Compliance with face mask use during the COVID-19 pandemic: a community observational study in Singapore

Introduction: Widespread mask use is an important intervention for control of the coronavirus disease 2019 pandemic. However, data on the factors affecting mask use are lacking. In this observational study, we evaluated the proportion of and factors influencing face mask use and related hygiene prac...

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Main Authors: Sean Wei Xiang Ong, Ying Wei Tang, Kyaw Zaw Linn, Xiao Wei Huan, Allie Lim, Chu Ying Poon, Danielle Hui Ru Tan, Nur Hafizah Binte Hamed, Sharifah Farhanah Binte Syed Husen, Clara Chong Hui Ong, Monica Chan, Shawn Vasoo, Yee-Sin Leo, Oon-Tek Ng, Kalisvar Marimuthu
Format: Article
Language:English
Published: Wolters Kluwer – Medknow Publications 2024-12-01
Series:Singapore Medical Journal
Subjects:
Online Access:https://journals.lww.com/10.4103/singaporemedj.SMJ-2021-010
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author Sean Wei Xiang Ong
Ying Wei Tang
Kyaw Zaw Linn
Xiao Wei Huan
Allie Lim
Chu Ying Poon
Danielle Hui Ru Tan
Nur Hafizah Binte Hamed
Sharifah Farhanah Binte Syed Husen
Clara Chong Hui Ong
Monica Chan
Shawn Vasoo
Yee-Sin Leo
Oon-Tek Ng
Kalisvar Marimuthu
author_facet Sean Wei Xiang Ong
Ying Wei Tang
Kyaw Zaw Linn
Xiao Wei Huan
Allie Lim
Chu Ying Poon
Danielle Hui Ru Tan
Nur Hafizah Binte Hamed
Sharifah Farhanah Binte Syed Husen
Clara Chong Hui Ong
Monica Chan
Shawn Vasoo
Yee-Sin Leo
Oon-Tek Ng
Kalisvar Marimuthu
author_sort Sean Wei Xiang Ong
collection DOAJ
description Introduction: Widespread mask use is an important intervention for control of the coronavirus disease 2019 pandemic. However, data on the factors affecting mask use are lacking. In this observational study, we evaluated the proportion of and factors influencing face mask use and related hygiene practices. Methods: We observed randomly selected members from the public in 367 venues across Singapore, and recorded the proportion of individuals with full compliance with mask use and mask hygiene (hand hygiene before and after touching the mask or face). Logistic regression analyses were used to determine variables associated with mask and hand hygiene compliance. Results: We made 3,821 observations — 2,149 (56.2%) females, 3,569 (93.4%) adults (≥21 years), 212 (5.5%) children (6–20 years) and 40 (1.0%) children (2–5 years). The overall full compliance rate (correct mask use), poor compliance rate (incorrect mask use) and absent mask use were 84.5%, 12.9% and 2.6%, respectively. The factors — male gender, fabric mask usage and crowded indoor venues — were associated with lower mask compliance. Face or mask touching behaviour was observed in 10.7% and 13.7% of individuals observed, respectively. Only one individual performed hand hygiene before and after touching the mask. Conclusion: The rate of mask compliance was high, probably due to legislation mandating mask usage. However, specific factors and crowded indoor venues associated with lower mask compliance were identified. We also noted an issue with the absence of hand hygiene before and after face or mask touching. These issues may benefit from targeted public health messaging.
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institution Kabale University
issn 0037-5675
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publishDate 2024-12-01
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record_format Article
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spelling doaj-art-16004bd336934fdf8a556f76e6e0c23c2025-02-09T10:28:25ZengWolters Kluwer – Medknow PublicationsSingapore Medical Journal0037-56752737-59352024-12-01651267468010.4103/singaporemedj.SMJ-2021-010Compliance with face mask use during the COVID-19 pandemic: a community observational study in SingaporeSean Wei Xiang OngYing Wei TangKyaw Zaw LinnXiao Wei HuanAllie LimChu Ying PoonDanielle Hui Ru TanNur Hafizah Binte HamedSharifah Farhanah Binte Syed HusenClara Chong Hui OngMonica ChanShawn VasooYee-Sin LeoOon-Tek NgKalisvar MarimuthuIntroduction: Widespread mask use is an important intervention for control of the coronavirus disease 2019 pandemic. However, data on the factors affecting mask use are lacking. In this observational study, we evaluated the proportion of and factors influencing face mask use and related hygiene practices. Methods: We observed randomly selected members from the public in 367 venues across Singapore, and recorded the proportion of individuals with full compliance with mask use and mask hygiene (hand hygiene before and after touching the mask or face). Logistic regression analyses were used to determine variables associated with mask and hand hygiene compliance. Results: We made 3,821 observations — 2,149 (56.2%) females, 3,569 (93.4%) adults (≥21 years), 212 (5.5%) children (6–20 years) and 40 (1.0%) children (2–5 years). The overall full compliance rate (correct mask use), poor compliance rate (incorrect mask use) and absent mask use were 84.5%, 12.9% and 2.6%, respectively. The factors — male gender, fabric mask usage and crowded indoor venues — were associated with lower mask compliance. Face or mask touching behaviour was observed in 10.7% and 13.7% of individuals observed, respectively. Only one individual performed hand hygiene before and after touching the mask. Conclusion: The rate of mask compliance was high, probably due to legislation mandating mask usage. However, specific factors and crowded indoor venues associated with lower mask compliance were identified. We also noted an issue with the absence of hand hygiene before and after face or mask touching. These issues may benefit from targeted public health messaging.https://journals.lww.com/10.4103/singaporemedj.SMJ-2021-010covid-19face maskmask usagepublic healthsars-cov-2
spellingShingle Sean Wei Xiang Ong
Ying Wei Tang
Kyaw Zaw Linn
Xiao Wei Huan
Allie Lim
Chu Ying Poon
Danielle Hui Ru Tan
Nur Hafizah Binte Hamed
Sharifah Farhanah Binte Syed Husen
Clara Chong Hui Ong
Monica Chan
Shawn Vasoo
Yee-Sin Leo
Oon-Tek Ng
Kalisvar Marimuthu
Compliance with face mask use during the COVID-19 pandemic: a community observational study in Singapore
Singapore Medical Journal
covid-19
face mask
mask usage
public health
sars-cov-2
title Compliance with face mask use during the COVID-19 pandemic: a community observational study in Singapore
title_full Compliance with face mask use during the COVID-19 pandemic: a community observational study in Singapore
title_fullStr Compliance with face mask use during the COVID-19 pandemic: a community observational study in Singapore
title_full_unstemmed Compliance with face mask use during the COVID-19 pandemic: a community observational study in Singapore
title_short Compliance with face mask use during the COVID-19 pandemic: a community observational study in Singapore
title_sort compliance with face mask use during the covid 19 pandemic a community observational study in singapore
topic covid-19
face mask
mask usage
public health
sars-cov-2
url https://journals.lww.com/10.4103/singaporemedj.SMJ-2021-010
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