Articles Information
International Journal of Preventive Medicine Research, Vol.5, No.2, Jun. 2021, Pub. Date: Nov. 22, 2021
A Survey on the Perception of Use of Face Masks in Preventing COVID-19 Infection Among Medical Students
Pages: 33-41 Views: 1159 Downloads: 234
Authors
[01]
Ma Jing Hung, Faculty of Medicine, Manipal University College Malaysia (MUCM), Melaka, Malaysia.
[02]
Manjushree Yogarajah, Faculty of Medicine, Manipal University College Malaysia (MUCM), Melaka, Malaysia.
[03]
Ramiyahvatani Gurunatham, Faculty of Medicine, Manipal University College Malaysia (MUCM), Melaka, Malaysia.
[04]
Kokulathrsan Vijayakumar, Faculty of Medicine, Manipal University College Malaysia (MUCM), Melaka, Malaysia.
[05]
Gunamuni Senuri Uthara De Silva, Faculty of Medicine, Manipal University College Malaysia (MUCM), Melaka, Malaysia.
Abstract
A face mask can be described as a simple, lightweight, protective covering that is used over the nose and mouth to prevent particulates from the air entering the respiratory tract or oral cavity and is widely used amongst healthcare professionals. In early 2020, with the emergence of the SARS-CoV-2 pandemic, its use among the public has increased as an initiative taken to reduce and prevent the rapid spread of the virus. This research study was designed to assess the perception of medical students on the use of face masks in controlling and preventing COVID-19 infection as well as future face mask usage. A cross-sectional study was conducted from May 2021 to June 2021 among undergraduate medical students of Manipal University College Malaysia (MUCM). An online questionnaire was distributed among medical students of varying clinical experience and 108 responses were collected. All statistical tests were done using Epi info Software (v7.2.4.0). The data was analysed using frequency tables, odds ratio, and correlation. Findings reveal that 99.1% of participants currently wear face marks as per government regulations. A significant association was observed between gender and a sense of relief felt by face mask usage (95% CI -1.154, -0.240; p-value 0.003). Another significant association between exposure to clinical settings and sense of relief was also found (95% CI -0.832, -0.031; p-value 0.035). Many participants believe that they would continue to wear a face mask even when the WHO has declared the society of being safe from the virus (69.4%); 29% gave self-protection as a reason whilst 26% mentioned they would do it with the intention of protecting others. Based on the results of the study male gender is 1.26 times more likely to continue wearing face masks in the future compared to females (95%CI 0.47, 3.37; x2 0.213; p-value 0.644). This study also showed that medical students with no exposure to clinical setting are 2.05 times more likely to continue wearing face masks in the future compared to students with exposure to clinical setting (95%CI 0.87, 4.82; x2 2.778; p-value 0.096). Overall, the perception of medical students on the use of face masks remains high with high compliance to government regulations on face mask usage. For the foreseeable future, we recommend medical students to continue wearing face masks.
Keywords
Face Mask Usage, Cross Sectional Study, Undergraduate Students
References
[01]
Asadi S, Bouvier N, Wexler AS, Ristenpart WD. The coronavirus pandemic and aerosols: Does COVID-19 transmit via expiratory particles?
[02]
Chia PY, Coleman KK, Tan YK, Ong SW, Gum M, Lau SK, Lim XF, Lim AS, Sutjipto S, Lee PH, Son TT. Detection of air and surface contamination by SARS-CoV-2 in hospital rooms of infected patients. Nature communications. 2020 May 29; 11 (1): 1-7.
[03]
Sun J, Zhu A, Li H, Zheng K, Zhuang Z, Chen Z, Shi Y, Zhang Z, Chen SB, Liu X, Dai J. Isolation of infectious SARS-CoV-2 from urine of a COVID-19 patient. Emerging microbes & infections. 2020 Jan 1; 9 (1): 991-3.
[04]
Xiao F, Sun J, Xu Y, Li F, Huang X, Li H, Zhao J, Huang J, Zhao J. Infectious SARS-CoV-2 in feces of patient with severe COVID-19. Emerging infectious diseases. 2020 Aug; 26 (8): 1920.
[05]
Jones DL, Baluja MQ, Graham DW, Corbishley A, McDonald JE, Malham SK, Hillary LS, Connor TR, Gaze WH, Moura IB, Wilcox MH. Shedding of SARS-CoV-2 in feces and urine and its potential role in person-to-person transmission and the environment-based spread of COVID-19. Science of the Total Environment. 2020 Dec 20; 749: 141364.
[06]
Pandey LK, Singh VV, Sharma PK, Meher D, Biswas U, Sathe M, Ganesan K, Thakare VB, Agarwal K. Screening of core filter layer for the development of respiratory mask to combat COVID-19. Scientific Reports. 2021 May 13; 11 (1): 1-4.
[07]
Van Doremalen N, Bushmaker T, Morris DH, Holbrook MG, Gamble A, Williamson BN, Tamin A, Harcourt JL, Thornburg NJ, Gerber SI, Lloyd-Smith JO. Aerosol and surface stability of SARS-CoV-2 as compared with SARS-CoV-1. New England journal of medicine. 2020 Apr 16; 382 (16): 1564-7.
[08]
Bundgaard H, Bundgaard JS, Raaschou-Pedersen DE, von Buchwald C, Todsen T, Norsk JB, Pries-Heje MM, Vissing CR, Nielsen PB, Winsløw UC, Fogh K. Effectiveness of adding a mask recommendation to other public health measures to prevent SARS-CoV-2 infection in Danish mask wearers: a randomized controlled trial. Annals of Internal Medicine. 2020 Nov 18.
[09]
Abbasi, K. (2020a). The curious case of the Danish mask study. BMJ, m4586. https://doi.org/10.1136/bmj.m4586
[10]
Asmelash L. The Surgeon General Wants Americans to Stop Buying Face Masks. https://edition.cnn.com/2020/02/29/health/face-masks-coronavirus-surgeon-general-trnd/index.html
[11]
Worby CJ, Chang HH. Face mask use in the general population and optimal resource allocation during the COVID-19 pandemic. Nature communications. 2020 Aug 13; 11 (1): 1-9.
[12]
Xiaoning, T Yuwei. Research on Management of University Public Health Emergencies----Based on 2019 New Coronavirus Events 2020 Z 10.11648/j.si.20200802.15 Science Innovation. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public/when-and-how-to-use-masks
[13]
Everington, K. Masks Mandatory on Taiwan Trains, Intercity Buses Starting Today. Taiwan News; Taipei, Taiwan. https://www.taiwannews.com.tw/en/news/3908366 (2020).
[14]
Feng, S. et al. Rational use of face masks in the COVID-19 pandemic. Lancet Respir. Med. 8, 434–436 (2020).
[15]
Wai YC, Yee PJ, Thastheen VR. The Potential Side Effect of the Face Mask. 2020. http://files.aiscience.org/journal/article/pdf/70570152.pdf
[16]
Leung NH, Chu DK, Shiu EY, Chan KH, McDevitt JJ, Hau BJ, Yen HL, Li Y, Ip DK, Peiris JM, Seto WH. Respiratory virus shedding in exhaled breath and efficacy of face masks. Nature medicine. 2020 May; 26 (5): 676-80.
[17]
Centers for Disease Control and Prevention. 2021. Healthcare Workers. [online] Available at:
[18]
Buitrago-Garcia D, Egli-Gany D, Counotte MJ, Hossmann S, Imeri H, Ipekci AM, Salanti G, Low N. Occurrence and transmission potential of asymptomatic and presymptomatic SARS-CoV-2 infections: A living systematic review and meta-analysis. PLoS medicine. 2020 Sep 22; 17 (9): e1003346.
[19]
Raina MacIntyre, C., & Jay Hasanain, S. (2020). Community universal face mask use during the COVID 19 pandemic—from households to travellers and public spaces. Journal Of Travel Medicine, 27 (3). doi: 10.1093/jtm/taaa056
[20]
Prasad V. Here's How to Think About the Danish Mask Study: What the DANMASK-19 trial showed and didn't show about mask use and COVID-19. 2020 Nov 18 [cited 2020 Dec 11] Available from: https://www.medpagetoday.com/blogs/vinayprasad/ 89778
[21]
Azlan AA, Hamzah MR, Sern TJ, Ayub SH, Mohamad E. Public knowledge, attitudes and practices towards COVID-19: A cross-sectional study in Malaysia. 2020 May 21; PLoS One 15 (5): e0233668. Available from: https://doi.org/10.1371/journal.pone.0233668
[22]
Joyce Chzi Ching Chee, Sylvia Wei Wei Kong, Zhi Jing Tan, Yi Khai Lim, Mark S Pearce, Edmund L C Ong. Perceptions, Attitude, Responses, Knowledge and Emotional Well-being (PARKE) of COVID-19 among students at Newcastle University Medicine Malaysia (NUMed). 2021 February 07, Available from: https://doi.org/10.29392/001c.18960
[23]
R. Hirschman. Share of people who wore masks in public COVID-19 outbreak Malaysia 2020-2021 [Internet] Statista: R. Hirschman; 2021 April 30 [Updated 2021 April 30; cited 2021 June 5] Available from: https://www.statista.com/statistics/1110960/malaysia-wearing-masks-during-covid-19-outbreak/
[24]
David Machin, Michael Campbell, Peter Fayers, Alain Pinol, Sample size tables for clinical studies, 2nd edition, Blackwell Science, Oxford, 1997.
[25]
Jamie Ballard. Most americans expect to keep wearing face masks after the pandemic [Internet]. YouGovAmerica; 2021 [updated 2021 March 20; cited 2021 June 15]. Available from: https://today.yougov.com/topics/health/articles-reports/2021/03/19/americans-wearing-face-masks-after-pandemic-poll
[26]
Korin Miller. Nearly three-quarters of Americans still plant to wear masks in public after COVID-19 is no longer a threat: Survey [Internet] Yahoo!life; 2021 [updated 2021 February 10; cited 2021 June 15]. Available from: https://www.yahoo.com/lifestyle/americans-still-plan-wear-masks-public-covid-19-no-longer-threat-survey-194043610.html?guccounter=1&guce_referrer=aHR0cHM6Ly93d3cuZ29vZ2xlLmNvbS8&guce_referrer_sig=AQAAABvt7giJDYWhnhM1_EuCUxpaaJ6JG9I73RErUffxNefPwJuM9i8R60fKqdClOyTQxXaLLLtGVLn2GjjxPa92452fyoimqegSFirEJCmLO-uOadqIVEvguDbayojMc-d72L0Xgr3b6SMZD9cxgyL5ee6Uke-yAFR94s3GoL4N-35J
[27]
Deutsche Welle. How Japan’s mask culture may have saved lives during coronavirus [Internet]. Taiwan News; 2020 [updated 2020 October; cited 2021 June 15]. Available from: https://www.taiwannews.com.tw/en/news/4033338
[28]
Nakayachi K, Ozaki T, Shibata Y, Yokoi R. Why do Japanese people use masks against COVID-19, even though masks are unlikely to offer protection from infection?. Frontiers in Psychology. 2020 Aug 4; 11: 1918.