How patients with COVID-19 managed the disease at home during the first wave in Spain: A cross-sectional study

dc.affiliation.institutoUC3M. Instituto Universitario de Estudios de Géneroes
dc.contributor.authorRomay Barja, María
dc.contributor.authorPascual Carrasco, Mario
dc.contributor.authorde Tena Dávila, María
dc.contributor.authorFalcón, María
dc.contributor.authorRodríguez Blázquez, Carmen
dc.contributor.authorForjaz, Maria João
dc.contributor.authorAyala García, Alba
dc.contributor.authorMolina de la Fuente, Irene
dc.contributor.authorBurgos, Alfredo
dc.contributor.authorMuñoz, Adolfo
dc.contributor.authorBenito, Agustín
dc.contributor.funderInstituto de Salud Carlos III (España)en
dc.description.abstractObjective Most patients with mild COVID-19 had to stay at home trying to implement an optimal quarantine. The aim of this study was to describe the COVID-19 cases during the first wave of the pandemic in Spain, how they managed the disease at home, focusing on differences by age, as well as differences in knowledge, attitudes and preventive practices, compared with the uninfected population. Design An online survey was used to conduct a cross-sectional study of individuals who were 14 years or older living in Spain during the COVID-19 lockdown. The main variable was a COVID-19 case. Logistic regression models for COVID-19 cases were obtained using a backward stepwise procedure to assess the association between social variables, disease knowledge, attitudes, prevention practices and emotional impact. Results 3398 people completed the survey. Participants' mean age was 49.6 (SD=14.3). COVID-19 was significantly more prevalent among married people (5.3%) and those currently doing an on-site work (8.7%). Most of the COVID-19 cases stayed at home (84.0%) during the episode. There were significant age-based differences with regard to self-isolation conditions at home during the disease. COVID-19 cases showed better attitudes, practices and knowledge about disease symptoms and transmission than the uninfected population. COVID-19 cases also felt more depressed (adjusted OR: 3.46, 95% CI 1.45 to 8.26) and had better preventive behaviour than the uninfected population, such as always wearing a mask outside the home (adjusted OR 1.58, 95% CI 1.06 to 2.30). Conclusion COVID-19 cases found it difficult to comply with recommended home self-isolation conditions, with differences by age group. COVID-19 had an important impact on care dependency in non-hospitalised patients, who were mostly dependent on their families for care. It is necessary to reinforce social and health services and to be ready to meet the care needs of populations during the different waves or in future epidemics.en
dc.description.sponsorshipThis work was supported by Instituto de Salud Carlos III through the National Tropical Diseases Research Network (RD16CIII/003/001RICET). The funders had no role in study design or in the collection, analysis and interpretation of data, or the decision to submit the article for publication.en
dc.identifier.bibliographicCitationRomay-Barja, M., Pascual-Carrasco, M., de Tena-Dávila, M. J., Falcón, M., Rodriguez-Blazquez, C., Forjaz, M. J., Ayala, A., Molina-de La Fuente, I., Burgos, A., Muñoz, A., & Benito, A. (2021). How patients with COVID-19 managed the disease at home during the first wave in Spain: a cross-sectional study. BMJ Open, 11(5), e048702.
dc.identifier.publicationtitleBMJ Openen
dc.publisherBMJ Journalsen
dc.rights© Author(s) (or their employer(s)) 2021.en
dc.rightsAtribución-NoComercial 3.0 España*
dc.rights.accessRightsopen accessen
dc.subject.ecienciaBiología y Biomedicinaes
dc.subject.otherInfectious diseasesen
dc.subject.otherPublic healthen
dc.subject.otherSocial medicineen
dc.titleHow patients with COVID-19 managed the disease at home during the first wave in Spain: A cross-sectional studyen
dc.typeresearch article*
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