COVID-19 in Somalia: Adherence to Preventive Measures and Evolution of the Disease Burden.
COVID-19 in Somalia: Adherence to Preventive Measures and Evolution of the Disease Burden.
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索马里的Covid-19：遵守预防措施和疾病负担的演变。
DOI：
10.3390/pathogens9090735
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发表时间：
2020-09-06
期刊：
影响因子：
--
通讯作者：
Colebunders R
中科院分区：
文献类型：
--
作者：
Ahmed MAM;Siewe Fodjo JN;Gele AA;Farah AA;Osman S;Guled IA;Ali AM;Colebunders R
索马里爆发 COVID-19 疫情后，政府采取了严格的预防措施。我们通过 2020 年 4 月至 7 月期间连续两次在线横断面调查来评估对政府建议的遵守情况。根据自我报告的五项预防措施（保持身体距离、使用口罩、手部卫生、咳嗽/打喷嚏时遮住嘴巴以及避免触摸面部）的遵守情况，构建了五分遵守分数。在第一次和第二次调查期间分别分析了 4124 份和 4703 份答复。平均依从性得分从第一次调查的 3.54 ± 1.5 下降到第二次调查的 3.40 ± 1.6； p < 0.001。与第一次调查 (16.2%) 相比，第二次调查期间经历至少一种流感样症状的参与者 (38.2%) 较多；然而，第一次调查 (26.9%) 和第二次调查 (26.5%) 中 COVID-19 检测呈阳性的比例相似。序数逻辑回归模型确定了以下高依从性分数的预测因素： 女性（比值比 (OR) = 1.715 (1.581–1.861)，p < 0.001）；是一名医护人员/学生（OR = 2.180 (2.000–2.377), p < 0.001）；从官方来源获取 COVID-19 信息（OR = 1.460 (1.341–1.589)，p < 0.001）；并接受过研究生教育（OR = 1.679 (1.220–2.307), p < 0.001）。相反，从社交媒体获取 COVID-19 信息并居住在城市环境中的依从性较低。索马里可能需要根据具体情况对 COVID-19 应对措施进行有针对性的调整。
Following the COVID-19 outbreak in Somalia, strict preventive measures were implemented by the government. We assessed adherence to the government recommendations via two consecutive online cross-sectional surveys between April and July 2020. A five-point adherence score was constructed based on self-reported observance of five preventive measures (physical distancing, face mask use, hand hygiene, mouth covering when coughing/sneezing, and avoidance of touching the face). 4124 and 4703 responses were analyzed during the first and second survey, respectively. The mean adherence score decreased from 3.54 ± 1.5 in the first survey to 3.40 ± 1.6 during the second survey; p < 0.001. More participants experienced at least one flu-like symptom during the second survey (38.2%) compared to the first (16.2%); however, the proportion of positive COVID-19 tests in the first (26.9%) and second survey (26.5%) was similar. The ordinal logistic regression model identified the following predictors for high adherence scores: female gender (odds ratio (OR) = 1.715 (1.581–1.861), p < 0.001); being a healthcare worker/student (OR = 2.180 (2.000–2.377), p < 0.001); obtaining COVID-19 information from official sources (OR = 1.460 (1.341–1.589), p < 0.001); and having postgraduate education (OR = 1.679 (1.220–2.307), p < 0.001). Conversely, obtaining COVID-19 information from social media and residing in urban settings were associated with lower adherence. Targeted and context-specific adaptations of the COVID-19 response may be required in Somalia.
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