Association between well-being and compliance with COVID-19 preventive measures by healthcare professionals: A cross-sectional study

Abstract

Importance Knowledge and attitude influence compliance and individuals’ practices. The risk and protective factors associated with high compliance to these preventive measures are critical to enhancing pandemic preparedness. Objective This survey aims to assess differences in mental health, knowledge, attitudes, and practices (KAP) of preventive measures for COVID-19 amongst healthcare professionals (HCP) and non-healthcare professionals. Design Multi-national cross-sectional study was carried out using electronic surveys between May-June 2020. Setting Multi-national survey was distributed across 36 countries through social media, word-of-mouth, and electronic mail. Participants Participants ≥21 years working in healthcare and non-healthcare related professions. Main outcome Risk factors determining the difference in KAP towards personal hygiene and social distancing measures during COVID-19 amongst HCP and non-HCP. Results HCP were significantly more knowledgeable on personal hygiene (AdjOR 1.45, 95% CI -1.14 to 1.83) and social distancing (AdjOR 1.31, 95% CI -1.06 to 1.61) compared to non-HCP. They were more likely to have a positive attitude towards personal hygiene and 1.5 times more willing to participate in the contact tracing app. There was high compliance towards personal hygiene and social distancing measures amongst HCP. HCP with high compliance were 1.8 times more likely to flourish and more likely to have a high sense of emotional (AdjOR 1.94, 95% CI (1.44 to 2.61), social (AdjOR 2.07, 95% CI -1.55 to 2.78), and psychological (AdjOR 2.13, 95% CI (1.59–2.85) well-being. Conclusion and relevance While healthcare professionals were more knowledgeable, had more positive attitudes, their higher sense of total well-being was seen to be more critical to enhance compliance. Therefore, focusing on the well-being of the general population would help to enhance their compliance towards the preventive measures for COVID-19.

"Level of Adherence to COVID-19 Preventive Measures: Case Study of FUTA Shuttle Bus"

“…In the presence of an infected passenger, physical distancing can help minimize the number of people infected but not prevent infection altogether when passengers do not wear masks. On the other hand, the latest epidemiological research shows that masks are effective in preventing or at least significantly reducing covid-19 virus spread Leung, et al [14,12,15]. There are public transportation systems currently running large occupancies with passenger spacing below the two-meter physical distance rule and no covid-19 outbreaks attributed to public transportation when everyone wears masks, as recently reported for Japan.…”

More than a year into the pandemic: Do higher education students still practice protective behaviors against COVID-19?

“…Correspondingly, better compliance with COVID-19 preventive measures was associated with better well-being. [ 17 ] A study even noted that practice of more preventive behaviors is associated with decreased depressive symptoms among Chinese university students. [ 14 ] Moreover, students who personally know a COVID-19-positive person may perceive themselves as at higher risk of acquiring the disease and thus may report better preventive practice.…”

“…[ 6 10 12 13 14 ] Some studies targeted the general population[ 6 9 10 ] and health workers. [ 15 16 17 ] Studies among university and college students in the Philippines[ 11 13 ] and other countries such as Libya,[ 12 ] China,[ 18 ] Indonesia,[ 19 ] Japan,[ 20 ] the United Arab Emirates,[ 21 ] and Portugal[ 22 ] were also conducted. Published researches up to July 30, 2020, have also been reviewed in another study.…”

Ecological Model Explaining the Psychosocial Adaptation to COVID-19

“…Housing area also affects adaptation, with men living in rural areas or small towns showing worse adaptation. Yue et al [37], in a study related to knowledge regarding COVID-19, concludes that women and people living in urban areas show more positive indicators.…”

“…The level of knowledge and attitudes toward COVID-19 are different among groups with different ages, genders, education levels, marital statuses, and in different regions [37]. In a study by Yue et al [38], it is concluded that higher education level, being female, being married, being a healthcare professional, and living in an urban area had a significant and positive impact on the knowledge about COVID-19.…”