Adherence to the test, trace, and isolate system in the UK: results from 37 nationally representative surveys.
Adherence to the test, trace, and isolate system in the UK: results from 37 nationally representative surveys.
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DOI：
10.1136/bmj.n608
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发表时间：
2021-03-31
期刊：
影响因子：
--
通讯作者：
Rubin GJ
中科院分区：
文献类型：
--
作者：
Smith LE;Potts HWW;Amlôt R;Fear NT;Michie S;Rubin GJ
调查Covid-19大流行最初11个月内英国检测、追踪和隔离系统的遵守率。一系列跨部门在线调查。英国37项全国代表性调查，2020年3月2日至2021年1月27日。来自45 957名居住在英国的16岁或以上人士的74 699份回复（37个调查波，每波约有2000名参与者）。识别COVID-19的主要症状（咳嗽、高烧或发烧，以及嗅觉或味觉丧失），如果出现症状，自我报告坚持自我隔离，如果出现症状，则打算自我隔离，如果出现症状，则要求进行COVID-19检测，如果出现症状，则打算要求进行检测，并打算分享密切接触者的详细信息。只有51.5%的参与者（95%置信区间51.0%至51.9%，n=26 030/50 570）确定了新冠肺炎的主要症状;最近一波数据收集（2021年1月25日至27日）的相应值为50.8%（48.6%至53.0%，n=1019/2007）。在所有波中，完全自我隔离的持续时间调整依从性为42.5%（95%置信区间为39.7%至45.2%，n=515/1213）;在最近一波数据收集（2021年1月25日至27日）中，这一比例为51.8%（40.8%至62.8%，n=43/83）。在所有波中，要求进行COVID-19检测的比例为18.0%（95%置信区间为16.6%至19.3%，n=552/3068），从1月25日至27日增加至22.2%（14.6%至29.9%，n=26/117）。在所有波中，分享密切接触者详细信息的意愿为79.1%（95%置信区间为78.8%至79.5%，n=36 145/45 680），从1月25日至27日增加到81.9%（80.1%至83.6%，n=1547/1890）。不遵守与男性、年龄较小、家中有受抚养子女、社会经济地位较低、大流行期间经济困难较大以及在关键部门工作有关。尽管随着时间的推移出现了一些改善，但对检测、跟踪和分离的依从性水平较低。实际支持和财务报销可能会改善遵守情况。针对男性、年轻群体和关键工人的信息和政策也可能是必要的。
To investigate rates of adherence to the UK’s test, trace, and isolate system over the initial 11 months of the covid-19 pandemic. Series of cross sectional online surveys. 37 nationally representative surveys in the UK, 2 March 2020 to 27 January 2021. 74 699 responses from 45 957 people living in the UK, aged 16 years or older (37 survey waves, about 2000 participants in each wave). Identification of the main symptoms of covid-19 (cough, high temperature or fever, and loss of sense of smell or taste), self-reported adherence to self-isolation if symptoms were present and intention to self-isolate if symptoms were to develop, requesting a test for covid-19 if symptoms were present and intention to request a test if symptoms were to develop, and intention to share details of close contacts. Only 51.5% of participants (95% confidence interval 51.0% to 51.9%, n=26 030/50 570) identified the main symptoms of covid-19; the corresponding values in the most recent wave of data collection (25-27 January 2021) were 50.8% (48.6% to 53.0%, n=1019/2007). Across all waves, duration adjusted adherence to full self-isolation was 42.5% (95% confidence interval 39.7% to 45.2%, n=515/1213); in the most recent wave of data collection (25-27 January 2021), it was 51.8% (40.8% to 62.8%, n=43/83). Across all waves, requesting a test for covid-19 was 18.0% (95% confidence interval 16.6% to 19.3%, n=552/3068), increasing to 22.2% (14.6% to 29.9%, n=26/117) from 25 to 27 January. Across all waves, intention to share details of close contacts was 79.1% (95% confidence interval 78.8% to 79.5%, n=36 145/45 680), increasing to 81.9% (80.1% to 83.6%, n=1547/1890) from 25 to 27 January. Non-adherence was associated with being male, younger age, having a dependent child in the household, lower socioeconomic status, greater financial hardship during the pandemic, and working in a key sector. Levels of adherence to test, trace, and isolate are low, although some improvement has occurred over time. Practical support and financial reimbursement are likely to improve adherence. Targeting messaging and policies to men, younger age groups, and key workers might also be necessary.
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DOI：
10.1027/1614-2241/a000094
发表时间：
2015-01-01
影响因子：
3.1
作者：
Matthijsse, Suzette M.;de Leeuw, Edith D.;Hox, Joop J.
通讯作者：
Hox, Joop J.
DOI：
10.1016/s1473-3099(20)30457-6
发表时间：
2020-10
期刊：
The Lancet. Infectious diseases
影响因子：
--
作者：
Kucharski AJ;Klepac P;Conlan AJK;Kissler SM;Tang ML;Fry H;Gog JR;Edmunds WJ;CMMID COVID-19 working group
通讯作者：
CMMID COVID-19 working group
影响因子：
2.9
作者：
Atchison C;Bowman LR;Vrinten C;Redd R;Pristerà P;Eaton J;Ward H
通讯作者：
Ward H
影响因子：
9.7
作者：
Bodas, Moran;Peleg, Kobi
通讯作者：
Peleg, Kobi
影响因子：
13.8
作者：
Johansson MA;Quandelacy TM;Kada S;Prasad PV;Steele M;Brooks JT;Slayton RB;Biggerstaff M;Butler JC
通讯作者：
Butler JC