The determinants of sustained adherence to COVID-19 preventive measures among older Syrian refugees in Lebanon
Lebanon has battled the COVID-19 pandemic in the midst of an economic crisis. The evolution of the pandemic and a fragile health system have meant that public health policy has had to rely heavily on non-pharmaceutical interventions for disease control. However, changes in disease dynamics, an unrav...
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| Veröffentlicht in: | PloS one 2023-06, Vol.18 (6), p.e0268851-e0268851 |
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| creator | Salti, Nisreen McCall, Stephen J Abi Zeid, Berthe El Salibi, Noura Alawieh, Marwan Ramadan, Zeinab Ghattas, Hala Abdulrahim, Sawsan |
| description | Lebanon has battled the COVID-19 pandemic in the midst of an economic crisis. The evolution of the pandemic and a fragile health system have meant that public health policy has had to rely heavily on non-pharmaceutical interventions for disease control. However, changes in disease dynamics, an unraveling economy, and pandemic fatigue have meant that disease control policies need to be updated.
Using recent and timely data on older (50 years and above) Syrian refugees in Lebanon, this paper uses multivariate linear probability models to explore the determinants of adherence to two non-pharmaceutical COVID-19 prevention measures (wearing a mask and avoiding social gatherings) among this high-risk subgroup in a vulnerable population. Among respondents who report adhering to these measures, the paper also investigates the determinants of sustained adherence over a period of 6 months.
The findings suggest that no individual-level characteristics were robustly associated with mask wearing. For avoiding social gatherings, education was inversely associated with adherence to this preventive measure. Avoiding social gatherings was also significantly lower for residents of informal tented settlements (ITSs). Among initial adherents, and for both preventive practices, ITS dwellers were also significantly less likely to maintain adherence.
Identifying variables associated with adherence to non-pharmaceutical preventive practices, particularly for vulnerable groups, can help inform and refine interventions in the face of changing conditions. The material, physical, administrative and socio-economic constraints of life in an ITS suggest that avoiding social gatherings is hardly feasible. Yet despite the challenging conditions of ITSs, the indication to wear a mask is initially complied with, suggesting that tailoring policies to the limits and constrains of context can lead to successful outcomes even in very adverse settings. |
| doi_str_mv | 10.1371/journal.pone.0268851 |
| format | Article |
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Using recent and timely data on older (50 years and above) Syrian refugees in Lebanon, this paper uses multivariate linear probability models to explore the determinants of adherence to two non-pharmaceutical COVID-19 prevention measures (wearing a mask and avoiding social gatherings) among this high-risk subgroup in a vulnerable population. Among respondents who report adhering to these measures, the paper also investigates the determinants of sustained adherence over a period of 6 months.
The findings suggest that no individual-level characteristics were robustly associated with mask wearing. For avoiding social gatherings, education was inversely associated with adherence to this preventive measure. Avoiding social gatherings was also significantly lower for residents of informal tented settlements (ITSs). Among initial adherents, and for both preventive practices, ITS dwellers were also significantly less likely to maintain adherence.
Identifying variables associated with adherence to non-pharmaceutical preventive practices, particularly for vulnerable groups, can help inform and refine interventions in the face of changing conditions. The material, physical, administrative and socio-economic constraints of life in an ITS suggest that avoiding social gatherings is hardly feasible. Yet despite the challenging conditions of ITSs, the indication to wear a mask is initially complied with, suggesting that tailoring policies to the limits and constrains of context can lead to successful outcomes even in very adverse settings.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0268851</identifier><identifier>PMID: 37347734</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Aged ; Analysis ; Animals ; At risk populations ; Behavior ; Compliance ; Consent ; Control ; Coronaviruses ; COVID-19 ; COVID-19 - epidemiology ; COVID-19 - prevention & control ; COVID-19 vaccines ; Cricetinae ; Disease control ; Economic crisis ; Economics ; Epidemics ; GDP ; Gross Domestic Product ; Health aspects ; Health care policy ; Health policy ; Households ; Humans ; Infrastructure ; Lebanon ; Lebanon - epidemiology ; Medical policy ; Medicine and Health Sciences ; Mesocricetus ; Middle aged persons ; Older people ; Pandemics ; Pandemics - prevention & control ; People and Places ; Pharmaceuticals ; Policies ; Prevention ; Public health ; Public Policy ; Questionnaires ; Refugees ; Risk groups ; Social distancing ; Social Sciences ; Subgroups ; Syria</subject><ispartof>PloS one, 2023-06, Vol.18 (6), p.e0268851-e0268851</ispartof><rights>Copyright: © 2023 Salti et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2023 Public Library of Science</rights><rights>2023 Salti et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 Salti et al 2023 Salti et al</rights><rights>2023 Salti et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c642t-8727e1094b2c5ee0ebc723bab7a227033d9022353921e8323ee1ddf3c7842fa53</cites><orcidid>0000-0002-2007-5574 ; 0000-0003-0078-7010 ; 0000-0002-4585-6430</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10286991/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10286991/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79342,79343</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37347734$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Salti, Nisreen</creatorcontrib><creatorcontrib>McCall, Stephen J</creatorcontrib><creatorcontrib>Abi Zeid, Berthe</creatorcontrib><creatorcontrib>El Salibi, Noura</creatorcontrib><creatorcontrib>Alawieh, Marwan</creatorcontrib><creatorcontrib>Ramadan, Zeinab</creatorcontrib><creatorcontrib>Ghattas, Hala</creatorcontrib><creatorcontrib>Abdulrahim, Sawsan</creatorcontrib><title>The determinants of sustained adherence to COVID-19 preventive measures among older Syrian refugees in Lebanon</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Lebanon has battled the COVID-19 pandemic in the midst of an economic crisis. The evolution of the pandemic and a fragile health system have meant that public health policy has had to rely heavily on non-pharmaceutical interventions for disease control. However, changes in disease dynamics, an unraveling economy, and pandemic fatigue have meant that disease control policies need to be updated.
Using recent and timely data on older (50 years and above) Syrian refugees in Lebanon, this paper uses multivariate linear probability models to explore the determinants of adherence to two non-pharmaceutical COVID-19 prevention measures (wearing a mask and avoiding social gatherings) among this high-risk subgroup in a vulnerable population. Among respondents who report adhering to these measures, the paper also investigates the determinants of sustained adherence over a period of 6 months.
The findings suggest that no individual-level characteristics were robustly associated with mask wearing. For avoiding social gatherings, education was inversely associated with adherence to this preventive measure. Avoiding social gatherings was also significantly lower for residents of informal tented settlements (ITSs). Among initial adherents, and for both preventive practices, ITS dwellers were also significantly less likely to maintain adherence.
Identifying variables associated with adherence to non-pharmaceutical preventive practices, particularly for vulnerable groups, can help inform and refine interventions in the face of changing conditions. The material, physical, administrative and socio-economic constraints of life in an ITS suggest that avoiding social gatherings is hardly feasible. 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Salti, Nisreen</au><au>McCall, Stephen J</au><au>Abi Zeid, Berthe</au><au>El Salibi, Noura</au><au>Alawieh, Marwan</au><au>Ramadan, Zeinab</au><au>Ghattas, Hala</au><au>Abdulrahim, Sawsan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The determinants of sustained adherence to COVID-19 preventive measures among older Syrian refugees in Lebanon</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2023-06-22</date><risdate>2023</risdate><volume>18</volume><issue>6</issue><spage>e0268851</spage><epage>e0268851</epage><pages>e0268851-e0268851</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Lebanon has battled the COVID-19 pandemic in the midst of an economic crisis. The evolution of the pandemic and a fragile health system have meant that public health policy has had to rely heavily on non-pharmaceutical interventions for disease control. However, changes in disease dynamics, an unraveling economy, and pandemic fatigue have meant that disease control policies need to be updated.
Using recent and timely data on older (50 years and above) Syrian refugees in Lebanon, this paper uses multivariate linear probability models to explore the determinants of adherence to two non-pharmaceutical COVID-19 prevention measures (wearing a mask and avoiding social gatherings) among this high-risk subgroup in a vulnerable population. Among respondents who report adhering to these measures, the paper also investigates the determinants of sustained adherence over a period of 6 months.
The findings suggest that no individual-level characteristics were robustly associated with mask wearing. For avoiding social gatherings, education was inversely associated with adherence to this preventive measure. Avoiding social gatherings was also significantly lower for residents of informal tented settlements (ITSs). Among initial adherents, and for both preventive practices, ITS dwellers were also significantly less likely to maintain adherence.
Identifying variables associated with adherence to non-pharmaceutical preventive practices, particularly for vulnerable groups, can help inform and refine interventions in the face of changing conditions. The material, physical, administrative and socio-economic constraints of life in an ITS suggest that avoiding social gatherings is hardly feasible. Yet despite the challenging conditions of ITSs, the indication to wear a mask is initially complied with, suggesting that tailoring policies to the limits and constrains of context can lead to successful outcomes even in very adverse settings.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>37347734</pmid><doi>10.1371/journal.pone.0268851</doi><tpages>e0268851</tpages><orcidid>https://orcid.org/0000-0002-2007-5574</orcidid><orcidid>https://orcid.org/0000-0003-0078-7010</orcidid><orcidid>https://orcid.org/0000-0002-4585-6430</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2023-06, Vol.18 (6), p.e0268851-e0268851 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2828662123 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS) |
| subjects | Aged Analysis Animals At risk populations Behavior Compliance Consent Control Coronaviruses COVID-19 COVID-19 - epidemiology COVID-19 - prevention & control COVID-19 vaccines Cricetinae Disease control Economic crisis Economics Epidemics GDP Gross Domestic Product Health aspects Health care policy Health policy Households Humans Infrastructure Lebanon Lebanon - epidemiology Medical policy Medicine and Health Sciences Mesocricetus Middle aged persons Older people Pandemics Pandemics - prevention & control People and Places Pharmaceuticals Policies Prevention Public health Public Policy Questionnaires Refugees Risk groups Social distancing Social Sciences Subgroups Syria |
| title | The determinants of sustained adherence to COVID-19 preventive measures among older Syrian refugees in Lebanon |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-08T21%3A39%3A01IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20determinants%20of%20sustained%20adherence%20to%20COVID-19%20preventive%20measures%20among%20older%20Syrian%20refugees%20in%20Lebanon&rft.jtitle=PloS%20one&rft.au=Salti,%20Nisreen&rft.date=2023-06-22&rft.volume=18&rft.issue=6&rft.spage=e0268851&rft.epage=e0268851&rft.pages=e0268851-e0268851&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0268851&rft_dat=%3Cgale_plos_%3EA754140564%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2828662123&rft_id=info:pmid/37347734&rft_galeid=A754140564&rft_doaj_id=oai_doaj_org_article_8e4b519ef2534d118ef4448926c22e25&rfr_iscdi=true |