Volume 11, Issue 1 (Winter 2022)
J Occup Health Epidemiol 2022, 11(1): 23-31 |
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Amin Arasteh1 
, Soroush Mostafavi2 , Mohammad Mirza-Aghazadeh-Attari3 , Mahasti Alizadeh4 , Seyedeh Mina Mostafavi Montazeri5 , Seyyedeh Mina Hejazian * 6, Seyede Saba Mostafavi Montazeri*7
, Soroush Mostafavi2 , Mohammad Mirza-Aghazadeh-Attari3 , Mahasti Alizadeh4 , Seyedeh Mina Mostafavi Montazeri5 , Seyyedeh Mina Hejazian * 6, Seyede Saba Mostafavi Montazeri*7
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
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: 2021/12/5
Accepted: 2022/02/28
ePublished: 2022/06/12
Accepted: 2022/02/28
ePublished: 2022/06/12
Subject:
Epidemiology
Abstract: (1315 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.
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.
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]
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