Please use this identifier to cite or link to this item: https://doi.org/10.1136/bmjopen-2020-046310
Title: Factors associated with high compliance behaviour against COVID-19 in the early phase of pandemic: a cross-sectional study in 12 Asian countries
Authors: Chua, Chun En
Kew, Guan Sen
Demutska, Alla
Quek, Sabrina
Loo, Evelyn Xiu Ling 
Gui, Hao
Wong, Scott
Lau, Hui Xing
Low, En Xian Sarah
Loh, Tze Liang
Ooi, Shien Lung
Hung, Emily CW
Rahman, M Masudur
Ghoshal, Uday
Wong, Hei
Cheung, Cynthia KY
Syam, Ari F
Tan, Niandi
Xiao, Yinglian
Liu, Jin-Song
Lu, Fang
Chen, Chien-Lin
Lee, Yeong Yeh
Maralit, Ruter M
Kim, Yong-Sung
Oshima, Tadayuki
Miwa, Hiroto
Pang, Junxiong 
Siah, Kewin Tien Ho 
Keywords: Science & Technology
Life Sciences & Biomedicine
Medicine, General & Internal
General & Internal Medicine
MENTAL-HEALTH-CONTINUUM
RISK-TAKING BEHAVIOR
FORM MHC-SF
SEX-DIFFERENCES
HAPPINESS
Issue Date: 1-Jan-2021
Publisher: BMJ PUBLISHING GROUP
Citation: Chua, Chun En, Kew, Guan Sen, Demutska, Alla, Quek, Sabrina, Loo, Evelyn Xiu Ling, Gui, Hao, Wong, Scott, Lau, Hui Xing, Low, En Xian Sarah, Loh, Tze Liang, Ooi, Shien Lung, Hung, Emily CW, Rahman, M Masudur, Ghoshal, Uday, Wong, Hei, Cheung, Cynthia KY, Syam, Ari F, Tan, Niandi, Xiao, Yinglian, Liu, Jin-Song, Lu, Fang, Chen, Chien-Lin, Lee, Yeong Yeh, Maralit, Ruter M, Kim, Yong-Sung, Oshima, Tadayuki, Miwa, Hiroto, Pang, Junxiong, Siah, Kewin Tien Ho (2021-01-01). Factors associated with high compliance behaviour against COVID-19 in the early phase of pandemic: a cross-sectional study in 12 Asian countries. BMJ OPEN 11 (8). ScholarBank@NUS Repository. https://doi.org/10.1136/bmjopen-2020-046310
Abstract: Introduction Regardless of having effective vaccines against COVID-19, containment measures such as enhanced physical distancing and good practice of personal hygiene remain the mainstay of controlling the COVID-19 pandemic. Countries across Asia have imposed these containment measures to varying extents. However, residents in different countries would have a differing degree of compliance to these containment measures potentially due to differences in the level of awareness and motivation in the early phase of pandemic. Objectives In our study, we aimed to describe and correlate the level of knowledge and attitude with the level of compliance with personal hygiene and physical distancing practices among Asian countries in the early phase of pandemic. Methods A multinational cross-sectional study was carried out using electronic surveys between May and June 2020 across 14 geographical areas. Subjects aged 21 years and above were invited to participate through social media, word of mouth and electronic mail. Results Among the 2574 responses obtained, 762 (29.6%) participants were from East Asia and 1812 (70.4%) were from Southeast Asia (SEA). A greater proportion of participants from SEA will practise physical distancing as long as it takes (72.8% vs 60.6%). Having safe distancing practices such as standing more than 1 or 2 m apart (AdjOR 5.09 95% CI (1.08 to 24.01)) or more than 3 or 4 m apart (AdjOR 7.05 95% CI (1.32 to 37.67)), wearing a mask when they had influenza-like symptoms before the COVID-19 pandemic, preferring online news channels such as online news websites/applications (AdjOR 1.73 95% CI (1.21 to 2.49)) and social media (AdjOR 1.68 95% CI (1.13 to 2.50) as sources of obtaining information about COVID-19 and high psychological well-being (AdjOR 1.39 95% CI (1.04 to 1.87)) were independent factors associated with high compliance. Conclusions We found factors associated with high compliance behaviour against COVID-19 in the early phase of pandemic and it will be useful to consider them in risk assessment, communication and pandemic preparedness.
Source Title: BMJ OPEN
URI: https://scholarbank.nus.edu.sg/handle/10635/206725
ISSN: 20446055
DOI: 10.1136/bmjopen-2020-046310
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