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Isolation Compliance and Associated Factors Among COVID-19 Patients in North-West Iran: A Cross-Sectional Study

Authors Foroozanfar Z, Zamanian M, Moradzadeh R, Hajiabadi F, Ahmadzadeh J, Hosseinkhani Z

Received 23 May 2020

Accepted for publication 14 September 2020

Published 31 December 2020 Volume 2020:13 Pages 1697—1703

DOI https://doi.org/10.2147/IJGM.S264227

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 4

Editor who approved publication: Dr Scott Fraser


Zohre Foroozanfar,1 Maryam Zamanian,2 Rahmatollah Moradzadeh,2 Fatemeh Hajiabadi,1 Jamal Ahmadzadeh,3 Zahra Hosseinkhani4,5

1Children Growth Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran; 2Department of Epidemiology, School of Health, Arak University of Medical Sciences, Arak, Iran; 3Social Determinants of Health Research Center, Urmia University of Medical Sciences, Urmia, Iran; 4Metabolic Diseases Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran. School of Health, Qazvin University of Medical Sciences, Qazvin, Iran; 5School of Health, Qazvin University of Medical Sciences, Qazvin, Iran

Correspondence: Zahra Hosseinkhani
Metabolic Diseases Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran
Tel +98-9127801064
Fax +98- 2833355162
Email zhosseinkhani122@gmail.com

Introduction: Coronavirus disease 2019 (COVID-19) has now turned into a public health emergency. Isolation of patients is a possible solution for controlling epidemic infectious diseases. We assessed the compliance of isolation and associated factors among patients with COVID-19.
Methods: This cross-sectional study was conducted on 320 COVID-19 patients discharged from hospitals of Qazvin province. Patients’ isolation, self-care health behaviors, reference to public health services and possible related factors were assessed. Data were analyzed using multiple logistic regression.
Results: In this study, 320 patients were enrolled, including 175 men (54.7%). Two hundred and eighty-six patients (89.4%) had complete isolation. Factors such as phone tracking by health center (OR = 1.30; 95% CI: 1.01 to 1.75) and dry cough (OR = 2.36; 95% CI: 1.09 to 5.09) increased odds of complete isolation in COVID-19 patients, but having a COVID-19 patient in the family (OR = 0.32; 95% CI: 0.15 to 0.71) and symptoms of disease like shortness of breath (OR = 0.39; 95% CI: 0.18 to 0.85) and muscle pain (OR = 0.43; 95% CI: 0.20 to 0.95) decreased odds ratio for these patients.
Conclusion: Phone tracking by the health center was the most important factor to increase the odds of patient isolation. Thus, the health system should consider improving health workers’ knowledge and skills through education.

Keywords: COVID-19, isolation, self-care, compliance, Iran

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