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The trajectory of COVID-19 pandemic and handwashing adherence: findings from 14 countries

dc.rights.licenseopenen_US
dc.contributor.authorSZCZUKA, Zofia
dc.contributor.authorABRAHAM, Charles
dc.contributor.authorBABAN, Adriana
dc.contributor.authorBROOKS, Sydney
dc.contributor.authorCIPOLLETTA, Sabrina
dc.contributor.authorDANSO, Ebrima
dc.contributor.authorDOMBROWSKI, Stephan U.
dc.contributor.authorGAN, Yiqun
dc.contributor.authorGASPAR, Tania
dc.contributor.authorDE MATOS, Margarida Gaspar
dc.contributor.authorGRIVA, Konstadina
dc.contributor.authorJONGENELIS, Michelle
dc.contributor.authorKELLER, Jan
dc.contributor.authorKNOLL, Nina
dc.contributor.authorMA, JinJin
dc.contributor.authorMIAH, Mohammad Abdul Awal
dc.contributor.authorMORGAN, Karen
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorPERAUD, William
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorQUINTARD, Bruno
ORCID: 0000-0002-2206-6137
IDREF: 057867968
dc.contributor.authorSHAH, Vishna
dc.contributor.authorSCHENKEL, Konstantin
dc.contributor.authorSCHOLZ, Urte
dc.contributor.authorSCHWARZER, Ralf
dc.contributor.authorSIWA, Marc
dc.contributor.authorSZYMANSKI, Kamil
dc.contributor.authorTAUT, Diana
dc.contributor.authorTOMAINO, Silvia C. M.
dc.contributor.authorVILCHINSKY, Noa
dc.contributor.authorWOLF, Hodaya
dc.contributor.authorLUSZCZYNSKA, Aleksandra
dc.date.accessioned2021-11-30T16:31:28Z
dc.date.available2021-11-30T16:31:28Z
dc.date.issued2021-10-05
dc.identifier.issn1471-2458 (Electronic) 1471-2458 (Linking)en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/123949
dc.description.abstractEnBACKGROUND: The COVID-19 pandemic has affected people's engagement in health behaviors, especially those that protect individuals from SARS-CoV-2 transmission, such as handwashing/sanitizing. This study investigated whether adherence to the World Health Organization's (WHO) handwashing guidelines (the outcome variable) was associated with the trajectory of the COVID-19 pandemic, as measured by the following 6 indicators: (i) the number of new cases of COVID-19 morbidity/mortality (a country-level mean calculated for the 14 days prior to data collection), (ii) total cases of COVID-19 morbidity/mortality accumulated since the onset of the pandemic, and (iii) changes in recent cases of COVID-19 morbidity/mortality (a difference between country-level COVID-19 morbidity/mortality in the previous 14 days compared to cases recorded 14-28 days earlier). METHODS: The observational study (#NCT04367337) enrolled 6064 adults residing in Australia, Canada, China, France, Gambia, Germany, Israel, Italy, Malaysia, Poland, Portugal, Romania, Singapore, and Switzerland. Data on handwashing adherence across 8 situations (indicated in the WHO guidelines) were collected via an online survey (March-July 2020). Individual-level handwashing data were matched with the date- and country-specific values of the 6 indices of the trajectory of COVID-19 pandemic, obtained from the WHO daily reports. RESULTS: Multilevel regression models indicated a negative association between both accumulation of the total cases of COVID-19 morbidity (B = -.041, SE = .013, p = .013) and mortality (B = -.036, SE = .014 p = .002) and handwashing. Higher levels of total COVID-related morbidity and mortality were related to lower handwashing adherence. However, increases in recent cases of COVID-19 morbidity (B = .014, SE = .007, p = .035) and mortality (B = .022, SE = .009, p = .015) were associated with higher levels of handwashing adherence. Analyses controlled for participants' COVID-19-related situation (their exposure to information about handwashing, being a healthcare professional), sociodemographic characteristics (gender, age, marital status), and country-level variables (strictness of containment and health policies, human development index). The models explained 14-20% of the variance in handwashing adherence. CONCLUSIONS: To better explain levels of protective behaviors such as handwashing, future research should account for indicators of the trajectory of the COVID-19 pandemic. TRIAL REGISTRATION: Clinical Trials.Gov, # NCT04367337.
dc.language.isoENen_US
dc.rightsAttribution 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/us/*
dc.subject.enHand hygiene
dc.subject.enCOVID-19
dc.subject.enMorbidity
dc.subject.enMortality
dc.subject.enCross-country
dc.subject.enPandemic
dc.title.enThe trajectory of COVID-19 pandemic and handwashing adherence: findings from 14 countries
dc.typeArticle de revueen_US
dc.identifier.doi10.1186/s12889-021-11822-5en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed34610808en_US
bordeaux.journalBMC Public Healthen_US
bordeaux.page1791en_US
bordeaux.volume21en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.issue1en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamHACSen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.exportfalse
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=BMC%20Public%20Health&rft.date=2021-10-05&rft.volume=21&rft.issue=1&rft.spage=1791&rft.epage=1791&rft.eissn=1471-2458%20(Electronic)%201471-2458%20(Linking)&rft.issn=1471-2458%20(Electronic)%201471-2458%20(Linking)&rft.au=SZCZUKA,%20Zofia&ABRAHAM,%20Charles&BABAN,%20Adriana&BROOKS,%20Sydney&CIPOLLETTA,%20Sabrina&rft.genre=article


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