Compliance of the General Population to Precautionary Measures During the Early Waves of COVID-19 in Alexandria, Egypt

Document Type : Original Article

Authors

1 Department of Tropical Health, High Institute of Public Health, Alexandria University Alexandria, Egypt

2 Department of Microbiology, High Institute of Public Health, Alexandria University, Alexandria, Egypt

3 Institute of Graduate Studies and Research, Alexandria University, Alexandria, Egypt

4 Department of Nutrition, High Institute of Public Health, Alexandria University, Alexandria, Egypt

Abstract

Background: During the COVID-19 pandemic, countries that imposed regulations on activities related to gatherings, transportation and personal precautionary measures have reported reduced surging of COVID-19 cases. The degree of people’s adherence to these precautionary measures was variable between countries. Aim: To assess the compliance of a sample of Alexandrian residents with the precautionary measures against COVID-19 during the first and second waves of the pandemic. Methods: This cross-sectional study comprised 715 participants of the general population from Alexandria who were invited to fill out a pre-designed self-reported questionnaire entailing compliance to precautionary measures. Data on SARS-CoV2 spike antibodies were obtained.Results: Hand hygiene was the most practiced preventive measure (91.3%), followed by wearing masks (59.2% self-reported to “always” wear a facemask outdoors). Regarding the frequency of practicing physical distancing, only 37.6% reported to “always” abide to it. More individuals used public transportation as opposed to taxis (34.9% compared to 9.8% respectively, p <0.01). There were differences among participants from different districts regarding most of the studied preventive measures as well as vaccine acceptance and COVID-19 diagnosis rates. Multivariate regression analysis showed that among all the investigated social practices, the use of public transport was the only significant predictor for SARS-CoV-2 antibody seropositivity [OR(95% CI; LL-UL)=2.763(1.745-4.373, p <0.001). Conclusions: The studied sample displayed better compliance to hand washing than to wearing face masks, while fewer participants practiced physical distancing. Using public transportation was the only predictor of seropositivity among all the studied risk factors. Alexandrian districts showed differences between their residents in the studied parameters.
 

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References

  1. Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel coronavirus from patients with pneumonia in China, 2019. New England journal of medicine. 2020.
  2. Organization WH. 2023. Available from: https://covid19.who.int/region/emro/country/eg.
  3. Flaxman S, Mishra S, Gandy A, Unwin HJT, Mellan TA, Coupland H, et al. Estimating the effects of non-pharmaceutical interventions on COVID-19 in Europe. Nature. 2020;584(7820):257-61. doi: 10.1038/s41586-020-2405-7.
  4. Ghazy RM, Taha SHN, Elhadi YAM. Letter from Egypt. Respirology. 2022.
  5. world Health Organization. Coronavirus disease (COVID-19), Prevention 2022. Available from: https://www.who.int/health-topics/coronavirus#tab=tab_2.
  6. Talic S, Shah S, Wild H, Gasevic D, Maharaj A, Ademi Z, et al. Effectiveness of public health measures in reducing the incidence of covid-19, SARS-CoV-2 transmission, and covid-19 mortality: systematic review and meta-analysis. BMJ. 2021;375:e068302. doi: 10.1136/bmj-2021-068302.
  7. Wang Y, Tian H, Zhang L, Zhang M, Guo D, Wu W, et al. Reduction of secondary transmission of SARS-CoV-2 in households by face mask use, disinfection and social distancing: a cohort study in Beijing, China. BMJ Global Health. 2020;5(5):e002794. doi: 10.1136/bmjgh-2020-002794.
  8. El-Ghitany EM, Farag S, Farghaly AG, Hashish MH, Hassaan MA, Omran EA. A pre-vaccine exploratory survey of SARS-CoV-2 humoral immunity among Egyptian general population. Tropical medicine and health. 2022;50(1):1-10.
  9. Martinez-Fierro ML, Ríos-Jasso J, Garza-Veloz I, Reyes-Veyna L, Cerda-Luna RM, Duque-Jara I, et al. The role of close contacts of COVID-19 patients in the SARS-CoV-2 transmission: an emphasis on the percentage of nonevaluated positivity in Mexico. American journal of infection control. 2021;49(1):15-20.
  10. CDC. When and How to Wash Your Hands. 2022. Available from: https://www.cdc.gov/handwashing/when-how-handwashing.html.
  11. YouGov P. Personal measures taken to avoid COVID-19 2022 [cited 1]. 2022].
  12. Ali RAE, Ghaleb AA, Abokresha SA. COVID-19 related knowledge and practice and barriers that hinder adherence to preventive measures among the Egyptian community. An epidemiological study in Upper Egypt. Journal of Public Health Research. 2021;10(1).
  13. Kakemam E, Ghoddoosi-Nejad D, Chegini Z, Momeni K, Salehiniya H, Hassanipour S, et al. Knowledge, attitudes, and practices among the general population during COVID-19 outbreak in Iran: a national cross-sectional online survey. Frontiers in Public Health. 2020:868.
  14. Almutiri TM, Alzhrani WH, Alraddadi R. Adherence to COVID-19 preventive measures and its predictors among the population of Jeddah City 2020. Age (Years). 2020;20(16):3.4.
  15. Barceló J, Sheen GC-H. Voluntary adoption of social welfare-enhancing behavior: Mask-wearing in Spain during the COVID-19 outbreak. PloS one. 2020;15(12):e0242764.
  16. WHO. Coronavirus disease (COVID-19): Masks 2022 [cited 2022 26/02/2022]. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/question-and-answers-hub/q-a-detail/coronavirus-disease-covid-19-masks.
  17. Mieth L, Mayer MM, Hoffmann A, Buchner A, Bell R. Do they really wash their hands? Prevalence estimates for personal hygiene behaviour during the COVID-19 pandemic based on indirect questions. BMC Public Health. 2021;21(1):12. doi: 10.1186/s12889-020-10109-5.
  18. Rana IA, Bhatti SS, Aslam AB, Jamshed A, Ahmad J, Shah AA. COVID-19 risk perception and coping mechanisms: Does gender make a difference? International Journal of Disaster Risk Reduction. 2021;55:102096. doi: https://doi.org/10.1016/j.ijdrr.2021.102096.
  19. Gerhold L. COVID-19: risk perception and coping strategies. 2020.
  20. Broche-Pérez Y, Fernández-Fleites Z, Jiménez-Puig E, Fernández-Castillo E, Rodríguez-Martin BC. Gender and fear of COVID-19 in a Cuban population sample. International journal of mental health and addiction. 2020:1-9.
  21. Reznik A, Gritsenko V, Konstantinov V, Khamenka N, Isralowitz R. COVID-19 fear in Eastern Europe: validation of the fear of COVID-19 scale. International journal of mental health and addiction. 2021;19(5):1903-8.
  22. Peckham H, de Gruijter NM, Raine C, Radziszewska A, Ciurtin C, Wedderburn LR, et al. Male sex identified by global COVID-19 meta-analysis as a risk factor for death and ITU admission. Nature communications. 2020;11(1):1-10.
  23. Lüdecke D, Von Dem Knesebeck O. Protective behavior in course of the COVID-19 outbreak—survey results from Germany. Frontiers in public health. 2020:567.
  24. Almutairi AF, BaniMustafa Aa, Alessa YM, Almutairi SB, Almaleh Y. Public trust and compliance with the precautionary measures against COVID-19 employed by authorities in Saudi Arabia. Risk Management and Healthcare Policy. 2020;13:753.
  25. Pasion R, Paiva TO, Fernandes C, Barbosa F. The AGE Effect on Protective Behaviors During the COVID-19 Outbreak: Sociodemographic, Perceptions and Psychological Accounts. Frontiers in Psychology. 2020;11. doi: 10.3389/fpsyg.2020.561785.
  26. Zuñiga M, Lagomarcino AJ, Muñoz S, Alonso AP, Rodriguez MA, O'Ryan ML. A cross sectional study found differential risks for COVID-19 seropositivity amongst health care professionals in Chile. Journal of Clinical Epidemiology. 2022;144:72-83. doi: https://doi.org/10.1016/j.jclinepi.2021.12.026.
  27. Cherif I, Kharroubi G, Chaabane S, Yazidi R, Dellagi M, Snoussi MA, et al. COVID-19 in Tunisia (North Africa): Seroprevalence of SARS-CoV-2 in the General Population of the Capital City Tunis. Diagnostics. 2022;12(4):971. PubMed PMID: doi:10.3390/diagnostics12040971.
  28. Palamenghi L, Barello S, Boccia S, Graffigna G. Mistrust in biomedical research and vaccine hesitancy: the forefront challenge in the battle against COVID-19 in Italy. European journal of epidemiology. 2020;35(8):785-8.
  29. Yehualashet DE, Seboka BT, Tesfa GA, Mamo TT, Yawo MN, Hailegebreal S. Prevalence and Determinants of COVID-19 Vaccine Hesitancy Among the Ethiopian Population: A Systematic Review. Risk Management and Healthcare Policy. 2022;15:1433.

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