Evidence map›Paper›PMID 33781341›Full record

Observational studyAntimicrobial resistance and infection control2021

How do the general population behave with facemasks to prevent COVID-19 in the community? A multi-site observational study.

Colin Deschanvres, Thomas Haudebourg, Nathan Peiffer-Smadja, Karine Blanckaert, David Boutoille, Jean-Christophe Lucet, Gabriel Birgand

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Antimicrobial resistance and infection control, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Colin DeschanvresCentre D'Appui À La Prévention Des Infections Associées Aux Soins (CPias) Des Pays de La Loire, Nantes University Hospital, 5 rue du Professeur Yves Boquien, 44000, Nantes, France. colin.deschanvres@chu-nantes.fr.ORCID 0000-0002-1133-5207
Thomas HaudebourgCentre D'Appui À La Prévention Des Infections Associées Aux Soins (CPias) Des Pays de La Loire, Nantes University Hospital, 5 rue du Professeur Yves Boquien, 44000, Nantes, France.
Nathan Peiffer-SmadjaINSERM, IAME, UMR 1137, Univ Paris Diderot, Sorbonne Paris Cité, 75018, Paris, France.
Karine BlanckaertCentre D'Appui À La Prévention Des Infections Associées Aux Soins (CPias) Des Pays de La Loire, Nantes University Hospital, 5 rue du Professeur Yves Boquien, 44000, Nantes, France.
David BoutoilleInfectious Disease Department, Nantes University Hospital, 44000, Nantes, France.
Jean-Christophe LucetINSERM, IAME, UMR 1137, Univ Paris Diderot, Sorbonne Paris Cité, 75018, Paris, France.
Gabriel BirgandCentre D'Appui À La Prévention Des Infections Associées Aux Soins (CPias) Des Pays de La Loire, Nantes University Hospital, 5 rue du Professeur Yves Boquien, 44000, Nantes, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe appropriate use of facemasks, recommended or mandated by authorities, is critical to prevent the spread of COVID-19 in the community. We aim to evaluate frequency and quality of facemask use in general populations.

methodsA multi-site observational study was carried out from June to July 2020 in the west of France. An observer was positioned at a predetermined place, facing a landmark, and all individual passing between the observer and the landmark were included. The observer collected information on facemask use (type, quality of positioning), location and demographic characteristics.

resultsA total of 3354 observations were recorded. A facemask was worn by 56.4% (n = 1892) of individuals, including surgical facemasks (56.8%, n = 1075) and cloth masks (43.2%, n = 817). The facemask was correctly positioned in 75.2% (n = 1422) of cases. The factors independently associated with wearing a facemask were being indoors (adjusted odds ratio [aOR], 2.7; 95% confidence interval [CI] 2.28-3.19), being in a mandatory area (aOR, 6.92; 95% CI 5-9.7), female gender (aOR, 1.75; 95% CI 1.54-2.04), age 41-65 years (aOR, 1.7; 95% CI 1.43-2.02) and age > 65 years (aOR, 2.28; 95% CI 1.83-2.85). The factors independently associated with correct mask position were rural location (aOR, 1.38; 95% CI 1.07-1.79), being in an indoor area (aOR, 1.85; 95% CI 1.49-2.3), use of clothmask (aOR, 1.53; 95% CI 1.23-1.91), and age > 40 years (aOR, 1.75 95%CI 1.37-2.23).

conclusionsDuring the initial phase of the COVID-19 pandemic, the frequency and quality of facemask wearing remained low in the community setting. Young people in general, and men in particular, represent the priority targets for information campaigns. Simplifying the rules to require universal mandatory facemasking seemed to be the best approach for health authorities.

Indexed as

Health BehaviorMasksAdultAgedCommunicable Disease ControlCOVID-19FemaleFranceGuideline AdherenceHumansMaleMiddle AgedPandemicsYoung AdultClothmaskCommunityCOVID-19Facemask behaviourInfection control

Identifiers

PMID33781341
PMCPMC8006136

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.