ArticleInquiry : a journal of medical care organization, provision and financing
Social Determinants of Adherence to COVID-19 Preventive Guidelines in Iran: A Qualitative Study.
Article in Inquiry : a journal of medical care organization, provision and financing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Crisis management of COVID-19 at the primary healthcare level: challenges and solutions - a qualitative study.BMC primary care · 2026Article
- Challenges and barriers to effective COVID-19 screening at Iran's air border crossings: a qualitative study and proposed solutions.Globalization and health · 2026Article
- Stepping outside the clinic walls: health professionals' encounters with place during the COVID-19 pandemic.BMC public health · 2026Article
- Impact of non-pharmacological interventions on the first wave of COVID-19 in Portugal 2020.Heliyon · 2025Article
- Impacts of the COVID-19 pandemic on supervised consumption service delivery in Vancouver and Surrey, Canada from the perspective of service providers.Discover public health · 2025Article
- Exploring barriers to social distancing during the COVID-19 pandemic in Zimbabwe: a qualitative study.BMJ public health · 2025Article
- Social Cohesion and COVID-19: Integrative Review.Interactive journal of medical research · 2024Review
- Assessing factors associated with compliance to preventive measures of COVID-19 in Rwanda: a cross-sectional community survey.BMJ open · 2024Article
- Factors affecting hand hygiene practice during the COVID-19 pandemic in the Zimbabwean population: a qualitative study.BMC infectious diseases · 2024Article
- Understanding public perceptions in social media responses to posts about acute severe hepatitis of unknown etiology in Indonesia: a qualitative study.BMC infectious diseases · 2023Article
- An Ethnographic Study of Multiple Factors Influencing Perceptions, Attitudes, and Observance of COVID-19 Preventive Measures among Rural and Urban Slum Dwellers in Ghana.Journal of environmental and public health · 2023Article
- Explore pre-hospital emergency challenges in the face of the COVID-19 pandemic: A quality content analysis in the Iranian context.Frontiers in public health · 2022Article
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Authors and funding
10 authors.
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Abstract
introductionAdherence to COVID-19 preventative guidelines may be influenced by a variety of factors at the individual, societal, and institutional levels. The current study sought to investigate the social factors of adherence to those preventive measures from the perspective of health professionals.
methodsIn October 2020, we performed qualitative research in Tehran, Iran, using the directed content analysis method. For the preparation of our interview guide and data analysis, we employed the WHO conceptual framework of socioeconomic determinants of health. Semi-structured interviews were conducted with 15 health professionals and policymakers who were chosen using a purposive sampling approach. MAXQDA-18 software was used to analyze the data. The Goba and Lincoln criteria were used to assess the quality of the results.
resultsThere are 23 subcategories and 9 categories, which include socio-economic and political context (unstable macroeconomic environment, poor management of the pandemic, media and knowledge transfer), cultural and social values (fatalism, cultural norms, value conflicts, social customs), socio-economic positions (livelihood conditions), social capital (social cohesion, low trust), living conditions (housing conditions), occupational conditions (precarious employment), individual characteristics (demographic characteristics, personality traits, COVID-19 knowledge, and attitude), psycho-social factors (normalization of the disease, social pressure, and stigma), and health system leadership (health system problems, not taking evidence-based decisions, non-comprehensive preventive guidelines, non-operational guidelines, inadequate executive committee) were obtained.
conclusionTo limit the new COVID-19 transmission, people must be encouraged to follow COVID-19 prevention instructions. Improving adherence to COVID-19 preventive guidelines necessitates dealing with the complexities of responding to social determinants of those guidelines. Increasing public health literacy and knowledge of COVID-19, informing people about the consequences of social interactions and cultural customs in the spread of COVID-19, strengthening regulatory lockdown laws, improving guarantees for adhering to preventive guidelines, providing easy access to preventive supplies, and strengthening financial support for households with precarious employment are all important.
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