Adherence to face mask use during the COVID-19 pandemic among women seeking antenatal care in Kinshasa, Democratic Republic of Congo: a facility-based cross-sectional study
Objectives To describe face mask use among pregnant women seeking antenatal care (ANC) in Kinshasa, Democratic Republic of Congo and to identify factors associated with masking adherence in this population.Design Facility-based cross-sectional study nested within a prospective cohort study.Setting R...
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| Format: | Article |
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BMJ Publishing Group
2022-07-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/7/e060929.full |
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| author | Steven Anderson Dalau Mukadi Nkamba Patrick J Arena Adva Gadoth Nicole A Hoff Camille Dzogang David Kampilu Michael Beya Hui-Lee Wong Didine Kaba Anne W Rimoin |
| author_facet | Steven Anderson Dalau Mukadi Nkamba Patrick J Arena Adva Gadoth Nicole A Hoff Camille Dzogang David Kampilu Michael Beya Hui-Lee Wong Didine Kaba Anne W Rimoin |
| author_sort | Steven Anderson |
| collection | DOAJ |
| description | Objectives To describe face mask use among pregnant women seeking antenatal care (ANC) in Kinshasa, Democratic Republic of Congo and to identify factors associated with masking adherence in this population.Design Facility-based cross-sectional study nested within a prospective cohort study.Setting Random sample of 10 health facilities, including 5 primary health centers and 5 secondary facilities or hospitals.Participants A total of 934 pregnant women aged 18 years or above with a gestational age of at least 32 weeks were consecutively surveyed from 17 August 2020 to 31 January 2021.Primary and secondary outcome measures We estimated the proportions of pregnant women wearing a face mask and masking correctly (ie, over the mouth and nose), and assessed their knowledge regarding the COVID-19 pandemic. Multivariable logistic regression was employed to identify factors associated with overall and correct face mask use.Results Overall, 309 (33.1%) women wore a mask during the interview after their antenatal appointments, but only 33 (10.7%) wore a mask correctly. The odds of masking and correct mask use were significantly higher among women who had their ANC visit in a facility that provided COVID-19 care. Additionally, women who experienced COVID-19-like symptoms in the past 6 months had higher odds of wearing a mask correctly compared with those reporting no recent symptoms. Although 908 (97.2%) women were aware of the COVID-19 pandemic, only 611 (67.3%) thought that COVID-19 was circulating locally in Kinshasa.Conclusion Overall and correct face mask adherence levels were low among pregnant women attending ANC in Kinshasa. Our study highlights the need for improving adherence to correct face mask use in order to help control the spread of COVID-19 within Kinshasa alongside other control measures, like vaccination. |
| format | Article |
| id | doaj-art-025c28aebae2493c9c922b98cae52089 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-025c28aebae2493c9c922b98cae520892025-01-31T16:35:12ZengBMJ Publishing GroupBMJ Open2044-60552022-07-0112710.1136/bmjopen-2022-060929Adherence to face mask use during the COVID-19 pandemic among women seeking antenatal care in Kinshasa, Democratic Republic of Congo: a facility-based cross-sectional studySteven Anderson0Dalau Mukadi Nkamba1Patrick J Arena2Adva Gadoth3Nicole A Hoff4Camille Dzogang5David Kampilu6Michael Beya7Hui-Lee Wong8Didine Kaba9Anne W Rimoin10Center for Biologics Evaluation and Research, Rockville, Maryland, USAKinshasa School of Public Health, Universite de Kinshasa, Kinshasa, Congo (the Democratic Republic of the)Department of Epidemiology, University of California Jonathan and Karin Fielding School of Public Health, Los Angeles, California, USADepartment of Epidemiology, University of California Jonathan and Karin Fielding School of Public Health, Los Angeles, California, USADepartment of Epidemiology, University of California Jonathan and Karin Fielding School of Public Health, Los Angeles, California, USAUCLA-DRC Health Research and Training Program, Kinshasa, Democratic Republic of CongoUCLA-DRC Health Research and Training Program, Kinshasa, Democratic Republic of CongoUCLA-DRC Health Research and Training Program, Kinshasa, Democratic Republic of CongoCenter for Biologics Evaluation and Research, Rockville, Maryland, USAKinshasa School of Public Health, Universite de Kinshasa, Kinshasa, Congo (the Democratic Republic of the)Epidemiology, University of California Los Angeles Jonathan and Karin Fielding School of Public Health, Los Angeles, California, USAObjectives To describe face mask use among pregnant women seeking antenatal care (ANC) in Kinshasa, Democratic Republic of Congo and to identify factors associated with masking adherence in this population.Design Facility-based cross-sectional study nested within a prospective cohort study.Setting Random sample of 10 health facilities, including 5 primary health centers and 5 secondary facilities or hospitals.Participants A total of 934 pregnant women aged 18 years or above with a gestational age of at least 32 weeks were consecutively surveyed from 17 August 2020 to 31 January 2021.Primary and secondary outcome measures We estimated the proportions of pregnant women wearing a face mask and masking correctly (ie, over the mouth and nose), and assessed their knowledge regarding the COVID-19 pandemic. Multivariable logistic regression was employed to identify factors associated with overall and correct face mask use.Results Overall, 309 (33.1%) women wore a mask during the interview after their antenatal appointments, but only 33 (10.7%) wore a mask correctly. The odds of masking and correct mask use were significantly higher among women who had their ANC visit in a facility that provided COVID-19 care. Additionally, women who experienced COVID-19-like symptoms in the past 6 months had higher odds of wearing a mask correctly compared with those reporting no recent symptoms. Although 908 (97.2%) women were aware of the COVID-19 pandemic, only 611 (67.3%) thought that COVID-19 was circulating locally in Kinshasa.Conclusion Overall and correct face mask adherence levels were low among pregnant women attending ANC in Kinshasa. Our study highlights the need for improving adherence to correct face mask use in order to help control the spread of COVID-19 within Kinshasa alongside other control measures, like vaccination.https://bmjopen.bmj.com/content/12/7/e060929.full |
| spellingShingle | Steven Anderson Dalau Mukadi Nkamba Patrick J Arena Adva Gadoth Nicole A Hoff Camille Dzogang David Kampilu Michael Beya Hui-Lee Wong Didine Kaba Anne W Rimoin Adherence to face mask use during the COVID-19 pandemic among women seeking antenatal care in Kinshasa, Democratic Republic of Congo: a facility-based cross-sectional study BMJ Open |
| title | Adherence to face mask use during the COVID-19 pandemic among women seeking antenatal care in Kinshasa, Democratic Republic of Congo: a facility-based cross-sectional study |
| title_full | Adherence to face mask use during the COVID-19 pandemic among women seeking antenatal care in Kinshasa, Democratic Republic of Congo: a facility-based cross-sectional study |
| title_fullStr | Adherence to face mask use during the COVID-19 pandemic among women seeking antenatal care in Kinshasa, Democratic Republic of Congo: a facility-based cross-sectional study |
| title_full_unstemmed | Adherence to face mask use during the COVID-19 pandemic among women seeking antenatal care in Kinshasa, Democratic Republic of Congo: a facility-based cross-sectional study |
| title_short | Adherence to face mask use during the COVID-19 pandemic among women seeking antenatal care in Kinshasa, Democratic Republic of Congo: a facility-based cross-sectional study |
| title_sort | adherence to face mask use during the covid 19 pandemic among women seeking antenatal care in kinshasa democratic republic of congo a facility based cross sectional study |
| url | https://bmjopen.bmj.com/content/12/7/e060929.full |
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