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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.
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.
Afiliación
  • Fokam J; Chantal BIYA International Reference Centre for Research on HIV/AIDS Prevention and Management (CIRCB), Yaounde, Cameroon.
  • Nka AD; Faculty of Health Sciences, University of Buea, Buea, Cameroon.
  • Efakika Gabisa J; National Public Health Emergencies Operations Coordination Centre, Yaounde, Cameroon.
  • Nwosu K; Chantal BIYA International Reference Centre for Research on HIV/AIDS Prevention and Management (CIRCB), Yaounde, Cameroon.
  • Wanda F; Chantal BIYA International Reference Centre for Research on HIV/AIDS Prevention and Management (CIRCB), Yaounde, Cameroon.
  • Mama L; Institute of Global Health, University of Geneva, Geneva, Switzerland.
  • Ka'e AC; Centre International de Recherches, d'Enseignements, et de Soins (CIRES), Akonolinga, Cameroon.
  • Bouba Y; Health District of Cite Verte, Regional Delegation of Public Health, Yaounde, Cameroon.
  • Ngoufack Jagni Semengue E; Chantal BIYA International Reference Centre for Research on HIV/AIDS Prevention and Management (CIRCB), Yaounde, Cameroon.
  • Tommo Tchouaket MC; Chantal BIYA International Reference Centre for Research on HIV/AIDS Prevention and Management (CIRCB), Yaounde, Cameroon.
  • Takou D; National AIDS Control Committee, Yaounde, Cameroon.
  • Kengni Ngueko AM; Chantal BIYA International Reference Centre for Research on HIV/AIDS Prevention and Management (CIRCB), Yaounde, Cameroon.
  • Pabo W; Chantal BIYA International Reference Centre for Research on HIV/AIDS Prevention and Management (CIRCB), Yaounde, Cameroon.
  • Sosso SM; Chantal BIYA International Reference Centre for Research on HIV/AIDS Prevention and Management (CIRCB), Yaounde, Cameroon.
  • Keiser O; Chantal BIYA International Reference Centre for Research on HIV/AIDS Prevention and Management (CIRCB), Yaounde, Cameroon.
  • Perno CF; Chantal BIYA International Reference Centre for Research on HIV/AIDS Prevention and Management (CIRCB), Yaounde, Cameroon.
  • Colizzi V; Chantal BIYA International Reference Centre for Research on HIV/AIDS Prevention and Management (CIRCB), Yaounde, Cameroon.
  • Ekane EH; National Public Health Emergencies Operations Coordination Centre, Yaounde, Cameroon.
  • Otshudiema Otokoye J; Chantal BIYA International Reference Centre for Research on HIV/AIDS Prevention and Management (CIRCB), Yaounde, Cameroon.
  • Ndjolo A; Bambino Gesu Pediatric Hospital, Rome, Italy.
  • Ciaffi L; Chantal BIYA International Reference Centre for Research on HIV/AIDS Prevention and Management (CIRCB), Yaounde, Cameroon.
PLOS Glob Public Health ; 3(8): e0002331, 2023.
Article en En | MEDLINE | ID: mdl-37647276
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.

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Qualitative_research / Risk_factors_studies Idioma: En Revista: PLOS Glob Public Health Año: 2023 Tipo del documento: Article País de afiliación: Camerún Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Qualitative_research / Risk_factors_studies Idioma: En Revista: PLOS Glob Public Health Año: 2023 Tipo del documento: Article País de afiliación: Camerún Pais de publicación: Estados Unidos