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

COVID-19 Germany Hand Disinfection Humans Pandemics SARS-CoV-2
COVID-19 Cross-country Hand hygiene Morbidity Mortality Pandemic

Journal

BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562

Informations de publication

Date de publication:
05 10 2021
Historique:
received: 11 05 2021
accepted: 16 09 2021
entrez: 6 10 2021
pubmed: 7 10 2021
medline: 9 10 2021
Statut: epublish

Résumé

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). 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. 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. To better explain levels of protective behaviors such as handwashing, future research should account for indicators of the trajectory of the COVID-19 pandemic. Clinical Trials.Gov, # NCT04367337.

Sections du résumé

BACKGROUND
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.

Identifiants

DOI: 10.1186/s12889-021-11822-5 PMID: 34610808 PMC: PMC8492037
pubmed: 34610808
doi: 10.1186/s12889-021-11822-5
pii: 10.1186/s12889-021-11822-5
pmc: PMC8492037
doi:

Banques de données

ClinicalTrials.gov
['NCT04367337']

Types de publication

Journal Article Observational Study Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1791

Informations de copyright

© 2021. The Author(s).

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Auteurs

Zofia Szczuka (Z)

Wroclaw Faculty of Psychology, SWPS University of Social Sciences and Humanities, 30b Ostrowskiego Street, PL-53-238, Wroclaw, Poland.

Charles Abraham (C)

School of Psychology, Deakin University, Melbourne, Australia.

Adriana Baban (A)

Department of Psychology, Babes-Bolyai University, Cluj-Napoca, Romania.

Sydney Brooks (S)

Faculty of Kinesiology, University of New Brunswick, Fredericton, Canada.

Sabrina Cipolletta (S)

Department of General Psychology, University of Padova, Padova, Italy.

Ebrima Danso (E)

Medical Research Council Unit The Gambia at London School of Hygiene and Tropical Medicine, Serrekunda, Gambia.

Stephan U Dombrowski (SU)

Faculty of Kinesiology, University of New Brunswick, Fredericton, Canada.

Yiqun Gan (Y)

School of Psychological and Cognitive Sciences, Peking University, Beijing, China.

Tania Gaspar (T)

Institute of Environmental Health, Medical School, University of Lisbon, Lisbon, Portugal.

Margarida Gaspar de Matos (MG)

Institute of Environmental Health, Medical School, University of Lisbon, Lisbon, Portugal.

Konstadina Griva (K)

Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.

Michelle Jongenelis (M)

Melbourne Centre for Behaviour Change, Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, Australia.

Jan Keller (J)

Department of Education and Psychology, Freie Universität Berlin, Berlin, Germany.

Nina Knoll (N)

Department of Education and Psychology, Freie Universität Berlin, Berlin, Germany.

Jinjin Ma (J)

School of Psychological and Cognitive Sciences, Peking University, Beijing, China.

Mohammad Abdul Awal Miah (MAA)

Perdana University-Royal College of Surgeons in Ireland School of Medicine, Kuala Lumpur, Malaysia.

Karen Morgan (K)

Perdana University-Royal College of Surgeons in Ireland School of Medicine, Kuala Lumpur, Malaysia.

William Peraud (W)

Department of Psychology, INSERM 1219, University of Bordeaux, Bordeaux, France.

Bruno Quintard (B)

Department of Psychology, INSERM 1219, University of Bordeaux, Bordeaux, France.

Vishna Shah (V)

Environmental Health Group, Department of Infectious Diseases, London School of Hygiene and Tropical Medicine, London, UK.

Konstantin Schenkel (K)

Applied Social and Health Psychology, University Research Priority Program "Dynamics of Healthy Ageing", Department of Psychology, University of Zurich, Zurich, Switzerland.

Urte Scholz (U)

Applied Social and Health Psychology, University Research Priority Program "Dynamics of Healthy Ageing", Department of Psychology, University of Zurich, Zurich, Switzerland.

Ralf Schwarzer (R)

Department of Education and Psychology, Freie Universität Berlin, Berlin, Germany.

Maria Siwa (M)

Wroclaw Faculty of Psychology, SWPS University of Social Sciences and Humanities, 30b Ostrowskiego Street, PL-53-238, Wroclaw, Poland.

Kamil Szymanski (K)

Wroclaw Faculty of Psychology, SWPS University of Social Sciences and Humanities, 30b Ostrowskiego Street, PL-53-238, Wroclaw, Poland.

Diana Taut (D)

Department of Psychology, Babes-Bolyai University, Cluj-Napoca, Romania.

Silvia C M Tomaino (SCM)

Department of General Psychology, University of Padova, Padova, Italy.

Noa Vilchinsky (N)

Department of Psychology, Bar-Ilan University, Ramat-Gan, Israel.

Hodaya Wolf (H)

Department of Psychology, Bar-Ilan University, Ramat-Gan, Israel.

Aleksandra Luszczynska (A)

Wroclaw Faculty of Psychology, SWPS University of Social Sciences and Humanities, 30b Ostrowskiego Street, PL-53-238, Wroclaw, Poland. aluszczy@uccs.edu.
Melbourne Centre for Behaviour Change, Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, Australia. aluszczy@uccs.edu.

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Classifications MeSH

questionsmedicales.fr › Maladies de l'appareil respiratoire › Infections de l'appareil respiratoire › Pneumopathie infectieuse › Pneumopathie virale › COVID-19 › The trajectory of COVID-19 pandemic and...
questionsmedicales.fr › Régions géographiques › Europe › Allemagne › The trajectory of COVID-19 pandemic and...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Hygiène › Hygiène des mains › Désinfection des mains › The trajectory of COVID-19 pandemic and...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › The trajectory of COVID-19 pandemic and...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Épidémies de maladies › Épidémies › Pandémies › The trajectory of COVID-19 pandemic and...
questionsmedicales.fr › Virus › Virus à ARN › Virus à ARN à brin positif › Nidovirales › Coronaviridae › Coronavirus › Betacoronavirus › Virus du SRAS › SARS-CoV-2 › The trajectory of COVID-19 pandemic and...