Association Between Face Masks Use and Occupation in Cameroon: Perceived Susceptibility to COVID-19 and Physician’s Roles
Armel Fosso Setubi, Mersha Wubie, Alain Pitti Djida, Xavier Emmanuel Fosoumo, Basile Tchiotchoua Nousse, Xavier Gabriel Fopokam, Annie-Flore Kwangwa Tchougene
Abstract
Introduction: Face masks use among Cameroonians is a new behavior. Many citizens have adopted face masks as a step to prevent the spread of COVID-19. Individuals might use face masks because of their profession, risk perception, and social status. This study aims at evaluating the relation between occupation and face masks use in COVID-19 setting in Cameroon. Our study hypothesizes that face masks use is not associated with occupation in Cameroon.
Methods: A survey was conducted from May 13 to June 3, 2020, among Cameroonians ranging from ages 15 to 66+. Participants answered questions regarding face mask use, occupation, perceived susceptibility to COVID-19, and physicians' guidance. A binary logistic regression analysis was used to examine the association between face masks use and occupation.
Results: A total of 1,525 persons responded to the survey among 837 males and 688 females. After adjustment, face masks use was not associated with the occupation. Guidance provided by physicians were positively associated with face masks use (OR=2.06, 95%CI:1.48-2.85). Face masks use was also associated with reported answers on whether: face masks protect against COVID-19 (OR=10.48, 95%CI: 7.20-15.25), ability to easily access physician’s guidance about COVID-19 on social media (OR=2.70, 95%CI: 1.94-3.75), and the belief that Africans are naturally resistant to COVID-19 (OR=1.73, 95% CI: 1.13-2.65).
Conclusions: Our study provides evidence that face masks use in COVID-19 setting in Cameroon is not associated with occupation. However, physicians’ role has an impact on people’s behavior. The association between face masks use and the belief that Africans are naturally resistant to COVID-19 points to low perceived susceptibility that needs to be addressed by health professionals and competent civil authorities.
Keywords
References
1. Asadi S, Bouvier N, Wexler AS, Ristenpart WD. The coronavirus pandemic and aerosols: Does COVID-19 transmit via expiratory particles? Aerosol Sci Technol. 2020;0(0):1-4. doi: 10.1080/02786826.2020.1749229.
2. Ningthoujam R. COVID 19 can spread through breathing, talking, study estimates. Curr Med Res Pract. 2020;10(3):132-3. doi: 10.1016/j.cmrp.2020.05.003.
3. Van der Pligt J. Perceived risk and vulnerability as predictors of precautionary behavior. Bri J Health Psychol. 1998;3:1-14. doi: 10.1111/j.2044-8287.1998.tb00551.x.
4. Stasson M, Fishbein M. The relation between perceived risk and preventive action: a within‐subject analysis of perceived driving risk and intentions to wear seatbelts. J Aplp Soc Psychol. 1990;20(19):1541-57. doi: 10.1111/j.1559-1816.1990.tb01492.x.
5. Kawaguchi R, Miyazono M, Noda T, Takayama Y, Sasai Y, Iso H. Influenza (H1N1) 2009 outbreak and school closure, Osaka Prefecture, Japan. Emerg Infect Dis. 2009;15(10):1685. doi: 10.3201/eid1510.091029.
6. Burgess A, Horii M. Risk, ritual and health responsibilisation: Japan's 'safety blanket' of surgical face mask-wearing. Sociol Health Illn. 2012;34(8):1184-98. doi: 10.1111/j.1467-9566.2012.01466.x.
7. Wada K, Oka-Ezoe K, Smith DR. Wearing face masks in public during the influenza season may reflect other positive hygiene practices in Japan. BMC Public Health. 2012;12:1065. doi: 10.1186/1471-2458-12-1065.
8. The Joint Commission. Statement on universal masking of staff, patients, and visitors in health care settings. Available from: https://www.jointcommission.org/-/media/tjc/documents/covid19/universal-masking-statement-04232020.pdf (accessed June 29, 2020)
9. Garcia Godoy LR, Jones AE, Anderson TN, Fisher CL, Seeley KML, Beeson EA, et al. Facial protection for healthcare workers during pandemics: a scoping review. BMJ Glob Health. 2020;5(5):e002553. doi: 10.1136/bmjgh-2020-002553.
10. Centers for Disease Control and Prevention (CDC). Considerations for wearing masks. Help slow the spread of COVID-19. Available from: https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/cloth-face-cover-guidance.html (accessed June 30, 2020)
11. Jantchou P, Alegbeleye BJ, Nguyen V. Physician roles and responsibilities in the context of a pandemic in resource-limited areas: impact of social media. Iberoam J Med. 2020;2(3):201-14. doi: 10.5281/zenodo.3813830.
12. Helmond A, Nieborg DB, van der Vlist FN. The political economy of social data: A historical analysis of platform-industry partnerships. SMSociety. 2017;38:1-5. doi: 10.1145/3097286.3097324.
13. Ventola CL. Social media and health care professionals: benefits, risks, and best practices. P T. 2014;39(7):491-520.
14. Rung A, Warnke F, Mattheos N. Investigating the use of smartphones for learning purposes by Australian dental students. JMIR Mhealth Uhealth. 2014;2(2):e20. doi: 10.2196/mhealth.3120.
15. Brunette MF, Achtyes E, Pratt S, Stilwell K, Opperman M, Guarino S, et al. Use of Smartphones, Computers and Social Media Among People with SMI: Opportunity for Intervention. Community Ment Health J. 2019;55(6):973-8. doi: 10.1007/s10597-019-00431-7.
16. Bernhardt JM, Alber J, Gold RS. A social media primer for professionals: digital dos and don'ts. Health Promot Pract. 2014;15(2):168-72. doi: 10.1177/1524839913517235.
17. Campbell L, Evans Y, Pumper M, Moreno MA. Social media use by physicians: a qualitative study of the new frontier of medicine. BMC Med Inform Decis Mak. 2016;16:91. doi: 10.1186/s12911-016-0327-y.
18. Ahmad AR, Murad HR. The Impact of Social Media on Panic During the COVID-19 Pandemic in Iraqi Kurdistan: Online Questionnaire Study. J Med Internet Res. 2020;22(5):e19556. doi: 10.2196/19556.
19. Encyclopædia Britannica. Available from: https://www.britannica.com/place/Cameroon/Settlement-patterns#ref281027 (accessed June 28, 2020)
20. Worldometers: Cameroon population. Available from: https://www.worldometers.info/world-population/cameroon-population/(accessed June 28, 2020)
21. Cameroon: Coronavirus cases. Available from: https://www.worldometers.info/coronavirus/country/cameroon/ (accessed July 20, 2020)
22. World Health Organization. Available from: https://covid19.who.int/region/afro/country/cm(accessed July 20, 2020)
23. Johns Hopkins Coronavirus Resource Center. Available from: https://coronavirus.jhu.edu/map.html(accessed July 20, 2020)
24. Akwa TE, Ning TR, Maingi JM. Assessing the perceptions and awareness of COVID-19 (Coronavirus) in Cameroon. EJMETS. 2020;13(2): em2007. doi: 10.2139/ssrn.3628380.
25. World Population Review: population of all cities in Cameroon. Available from: https://worldpopulationreview.com/countries/cities/cameroon (accessed July 20, 2020)
26. Roland LT, Gurrola JG 2nd, Loftus PA, Cheung SW, Chang JL. Smell and taste symptom-based predictive model for COVID-19 diagnosis. Int Forum Allergy Rhinol. 2020;10(7):832-8. doi: 10.1002/alr.22602.
27. Countries of the World. Available from: https://theodora.com/wfbcurrent/cameroon/cameroon_people.html (accessed July 20, 2020)
28. Minsanté. Available from: http://covid19.minsante.cm (accessed July 20, 2020)
29. George DR, Rovniak LS, Kraschnewski JL. Dangers and opportunities for social media in medicine. Clin Obstet Gynecol. 2013;56(3):453-62. doi: 10.1097/GRF.0b013e318297dc38.
30. von Muhlen M, Ohno-Machado L. Reviewing social media use by clinicians. J Am Med Inform Assoc. 2012;19(5):777-81. doi: 10.1136/amiajnl-2012-000990.
31. ASHP statement on use of social media by pharmacy professionals. Available from: https://www.ashp.org/-/media/assets/policy-guidelines/docs/statements/use-of-social-media-by-pharmacy-professionals.ashx (accessed June 28, 2020)
32. Chauhan B, George R, Coffin J. Social media and you: what every physician needs to know. J Med Pract Manage. 2012;28(3):206-9.
33. Grindrod K, Forgione A, Tsuyuki RT, Gavura S, Giustini D. Pharmacy 2.0: a scoping review of social media use in pharmacy. Res Social Adm Pharm. 2014;10(1):256-70. doi: 10.1016/j.sapharm.2013.05.004.
34. Wang MW, Zhou MY, Ji GH, Ye L, Cheng YR, Feng ZH, et al. Mask crisis during the COVID-19 outbreak. Eur Rev Med Pharmacol Sci. 2020;24(6):3397-9. doi: 10.26355/eurrev_202003_20707.
35. World Health Organization. Advice on the Use of Masks in the Context of COVID-19. Available from: https://www.who.int/publications-detail/advice-on-the-use-of-masks-in-the-community-during-home-care-and-in-healthcare-settings-in-the-context-of-the-novel-coronavirus-(2019-ncov)-outbreak. (accessed July 30, 2020)
36. Greenhalgh T, Schmid MB, Czypionka T, Bassler D, Gruer L. Face masks for the public during the covid-19 crisis. BMJ. 2020;369:m1435. doi: 10.1136/bmj.m1435.
37. Mahase E. Covid-19: What is the evidence for cloth masks? BMJ. 2020;369:m1422. doi: 10.1136/bmj.m1422.
38. Chu DK, Akl EA, Duda S, Solo K, Yaacoub S, Schünemann HJ, et al. Physical distancing, face masks, and eye protection to prevent person-to-person transmission of SARS-CoV-2 and COVID-19: a systematic review and meta-analysis. Lancet. 2020;395(10242):1973-87. doi: 10.1016/S0140-6736(20)31142-9.
39. Lyu W, Wehby GL. Community Use Of Face Masks And COVID-19: Evidence From A Natural Experiment Of State Mandates In The US. Health Aff (Millwood). 2020;39(8):1419-25. doi: 10.1377/hlthaff.2020.00818.
40. Feng S, Shen C, Xia N, Song W, Fan M, Cowling BJ. Rational use of face masks in the COVID-19 pandemic. Lancet Respir Med. 2020;8(5):434-6. doi: 10.1016/S2213-2600(20)30134-X.
41. Leung NHL, Chu DKW, Shiu EYC, Chan KH, McDevitt JJ, Hau BJP, et al. Respiratory virus shedding in exhaled breath and efficacy of face masks. Nat Med. 2020;26(5):676-80. doi: 10.1038/s41591-020-0843-2.
Submitted date:
07/21/2020
Reviewed date:
08/01/2020
Accepted date:
08/03/2020
Publication date:
08/06/2020
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