Volume 11, Issue 1 (Winter 2022)                   J Occup Health Epidemiol 2022, 11(1): 23-31 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Arasteh A, Mostafavi S, Mirza-Aghazadeh-Attari M, Alizadeh M, Mostafavi Montazeri S M, Hejazian S M et al . Associations between Wearing Masks, Hand Washing, and the Risk of COVID-19 Contraction: A Case-Control Study in the Northwest of Iran. J Occup Health Epidemiol 2022; 11 (1) :23-31
URL: http://johe.rums.ac.ir/article-1-508-en.html

Related article in
Google Scholar

1- Resident Student in Ophthalmology, Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
2- MD Student, Student Research Committee, Kidney Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
3- MD Student, Dept. of Radiology, Medical Radiation Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
4- Professor, Social Determinants of Health Research Center, Dept. of Community and Family Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
5- Resident Student in Internal Medicine, Clinical Research Development Center of Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
6- MSc in Medical Biotechnology, Student Research Committee, Kidney Research Center, Tabriz University of Medical Sciences, Tabriz, Iran. , s.mina.hejazian@gmail.com
7- MD Student, Student Research Committee, Alborz University of Medical Sciences, Karaj, Iran. , sabamst26@gmail.com
Article history
Received: 2021/11/5
Accepted: 2022/02/28
ePublished: 2022/03/25
Subject: Epidemiology
Abstract:   (1722 Views)
Background: Scientists believe that the new coronavirus causing COVID-19 is airborne. It has been approved that wearing masks and hand washing prevent the spread of COVID-19. This study aimed to evaluate the association between wearing facemasks, hand washing, and COVID-19 contraction in the population of Tabriz, Iran.
Materials & Methods: In this analytical study, necessary information was collected via four online multi-optional questionnaires on sociodemographic characteristics, the COVID-19 virus, mask-wearing behaviors, and hand hygiene habits among 360 individuals (120 cases and 240 controls). Based on data normality, quantitative variables were reported as mean ± standard deviation or the median (min-max). In addition, the relationship between qualitative variables was evaluated by the Fisher’s exact test, and correlations were assessed by the Spearman's test.
Results: Elderly individuals and their care seekers had fewer potentials for exposure to COVID-19 (p = 0.010), but healthcare workers were at a higher risk of contracting the virus than other occupations (p = 0.002). In addition, smokers were at a lower risk of the disease than other healthy people (p = 0.009). Furthermore, the incidence of COVID-19 was significantly higher among individuals not wearing facemasks than others (p = 0.007).
Conclusions: we concluded that wearing a facemask was more effective than hand washing and antiseptics in preventing the incidence of COVID-19 contraction; thus, people not wearing facemasks were at a higher risk of the viral infection.

 
Full-Text [PDF 468 kb]   (563 Downloads) |   |   Full-Text (HTML)  (86 Views)  

References
1. Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A Novel Coronavirus from Patients with Pneumonia in China, 2019. N Engl J Med 2020; 382(8):727-33. [DOI] [PMID] [PMCID]
2. Liu J, Zheng X, Tong Q, Li W, Wang B, Sutter K, et al. Overlapping and discrete aspects of the pathology and pathogenesis of the emerging human pathogenic coronaviruses SARS-CoV, MERS-CoV, and 2019-nCoV. J Med Virol 2020; 92(5):491-4. [DOI] [PMID] [PMCID]
3. Mahase E. Covid-19: WHO declares pandemic because of "alarming levels" of spread, severity, and inaction. BMJ 2020; 368:m1036. [DOI] [PMID]
4. Johns Hopkins University & Medicine. Iran Overview. COVID-19. Baltimore, United States: Johns Hopkins University & Medicine; 2022. Available from: https://coronavirus.jhu.edu/region/iran.
5. Seyyed Mahdi SM, Nadji SA, Mohammadi H, Farhang Dehghan S, Vaziri MH, Jamaati H, et al . Assessment of SARS-CoV-2 in air and surfaces of ICU ward in one of the designated hospitals in Tehran. Iran Occup Health J 2020; 17(S1):11.
6. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020; 395(10223):497-506. [DOI] [PMID] [PMCID]
7. Morawska L, Cao J. Airborne transmission of SARS-CoV-2: The world should face the reality. Environ Int 2020; 139:105730. [DOI] [PMID] [PMCID]
8. Howard J, Huang A, Li Z, Tufekci Z, Zdimal V, van der Westhuizen HM, et al. An evidence review of face masks against COVID-19. Proc Natl Acad Sci U S A 2021; 118(4):e2014564118. [DOI] [PMID] [PMCID]
9. Aiello AE, Perez V, Coulborn RM, Davis BM, Uddin M, Monto AS. Facemasks, hand hygiene, and influenza among young adults: a randomized intervention trial. PLoS One 2012; 7(1):e29744. [DOI] [PMID] [PMCID]
10. Aledort JE, Lurie N, Wasserman J, Bozzette SA. Non-pharmaceutical public health interventions for pandemic influenza: an evaluation of the evidence base. BMC Public Health 2007; 7:208. [DOI] [PMID] [PMCID]
11. Flaxman S, Mishra S, Gandy A, Unwin HJT, Mellan TA, Coupland H, et al. Estimating the effects of non-pharmaceutical interventions on COVID-19 in Europe. Nature 2020; 584(7820):257-61. [DOI] [PMID]
12. Yuen KS, Ye ZW, Fung SY, Chan CP, Jin DY. SARS-CoV-2 and COVID-19: The most important research questions. Cell Biosci 2020; 10:40. [DOI] [PMID] [PMCID]
13. Karlsson LC, Soveri A, Lewandowsky S, Karlsson L, Karlsson H, Nolvi S, et al. Fearing the disease or the vaccine: The case of COVID-19. Pers Individ Dif 2021; 172:110590. [DOI] [PMID] [PMCID]
14. Liu Y, Yu Q, Wen H, Shi F, Wang F, Zhao Y, et al. What matters: non-pharmaceutical interventions for COVID-19 in Europe. Antimicrob Resist Infect Control 2022; 11(1):3. [DOI] [PMID] [PMCID]
15. Cheng VC, Wong SC, Chuang VW, So SY, Chen JH, Sridhar S, et al. The role of community-wide wearing of face mask for control of coronavirus disease 2019 (COVID-19) epidemic due to SARS-CoV-2. J Infect 2020; 81(1):107-14. [DOI] [PMID] [PMCID]
16. Levine Z, Earn DJD. Face masking and COVID-19: potential effects of variolation on transmission dynamics. J R Soc Interface 2022; 19(190):20210781. [DOI] [PMID] [PMCID]
17. Ma QX, Shan H, Zhang HL, Li GM, Yang RM, Chen JM. Potential utilities of mask‐wearing and instant hand hygiene for fighting SARS‐CoV‐2. J Med Virol 2020; 92(9):1567-71. [DOI] [PMID] [PMCID]
18. Peyrony O, Ellouze S, Fontaine JP, Thegat-Le Cam M, Salmona M, Feghoul L, et al. Surfaces and equipment contamination by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in the emergency department at a university hospital. Int J Hyg Environ Health 2020; 230:113600. [DOI] [PMID] [PMCID]
19. Lehmann EY, Lehmann LS. Responding to Patients Who Refuse to Wear Masks During the Covid-19 Pandemic. J Gen Intern Med 2021; 36(9):2814-5. [DOI] [PMID] [PMCID]
20. Shahnazi H, Ahmadi-Livani M, Pahlavanzadeh B, Rajabi A, Hamrah MS, Charkazi A. Assessing preventive health behaviors from COVID-19: a cross sectional study with health belief model in Golestan Province, Northern of Iran. Infect Dis Poverty 2020; 9(1):157. [DOI] [PMID] [PMCID]
21. Fathian-Dastgerdi Z, Khoshgoftar M, Tavakoli B, Jaleh M. Factors associated with preventive behaviors of COVID-19 among adolescents: Applying the health belief model. Res Social Adm Pharm 2021; 17(10):1786-90. [DOI] [PMID] [PMCID]
22. Firouzbakht M, Omidvar S, Firouzbakht S, Asadi-Amoli A. COVID-19 preventive behaviors and influencing factors in the Iranian population; a web-based survey. BMC Public Health 2021; 21(1):143. [DOI] [PMID] [PMCID]
23. World Health Organization. Modes of transmission of virus causing COVID-19: implications for IPC precaution recommendations. Geneva, Switzerland: World Health Organization; 2020. [Report]
24. Tsigaris P, Teixeira da Silva JA. Smoking Prevalence and COVID-19 in Europe. Nicotine Tob Res 2020; 22(9):1646-9. [DOI] [PMID] [PMCID]
25. Simons D, Shahab L, Brown J, Perski O. The association of smoking status with SARS-CoV-2 infection, hospitalization and mortality from COVID-19: a living rapid evidence review with Bayesian meta-analyses (version 7). Addiction 2021; 116(6):1319-68. [DOI] [PMID] [PMCID]
26. González-Marrón A, Martínez-Sánchez JM. Correlation between prevalence of tobacco smoking and risk and severity of COVID-19 at the national level in the European :union:: an ecological study. MedRxiv 2020. doi: 10.1101/2020.04.28.20083352. [DOI]
27. Miyara M, Tubach F, Pourcher V, Morelot-Panzini C, Pernet J, Haroche J, et al. Low incidence of daily active tobacco smoking in patients with symptomatic COVID-19. Qeios 2020. doi:10.32388/WPP19W.3 [DOI]
28. Usman MS, Siddiqi TJ, Khan MS, Patel UK, Shahid I, Ahmed J, et al. Is there a smoker’s paradox in COVID-19? BMJ Evid Based Med 2021; 26(6):279-84. [DOI] [PMID]
29. Alqahtani JS, Oyelade T, Aldhahir AM, Alghamdi SM, Almehmadi M, Alqahtani AS, et al. Prevalence, Severity and Mortality Associated with COPD and Smoking in Patients with COVID-19: A Rapid Systematic Review and Meta-Analysis. PLoS One 2020; 15(5):e0233147. [DOI] [PMID] [PMCID]
30. Magfira N, Helda H. Correlation Between Adult Tobacco Smoking Prevalence and Mortality of Coronavirus Disease-19 Across the World. Acta Med Indones 2020; 52(4):318-25. [DOI] [PMID]
31. Korzeniowska A, Ręka G, Bilska M, Piecewicz-Szczęsna H. The smoker's paradox during the COVID-19 pandemic? The influence of smoking and vaping on the incidence and course of SARS-CoV-2 virus infection as well as possibility of using nicotine in the treatment of COVID-19 - Review of the literature. Przegl Epidemiol 2021; 75(1):27-44. [DOI] [PMID]
32. Shahid Z, Kalayanamitra R, McClafferty B, Kepko D, Ramgobin D, Patel R, et al. COVID‐19 and Older Adults: What We Know. J Am Geriatr Soc 2020; 68(5):926-9. [DOI] [PMID] [PMCID]
33. Rollston R, Galea S. COVID-19 and the Social Determinants of Health. Am J Health Promot 2020; 34(6):687-9. [DOI] [PMID]
34. Ho KF, Lin LY, Weng SP, Chuang KJ. Medical mask versus cotton mask for preventing respiratory droplet transmission in micro environments. Sci Total Environ 2020; 139510. [DOI] [PMID] [PMCID]
35. Zheng YY, Ma YT, Zhang JY, Xie X. COVID-19 and the cardiovascular system. Nat Rev Cardiol 2020; 17(5):259-60. [DOI] [PMID] [PMCID]
36. Long B, Brady WJ, Koyfman A, Gottlieb M. Cardiovascular complications in COVID-19. Am J Emerg Med 2020; 38(7):1504-7. [DOI] [PMID] [PMCID]
37. Nguyen LH, Drew DA, Graham MS, Joshi AD, Guo CG, Ma W, et al. Risk of COVID-19 among front-line health-care workers and the general community: a prospective cohort study. Lancet Public Health 2020; 5(9):e475-e83. [DOI] [PMID] [PMCID]
38. Goldman E. Exaggerated risk of transmission of COVID-19 by fomites. Lancet Infect Dis 2020; 20(8):892-3. [DOI] [PMID] [PMCID]
39. Zare F, Teimouri M, Khosravi A, Rohani-Rasaf M, Chaman R, Hosseinzadeh A, et al. COVID-19 re-infection in Shahroud, Iran: a follow-up study. Epidemiol Infect 2021; 149:e159. [DOI] [PMID] [PMCID]
40. Firouzbakht M, Omidvar S, Firouzbakht S, Asadi-Amoli A. COVID-19 preventive behaviors and influencing factors in the Iranian population; a web-based survey. BMC Public Health 2021; 21(1):143. [DOI] [PMID] [PMCID]
41. Shiraly R, Shayan Z, McLaws ML. Face touching in the time of COVID-19 in Shiraz, Iran. Am J Infect Control 2020; 48(12):1559-61. [DOI] [PMID] [PMCID]
42. Shamsalinia A, Mohammadi S, Ghaffari F, Arazi T. Changes in Preventive Behavior During the First 3 Months of the COVID-19 Outbreak in Iran. Disaster Med Public Health Prep 2020; 1-8.doi: 10.1017/dmp.2020.378. [DOI] [PMID] [PMCID]
43. Suen LKP, So ZYY, Yeung SKW, Lo KYK, Lam SC. Epidemiological investigation on hand hygiene knowledge and behaviour: a cross-sectional study on gender disparity. BMC Public Health 2019; 19(1):401. [DOI] [PMID] [PMCID]
44. Bashirian S, Khazaie S, Barati M, Jenabi E, Soltanian A, Shirahmadi S, et al. COVID-19 Prevention Behaviors among Health Staff: Data from a Large Survey in the West of Iran. J Res Health Sci 2021; 21(1):e00509. [DOI] [PMID] [PMCID]
45. Sabetian G, Moghadami M, Hashemizadeh Fard Haghighi L, Shahriarirad R, Fallahi MJ, Asmarian N, et al. COVID-19 infection among healthcare workers: a cross-sectional study in southwest Iran. Virol J 2021; 18(1):58. [DOI] [PMID] [PMCID]
46. Fouladi Dehaghi B, Ghodrati-Torbati A, Teimori G, Ibrahimi Ghavamabadi L, Jamshidnezhad A. Face masks vs. COVID-19: a systematic review. Invest Educ Enferm 2020; 38(2):e13. [DOI] [PMID] [PMCID]
47. Zangoue M, Safari H, Royce SG, Zangooie A, Rezapour H, Zangouei A, et al. The high level of adherence to personal protective equipment in health care workers efficiently protects them from COVID-19 infection. Work 2021; 69(4):1191-6. [DOI] [PMID]
48. Nasrabadi AN, Shali M, Ghorbani A, Matourypour P, Harati Khalilabad T. Challenges with healthcare workers' protection during the COVID-19 pandemic in Iran. Br J Oral Maxillofac Surg 2021; 59(3):e114-7. [DOI] [PMID] [PMCID]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

2024 CC BY 4.0 | Journal of Occupational Health and Epidemiology

Designed & Developed by : Yektaweb