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Open Access 01-12-2023 | COVID-19 | Research

Sociodemographic and clinical predictors for COVID-19 preventive measures compliance among pregnant women in Saudi Arabia: a multicenter study

Authors: Ranya A. Ghamri, Kholoud A. Ghamri

Published in: BMC Infectious Diseases | Issue 1/2023

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Abstract

Objective

To assess the levels of adherence among pregnant women to the basic COVID-19 preventive measures, and to analyze the effect of risk perception and sociodemographic and clinical factors on adherence.

Method

A multicenter, cross-sectional study was conducted at the obstetrics clinics of 50 primary care centers selected using a multistage sampling method. An online-administered, structured questionnaire was used to collect self-reported levels of adherence to four basic preventive measures against COVID-19, along with perceived COVID-19 severity, infectiousness, and harmfulness to the baby, besides sociodemographic and clinical data including obstetrical and other medical history.

Results

A total of 2460 pregnant women were included with a mean (SD) age of 30.21 (6.11) years. Levels of self-reported compliance were highest for hand hygiene (95.7%), followed by social distancing (92.3%), masking (90.0%), and avoidance of contact with a COVID-19 infected person (70.3%). Perceived COVID-19 severity and infectiousness, and harmfulness to the baby were observed in 89.2%, 70.7%, and 85.0% of the participants, respectively, and were variably associated with compliance to preventive measures. Analysis of sociodemographic factors highlighted the significance of education and economic status in determining adherence to preventive measures, which represents a potential inequity in the risk of COVID-19 infection.

Conclusion

This study highlights the importance of patients’ education to enable functional perception of COVID-19 that promotes self-efficacy, besides investigating the specific social determinants of health to tackle inequalities in terms of prevention efficiency and the subsequent health outcomes.
Literature
1.
go back to reference Baigent C, Windecker S, Andreini D, Arbelo E, Barbato E, Bartorelli AL, et al. European Society of Cardiology guidance for the diagnosis and management of cardiovascular disease during the COVID-19 pandemic: part 1—epidemiology, pathophysiology, and diagnosis. Cardiovasc Res. 2022;118(6):1385–412.CrossRefPubMed Baigent C, Windecker S, Andreini D, Arbelo E, Barbato E, Bartorelli AL, et al. European Society of Cardiology guidance for the diagnosis and management of cardiovascular disease during the COVID-19 pandemic: part 1—epidemiology, pathophysiology, and diagnosis. Cardiovasc Res. 2022;118(6):1385–412.CrossRefPubMed
2.
go back to reference Wu F, Zhao S, Yu B, Chen Y-M, Wang W, Song Z-G, et al. A new coronavirus associated with human respiratory disease in China. Nature. 2020;579(7798):265–9.CrossRefPubMedPubMedCentral Wu F, Zhao S, Yu B, Chen Y-M, Wang W, Song Z-G, et al. A new coronavirus associated with human respiratory disease in China. Nature. 2020;579(7798):265–9.CrossRefPubMedPubMedCentral
3.
go back to reference Zhou P, Yang X-L, Wang X-G, Hu B, Zhang L, Zhang W, et al. A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature. 2020;579(7798):270–3.CrossRefPubMedPubMedCentral Zhou P, Yang X-L, Wang X-G, Hu B, Zhang L, Zhang W, et al. A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature. 2020;579(7798):270–3.CrossRefPubMedPubMedCentral
5.
go back to reference Kaye AD, Okeagu CN, Pham AD, Silva RA, Hurley JJ, Arron BL, et al. Economic impact of COVID-19 pandemic on healthcare facilities and systems: international perspectives. Best Pract Res Clin Anaesthesiol. 2021;35(3):293–306.CrossRefPubMed Kaye AD, Okeagu CN, Pham AD, Silva RA, Hurley JJ, Arron BL, et al. Economic impact of COVID-19 pandemic on healthcare facilities and systems: international perspectives. Best Pract Res Clin Anaesthesiol. 2021;35(3):293–306.CrossRefPubMed
6.
go back to reference Verschuur J, Koks EE, Hall JW. Observed impacts of the COVID-19 pandemic on global trade. Nat Hum Behav. 2021;5(3):305–7.CrossRefPubMed Verschuur J, Koks EE, Hall JW. Observed impacts of the COVID-19 pandemic on global trade. Nat Hum Behav. 2021;5(3):305–7.CrossRefPubMed
7.
go back to reference Clemente-Suárez VJ, Navarro-Jiménez E, Moreno-Luna L, Saavedra-Serrano MC, Jimenez M, Simón JA, et al. The impact of the COVID-19 pandemic on social, health, and economy. Sustainability. 2021;13(11):6314.CrossRef Clemente-Suárez VJ, Navarro-Jiménez E, Moreno-Luna L, Saavedra-Serrano MC, Jimenez M, Simón JA, et al. The impact of the COVID-19 pandemic on social, health, and economy. Sustainability. 2021;13(11):6314.CrossRef
8.
go back to reference Rahmani AM, Mirmahaleh SYH. Coronavirus disease (COVID-19) prevention and treatment methods and effective parameters: a systematic literature review. Sustain Cities Soc. 2021;64:102568.CrossRefPubMed Rahmani AM, Mirmahaleh SYH. Coronavirus disease (COVID-19) prevention and treatment methods and effective parameters: a systematic literature review. Sustain Cities Soc. 2021;64:102568.CrossRefPubMed
9.
go back to reference Ingram C, Downey V, Roe M, Chen Y, Archibald M, Kallas K-A, et al. COVID-19 prevention and control measures in workplace settings: a rapid review and meta-analysis. Int J Environ Res Public Health. 2021;18(15):7847.CrossRefPubMedPubMedCentral Ingram C, Downey V, Roe M, Chen Y, Archibald M, Kallas K-A, et al. COVID-19 prevention and control measures in workplace settings: a rapid review and meta-analysis. Int J Environ Res Public Health. 2021;18(15):7847.CrossRefPubMedPubMedCentral
10.
go back to reference Talic S, Shah S, Wild H, Gasevic D, Maharaj A, Ademi Z, et al. Effectiveness of public health measures in reducing the incidence of covid-19, SARS-CoV-2 transmission, and covid-19 mortality: systematic review and meta-analysis. BMJ. 2021;375:e068302.CrossRefPubMed Talic S, Shah S, Wild H, Gasevic D, Maharaj A, Ademi Z, et al. Effectiveness of public health measures in reducing the incidence of covid-19, SARS-CoV-2 transmission, and covid-19 mortality: systematic review and meta-analysis. BMJ. 2021;375:e068302.CrossRefPubMed
11.
go back to reference Ayouni I, Maatoug J, Dhouib W, Zammit N, Fredj S, Ben, Ghammam R, et al. Effective public health measures to mitigate the spread of COVID-19: a systematic review. BMC Public Health. 2021;21(1):1015.CrossRefPubMedPubMedCentral Ayouni I, Maatoug J, Dhouib W, Zammit N, Fredj S, Ben, Ghammam R, et al. Effective public health measures to mitigate the spread of COVID-19: a systematic review. BMC Public Health. 2021;21(1):1015.CrossRefPubMedPubMedCentral
12.
go back to reference Moran C, Campbell DJT, Campbell TS, Roach P, Bourassa L, Collins Z, et al. Predictors of attitudes and adherence to COVID-19 public health guidelines in western countries: a rapid review of the emerging literature. J Public Health. 2021;43(4):739–53.CrossRef Moran C, Campbell DJT, Campbell TS, Roach P, Bourassa L, Collins Z, et al. Predictors of attitudes and adherence to COVID-19 public health guidelines in western countries: a rapid review of the emerging literature. J Public Health. 2021;43(4):739–53.CrossRef
13.
go back to reference Alhumaid S, Al Mutair A, Al Alawi Z, Alsuliman M, Ahmed GY, Rabaan AA, et al. Knowledge of infection prevention and control among healthcare workers and factors influencing compliance: a systematic review. Antimicrob Resist Infect Control. 2021;10(1):86.CrossRefPubMedPubMedCentral Alhumaid S, Al Mutair A, Al Alawi Z, Alsuliman M, Ahmed GY, Rabaan AA, et al. Knowledge of infection prevention and control among healthcare workers and factors influencing compliance: a systematic review. Antimicrob Resist Infect Control. 2021;10(1):86.CrossRefPubMedPubMedCentral
14.
go back to reference Ferrer-Oliveras R, Mendoza M, Capote S, Pratcorona L, Esteve-Valverde E, Cabero-Roura L, et al. Immunological and physiopathological approach of COVID-19 in pregnancy. Arch Gynecol Obstet. 2021;304(1):39–57.CrossRefPubMedPubMedCentral Ferrer-Oliveras R, Mendoza M, Capote S, Pratcorona L, Esteve-Valverde E, Cabero-Roura L, et al. Immunological and physiopathological approach of COVID-19 in pregnancy. Arch Gynecol Obstet. 2021;304(1):39–57.CrossRefPubMedPubMedCentral
15.
go back to reference Sun B, Yeh J. Mild and asymptomatic Covid-19 infections: implications for maternal, fetal, and reproductive health. Front Reprod Heal. 2020;2. Sun B, Yeh J. Mild and asymptomatic Covid-19 infections: implications for maternal, fetal, and reproductive health. Front Reprod Heal. 2020;2.
16.
go back to reference Di Mascio D, Sen C, Saccone G, Galindo A, Grünebaum A, Yoshimatsu J, et al. Risk factors associated with adverse fetal outcomes in pregnancies affected by coronavirus disease 2019 (COVID-19): a secondary analysis of the WAPM study on COVID-19. J Perinat Med. 2020;48(9):950–8.CrossRefPubMed Di Mascio D, Sen C, Saccone G, Galindo A, Grünebaum A, Yoshimatsu J, et al. Risk factors associated with adverse fetal outcomes in pregnancies affected by coronavirus disease 2019 (COVID-19): a secondary analysis of the WAPM study on COVID-19. J Perinat Med. 2020;48(9):950–8.CrossRefPubMed
17.
go back to reference Narang K, Enninga EAL, Gunaratne MDSK, Ibirogba ER, Trad ATA, Elrefaei A et al. SARS-CoV-2 infection and COVID-19 during pregnancy: a multidisciplinary review. Mayo Clin Proc. 2020;95(8):1750–65. Narang K, Enninga EAL, Gunaratne MDSK, Ibirogba ER, Trad ATA, Elrefaei A et al. SARS-CoV-2 infection and COVID-19 during pregnancy: a multidisciplinary review. Mayo Clin Proc. 2020;95(8):1750–65.
18.
go back to reference Shams T, Alhashemi H, Madkhali A, Noorelahi A, Allarakia S, Faden Y, et al. Comparing pregnancy ouctomes between symptomatic and asymptomatic COVID-19 positive unvaccinated women: Multicenter study in Saudi Arabia. J Infect Public Health. 2022;15(8):845–52.CrossRefPubMedPubMedCentral Shams T, Alhashemi H, Madkhali A, Noorelahi A, Allarakia S, Faden Y, et al. Comparing pregnancy ouctomes between symptomatic and asymptomatic COVID-19 positive unvaccinated women: Multicenter study in Saudi Arabia. J Infect Public Health. 2022;15(8):845–52.CrossRefPubMedPubMedCentral
19.
go back to reference Figueiro-Filho EA, Yudin M, Farine D. COVID-19 during pregnancy: an overview of maternal characteristics, clinical symptoms, maternal and neonatal outcomes of 10,996 cases described in 15 countries. J Perinat Med. 2020;48(9):900–11.CrossRefPubMed Figueiro-Filho EA, Yudin M, Farine D. COVID-19 during pregnancy: an overview of maternal characteristics, clinical symptoms, maternal and neonatal outcomes of 10,996 cases described in 15 countries. J Perinat Med. 2020;48(9):900–11.CrossRefPubMed
20.
go back to reference Ellington S, Strid P, Tong VT, Woodworth K, Galang RR, Zambrano LD, et al. Characteristics of women of reproductive age with laboratory-confirmed SARS-CoV-2 infection by pregnancy status - United States, January 22-June 7, 2020. MMWR Morb Mortal Wkly Rep. 2020;69(25):769–75.CrossRefPubMedPubMedCentral Ellington S, Strid P, Tong VT, Woodworth K, Galang RR, Zambrano LD, et al. Characteristics of women of reproductive age with laboratory-confirmed SARS-CoV-2 infection by pregnancy status - United States, January 22-June 7, 2020. MMWR Morb Mortal Wkly Rep. 2020;69(25):769–75.CrossRefPubMedPubMedCentral
21.
go back to reference Hantoushzadeh S, Shamshirsaz AA, Aleyasin A, Seferovic MD, Aski SK, Arian SE, et al. Maternal death due to COVID-19. Am J Obstet Gynecol. 2020;223(1):109. e1-109.e16.CrossRefPubMedCentral Hantoushzadeh S, Shamshirsaz AA, Aleyasin A, Seferovic MD, Aski SK, Arian SE, et al. Maternal death due to COVID-19. Am J Obstet Gynecol. 2020;223(1):109. e1-109.e16.CrossRefPubMedCentral
22.
go back to reference Ghamri RA, Othman SS, Alhiniah MH, Alelyani RH, Badawi AM, Alshahrani AA. Acceptance of COVID-19 vaccine and associated factors among pregnant women in Saudi Arabia. Patient Prefer Adherence. 2022;2:861–73. Ghamri RA, Othman SS, Alhiniah MH, Alelyani RH, Badawi AM, Alshahrani AA. Acceptance of COVID-19 vaccine and associated factors among pregnant women in Saudi Arabia. Patient Prefer Adherence. 2022;2:861–73.
23.
go back to reference Kamal D, Thakur V, Swain S, Vikneshram C. Knowledge, attitude, and practice toward COVID-19 among pregnant women in a tertiary care hospital during the COVID-19 outbreak. J Mar Med Soc. 2020;1(Suppl S):66–71. Kamal D, Thakur V, Swain S, Vikneshram C. Knowledge, attitude, and practice toward COVID-19 among pregnant women in a tertiary care hospital during the COVID-19 outbreak. J Mar Med Soc. 2020;1(Suppl S):66–71.
24.
go back to reference Aghababaei S, Bashirian S, Soltanian A, Refaei M, Omidi T, Ghelichkhani S, et al. Perceived risk and protective behaviors regarding COVID-19 among iranian pregnant women. Middle East Fertil Soc J. 2020;25(1):29.CrossRefPubMedPubMedCentral Aghababaei S, Bashirian S, Soltanian A, Refaei M, Omidi T, Ghelichkhani S, et al. Perceived risk and protective behaviors regarding COVID-19 among iranian pregnant women. Middle East Fertil Soc J. 2020;25(1):29.CrossRefPubMedPubMedCentral
25.
go back to reference Afolabi AO, Afolabi KA, Adetoye CT, Adetoye AO, Avwioro TO, Idowu OA, et al. Adherence to COVID-19 preventive measures among pregnant women in nigeria: an initiative towards safe motherhood in an emerging global health priority. J Midwifery Reprod Heal. 2022;10(1):3119–27. Afolabi AO, Afolabi KA, Adetoye CT, Adetoye AO, Avwioro TO, Idowu OA, et al. Adherence to COVID-19 preventive measures among pregnant women in nigeria: an initiative towards safe motherhood in an emerging global health priority. J Midwifery Reprod Heal. 2022;10(1):3119–27.
26.
go back to reference Apanga PA, Kumbeni MT. Adherence to COVID-19 preventive measures and associated factors among pregnant women in Ghana. Trop Med Int Heal. 2021;26(6):656–63.CrossRef Apanga PA, Kumbeni MT. Adherence to COVID-19 preventive measures and associated factors among pregnant women in Ghana. Trop Med Int Heal. 2021;26(6):656–63.CrossRef
27.
go back to reference Temesgan WZ, Aklil MB, Yacob HS, Mekonnen ET, Tegegne ED, Tesfa EB et al. Adherence to COVID-19 preventive practice and associated factors among pregnant women in Gondar city, northwest Ethiopia, 2021: Community-based cross-sectional study. Patel SKS, editor. PLoS One. 2022;17(3):e0264237. Temesgan WZ, Aklil MB, Yacob HS, Mekonnen ET, Tegegne ED, Tesfa EB et al. Adherence to COVID-19 preventive practice and associated factors among pregnant women in Gondar city, northwest Ethiopia, 2021: Community-based cross-sectional study. Patel SKS, editor. PLoS One. 2022;17(3):e0264237.
28.
go back to reference Silesh M, Demisse TL, Taye BT, Desta K, Kitaw TM, Mekuria AD, et al. Compliance with COVID-19 preventive measures and associated factors among women attending antenatal care at public health facilities of Debre Berhan Town, Ethiopia. Risk Manag Healthc Policy. 2021;14:4561–9.CrossRefPubMedPubMedCentral Silesh M, Demisse TL, Taye BT, Desta K, Kitaw TM, Mekuria AD, et al. Compliance with COVID-19 preventive measures and associated factors among women attending antenatal care at public health facilities of Debre Berhan Town, Ethiopia. Risk Manag Healthc Policy. 2021;14:4561–9.CrossRefPubMedPubMedCentral
29.
go back to reference Almutairi AF, BaniMustafa A, Alessa YM, Almutairi SB, Almaleh Y. Public trust and compliance with the precautionary measures against COVID-19 employed by authorities in Saudi Arabia. Risk Manag Healthc Policy. 2020;13:753–60.CrossRefPubMedPubMedCentral Almutairi AF, BaniMustafa A, Alessa YM, Almutairi SB, Almaleh Y. Public trust and compliance with the precautionary measures against COVID-19 employed by authorities in Saudi Arabia. Risk Manag Healthc Policy. 2020;13:753–60.CrossRefPubMedPubMedCentral
30.
go back to reference Alkhaldi G, Aljuraiban GS, Alhurishi S, De Souza R, Lamahewa K, Lau R, et al. Perceptions towards COVID-19 and adoption of preventive measures among the public in Saudi Arabia: a cross sectional study. BMC Public Health. 2021;21(1):1251.CrossRefPubMedPubMedCentral Alkhaldi G, Aljuraiban GS, Alhurishi S, De Souza R, Lamahewa K, Lau R, et al. Perceptions towards COVID-19 and adoption of preventive measures among the public in Saudi Arabia: a cross sectional study. BMC Public Health. 2021;21(1):1251.CrossRefPubMedPubMedCentral
31.
go back to reference Rosenstock IM, Strecher VJ, Becker MH. Social learning theory and the health belief model. Health Educ Q. 1988;15(2):175–83.CrossRefPubMed Rosenstock IM, Strecher VJ, Becker MH. Social learning theory and the health belief model. Health Educ Q. 1988;15(2):175–83.CrossRefPubMed
32.
go back to reference Jose R, Narendran M, Bindu A, Beevi N, Benny LM. Public perception and preparedness for the pandemic COVID 19: a health belief model approach. Clin Epidemiol Glob Heal. 2021;9:41–6.CrossRef Jose R, Narendran M, Bindu A, Beevi N, Benny LM. Public perception and preparedness for the pandemic COVID 19: a health belief model approach. Clin Epidemiol Glob Heal. 2021;9:41–6.CrossRef
33.
go back to reference Clark C, Davila A, Regis M, Kraus S. Predictors of COVID-19 voluntary compliance behaviors: an international investigation. Glob Transitions. 2020;2:76–82.CrossRef Clark C, Davila A, Regis M, Kraus S. Predictors of COVID-19 voluntary compliance behaviors: an international investigation. Glob Transitions. 2020;2:76–82.CrossRef
34.
go back to reference Din YM, Munir SI, Razzaq SA, Ahsan A, Maqbool S, Ahmad O. Risk perception of COVID-19 among pregnant females. Ann King Edward Med Univ. 2020;26(Special Issue):176–80. Din YM, Munir SI, Razzaq SA, Ahsan A, Maqbool S, Ahmad O. Risk perception of COVID-19 among pregnant females. Ann King Edward Med Univ. 2020;26(Special Issue):176–80.
35.
go back to reference Conley JG. The influence of social-cultural factors on risk perception (pregnancy, smoking, caffeine, alcohol). University of Michigan; 1985. p. 8512389. Conley JG. The influence of social-cultural factors on risk perception (pregnancy, smoking, caffeine, alcohol). University of Michigan; 1985. p. 8512389.
36.
go back to reference Ralston ER, Smith P, Chilcot J, Silverio SA, Bramham K. Perceptions of risk in pregnancy with chronic disease: A systematic review and thematic synthesis. Zhou X, editor. PLoS One. 2021;16(7):e0254956. Ralston ER, Smith P, Chilcot J, Silverio SA, Bramham K. Perceptions of risk in pregnancy with chronic disease: A systematic review and thematic synthesis. Zhou X, editor. PLoS One. 2021;16(7):e0254956.
37.
go back to reference Bödeker B, Betsch C, Wichmann O. Skewed risk perceptions in pregnant women: the case of influenza vaccination. BMC Public Health. 2015;15(1):1308.CrossRefPubMedCentral Bödeker B, Betsch C, Wichmann O. Skewed risk perceptions in pregnant women: the case of influenza vaccination. BMC Public Health. 2015;15(1):1308.CrossRefPubMedCentral
38.
go back to reference Wang Q, Xie L, Song B, Di J, Wang L, Mo PK-H. Effects of social media use for health information on COVID-19–related risk perceptions and mental health during pregnancy: web-based survey. JMIR Med Informatics. 2022;10(1):e28183.CrossRef Wang Q, Xie L, Song B, Di J, Wang L, Mo PK-H. Effects of social media use for health information on COVID-19–related risk perceptions and mental health during pregnancy: web-based survey. JMIR Med Informatics. 2022;10(1):e28183.CrossRef
39.
go back to reference Rezaei F, Masaeli Z, Atighechian G. Information needs of pregnant women in the COVID-19 pandemic from experts’ point of view: a qualitative study. Int J community based Nurs midwifery. 2021;9(2):139–51.PubMed Rezaei F, Masaeli Z, Atighechian G. Information needs of pregnant women in the COVID-19 pandemic from experts’ point of view: a qualitative study. Int J community based Nurs midwifery. 2021;9(2):139–51.PubMed
Metadata
Title
Sociodemographic and clinical predictors for COVID-19 preventive measures compliance among pregnant women in Saudi Arabia: a multicenter study
Authors
Ranya A. Ghamri
Kholoud A. Ghamri
Publication date
01-12-2023
Publisher
BioMed Central
Keyword
COVID-19
Published in
BMC Infectious Diseases / Issue 1/2023
Electronic ISSN: 1471-2334
DOI
https://doi.org/10.1186/s12879-023-08364-z

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