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COVID-19 preventive social-behavioural practices and exposure to SARS-CoV-2 among residents in the city of Yaounde: Lessons from the early phase of the pandemic in Cameroon

Non-pharmaceutical interventions remain key in mitigating the spread of SARS-CoV-2. We sought to assess COVID-19 preventive, social-behavioural practices, and SARS-CoV-2 exposure through IgG rapid tests. This was a cross-sectional survey among 971 respondents residing in 180 households within the “C...

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Autores principales: Fokam, Joseph, Nka, Alex Durand, Efakika Gabisa, Jeremiah, Nwosu, Kene, Wanda, Franck, Mama, Lucien, Ka’e, Aude Christelle, Bouba, Yagai, Ngoufack Jagni Semengue, Ezechiel, Tommo Tchouaket, Michel Carlos, Takou, Désiré, Kengni Ngueko, Aurelie minelle, Pabo, Willy, Sosso, Samuel Martin, Keiser, Olivia, Perno, Carlo-Federico, Colizzi, Vittorio, Ekane, Edie-Gregory Halle, Otshudiema Otokoye, John, Ndjolo, Alexis, Ciaffi, Laura
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10468056/
https://www.ncbi.nlm.nih.gov/pubmed/37647276
http://dx.doi.org/10.1371/journal.pgph.0002331
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author Fokam, Joseph
Nka, Alex Durand
Efakika Gabisa, Jeremiah
Nwosu, Kene
Wanda, Franck
Mama, Lucien
Ka’e, Aude Christelle
Bouba, Yagai
Ngoufack Jagni Semengue, Ezechiel
Tommo Tchouaket, Michel Carlos
Takou, Désiré
Kengni Ngueko, Aurelie minelle
Pabo, Willy
Sosso, Samuel Martin
Keiser, Olivia
Perno, Carlo-Federico
Colizzi, Vittorio
Ekane, Edie-Gregory Halle
Otshudiema Otokoye, John
Ndjolo, Alexis
Ciaffi, Laura
author_facet Fokam, Joseph
Nka, Alex Durand
Efakika Gabisa, Jeremiah
Nwosu, Kene
Wanda, Franck
Mama, Lucien
Ka’e, Aude Christelle
Bouba, Yagai
Ngoufack Jagni Semengue, Ezechiel
Tommo Tchouaket, Michel Carlos
Takou, Désiré
Kengni Ngueko, Aurelie minelle
Pabo, Willy
Sosso, Samuel Martin
Keiser, Olivia
Perno, Carlo-Federico
Colizzi, Vittorio
Ekane, Edie-Gregory Halle
Otshudiema Otokoye, John
Ndjolo, Alexis
Ciaffi, Laura
author_sort Fokam, Joseph
collection PubMed
description Non-pharmaceutical interventions remain key in mitigating the spread of SARS-CoV-2. We sought to assess COVID-19 preventive, social-behavioural practices, and SARS-CoV-2 exposure through IgG rapid tests. This was a cross-sectional survey among 971 respondents residing in 180 households within the “Cite Verte” health district of Yaounde-Cameroon, from October-November 2020. Using a structured questionnaire, data on SARS-CoV-2 preventive and social behavioural practices were collected, while exposure to SARS-CoV-2 was determined by IgG profiling. p<0.05 was considered statistically significant. Overall, 971 participants were enrolled, among whom 56.5% were females. The age group 15–29 (33.5%) and those with a secondary level of education (44.7%) were most represented. Regarding preventive/social behavioural practices, the least respected measure was "stopped work", 49.1%, while the most respected was "Respect of hygiene rules", 93.8%. Women obeyed preventive measures more than men, with 87.6% vs 81.0% adhering to the lockdown, (p = 0.005) and 95.5% vs 91.7% to hygiene rules (p = 0.017). The age range 45–64 years was the least adherent to the lockdown rule, with 75.2% (38/153), p<0.0001. Only 24.7% (73/295) and 6.1% (59/295) of the symptomatic individuals reported having sought medical consultation and Covid-19 testing respectively. In addition, up to 69.8% (555/795) felt healthcare facilities were high-risk sites for getting infected, p = 0.002. Exposure to SARS-CoV-2 by IgG positivity was 31.1% (302/971), with men recording a higher proportion of viral exposure, 51.0% (154/302), p = 0.021. After adjusting for gender, age, education, and occupation; salaried worker (p = 0.029; OR: 0.29), and trading (p = 0.001; OR: 0.23) least complied with lockdown rule. In this community of Cameroonian residents highly exposed to COVID-19, many perceived healthcare facilities as high-risk zones for SARS-CoV-2 infection and consequently did not seek medical interventions. Thus, in the context of such a pandemic, advocacy on risk communication and community engagement for health-seeking attitudes should preferentially target men and those afraid of pandemics.
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spelling pubmed-104680562023-08-31 COVID-19 preventive social-behavioural practices and exposure to SARS-CoV-2 among residents in the city of Yaounde: Lessons from the early phase of the pandemic in Cameroon Fokam, Joseph Nka, Alex Durand Efakika Gabisa, Jeremiah Nwosu, Kene Wanda, Franck Mama, Lucien Ka’e, Aude Christelle Bouba, Yagai Ngoufack Jagni Semengue, Ezechiel Tommo Tchouaket, Michel Carlos Takou, Désiré Kengni Ngueko, Aurelie minelle Pabo, Willy Sosso, Samuel Martin Keiser, Olivia Perno, Carlo-Federico Colizzi, Vittorio Ekane, Edie-Gregory Halle Otshudiema Otokoye, John Ndjolo, Alexis Ciaffi, Laura PLOS Glob Public Health Research Article Non-pharmaceutical interventions remain key in mitigating the spread of SARS-CoV-2. We sought to assess COVID-19 preventive, social-behavioural practices, and SARS-CoV-2 exposure through IgG rapid tests. This was a cross-sectional survey among 971 respondents residing in 180 households within the “Cite Verte” health district of Yaounde-Cameroon, from October-November 2020. Using a structured questionnaire, data on SARS-CoV-2 preventive and social behavioural practices were collected, while exposure to SARS-CoV-2 was determined by IgG profiling. p<0.05 was considered statistically significant. Overall, 971 participants were enrolled, among whom 56.5% were females. The age group 15–29 (33.5%) and those with a secondary level of education (44.7%) were most represented. Regarding preventive/social behavioural practices, the least respected measure was "stopped work", 49.1%, while the most respected was "Respect of hygiene rules", 93.8%. Women obeyed preventive measures more than men, with 87.6% vs 81.0% adhering to the lockdown, (p = 0.005) and 95.5% vs 91.7% to hygiene rules (p = 0.017). The age range 45–64 years was the least adherent to the lockdown rule, with 75.2% (38/153), p<0.0001. Only 24.7% (73/295) and 6.1% (59/295) of the symptomatic individuals reported having sought medical consultation and Covid-19 testing respectively. In addition, up to 69.8% (555/795) felt healthcare facilities were high-risk sites for getting infected, p = 0.002. Exposure to SARS-CoV-2 by IgG positivity was 31.1% (302/971), with men recording a higher proportion of viral exposure, 51.0% (154/302), p = 0.021. After adjusting for gender, age, education, and occupation; salaried worker (p = 0.029; OR: 0.29), and trading (p = 0.001; OR: 0.23) least complied with lockdown rule. In this community of Cameroonian residents highly exposed to COVID-19, many perceived healthcare facilities as high-risk zones for SARS-CoV-2 infection and consequently did not seek medical interventions. Thus, in the context of such a pandemic, advocacy on risk communication and community engagement for health-seeking attitudes should preferentially target men and those afraid of pandemics. Public Library of Science 2023-08-30 /pmc/articles/PMC10468056/ /pubmed/37647276 http://dx.doi.org/10.1371/journal.pgph.0002331 Text en © 2023 Fokam et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Fokam, Joseph
Nka, Alex Durand
Efakika Gabisa, Jeremiah
Nwosu, Kene
Wanda, Franck
Mama, Lucien
Ka’e, Aude Christelle
Bouba, Yagai
Ngoufack Jagni Semengue, Ezechiel
Tommo Tchouaket, Michel Carlos
Takou, Désiré
Kengni Ngueko, Aurelie minelle
Pabo, Willy
Sosso, Samuel Martin
Keiser, Olivia
Perno, Carlo-Federico
Colizzi, Vittorio
Ekane, Edie-Gregory Halle
Otshudiema Otokoye, John
Ndjolo, Alexis
Ciaffi, Laura
COVID-19 preventive social-behavioural practices and exposure to SARS-CoV-2 among residents in the city of Yaounde: Lessons from the early phase of the pandemic in Cameroon
title COVID-19 preventive social-behavioural practices and exposure to SARS-CoV-2 among residents in the city of Yaounde: Lessons from the early phase of the pandemic in Cameroon
title_full COVID-19 preventive social-behavioural practices and exposure to SARS-CoV-2 among residents in the city of Yaounde: Lessons from the early phase of the pandemic in Cameroon
title_fullStr COVID-19 preventive social-behavioural practices and exposure to SARS-CoV-2 among residents in the city of Yaounde: Lessons from the early phase of the pandemic in Cameroon
title_full_unstemmed COVID-19 preventive social-behavioural practices and exposure to SARS-CoV-2 among residents in the city of Yaounde: Lessons from the early phase of the pandemic in Cameroon
title_short COVID-19 preventive social-behavioural practices and exposure to SARS-CoV-2 among residents in the city of Yaounde: Lessons from the early phase of the pandemic in Cameroon
title_sort covid-19 preventive social-behavioural practices and exposure to sars-cov-2 among residents in the city of yaounde: lessons from the early phase of the pandemic in cameroon
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10468056/
https://www.ncbi.nlm.nih.gov/pubmed/37647276
http://dx.doi.org/10.1371/journal.pgph.0002331
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