Mask-wearing and respiratory infection in healthcare workers in Beijing, China
Open accessAbstract
OBJECTIVES: The aim of the study was to determine rates of mask-wearing, of respiratory infection and the factors associated with mask-wearing and of respiratory infection in healthcare workers (HCWs) in Beijing during the winter of 2007/2008. METHODS: We conducted a survey of 400 HCWs working in eight hospitals in Beijing by face to face interview using a standardized questionnaire. RESULTS: We found that 280/400 (70.0%) of HCWs were compliant with mask-wearing while in contact with patients. Respiratory infection occurred in 238/400 (59.5%) subjects from November, 2007 through February, 2008. Respiratory infection was higher among females (odds ratio [OR], 2.00 [95% confidence interval {CI}, 1.16-3.49]) and staff working in larger hospitals (OR, 1.72 [95% CI, 1.092.72]), but was lower among subjects with seasonal influenza vaccination (OR, 0.46 [95% CI, 0.280.76]), wearing medical masks (reference: cotton-yarn; OR, 0.60 [95% CI, 0.39-0.91]) or with good mask-wearing adherence (OR, 0.60 [95% CI, 0.37-0.98]). The risk of respiratory infection of HCWs working in low risk areas was similar to that of HCWs in high risk area. CONCLUSION: Our data suggest that female HCWs and staffs working in larger hospitals are the focus of prevention and control of respiratory infection in Beijing hospitals. Mask-wearing and seasonal influenza vaccination are protective for respiratory infection in HCWs; the protective efficacy of medical masks is better than that of cotton yarn ones; respiratory infection of HCWs working in low risk areas should also be given attention.
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- Authors
- Yang, P., Seale, H., Raina MacIntyre, C., Zhang, H., Zhang, Z., Zhang, Y., Wang, X., Li, X., Pang, X., & Wang, Q.
- Affiliations
- Capital Medical University (CN)
- UNSW Sydney (AU)
- Chinese Center For Disease Control and Prevention (CN)
- Corresponding author
- Wang, Quanyi
- ORCID
- Venue
- The Brazilian Journal of Infectious Diseases
- Publisher
- Elsevier BV
- Published
- 2011-03
- Volume
- 15
- Issue
- 2
- Pages
- 102-108
- ISSN
- 1413-8670 (ISSN-L)
- PMC
- PMC7129448
- OpenAlex
- W2050085196
- Cited by
- 64
- References
- 21
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 7 · 2022: 13 · 2021: 8 · 2020: 14 · 2019: 1 · 2017: 5 · 2016: 6 · 2015: 1 · 2014: 1 · 2013: 4
- FWCI
- 1.36
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- The Brazilian Journal of Infectious Diseases (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
- Americanae (AECID Library) (submittedVersion, cc-by-nc-nd)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National High-tech Research and Development Program
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Infection Control and Ventilation
- Health Sciences › Medicine › Infectious Diseases › Infection Control in Healthcare
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Nosocomial Infections in ICU
- Keywords
- masking, respiratory infections, healthcare workers, seasonal influenza vaccination, surgical masks, infection control, hospital size, sex differences, Beijing hospitals
- MeSH terms
- Adult, China, Female, Health Personnel, Humans, Male, Masks, Surveys and Questionnaires, Respiratory Tract Infections, Risk Factors, Seasons, Sex Factors, Infectious Disease Transmission, Patient-to-Professional
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