Compliance with the use of medical and cloth masks among healthcare workers in Vietnam

Chughtai, AA; Seale, H; Dung, TC; Hayen, A; Rahman, B; Raina MacIntyre, C

Compliance with the use of medical and cloth masks among healthcare workers in Vietnam

Chughtai, AA Seale, H Dung, TC Hayen, A

Rahman, B Raina MacIntyre, C

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Publication Type:: Journal Article
Citation:: Annals of Occupational Hygiene, 2016, 60 (5), pp. 619 - 630
Issue Date:: 2016-01-01

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Field	Value	Language
dc.contributor.author	Chughtai, AA	en_US
dc.contributor.author	Seale, H	en_US
dc.contributor.author	Dung, TC	en_US
dc.contributor.author	Hayen, A https://orcid.org/0000-0003-4046-8030	en_US
dc.contributor.author	Rahman, B	en_US
dc.contributor.author	Raina MacIntyre, C	en_US
dc.date.available	2016-01-19	en_US
dc.date.issued	2016-01-01	en_US
dc.identifier.citation	Annals of Occupational Hygiene, 2016, 60 (5), pp. 619 - 630	en_US
dc.identifier.issn	0003-4878	en_US
dc.identifier.uri	http://hdl.handle.net/10453/98418
dc.description.abstract	© The Author 2016. Background: Masks are often worn in healthcare settings to prevent the spread of infection from healthcare workers (HCWs) to patients. Masks are also used to protect the employee from patient-generated infectious organisms but poor compliance can reduce efficacy. The aim of this study was to examine the factors influencing compliance with the use of medical and cloth masks amongst hospital HCWs. Methods: HCWs compliance with the use of medical and cloth masks was measured over a 4-week period in a randomized controlled trial in Vietnam. HCWs were instructed to record their daily activities in diary cards. Demographic, clinical, and diary card data were used to determine the predictors of compliance and the relationship of compliance with infection outcomes. Results: Compliance rates for both medical and cloth masks decreased during the 4 weeks: medical mask use decreased from 77 to 68% (P < 0.001) and cloth masks from 78 to 69% (P < 0.001). The presence of adverse events (adjusted RR 0.90, 95% CI 0.85-0.95), and performing aerosol-generating procedures (adjusted RR 0.78, 95% CI 0.73-0.82) were negatively associated with compliance, while contact with febrile respiratory illness patients was positively associated (adjusted RR 1.14, 95% CI 1.07-1.20). Being compliant with medical or cloth masks use (average use ≥70% of working time) was not associated with clinical respiratory illness, influenza-like illness, and laboratory-confirmed viral infection. Conclusion: Understanding the factors that affect compliance is important for the occupational health and safety of HCWs. New strategies and tools should be developed to increase compliance of HCWs. The presence of adverse events such as discomfort and breathing problems may be the main reasons for the low compliance with mask use and further studies should be conducted to improve the design/ material of masks to improve comfort for the wearer.	en_US
dc.relation.ispartof	Annals of Occupational Hygiene	en_US
dc.relation.isbasedon	10.1093/annhyg/mew008	en_US
dc.subject.classification	Environmental & Occupational Health	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Respiratory Tract Infections	en_US
dc.subject.mesh	Masks	en_US
dc.subject.mesh	Occupational Exposure	en_US
dc.subject.mesh	Infection Control	en_US
dc.subject.mesh	Textiles	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Personnel, Hospital	en_US
dc.subject.mesh	Guideline Adherence	en_US
dc.subject.mesh	Vietnam	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Infectious Disease Transmission, Professional-to-Patient	en_US
dc.subject.mesh	Infectious Disease Transmission, Patient-to-Professional	en_US
dc.title	Compliance with the use of medical and cloth masks among healthcare workers in Vietnam	en_US
dc.type	Journal Article
utslib.citation.volume	5	en_US
utslib.citation.volume	60	en_US
utslib.for	1117 Public Health and Health Services	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Science
utslib.copyright.status	closed_access
pubs.issue	5	en_US
pubs.publication-status	Published	en_US
pubs.volume	60	en_US

Abstract:

© The Author 2016. Background: Masks are often worn in healthcare settings to prevent the spread of infection from healthcare workers (HCWs) to patients. Masks are also used to protect the employee from patient-generated infectious organisms but poor compliance can reduce efficacy. The aim of this study was to examine the factors influencing compliance with the use of medical and cloth masks amongst hospital HCWs. Methods: HCWs compliance with the use of medical and cloth masks was measured over a 4-week period in a randomized controlled trial in Vietnam. HCWs were instructed to record their daily activities in diary cards. Demographic, clinical, and diary card data were used to determine the predictors of compliance and the relationship of compliance with infection outcomes. Results: Compliance rates for both medical and cloth masks decreased during the 4 weeks: medical mask use decreased from 77 to 68% (P < 0.001) and cloth masks from 78 to 69% (P < 0.001). The presence of adverse events (adjusted RR 0.90, 95% CI 0.85-0.95), and performing aerosol-generating procedures (adjusted RR 0.78, 95% CI 0.73-0.82) were negatively associated with compliance, while contact with febrile respiratory illness patients was positively associated (adjusted RR 1.14, 95% CI 1.07-1.20). Being compliant with medical or cloth masks use (average use ≥70% of working time) was not associated with clinical respiratory illness, influenza-like illness, and laboratory-confirmed viral infection. Conclusion: Understanding the factors that affect compliance is important for the occupational health and safety of HCWs. New strategies and tools should be developed to increase compliance of HCWs. The presence of adverse events such as discomfort and breathing problems may be the main reasons for the low compliance with mask use and further studies should be conducted to improve the design/ material of masks to improve comfort for the wearer.

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http://hdl.handle.net/10453/98418