コミュニティマスクのCOVID-19への影響:バングラデシュのクラスターランダム化試験
Jason Abaluck1, Laura H Kwong2,3, Ashley Styczynski4
1Yale School of Management, Yale University, New Haven, CT, USA.
まとめ
外科用マスクを含むマスクのコミュニティでの配布と宣伝は,バングラデシュの農村部で症状のあるSARS-CoV-2感染を大幅に減少させた. この介入は 拡張可能で効果的な公衆衛生戦略であることが 証明されました
科学分野:
- 公衆衛生
- 感染症 疫学
- コミュニティの介入
背景:
- COVID-19 パンデミックは,SARS-CoV-2 の感染拡大を抑制するための効果的なコミュニティレベルでの介入を探求することを必要とした.
- マスクの着用は重要な非薬学的介入ですが,実際の環境ではマスクの着用は大きく異なります.
研究 の 目的:
- 症状のあるSARS-CoV-2感染に対するコミュニティレベルでのマスクの配布と宣伝の影響を評価する.
- 宣伝戦略と組み合わせた手術用マスクの効果を比較する
主な方法:
- バングラデシュの農村部の600の村と342,183人の成人を対象としたクラスターランダム化試験です
- マスクのタイプ (布と外科用) と村と家庭レベルのプロモーション戦略のクロスランダム化.
- 症状の血清発生率とマスク着用率の測定
主要な成果:
- 適切なマスク着用率は,介入グループでは13. 3%から42. 3%に増加した.
- 介入により,全体的な症状のSARS-CoV-2の血清流行が減少した (調整された流行比率=0. 91).
- 手術用マスクを受けた村の60歳以上の成人の間で,症状感染の有意な減少が観察された (調整された罹患率=0. 65).
結論:
- コミュニティレベルでのマスクの配布と宣伝は,症状のあるSARS-CoV-2感染を減らすための拡張可能で効果的な戦略です.
- 手術用マスクは,プロモーションと組み合わせると,高齢者の保護に特に有効であることが示されました.
- 公共衛生の取り組みは,マスクの統合配布と宣伝プログラムを考慮すべきです.
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