元(AOR:1.51,95% CI 1.01-2.29)、对 COVID-19 知识知晓率低(AOR:1.90,95% CI 1.26-2.88)与 COVID-19 预防措施依从性差显著相关:在本研究中,近四分之一的居民对 COVID-19 预防措施的依从性较差。因此,要提高居民对 COVID-19 预防措施的依从性,必须考虑利用广泛使用的主流媒体在社区建立风险沟通,继续开展疾病监测并向公众公布最新信息或建议,以提高公众对 COVID-19 的认识,以及强制居民遵守卫生机构的建议指示和规定。
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Adherence to COVID-19 preventive measures among residents in selected townships, Yangon Region, Myanmar: a community-based cross-sectional study.

Background: 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.

Methods: 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.

Results: 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.

Conclusions: 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.

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来源期刊
Tropical Medicine and Health
Tropical Medicine and Health TROPICAL MEDICINE-
CiteScore
7.00
自引率
2.20%
发文量
90
审稿时长
11 weeks
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