Barriers to Mask Wearing for Influenza‐like Illnesses Among Urban Hispanic Households

Ferng, Yu-hui; Wong-McLoughlin, Jennifer; Barrett, A. H.; Currie, Leanne M.; Larson, Elaine

doi:10.1111/j.1525-1446.2010.00918.x

Cited by 53 publications

(61 citation statements)

References 27 publications

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“…However, given the lower reported compliance in the N95 group, if noncompliance was higher than reported, this would drive the trial results toward the null, which means the true difference between the interventions may be greater than that observed. Acceptability of face mask use in developed country settings is lower than in Asian countries (39), and this limits the translation of the findings. We previously determined that running this trial in Australia would be unfeasible because of low compliance (40).…”

Section: Discussionmentioning

confidence: 96%

A Randomized Clinical Trial of Three Options for N95 Respirators and Medical Masks in Health Workers

MacIntyre

Wang

Seale

et al. 2013

Am J Respir Crit Care Med

177

232

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Continuous use of N95 respirators was more efficacious against CRI than intermittent use of N95 or medical masks. Most policies for HCWs recommend use of medical masks alone or targeted N95 respirator use. Continuous use of N95s resulted in significantly lower rates of bacterial colonization, a novel finding that points to more research on the clinical significance of bacterial infection in symptomatic HCWs. This study provides further data to inform occupational policy options for HCWs. Clinical trial registered with Australian New Zealand Clinical Trials Registry http://www.anzctr.org.au (ACTRN 12609000778280).

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Section: Discussionmentioning

confidence: 96%

A Randomized Clinical Trial of Three Options for N95 Respirators and Medical Masks in Health Workers

MacIntyre

Wang

Seale

et al. 2013

Am J Respir Crit Care Med

177

232

View full text Add to dashboard Cite

show abstract

“…Although the effectiveness of wearing a face mask for preventing infectious diseases has been investigated in various other studies [5,7,9,10,19,20], most have not considered possible associations between wearing a face mask and additional hygiene practices. However, we should note that a randomized controlled study which allocated face masks only revealed no statistically significantly differences in hand hygiene practices [8].…”

Section: Discussionmentioning

confidence: 99%

“…Wearing a facemask as well as adopting positive hand hygiene practices has been shown to reduce respiratory illness in shared living settings among young adults [8,9] with a relatively high compliance when wearing a mask. However, some other research has shown that compliance when wearing a face mask is low, especially in non-randomized studies [10,11]. …”

Section: Introductionmentioning

confidence: 99%

Wearing face masks in public during the influenza season may reflect other positive hygiene practices in Japan

2012

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BackgroundAlthough the wearing of face masks in public has not been recommended for preventing influenza, these devices are often worn in many Asian countries during the influenza season. In Japan, it is thought that such behavior may be an indicator of other positive hygiene practices. The aim of this study, therefore, was to determine if wearing a face mask in public is associated with other positive hygiene practices and health behaviors among Japanese adults.MethodsWe initially recruited around 3,000 Japanese individuals ranging from 20 to 69 years of age who were registered with a web survey company. Participants were asked to recall their personal hygiene practices during the influenza season of the previous year. Logistic regression analysis was then used to examine the associations between wearing a face mask in public and personal hygiene practices and health behaviors.ResultsA total of 3,129 persons responded to the survey, among whom 38% reported that they had worn a face mask in public during the previous influenza season. Wearing a face mask in public was associated with various self-reported hygiene practices including: frequent hand washing (adjusted Odds Ratio [OR]: 1.67; 95% Confidence Interval [95%CI]: 1.34-1.96), occasional hand washing (OR: 1.43; 95%CI: 1.10-1.75), frequently avoiding crowds (OR: 1.85; 95%CI: 1.70-1.98), occasionally avoiding crowds (OR: 1.65; 95%CI: 1.53-1.76), frequent gargling (OR: 1.68; 95%CI: 1.51-1.84), occasional gargling (OR: 1.46; 95%CI: 1.29-1.62), regularly avoiding close contact with an infected person (OR: 1.50; 95%CI: 1.33-1.67), occasionally avoiding close contact with an infected person (OR: 1.31; 95%CI: 1.16-1.46), and being vaccinated of influenza in the last season (OR: 1.31; 95%CI: 1.17-1.45).ConclusionsOverall, this study suggests that wearing a face mask in public may be associated with other personal hygiene practices and health behaviors among Japanese adults. Rather than preventing influenza itself, face mask use might instead be a marker of additional, positive hygiene practices and other favorable health behaviors in the same individuals.

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“…In the case of the recent influenza H1N1 pandemic, for instance, the disease was given wide media coverage and it received a great deal of attention by public and health authorities that resulted in greater risk perception worldwide (20,21). Conversely, poor knowledge has been shown to be a risk factor for low risk perception and hence non-adherence to general precautions recommended by health authorities (22)(23)(24).…”

Section: Discussionmentioning

confidence: 99%

Factors Influencing Crimean-Congo Hemorrhagic Fever Risk Perceptions in the General Population, Southeast Iran

et al. 2014

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Background: Since June 1999, the majority of cases of Crimean-Congo hemorrhagic fever (CCHF), an arboviral disease, have been reported in the southeast region of Iran. Objectives: The main objective of this study was to investigate CCHF risk perceptions and to identify the factors influencing perceived risk in this area. Patients and Methods:In this cross-sectional study, a total of 400 subjects were randomly recruited through 20 health centers in the city of Zahedan, located in the southeast of Iran. Information was collected by interviewing the respondents using a semi-structured questionnaire. Logistic regression models were used to identify factors associated with a 'high' CCHF perceived risk.Results: Approximately 70% of the respondents reported the CCHF risk to be 'high'. Factors independently associated with a 'high' CCHF perceived risk included; holding a university degree (OR=5.65, 95%CI 2.02-15.83), high school education (OR=2.70, 95%CI 1.27-5.75), having had a relative/friend diagnosed with CCHF (OR=2.94, 95% CI 1.08-7.96), a CCHF knowledge score ≥ 9 out of 20 (OR=3.37, 95% CI 1.61-7.07) and a knowledge score between 5 and 8 (OR=2.58, 95% CI 1.51-4.39). Conclusions: Our results showed that the study population perceived a high likelihood of CCHF risk. Improving public knowledge and awareness could result in a more realistic assessment of CCHF risk, hence better compliance with taking precaution measures to tackle the disease.

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Barriers to Mask Wearing for Influenza‐like Illnesses Among Urban Hispanic Households

Abstract: Face masks may not be an effective intervention for seasonal or pandemic influenza unless the risk perception of influenza is high. Dissemination of culturally appropriate mask use information by health authorities and providers must be emphasized when educating the public.

Cited by 53 publications

References 27 publications

A Randomized Clinical Trial of Three Options for N95 Respirators and Medical Masks in Health Workers

A Randomized Clinical Trial of Three Options for N95 Respirators and Medical Masks in Health Workers

Wearing face masks in public during the influenza season may reflect other positive hygiene practices in Japan

Factors Influencing Crimean-Congo Hemorrhagic Fever Risk Perceptions in the General Population, Southeast Iran

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