Addressing Factors Associated with Public Compliance Towards Quarantine Measurements as A Breakthrough Way Fighting Covid-19 Pandemic: A Meta-analysis

Main Article Content

Ayers Gilberth Ivano Kalaij
Nathaniel Gilbert Dyson
Valerie Josephine Dirjayanto

Abstract

INTRODUCTION: Quarantine strategy is implemented to prevent COVID-19 transmission and other infectious disease pandemic. Multiple concerns, such as economic, psychological, and social impacts have risen due to the policy which may lead to protocol violation, which is shown by low adherence to self-isolation.


OBJECTIVE: To assess factors related to quarantine compliance in COVID-19 pandemic.


MATERIALS AND METHODS: Systematic search through PubMed, Google Scholar, Cochrane, EBSCO,  Medline, and Scopus, were done until November 11th 2021. Critical appraisal of included studies were performed using the JBI I (Joanna Briggs Institute) tools. We analyzed pooled Odds Ratio (OR) and its p-value using fixed effects models.


RESULTS AND DISCUSSION: Nine studies of 13,282 subjects were included in this review. Better compliance was significantly associated with unmodifiable factors, namely female sex (OR=1.26[95%CI:1.15-1.37],p<0.00001), single marital status (OR=0.79[95%CI:0.69-0.90],p=0.0006), elderly (OR=1.01[95%CI:1.01-1.02],p=0.002), and city residents (OR=1.19[95%CI:1.03-1.37],p=0.02), and modifiable factors including existing emergency regulations (OR=1.80[95%CI:1.49-2.17],p<0.00001), perception to protect own families (OR=1.67[95% CI:1.25-2.22,p=0.0004]), higher education degree (OR=1.29[95%CI:1.10-1.52],p=0.002), trust in government (OR=1.44[95%CI:1.33-1.55],p<0.00001), and worry or distress over COVID-19 (OR=1.44[95%CI:1.34-1.56],p<0.00001). We recommend widening broadcast of quarantine regulations, ensuring consistent and trustworthy government policies with disease containment along with socioeconomic considerations, providing better education in efforts to reduce disease spread. Therefore, decreasing overloaded healthcare burdens and prepare the public not only during COVID-19 but also for future outbreaks.


CONCLUSION: Compliance toward quarantine orders are influenced by several modifiable and nonmodifiable factors. We hope that strategies to further increase people compliance toward quarantine may be formulated based on this comprehensive assessment.

Article Details

How to Cite
Kalaij, A. G. I., Dyson, N. G., Dirjayanto, V. J. . and Triastari, S. K. (2022) “Addressing Factors Associated with Public Compliance Towards Quarantine Measurements as A Breakthrough Way Fighting Covid-19 Pandemic: A Meta-analysis”, Journal of Asian Medical Students’ Association. Kuala Lumpur, Malaysia. Available at: https://jamsa.amsa-international.org/index.php/main/article/view/398 (Accessed: 10October2024).
Section
AMSC 2024 Japan Scientific Paper

References

Listings of WHO’s response to COVID-19 [Internet]. [cited 2021 Nov 15]. Available from: https://www.who.int/news/item/29-06-2020-covidtimeline

WHO Coronavirus (COVID-19) Dashboard [Internet]. [cited 2021 Jul 11]. Available from: https://covid19.who.int

CDC. COVID-19 and Your Health [Internet]. Centers for Disease Control and Prevention. 2020 [cited 2021 Jan 29]. Available from: https://www.cdc.gov/coronavirus/2019- ncov/vaccines/different-vaccines/mrna.html

Conti AA. Historical and methodological highlights of quarantine measures: from ancient plague epidemics to current coronavirus disease (COVID-19) pandemic. Acta Biomed. 2020 May 11;91(2):226–9.

Patel A, Patel S, Fulzele P, Mohod S, Chhabra KG. Quarantine an effective mode for control of the spread of COVID19? A review. J Family Med Prim Care. 2020 Aug 25;9(8):3867–71.

Rajatanavin N, Tuangratananon T, Suphanchaimat R, Tangcharoensathien V. Responding to the COVID-19 second wave in Thailand by diversifying and adapting lessons from the first wave. BMJ Global Health. 2021 Jul 1;6(7):e006178.

Director-General Health and Social Care. Compliance with self-isolation and quarantine measures: literature review [Internet]. Scottish: Scottish Government; 2021 Oct 6 [cited 2021 Nov 16]. Available from: https://www.gov.scot/publications/compliance-self-isolation- quarantine-measures-literature-review/pages/4/

McCall MC, Nunan D, Heneghan C. Is a 14-day quarantine effective against the spread of COVID-19? [Internet]. Unknown: CEBM; 2020 Apr [cited 2021 Nov 16]. Available from: https://www.cebm.net/covid-19/is-a-14-day-quarantine-effective-against-the-spread-of-covid- 19/

Nikolakopoulou A, Mavridis D, Salanti G. How to interpret meta-analysis models: fixed effect and random effects meta-analyses. Evidence-Based Mental Health. 2014 May 1;17(2):64–64.

Higgins JPT, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta- analyses. BMJ. 2003 Sep 6;327(7414):557–60.

Al Zabadi H, Yaseen N, Alhroub T, Haj-Yahya M. Assessment of Quarantine Understanding and Adherence to Lockdown Measures During the COVID-19 Pandemic in Palestine: Community Experience and Evidence for Action. Front Public Health. 2021 Mar 2;9:570242.

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 Dec;21(1):1251.

Carlucci L, D’Ambrosio I, Balsamo M. Demographic and Attitudinal Factors of Adherence to Quarantine Guidelines During COVID-19: The Italian Model. Front Psychol. 2020 Oct 21;11:559288.

Guillon M, Kergall P. Attitudes and opinions on quarantine and support for a contact-tracing application in France during the COVID-19 outbreak. Public Health. 2020 Nov;188:21–31.

Smith LE, Aml R. Factors associated with adherence to self-isolation and lockdown measures in the UK: a cross-sectional survey. :2.

Uchmanowicz B, Chudiak A, Uchmanowicz I, Rosińczuk J, Froelicher ES. Factors influencing adherence to treatment in older adults with hypertension. Clin Interv Aging. 2018;13:2425–41.

Aerts C, Revilla M, Duval L, Paaijmans K, Chandrabose J, Cox H, et al. Understanding the role of disease knowledge and risk perception in shaping preventive behavior for selected vector-borne diseases in Guyana. PLoS Negl Trop Dis. 2020 Apr;14(4):e0008149.

Bodas M, Peleg K. Income assurances are a crucial factor in determining public compliance with self-isolation regulations during the COVID-19 outbreak – cohort study in Israel. Isr J Health Policy Res. 2020 Dec;9(1):54.

Kaim A, Siman-Tov M, Jaffe E, Adini B. Factors that enhance or impede compliance of the public with governmental regulation of lockdown during COVID-19 in Israel. International Journal of Disaster Risk Reduction. 2021 Dec;66:102596.