Sociodemographic and environmental factors associated with mask use during the COVID-19 pandemic

e202402002

Authors

  • Aina Huguet-Torres Departamento de Enfermería i Fisioterapia; Universidad de las Islas Baleares. Palma / Research Group on Global Health; Universidad de las Islas Baleares. Palma de Mallorca. España. de Mallorca. España. https://orcid.org/0000-0001-9641-4336
  • Miquel Bennasar-Veny Departamento de Enfermería i Fisioterapia; Universidad de las Islas Baleares. Palma / Research Group on Global Health; Universidad de las Islas Baleares. Palma de Mallorca. España. de Mallorca. España. / Grupo de investigación en Salud Global y Estilos de Vida; Instituto de Investigación Sanitaria Illes Balears (IdISBa). Palma de Mallorca. España. / Consorcio Centro de Investigación Biomédica en Red (CIBER); Epidemiología y Salud Pública (CIBERESP). Madrid. España. https://orcid.org/0000-0003-1668-2141
  • Enrique Castro-Sánchez Research Group on Global Health; Universidad de las Islas Baleares. Palma de Mallorca. España. / Brunel University London; College of Business, Arts, and Social Sciences. Uxbridge. Reino Unido. / Imperial College London. Londres. Reino Unido. https://orcid.org/0000-0002-3351-9496
  • Aina M. Yáñez Departamento de Enfermería i Fisioterapia; Universidad de las Islas Baleares. Palma / Research Group on Global Health; Universidad de las Islas Baleares. Palma de Mallorca. España. de Mallorca. España. / Grupo de investigación en Salud Global y Estilos de Vida; Instituto de Investigación Sanitaria Illes Balears (IdISBa). Palma de Mallorca. España. https://orcid.org/0000-0001-8527-3937

Keywords:

COVID-19, Personal protection, Facial masks, Disease prevention, SARS-CoV-2, Respiratory tract diseases, Public Health surveillance, Public Health

Abstract

BACKGROUND // During COVID-19 pandemic, prevention measures were implemented to mitigate the community transmission of SARS-CoV-2. Compliance with these measures was influenced by several sociodemographic and environmental factors. However, literature addressing compliance with these prevention measures among the general population remains limited. The study aimed to assess the association of sociodemographic and environmental factors and mask usage during close contact situations.
METHODS // A cross-sectional study was conducted with a sample of 1,778 individuals identified through close contact tracing of individuals diagnosed with SARS-CoV-2 by the COVID-19 Coordination Center of Mallorca, from February to June 2021. A descriptive analysis was conducted, and a logistic regression model was utilized to evaluate factors associated with mask non-compliance.
RESULTS // The mean age of the participants was 42.8±17.4 years, with 53.6% being female. Among close contacts, 60.8% (95% CI: 57.8-62.3) did not use masks during their contact. No significant differences were observed between genders or across age groups (p=0.497 and p=0.536, respectively). Factors linked to mask non-compliance included the home setting, indoor spaces without ventilation, and closer physical distances (p<0.001).
CONCLUSIONS // Our findings indicate that mask adherence was notably lower among close contacts exposed to higher risk. In future public health crises, interventions should be developed to raise awareness about risks and promote adherence to preventive and control measures.

Downloads

Download data is not yet available.

References

World Health Organization (WHO). Coronavirus disease 2019 (COVID-19) Situation Report-51. Disponible en: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200311-sitrep-51-covid-19.pdf?sfvrsn=1ba62e57_10

Eurosurveillance editorial team. Note from the editors: World Health Organization declares novel coronavirus (2019-nCoV) sixth public health emergency of international concern. Euro Surveill. 2020;25(5).

Anderson RM, Heesterbeek H, Klinkenberg D, Hollingsworth TD. How will country-based mitigation measures influence the course of the COVID-19 epidemic? Lancet. 2020;395(10228):931-934.

Muñoz-Vela FJ, Gómez-Salgado J, Fernández-Carrasco FJ, Allande Cussó R, Vázquez-Lara JM, García Iglesias JJ, Rodríguez-Díaz L. End of the use of masks in public spaces during the COVID-19 pandemic: impact on the mental health of pregnant women. Rev Esp Salud Publica. 2023 Dec 12;97:e202312109.

Chaabna K, Doraiswamy S, Mamtani R, Cheema S. Facemask use in community settings to prevent respiratory infection transmission: A rapid review and meta-analysis. Int J Infect Dis. 2021;104:198-206.

Motallebi S, Cheung RCY, Mohit B, Shahabi S, Alishahi Tabriz A, Moattari S. Modeling COVID-19 Mortality Across 44 Countries: Face Covering May Reduce Deaths. Am J Prev Med. 2022;62(4):483-491.

Huguet-Torres A, Castro-Sánchez E, Capitán-Moyano L, Sánchez-Rodríguez C, Bennasar-Veny M, Yáñez AM. Personal Protective Measures and Settings on the Risk of SARS-CoV-2 Community Transmission: A Case-Control Study. Front Public Health. 2024;11:1327082.

Boletín Oficial del Estado (BOE). Real Decreto 463/2020, de 14 de marzo, por el que se declara el estado de alarma para la gestión de la situación de crisis sanitaria ocasionada por el COVID-19. BOE núm. 67, de 14-03-2020.

World Health Organization (WHO). Rolling Updates on Coronavirus Disease (COVID-19). Disponible en: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/events-as-they-happen

World Health Organization (WHO). Advice on the use of masks in the community, during home care and in health care settings in the context of the novel coronavirus (2019-nCoV) outbreak. Disponible en: https://apps.who.int/iris/bitstream/handle/10665/330987/WHO-nCov-IPC_Masks-2020.1-eng.pdf?sequence=1&isAllowed=y

Boletín Oficial del Estado (BOE). Orden SND/422/2020, de 19 de mayo, por la que se regulan las condiciones para el uso obligatorio de mascarilla durante la situación de crisis sanitaria ocasionada por el COVID-19. BOE núm. 142, 20-05-2020.

World Health Organization (WHO). Recomendaciones sobre el uso de mascarillas en el contexto de la COVID-19. Disponible en: https://apps.who.int/iris/bitstream/handle/10665/332657/WHO-2019-nCov-IPC_Masks-2020.4-spa.pdf

World Health Organization (WHO). Coronavirus disease (COVID -19) advice for the public. Disponible en: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public

Mathieu E, Rodés-Guirao L, Appel C, Giattino C, Hasell J, Macdonald B, Dattani S, Beltekian D, Ortiz-Ospina E, Roser M. Coronavirus Pandemic (COVID-19). Disponible en: https://ourworldindata.org/coronavirus

World Health Organization (WHO). Report of the WHO-China Joint Mission on Coronavirus Disease 2019 (COVID-19). Disponible en: https://www.who.int/docs/default-source/coronaviruse/who-china-joint-mission-on-covid-19-final-report.pdf

Hyland-Wood B, Gardner J, Leask J, Ecker UKH. Toward effective government communication strategies in the era of COVID-19. Humanities and Social Sciences Communications. 2021;8(1):30.

Fitzpatrick KM, Harris C, Drawve G. Fear of COVID-19 and the mental health consequences in America. Psychol Trauma. 2020;12(S1):S17-s21.

Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Res. 2020;288:112954.

Demirtaş-Madran HA. Accepting Restrictions and Compliance With Recommended Preventive Behaviors for COVID-19: A Discussion Based on the Key Approaches and Current Research on Fear Appeals. Front Psychol. 2021;12:558437.

World Health Organization (WHO). Mental health and psychosocial considerations during the COVID-19 outbreak. Disponible en: https://www.who.int/publications/i/item/WHO-2019-nCoV-MentalHealth-2020.1

Ali-Saleh O, Obeid S. Compliance with COVID-19 Preventive Guidelines Among Minority Communities: the Case of Israeli Arabs. J Racial Ethn Health Disparities. 2022:1-12.

Rana IA, Bhatti SS, Aslam AB, Jamshed A, Ahmad J, Shah AA. COVID-19 risk perception and coping mechanisms: Does gender make a difference? Int J Disaster Risk Reduct. 2021;55:102096.

Kaso AW, Hareru HE, Agero G, Ashuro Z. Assessment of practice of Covid-19 preventive measures and associated factors among residents in Southern, Ethiopia. PLoS One. 2021;16(12):e0261186.

Rosha BC, Suryaputri IY, Irawan IR, Arfines PP, Triwinarto A. Factors Affecting Public Non-compliance With Large-scale Social Restrictions to Control COVID-19 Transmission in Greater Jakarta, Indonesia. J Prev Med Public Health. 2021;54(4):221-229.

Ministerio de Sanidad. Estrategia de detección precoz, vigilancia y control de COVID-19. Disponible en: https://www.semg.es/images/2020/Coronavirus/20200709_COVID19_Estrategia_vigilancia_y_control_e_indicadores.pdf

Butlletí Oficial de les Illes Balears (BOIB). Acord del Consell de Govern de 12 de març de 2021 pel qual s’estableixen els nivells d’alerta sanitària per illes que han de vigir a la comunitat autònoma de les Illes Balears i s’estableixen mesures excepcionals de prevenció del contagi de la COVID-19 aplicables temporalment a les illes. BOIB núm. 35, 13-03-2020. Disponible en: https://www.caib.es/eboibfront/ca/2021/11353/seccio-iii-altres-disposicions-i-actes-administrat/472

Tomczyk S, Rahn M, Schmidt S. Social Distancing and Stigma: Association Between Compliance With Behavioral Recommendations, Risk Perception, and Stigmatizing Attitudes During the COVID-19 Outbreak. Front Psychol. 2020;11:1821.

Casola AR, Kunes B, Cunningham A, Motley RJ. Mask Use During COVID-19: A Social-Ecological Analysis. Health Promot Pract. 2021;22(2):152-155.

Betsch C, Korn L, Sprengholz P, Felgendreff L, Eitze S, Schmid P et al. Social and behavioral consequences of mask policies during the COVID-19 pandemic. Proc Natl Acad Sci U S A. 2020;117(36):21851-21853.

Levi M, Cereda G, Cipriani F, Voller F, Baccini M. Case-Control Study on the Routes of Transmission of SARS-CoV-2 after the Third Pandemic Wave in Tuscany, Central Italy. Int J Environ Res Public Health. 2023;20(3).

Chu DK, Akl EA, Duda S, Solo K, Yaacoub S, Schünemann HJ. Physical distancing, face masks, and eye protection to prevent person-to-person transmission of SARS-CoV-2 and COVID-19: a systematic review and meta-analysis. Lancet. 2020;395(10242):1973-1987.

Catching A, Capponi S, Yeh MT, Bianco S, Andino R. Examining the interplay between face mask usage, asymptomatic transmission, and social distancing on the spread of COVID-19. Sci Rep. 2021;11(1):15998.

Doung-Ngern P, Suphanchaimat R, Panjangampatthana A, Janekrongtham C, Ruampoom D, Daochaeng N et al. Case-Control Study of Use of Personal Protective Measures and Risk for SARS-CoV 2 Infection, Thailand. Emerg Infect Dis. 2020;26(11):2607-2616.

Bornand E, Letourneux F, Deschanvres C, Boutoille D, Lucet JC, Lepelletier D et al. Social representations of mask wearing in the general population during the COVID-19 pandemic. Front Public Health. 2023;11:1136980.

Cheng VCC, Wong SC, Chen JHK, Yip CCY, Chuang VWM, Tsang OTY et al. Escalating infection control response to the rapidly evolving epidemiology of the coronavirus disease 2019 (COVID-19) due to SARS-CoV-2 in Hong Kong. Infect Control Hosp Epidemiol. 2020;41(5):493-8.

Cvetkovic-Vega A, Maguiña JL, Soto A, Lama-Valdivia J, López LEC. Estudios transversales. Revista de la Facultad de Medicina Humana. 2021;21:179-185.

Mateos Mazón M, Martínez Caballero CM, Mateos Mazón JJ, De Carlos Negro L, Del Otero Sanz L. Observational study of the adherence to the correct use of face masks by the general population in open public places during two periods of the COVID-19 pandemic in four Spanish cities. Rev Esp Salud Publica. 2022 Jan 31;96:e202201010.

Published

2024-02-02 — Updated on 2024-02-02

Versions

How to Cite

1.
Huguet-Torres A, Bennasar-Veny M, Castro-Sánchez E, Yáñez AM. Sociodemographic and environmental factors associated with mask use during the COVID-19 pandemic: e202402002. Rev Esp Salud Pública [Internet]. 2024 Feb. 2 [cited 2024 May 30];98:11 páginas. Available from: https://ojs.sanidad.gob.es/index.php/resp/article/view/211

Most read articles by the same author(s)