Experiences and needs of persons living with a household member infected with SARS-CoV-2: A mixed method study.

Autor: Verberk JDM; Department of Medical Microbiology and Infection Prevention, University Medical Centre Utrecht, Utrecht, The Netherlands.; Julius Centre for Health Sciences and Primary Care, Department of Epidemiology, University Medical Centre Utrecht, Utrecht, The Netherlands., Anthierens SA; Family Medicine and Population Health (FAMPOP), University of Antwerp, Antwerp, Belgium., Tonkin-Crine S; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom.; Health Protection Research Unit in Antimicrobial Resistance and Healthcare Associated Infections, University of Oxford, Oxford, United Kingdom., Goossens H; Laboratory of Medical Microbiology, University of Antwerp, Antwerp, Belgium., Kinsman J; European Centre for Disease Prevention and Control, Solna, Sweden., de Hoog MLA; Julius Centre for Health Sciences and Primary Care, Department of Epidemiology, University Medical Centre Utrecht, Utrecht, The Netherlands., Bielicki JA; Infection Prevention and Control, University of Basel Children's Hospital, Basel, Switzerland.; Paediatric Infectious Diseases Research Group, St George's University of London, London, United Kingdom., Bruijning-Verhagen PCJL; Julius Centre for Health Sciences and Primary Care, Department of Epidemiology, University Medical Centre Utrecht, Utrecht, The Netherlands., Gobat NH; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2021 Mar 31; Vol. 16 (3), pp. e0249391. Date of Electronic Publication: 2021 Mar 31 (Print Publication: 2021).
DOI: 10.1371/journal.pone.0249391
Abstrakt: Background: Households are important sites for transmission of SARS-CoV-2 and preventive measures are recommended. This study aimed to 1) investigate the impact of living with a person infected with SARS-CoV-2; 2) understand how household members implemented infection control recommendations in their home; and 3) identify the information and support needs of household members.
Methods: For this observational mixed-methods study, households with a person with confirmed SARS-CoV-2 infection were recruited via drive-through testing sites of Municipal Health Services, healthcare worker screening or hospital emergency visits in the University Medical Centre Utrecht, the Netherlands and via primary care physicians, hospital emergency visits or preoperative screening in the University Hospital of Antwerp, Belgium. We recorded household characteristics, including characteristics of all household members, together with their views on prevention measures. In a subset of households one adult household member was asked to participate in an interview investigating their views on preventive measures. Survey data were analysed using descriptive statistics and interview data by rapid framework analysis. A triangulation protocol was used to integrate findings.
Results: Thirty-four households (120 household members) were included in the quantitative survey. Twenty-two households were invited to be interviewed, of which 18 completed an interview (response 81.8%). Survey data showed that almost all households implemented some preventive measures, the use of face masks being least frequently reported. Measures taken depended on what was physically possible, the perceived severity of illness of the index patient and to what extent household members were willing to limit social interaction. Respondents did not believe in the effectiveness of wearing face masks within the house, and from the interviews this was explained by media coverage of face masks, impracticality and the stigma associated with wearing masks. Interviewees reported that quarantine had a high emotional burden and wished to have more information about the exact duration of quarantine, their own COVID-19 status, symptoms and when to seek medical help.
Conclusion: People were willing to implement prevention measures, however actual adherence depended on perceived severity of illness and the perceived risk of becoming infected. Homes are social environments and recommendations for infection prevention should account for this context. Incorporating our findings into policy making could provide households with more relevant and actionable advice.
Competing Interests: The authors have declared that no competing interests exist.
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje