Evidence map›Paper›PMID 40357184›Full record

ReviewJournal of public health in Africa2025

Factors influencing mask use and physical distancing for COVID-19: A qualitative evidence synthesis.

Dachi I Arikpo, Okwu A Onyema, Afiong O Oku, Chibueze Meremikwu, Hannah Hamilton-Hurwitz, João P Toledo, Kathleen Dunn, April Baller, Helen J Smith, Martin M Meremikwu

Abstract readReview
In one paragraph

Review in Journal of public health in Africa, 2025. 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. Review
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

10 authors.

Dachi I ArikpoCochrane Nigeria, Institute of Tropical Diseases Research and Prevention, University of Calabar Teaching Hospital, Calabar, Nigeria.ORCID https://orcid.org/0000-0002-9035-9193
Okwu A OnyemaDepartment of Sociology, University of Calabar, Calabar, Nigeria.ORCID https://orcid.org/0000-0002-7696-3570
Afiong O OkuDepartment of Community Medicine, University of Calabar Teaching Hospital, Calabar, Nigeria.ORCID https://orcid.org/0000-0002-3231-2821
Chibueze MeremikwuDepartment of Mass Communication, Hezekiah University, Umudi, Imo state, Nigeria.ORCID https://orcid.org/0009-0001-5914-539X
Hannah Hamilton-HurwitzWorld Health Organization, Geneva, Switzerland.ORCID https://orcid.org/0000-0003-0753-3400
João P ToledoWorld Health Organization, Geneva, Switzerland.ORCID https://orcid.org/0000-0001-8458-1794
Kathleen DunnWorld Health Organization, Geneva, Switzerland.ORCID https://orcid.org/0000-0001-8921-3712
April BallerWorld Health Organization, Geneva, Switzerland.ORCID https://orcid.org/0000-0001-8207-8423
Helen J SmithInternational Health Consulting Services Ltd, Liverpool, United Kingdom.ORCID https://orcid.org/0000-0002-6252-3793
Martin M MeremikwuCochrane Nigeria, Institute of Tropical Diseases Research and Prevention, University of Calabar Teaching Hospital, Calabar, Nigeria.ORCID https://orcid.org/0000-0002-6144-9413

Funding

World Health Organization 001
6 · The paper itself

Abstract

Background: The World Health Organization (WHO) recommends a bundle of precautions to reduce community transmission of COVID-19, including mask use and physical distancing. However, there is evidence that suggests poor adherence to these health measures community settings. Aim: To summarise qualitative research evidence on the perceptions and factors influencing masks use and physical distancing in the context of the COVID-19 pandemic. Setting: We included studies conducted in community settings. Method: An electronic database search was conducted using search terms derived from the inclusion criteria and combined in a peer-reviewed search strategy. Thirty studies were sampled. Qualitative data analysis was performed using the thematic synthesis approach. The confidence in each review finding was ascertained using the Grading of Recommendations, Assessment, Development and Evaluations - Confidence in the evidence from Reviews of Qualitative Research (GRADE-CERQual) approach. Results: Ten analytical themes of low to high confidence were identified. Values, belief systems and cultural norms shaped the perception and uptake of mask use and physical distancing. Key barriers included the cost of masks, limited infrastructure for spatial separation and inconsistent political or government messaging, while visual cues and social responsibility facilitated adherence. Conclusion: Personal values and preferences influenced individuals' adherence to these public health measures. Political or government messaging is important to aid understanding and adherence. Contribution: Insights provided by this synthesis can support future emergency preparedness and response to outbreaks of acute respiratory infections by providing policy makers with information needed to make contextually relevant recommendations to enhance adherence.

Indexed as

COVID-19face masksinfection prevention and controlmasksphysical distancingPPEqualitative evidence synthesisSARS-CoV-2systematic review

Identifiers

PMID40357184
PMCPMC12067577

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.