Shah, Shimoni Urvish, Xiu Ling Loo, Evelyn, En Chua, Chun, Sen Kew, Guan, Demutska, Alla, Quek, Sabrina, Wong, Scott, Lau, Hui Xing, Low, En Xian Sarah, Loh, Tze Liang, Lung, Ooi Shien, Hung, Emily C. W., Rahman, M. Masudur, Ghoshal, Uday C., Wong, Sunny H., Cheung, Cynthia K. Y., 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, Siah, Kewin Tien Ho, and Pang, Junxiong (2021) Association between well-being and compliance with COVID-19 preventive measures by healthcare professionals: a cross-sectional study. PLOS ONE, 16. e0252835. pp. 1-16.

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Abstract

Objective This survey aims to assess differences in mental health, knowledge, attitudes, and practices (KAP) of preventive measures for COVID-19 amongst healthcare professionals (HCP) and non-healthcare professionals. Design Multi-national cross-sectional study was carried out using electronic surveys between MayJune 2020. Setting Multi-national survey was distributed across 36 countries through social media, word-ofmouth, and electronic mail. Participants Participants �21 years working in healthcare and non-healthcare related professions. Main outcome Risk factors determining the difference in KAP towards personal hygiene and social distancing measures during COVID-19 amongst HCP and non-HCP. Results HCP were significantly more knowledgeable on personal hygiene (AdjOR 1.45, 95% CI -1.14 to 1.83) and social distancing (AdjOR 1.31, 95% CI -1.06 to 1.61) compared to nonHCP. They were more likely to have a positive attitude towards personal hygiene and 1.5 times more willing to participate in the contact tracing app. There was high compliance towards personal hygiene and social distancing measures amongst HCP. HCP with high compliance were 1.8 times more likely to flourish and more likely to have a high sense of emotional (AdjOR 1.94, 95% CI (1.44 to 2.61), social (AdjOR 2.07, 95% CI -1.55 to 2.78), and psychological (AdjOR 2.13, 95% CI (1.59–2.85) well-being. Conclusion and relevance While healthcare professionals were more knowledgeable, had more positive attitudes, their higher sense of total well-being was seen to be more critical to enhance compliance. Therefore, focusing on the well-being of the general population would help to enhance their compliance towards the preventive measures for COVID-19.

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