Association between well-being and compliance with COVID-19 preventive measures by healthcare professionals: A cross-sectional study

Shimoni Urvish Shah, Evelyn Xiu Ling Loo, Chun En Chua, Guan Sen Kew, Alla Demutska, Sabrina Quek, Scott Wong, Hui Xing Lau, En Xian Sarah Low, Tze Liang Loh, Ooi Shien Lung, Emily C.W. Hung, M. Masudur Rahman, Uday C. Ghoshal, Sunny H. Wong, Cynthia K.Y. Cheung, Ari F. Syam, Niandi Tan, Yinglian Xiao, Jin Song LiuFang Lu, Chien Lin Chen, Yeong Yeh Lee, Ruter M. Maralit, Yong Sung Kim, Tadayuki Oshima, Hiroto Miwa, Kewin Tien Ho Siah, Junxiong Pang

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


Importance: Knowledge and attitude influence compliance and individuals' practices. The risk and protective factors associated with high compliance to these preventive measures are critical to enhancing pandemic preparedness. Objective: This survey aims to assess differences in mental health, knowledge, attitudes, and practices (KAP) of preventive measures for COVID-19 amongst healthcare professionals (HCP) and non-healthcare professionals. Design: Multi-national cross-sectional study was carried out using electronic surveys between May-June 2020. Setting: Multi-national survey was distributed across 36 countries through social media, word-ofmouth, and electronic mail. Participants: Participants ≥21 years working in healthcare and non-healthcare related professions. Main outcome: Risk factors determining the difference in KAP towards personal hygiene and social distancing measures during COVID-19 amongst HCP and non-HCP. Results: HCP were significantly more knowledgeable on personal hygiene (AdjOR 1.45, 95% CI -1.14 to 1.83) and social distancing (AdjOR 1.31, 95% CI -1.06 to 1.61) compared to non- HCP. They were more likely to have a positive attitude towards personal hygiene and 1.5 times more willing to participate in the contact tracing app. There was high compliance towards personal hygiene and social distancing measures amongst HCP. HCP with high compliance were 1.8 times more likely to flourish and more likely to have a high sense of emotional (AdjOR 1.94, 95% CI (1.44 to 2.61), social (AdjOR 2.07, 95% CI -1.55 to 2.78), and psychological (AdjOR 2.13, 95% CI (1.59-2.85) well-being. Conclusion and relevance: While healthcare professionals were more knowledgeable, had more positive attitudes, their higher sense of total well-being was seen to be more critical to enhance compliance. Therefore, focusing on the well-being of the general population would help to enhance their compliance towards the preventive measures for COVID-19.

Original languageEnglish
Article numbere0252835
JournalPloS one
Issue number6 June
Publication statusPublished - Jun 2021


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