How do the general population behave with facemasks to prevent COVID-19 in the community? A multi-site observational study
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Author(s)
Deschanvres, Colin
Haudebourg, Thomas
Peiffer-Smadja, Nathan
Boutoille, David
Lucet, Jean-Christophe
Type
Journal Article
Abstract
OBJECTIVE: The appropriate use of facemasks, recommended or mandated by authorities, is critical to prevent the spread of COVID-19 in the community. We aim to evaluate frequency and quality of facemask use in general populations. METHODS: A multi-site observational study was carried out from June to July 2020 in the west of France. An observer was positioned at a predetermined place, facing a landmark, and all individual passing between the observer and the landmark were included. The observer collected information on facemask use (type, quality of positioning), location and demographic characteristics. RESULTS: A total of 3354 observations were recorded. A facemask was worn by 56.4% (n=1892)of individuals, including surgical facemasks (56.8%, n=1075) and cloth masks (43.2%,n=817). The facemask was correctly positioned in 75.2% (n=1422) of cases. The factors independently associated with wearing a facemask were being indoors(adjusted odds ratio [aOR], 2.7; 95% confidence interval [CI], 2.28-3.19), being in a mandatory area (aOR, 6.92; 95%CI, 5-9.7), female gender (aOR, 1.75; 95%CI, 1.54-2.04), age 41-65 years (aOR, 1.7; 95%CI, 1.43-2.02) and age >65 years (aOR, 2.28;95%CI, 1.83-2.85). The factors independently associated with correct mask position were rural location (aOR, 1.38; 95%CI, 1.07-1.79), being in an indoor area (aOR, 1.85;95%CI, 1.49-2.3), use of clothmask (aOR, 1.53; 95%CI, 1.23-1.91), and age >40 years (aOR, 1.75 95%CI 1.37-2.23).CONCLUSIONS: During the initial phase of the COVID-19 pandemic, the frequency and quality of facemask wearing remained low in the community setting. Young people in general, and men in particular, represent the priority targets for information campaigns. Simplifying the rules to require universal mandatory facemasking seemed to be the best approach for health authorities.
Date Issued
2021-03-29
Date Acceptance
2021-03-08
Citation
Antimicrobial Resistance and Infection Control, 2021, 10
ISSN
2047-2994
Publisher
BioMed Central
Journal / Book Title
Antimicrobial Resistance and Infection Control
Volume
10
Copyright Statement
© The Author(s) 2021. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
License URL
Sponsor
ESRC
Subjects
0605 Microbiology
1103 Clinical Sciences
1108 Medical Microbiology
Publication Status
Published
Article Number
ARTN 61