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Appropriate attitude promotes mask wearing in spite of a significant experience of varying discomfort.
Infect Dis Health. 2021 05; 26(2):145-151.ID

Abstract

BACKGROUND

Despite increasing evidence to support mask effectiveness in mitigating the spread of COVID-19, there is still raging controversy regarding the use of masks. Evaluation of public perceptions, attitudes and the individuals' experience towards mask-wearing is integral to ensuring reasonable compliance and allows authorities to address concerns held by the population.

METHODS

A cross-sectional survey of lay-people was conducted within a high volume tertiary level institution in Singapore, from 16 October to 16 November 2020. Surveys administered evaluated five questions: 1) duration of mask wear per day, 2) mask-type used, 3) perceived necessity, 4) discomfort level experienced and 5) causes for discomfort.

RESULTS

Out of 402 respondents, 67.2% primarily wore disposable surgical masks. 72% felt mask-wearing was necessary to control COVID-19 transmission. 78.4% reported discomfort while wearing masks, with mean discomfort levels of 4.21 out of 10. Impairment to breathing and communication difficulties were the most common discomforts faced. Younger respondents complained of higher incidence of dermatological issues and sweating (p < 0.05). Respondents who wore masks for longer duration reported higher incidence of dermatological issues (p = 0.001) and sweating (p = 0.032).

CONCLUSION AND RELEVANCE

Even with an available vaccine, adjunctive public health measures such as mask-wearing will likely continue in order to curb COVID-19 transmission. Experience from past pandemics is likely to propagate self-protective behavior within a community. Our study identified several common mask-wearing discomforts, allowing respective organizations valuable market feedback for research and development. With appropriate public attitudes, effective mask-wearing compliance can be attained in a concerted effort against the coronavirus.

Authors+Show Affiliations

Department of Orthopaedic Surgery, Singapore General Hospital, Level 4, Academia, 20 College Road, Singapore 169856, Singapore. Electronic address: gideoncjw@gmail.com.Department of Orthopaedic Surgery, Singapore General Hospital, Level 4, Academia, 20 College Road, Singapore 169856, Singapore.Department of Orthopaedic Surgery, Singapore General Hospital, Level 4, Academia, 20 College Road, Singapore 169856, Singapore.Department of Orthopaedic Surgery, Singapore General Hospital, Level 4, Academia, 20 College Road, Singapore 169856, Singapore.Department of Orthopaedic Surgery, Singapore General Hospital, Level 4, Academia, 20 College Road, Singapore 169856, Singapore.Department of Orthopaedic Surgery, Singapore General Hospital, Level 4, Academia, 20 College Road, Singapore 169856, Singapore.Department of Orthopaedic Surgery, Singapore General Hospital, Level 4, Academia, 20 College Road, Singapore 169856, Singapore.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33612451

Citation

Cheok, Gideon J W., et al. "Appropriate Attitude Promotes Mask Wearing in Spite of a Significant Experience of Varying Discomfort." Infection, Disease & Health, vol. 26, no. 2, 2021, pp. 145-151.
Cheok GJW, Gatot C, Sim CHS, et al. Appropriate attitude promotes mask wearing in spite of a significant experience of varying discomfort. Infect Dis Health. 2021;26(2):145-151.
Cheok, G. J. W., Gatot, C., Sim, C. H. S., Ng, Y. H., Tay, K. X. K., Howe, T. S., & Koh, J. S. B. (2021). Appropriate attitude promotes mask wearing in spite of a significant experience of varying discomfort. Infection, Disease & Health, 26(2), 145-151. https://doi.org/10.1016/j.idh.2021.01.002
Cheok GJW, et al. Appropriate Attitude Promotes Mask Wearing in Spite of a Significant Experience of Varying Discomfort. Infect Dis Health. 2021;26(2):145-151. PubMed PMID: 33612451.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Appropriate attitude promotes mask wearing in spite of a significant experience of varying discomfort. AU - Cheok,Gideon J W, AU - Gatot,Cheryl, AU - Sim,Craigven H S, AU - Ng,Y H, AU - Tay,Kenny X K, AU - Howe,T S, AU - Koh,Joyce S B, Y1 - 2021/02/18/ PY - 2020/11/22/received PY - 2020/12/31/revised PY - 2021/01/10/accepted PY - 2021/2/23/pubmed PY - 2021/5/6/medline PY - 2021/2/22/entrez KW - COVID-19 KW - Mask-wearing attitudes KW - Mask-wearing discomforts KW - Mask-wearing practices KW - Public health KW - SARS-CoV-2 SP - 145 EP - 151 JF - Infection, disease & health JO - Infect Dis Health VL - 26 IS - 2 N2 - BACKGROUND: Despite increasing evidence to support mask effectiveness in mitigating the spread of COVID-19, there is still raging controversy regarding the use of masks. Evaluation of public perceptions, attitudes and the individuals' experience towards mask-wearing is integral to ensuring reasonable compliance and allows authorities to address concerns held by the population. METHODS: A cross-sectional survey of lay-people was conducted within a high volume tertiary level institution in Singapore, from 16 October to 16 November 2020. Surveys administered evaluated five questions: 1) duration of mask wear per day, 2) mask-type used, 3) perceived necessity, 4) discomfort level experienced and 5) causes for discomfort. RESULTS: Out of 402 respondents, 67.2% primarily wore disposable surgical masks. 72% felt mask-wearing was necessary to control COVID-19 transmission. 78.4% reported discomfort while wearing masks, with mean discomfort levels of 4.21 out of 10. Impairment to breathing and communication difficulties were the most common discomforts faced. Younger respondents complained of higher incidence of dermatological issues and sweating (p < 0.05). Respondents who wore masks for longer duration reported higher incidence of dermatological issues (p = 0.001) and sweating (p = 0.032). CONCLUSION AND RELEVANCE: Even with an available vaccine, adjunctive public health measures such as mask-wearing will likely continue in order to curb COVID-19 transmission. Experience from past pandemics is likely to propagate self-protective behavior within a community. Our study identified several common mask-wearing discomforts, allowing respective organizations valuable market feedback for research and development. With appropriate public attitudes, effective mask-wearing compliance can be attained in a concerted effort against the coronavirus. SN - 2468-0869 UR - https://www.unboundmedicine.com/medline/citation/33612451/Appropriate_attitude_promotes_mask_wearing_in_spite_of_a_significant_experience_of_varying_discomfort_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S2468-0451(21)00002-X DB - PRIME DP - Unbound Medicine ER -