Evidence map›Paper›PMID 36323466›Full record

ArticleBMJ open2022

Adherence to stay-at-home orders: awareness, implementation and difficulties of officially ordered quarantine measures in the context of the COVID-19 pandemic in Cologne - a retrospective cohort study.

Julian Book, Lukas Broichhaus, Barbara Grüne, Johannes Nießen, Gerhard A Wiesmüller, Christine Joisten, Annelene Kossow

Abstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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.

Julian BookDepartment of Infection Control and Environmental Hygiene, Cologne Health Authority, Cologne, Germany julian.book@gmx.de.ORCID 0000-0002-8138-2711
Lukas BroichhausDepartment of Infection Control and Environmental Hygiene, Cologne Health Authority, Cologne, Germany.
Barbara GrüneDepartment of Infection Control and Environmental Hygiene, Cologne Health Authority, Cologne, Germany.ORCID 0000-0003-4393-333X
Johannes NießenDepartment of Infection Control and Environmental Hygiene, Cologne Health Authority, Cologne, Germany.
Gerhard A WiesmüllerDepartment of Infection Control and Environmental Hygiene, Cologne Health Authority, Cologne, Germany.
Christine Joisten *Department of Infection Control and Environmental Hygiene, Cologne Health Authority, Cologne, Germany.ORCID 0000-0002-2455-8901
Annelene Kossow *Department of Infection Control and Environmental Hygiene, Cologne Health Authority, Cologne, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo estimate the awareness, implementation and difficulty of behavioural recommendations and their correlates in officially ordered domestic isolation and quarantine during the COVID-19 pandemic.

designOnline retrospective cohort survey conducted from 12 December 2020 to 6 January 2021 as part of the Cologne-Corona Counselling and Support for Index and Contact Persons During the Quarantine Period study.

settingAdministrative area of the city of Cologne, Germany.

participants3011 infected persons (IPs) and 5822 contacts over 16 years of age who were in officially ordered domestic isolation or quarantine between 28 February 2020 and 9 December 2020. Of these, 60.4% were women. OUTCOME MEASURES: Self-developed scores were calculated based on responses about awareness and implementation of 19 behavioural recommendations to determine community-based and household-based adherence. Linear regression analyses were conducted to determine factors influencing adherence.

resultsThe average adherence to all recommendations, including staying in a single room, keeping distance and wearing a mask, was 13.8±2.4 out of 15 points for community-based recommendations (CBRs) and 17.2±6.8 out of 25 points for household-based recommendations (HBRs). IPs were significantly more adherent to CBRs (14.3±2.0 points vs 13.7±2.6 points, p<0.001) and HBRs (18.2±6.7 points vs 16.5±6.8 points, p<0.001) than were contact persons. Among other factors, both status as an IP and being informed about the measures positively influenced participants' adherence. The linear regression analysis explained 6.6% and 14.4% (corr. R²) of the adherence to CBRs and HBRs.

conclusionsNot all persons under official quarantine were aware of the relevant behavioural recommendations. This was especially true in cases where instructions were given for measures to be taken in one's own household. Due to the high transmission rates within households, HBRs should be communicated with particular emphasis.

Indexed as

COVID-19QuarantineFemaleHumansMalePandemicsRetrospective StudiesSARS-CoV-2COVID-19epidemiologyinfection controlpublic health

Identifiers

PMID36323466
PMCPMC9638749

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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.