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Self-Reported Compliance With Personal Preventive Measures Among Chinese Factory Workers at the Beginning of Work Resumption Following the COVID-19 Outbreak: Cross-Sectional Survey Study.
J Med Internet Res. 2020 09 29; 22(9):e22457.JM

Abstract

BACKGROUND

Maintaining compliance with personal preventive measures is important to achieve a balance of COVID-19 pandemic control and work resumption.

OBJECTIVE

The aim of this study was to investigate self-reported compliance with four personal measures to prevent COVID-19 among a sample of factory workers in Shenzhen, China, at the beginning of work resumption in China following the COVID-19 outbreak. These preventive measures included consistent wearing of face masks in public spaces (the workplace and other public settings); sanitizing hands using soap, liquid soap, or alcohol-based hand sanitizer after returning from public spaces or touching public installations and equipment; avoiding social and meal gatherings; and avoiding crowded places.

METHODS

The participants were adult factory workers who had resumed work in Shenzhen, China. A stratified two-stage cluster sampling design was used. We randomly selected 14 factories that had resumed work. All full-time employees aged ≥18 years who had resumed work in these factories were invited to complete a web-based survey. Out of 4158 workers who had resumed work in these factories, 3035 (73.0%) completed the web-based survey from March 1 to 14, 2020. Multilevel logistic regression models were fitted.

RESULTS

Among the 3035 participants, 2938 (96.8%) and 2996 (98.7%) reported always wearing a face mask in the workplace and in other public settings, respectively, in the past month. However, frequencies of self-reported sanitizing hands (2152/3035, 70.9%), avoiding social and meal gatherings (2225/3035, 73.3%), and avoiding crowded places (1997/3035, 65.8%) were relatively low. At the individual level, knowledge about COVID-19 (adjusted odds ratios [AORs] from 1.16, CI 1.10-1.24, to 1.29, CI 1.21-1.37), perceived risk (AORs from 0.58, CI 0.50-0.68, to 0.85, CI 0.72-0.99) and severity (AOR 1.05, CI 1.01-1.09, and AOR 1.07, CI 1.03-1.11) of COVID-19, perceived effectiveness of preventive measures by the individual (AORs from 1.05, CI 1.00-1.10, to 1.09, CI 1.04-1.13), organization (AOR 1.30, CI 1.20-1.41), and government (AORs from 1.14, CI 1.04-1.25, to 1.21, CI 1.02-1.42), perceived preparedness for a potential outbreak after work resumption (AORs from 1.10, CI 1.00-1.21, to 1.50, CI 1.36-1.64), and depressive symptoms (AORs from 0.93, CI 0.91-0.94, to 0.96, CI 0.92-0.99) were associated with self-reported compliance with at least one personal preventive measure. At the interpersonal level, exposure to COVID-19-specific information through official media channels (AOR 1.08, CI 1.04-1.11) and face-to-face communication (AOR 0.90, CI 0.83-0.98) were associated with self-reported sanitizing of hands. The number of preventive measures implemented in the workplace was positively associated with self-reported compliance with all four preventive measures (AORs from 1.30, CI 1.08-1.57, to 1.63, CI 1.45-1.84).

CONCLUSIONS

Measures are needed to strengthen hand hygiene and physical distancing among factory workers to reduce transmission following work resumption. Future programs in workplaces should address these factors at multiple levels.

Authors+Show Affiliations

Big Data Center, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, China. Precision Medicine Center, Scientific Research Center, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.Department of Early Childhood Education, The Education University of Hong Kong, Hong Kong, China (Hong Kong).JC School of Public Health and Primary Care, Chinese University of Hong Kong, Hong Kong, China (Hong Kong).Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.Department of Neurology, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.Department of Neurology, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.Department of Endocrinology, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.Department of Clinical Nutrition, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.Big Data Center, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.Big Data Center, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, China. Precision Medicine Center, Scientific Research Center, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, China. Clinical Research Center, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.JC School of Public Health and Primary Care, Chinese University of Hong Kong, Hong Kong, China (Hong Kong).Center for Digestive Disease, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32924947

Citation

Pan, Yihang, et al. "Self-Reported Compliance With Personal Preventive Measures Among Chinese Factory Workers at the Beginning of Work Resumption Following the COVID-19 Outbreak: Cross-Sectional Survey Study." Journal of Medical Internet Research, vol. 22, no. 9, 2020, pp. e22457.
Pan Y, Fang Y, Xin M, et al. Self-Reported Compliance With Personal Preventive Measures Among Chinese Factory Workers at the Beginning of Work Resumption Following the COVID-19 Outbreak: Cross-Sectional Survey Study. J Med Internet Res. 2020;22(9):e22457.
Pan, Y., Fang, Y., Xin, M., Dong, W., Zhou, L., Hou, Q., Li, F., Sun, G., Zheng, Z., Yuan, J., Wang, Z., & He, Y. (2020). Self-Reported Compliance With Personal Preventive Measures Among Chinese Factory Workers at the Beginning of Work Resumption Following the COVID-19 Outbreak: Cross-Sectional Survey Study. Journal of Medical Internet Research, 22(9), e22457. https://doi.org/10.2196/22457
Pan Y, et al. Self-Reported Compliance With Personal Preventive Measures Among Chinese Factory Workers at the Beginning of Work Resumption Following the COVID-19 Outbreak: Cross-Sectional Survey Study. J Med Internet Res. 2020 09 29;22(9):e22457. PubMed PMID: 32924947.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Self-Reported Compliance With Personal Preventive Measures Among Chinese Factory Workers at the Beginning of Work Resumption Following the COVID-19 Outbreak: Cross-Sectional Survey Study. AU - Pan,Yihang, AU - Fang,Yuan, AU - Xin,Meiqi, AU - Dong,Willa, AU - Zhou,Liemin, AU - Hou,Qinghua, AU - Li,Fanping, AU - Sun,Gang, AU - Zheng,Zilong, AU - Yuan,Jinqiu, AU - Wang,Zixin, AU - He,Yulong, Y1 - 2020/09/29/ PY - 2020/07/12/received PY - 2020/09/03/accepted PY - 2020/08/28/revised PY - 2020/9/15/pubmed PY - 2020/10/3/medline PY - 2020/9/14/entrez KW - COVID-19 KW - compliance KW - cross-sectional KW - facemask wearing KW - hand hygiene KW - online KW - physical distancing KW - prevention KW - survey KW - work resumption, factory workers SP - e22457 EP - e22457 JF - Journal of medical Internet research JO - J Med Internet Res VL - 22 IS - 9 N2 - BACKGROUND: Maintaining compliance with personal preventive measures is important to achieve a balance of COVID-19 pandemic control and work resumption. OBJECTIVE: The aim of this study was to investigate self-reported compliance with four personal measures to prevent COVID-19 among a sample of factory workers in Shenzhen, China, at the beginning of work resumption in China following the COVID-19 outbreak. These preventive measures included consistent wearing of face masks in public spaces (the workplace and other public settings); sanitizing hands using soap, liquid soap, or alcohol-based hand sanitizer after returning from public spaces or touching public installations and equipment; avoiding social and meal gatherings; and avoiding crowded places. METHODS: The participants were adult factory workers who had resumed work in Shenzhen, China. A stratified two-stage cluster sampling design was used. We randomly selected 14 factories that had resumed work. All full-time employees aged ≥18 years who had resumed work in these factories were invited to complete a web-based survey. Out of 4158 workers who had resumed work in these factories, 3035 (73.0%) completed the web-based survey from March 1 to 14, 2020. Multilevel logistic regression models were fitted. RESULTS: Among the 3035 participants, 2938 (96.8%) and 2996 (98.7%) reported always wearing a face mask in the workplace and in other public settings, respectively, in the past month. However, frequencies of self-reported sanitizing hands (2152/3035, 70.9%), avoiding social and meal gatherings (2225/3035, 73.3%), and avoiding crowded places (1997/3035, 65.8%) were relatively low. At the individual level, knowledge about COVID-19 (adjusted odds ratios [AORs] from 1.16, CI 1.10-1.24, to 1.29, CI 1.21-1.37), perceived risk (AORs from 0.58, CI 0.50-0.68, to 0.85, CI 0.72-0.99) and severity (AOR 1.05, CI 1.01-1.09, and AOR 1.07, CI 1.03-1.11) of COVID-19, perceived effectiveness of preventive measures by the individual (AORs from 1.05, CI 1.00-1.10, to 1.09, CI 1.04-1.13), organization (AOR 1.30, CI 1.20-1.41), and government (AORs from 1.14, CI 1.04-1.25, to 1.21, CI 1.02-1.42), perceived preparedness for a potential outbreak after work resumption (AORs from 1.10, CI 1.00-1.21, to 1.50, CI 1.36-1.64), and depressive symptoms (AORs from 0.93, CI 0.91-0.94, to 0.96, CI 0.92-0.99) were associated with self-reported compliance with at least one personal preventive measure. At the interpersonal level, exposure to COVID-19-specific information through official media channels (AOR 1.08, CI 1.04-1.11) and face-to-face communication (AOR 0.90, CI 0.83-0.98) were associated with self-reported sanitizing of hands. The number of preventive measures implemented in the workplace was positively associated with self-reported compliance with all four preventive measures (AORs from 1.30, CI 1.08-1.57, to 1.63, CI 1.45-1.84). CONCLUSIONS: Measures are needed to strengthen hand hygiene and physical distancing among factory workers to reduce transmission following work resumption. Future programs in workplaces should address these factors at multiple levels. SN - 1438-8871 UR - https://www.unboundmedicine.com/medline/citation/32924947/Self_Reported_Compliance_With_Personal_Preventive_Measures_Among_Chinese_Factory_Workers_at_the_Beginning_of_Work_Resumption_Following_the_COVID_19_Outbreak:_Cross_Sectional_Survey_Study_ L2 - https://www.jmir.org/2020/9/e22457/ DB - PRIME DP - Unbound Medicine ER -