"In our culture, if you quarantine someone, you stigmatize them": Qualitative insights on barriers to observing COVID-19 prevention behaviors in Côte d'Ivoire.

Autor:	Tibbels NJ; Center for Communication Programs, Health, Behavior & Society Department, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America., Dosso A; Center for Communication Programs-Côte d'Ivoire, Johns Hopkins Bloomberg School of Public Health, Abidjan, Côte d'Ivoire., Kra KW; Department of Sociology, Université Alassane Ouattara, Bouaké, Côte d'Ivoire., Gbeke KD; Department of Sociology, Université Alassane Ouattara, Bouaké, Côte d'Ivoire., Coffi G; Department of Sociology, Université Alassane Ouattara, Bouaké, Côte d'Ivoire., Ngoran AR; Department of Sociology, Université Alassane Ouattara, Bouaké, Côte d'Ivoire., Niamke JL; Department of Sociology, Université de Cocody, Abidjan, Côte d'Ivoire., Nana M; Center for Communication Programs, Health, Behavior & Society Department, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America., Benié W; Center for Communication Programs-Côte d'Ivoire, Johns Hopkins Bloomberg School of Public Health, Abidjan, Côte d'Ivoire., Hendrickson ZM; Center for Communication Programs, Health, Behavior & Society Department, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America., Naugle DA; Center for Communication Programs, Health, Behavior & Society Department, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America.
Jazyk:	angličtina
Zdroj:	PLOS global public health [PLOS Glob Public Health] 2022 Aug 24; Vol. 2 (8), pp. e0000489. Date of Electronic Publication: 2022 Aug 24 (Print Publication: 2022).
DOI:	10.1371/journal.pgph.0000489
Abstrakt:	While vaccines are now authorized for use against the SARS-CoV2 virus, they remain inaccessible for much of the world and widespread hesitancy persists. Ending the COVID-19 pandemic depends on continued prevention behaviors such as mask wearing, distancing, hand hygiene, and limiting large gatherings. Research in low- and middle-income countries has focused on the prevalence of adherence and demographic determinants, but there is a need for a nuanced understanding of why people do or do not practice a given prevention behavior. The Breakthrough ACTION project led by Johns Hopkins Center for Communication Programs conducted a qualitative study in November 2020 in Côte d'Ivoire to explore people's experience with and perceptions of the COVID-19 pandemic. We conducted 24 focus group discussions and 29 in-depth interviews with members of the general population and health providers. This analysis explores barriers and facilitators to seven recommended prevention behaviors with a particular focus on response efficacy, self-efficacy, and social norms. We found these constructs to be salient for participants who generally felt that the behaviors were useful for preventing COVID-19 but were difficult to practice for a variety of reasons. The perception that COVID-19 prevention behaviors were anti-social emerged as a key theme. Behavior change interventions must reframe the recommended behaviors as pro-social, while making them very easy to practice by removing social and structural barriers such as the expense or inaccessibility of masks and hand sanitizer. Competing Interests: The authors declare no competing interests. (Copyright: © 2022 Tibbels et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze:	MEDLINE
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