Facilitators and barriers to engagement with contact tracing during infectious disease outbreaks: A rapid review of the evidence.

Facilitators and barriers to engagement with contact tracing during infectious disease outbreaks: A rapid review of the evidence.
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DOI:
10.1371/journal.pone.0241473
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发表时间:
2020
期刊:
影响因子:
3.7
通讯作者:
Rubin GJ
Rubin GJ
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Megnin-Viggars O;Carter P;Melendez-Torres GJ;Weston D;Rubin GJ

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在开发出疫苗之前,测试、追踪和隔离策略是控制COVID-19爆发的最有效方法。接触者追踪和病例隔离是控制传染病暴发的常用方法。然而,任何接触者追踪系统的有效性都取决于公众的参与。许多因素可能会影响个人参与接触者追踪系统的意愿。在COVID-19大流行期间,了解这些因素变得迫切。确定在传染病暴发期间采用和参与接触者追踪的促进因素和障碍。进行了一项快速系统性审查,以确定基于主要研究的论文,用英语撰写,并评估了与接触者追踪系统的吸收和参与相关的促进因素、障碍和其他因素。四个主题被确定为促进接触者追踪的接受和参与:集体责任;个人利益;接触者追踪系统的共同制作;以及对该系统高效、严格和可靠的看法。五个主题被确定为接受和参与接触者追踪的障碍:隐私问题;不信任和/或恐惧;对更多信息和支持的未满足需求;对污名化的恐惧;以及特定模式的挑战。通过关注已确定的因素,接触者追踪服务更有可能让人们与他们接触,识别更多潜在的患病接触者,并减少传播。
Until a vaccine is developed, a test, trace and isolate strategy is the most effective method of controlling the COVID-19 outbreak. Contact tracing and case isolation are common methods for controlling infectious disease outbreaks. However, the effectiveness of any contact tracing system rests on public engagement. Numerous factors may influence an individual’s willingness to engage with a contact tracing system. Understanding these factors has become urgent during the COVID-19 pandemic. To identify facilitators and barriers to uptake of, and engagement with, contact tracing during infectious disease outbreaks. A rapid systematic review was conducted to identify papers based on primary research, written in English, and that assessed facilitators, barriers, and other factors associated with the uptake of, and engagement with, a contact tracing system. Four themes were identified as facilitators to the uptake of, and engagement with, contact tracing: collective responsibility; personal benefit; co-production of contact tracing systems; and the perception of the system as efficient, rigorous and reliable. Five themes were identified as barriers to the uptake of, and engagement with, contact tracing: privacy concerns; mistrust and/or apprehension; unmet need for more information and support; fear of stigmatization; and mode-specific challenges. By focusing on the factors that have been identified, contact tracing services are more likely to get people to engage with them, identify more potentially ill contacts, and reduce transmission.
在塞拉利昂西部地区的埃博拉病毒疾病爆发期间接触追踪:未来的埃博拉疫情反应的教训。
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