Turkiye Klinikleri Journal of Medical Sciences

.: ORIGINAL RESEARCH
Compliance with General Rules and Periodically Differences During the COVID-19 Pandemic in Türkiye: A Cross-Sectional Study
Türkiye'de COVID-19 Pandemi Sürecinde Genel Kurallara Uyum ve Dönemsel Farklılıklar: Bir Kesitsel Çalışma
İbrahim ŞAHİNa, Özlem TOLUKa,b, Fisun KASKIR KESİNa,c, Arda UZUNOĞLUa, Ayşegül YABACI TAKb, İlker ERCANd
aDepartment of Biostatistics, Bursa Uludag University Institute of Health Sciences, Bursa, Türkiye
bDepartment of Biostatistics, Bezmialem Vakıf University Faculty of Medicine, İstanbul, Türkiye
cProgram of Social Security, Düzce University Vocational School of Social Sciences, Düzce, Türkiye
dDepartment of Biostatistics, Bursa Uludag University Faculty of Medicine, Bursa, Türkiye
Turkiye Klinikleri J Med Sci. 2022;42(4):297-310
doi: 10.5336/medsci.2022-91461
Article Language: EN
Full Text
ABSTRACT
 Objective: The aim of this research is to investigate the compliance of the society with the general 14 rules of the Ministry of Health and the generally accepted hygiene rules recommended in the literature during the coronavirus disease-2019 (COVID-19) pandemic process. In line with the purpose, behavioral differences related to demographic characteristics and pandemic periods were also evaluated. Material and Methods: The study was conducted in August 2021 and snowball sampling technique was used. A questionnaire of 23 questions was applied to participants, in which compliance with the hygiene rules, including demographic questions, was investigated. The study included 1,069 participants between the ages of 18 and 65, living in Türkiye, using smartphones. Results: In our study, when the results of the compliance with the measures are examined, the compliance has decreased in almost all the other periods compared to the first period of the pandemic. In general, females pay more attention to complying with hygiene rules than males. It has been observed that those who have had COVID-19 disease pay less attention to participating in public areas than those who have not had COVID-19 disease. Conclusion: Social distancing, avoidance of mass events, hygiene, etc., are the most critical measures in slowing the spread of coronavirus. For this reason, it should not be forgotten that non-compliance with the rules will lead to an increase in cases. In terms of the 'normalization' steps taken during the pandemic process, analyzing the compliance rate with the hygiene rules seems very important in guiding future studies.

Keywords: COVID-19; public health; compliance; Türkiye
ÖZET
 Amaç: Çalışmamızın amacı, koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID-19)] pandemi sürecinde Sağlık Bakanlığının genel 14 kuralına ve literatürde önerilen genel kabul görmüş hijyen kurallarına toplumun uyumunu araştırmaktır. Amaç doğrultusunda ayrıca demografik özelliklere ve pandemi dönemlerine ilişkin davranış farklılıkları değerlendirilmiştir. Gereç ve Yöntemler: Çalışmamız, Ağustos 2021 tarihinde gerçekleştirilmiş olup, kartopu örnekleme tekniği kullanılmıştır. Katılımcılara demografik sorular da dâhil olmak üzere hijyen kurallarına uygunluğunun araştırıldığı 23 soruluk anket uygulanmıştır. Araştırma, Türkiye'de yaşayan ve akıllı telefon kullanan 18-65 yaş aralığında 1.069 katılımcı ile gerçekleştirilmiştir. Bulgular: Çalışmamızda, tedbirlere uyum sonuçları incelendiğinde, pandeminin ilk dönemine göre hemen hemen diğer tüm dönemlerde uyum azalmıştır. Genel olarak kadınlar hijyen kurallarına uymaya erkeklere göre daha fazla dikkat etmektedir. COVID-19 hastalığı geçirenlerin toplu alanlara katılım göstermede COVID-19 hastalığı geçirmeyenlere göre daha az dikkat ettiği gözlenmiştir. Sonuç: Sosyal mesafeye uyum, toplu etkinliklerden kaçınma, hijyen vb. davranışlar koronavirüsün yayılmasını yavaşlatmada en kritik önlemlerdir. Bu nedenle kurallara uyulmadığı durumda vaka sayınının artışına sebep olacağı unutulmamalıdır. Pandemi sürecinde atılan 'normalleşme' adımları açısından kurallara uyum oranının analiz edilmesi ve bundan sonraki çalışmalara yön vermesi açısından oldukça önemlidir.

Anahtar Kelimeler: COVID-19; halk sağlığı; uyum; Türkiye
REFERENCES:
  1. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395(10223):497-506. [Crossref]  [PubMed]  [PMC] 
  2. World Health Organization [Internet]. © 2022 WHO. [Cited: January 5, 2020]. Pneumonia of unknown cause-China. Available from: [Link] 
  3. World Health Organization [Internet]. © 2021 WHO. [Cited: September 28, 2021]. Weekly epidemiological update on COVID-19-Edition 59. Available from: [Link] 
  4. Republic of Turkey Ministry of Health [Internet]. Covid-19 Information Platform. Access Date: September 30, 2021. Available from: [Link] 
  5. Chan JF, Yuan S, Kok KH, To KK, Chu H, Yang J, et al. A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. Lancet. 2020;395(10223):514-23. [Crossref]  [PubMed]  [PMC] 
  6. Republic of Turkey Ministry of Health Directorate General of Public Health. COVID-19 (SARS-CoV-2 INFECTION) GUIDE.2020. Available from: [Link] 
  7. Sanche S, Lin YT, Xu C, Romero-Severson E, Hengartner N, Ke R. High contagiousness and rapid spread of severe acute respiratory syndrome coronavirus 2. Emerg Infect Dis. 2020;26(7):1470-7. [Crossref]  [PubMed]  [PMC] 
  8. Wilder-Smith A, Freedman DO. Isolation, quarantine, social distancing and community containment: pivotal role for old-style public health measures in the novel coronavirus (2019-nCoV) outbreak. J Travel Med. 2020;27(2):taaa020. [Crossref]  [PubMed]  [PMC] 
  9. Wiese AD, Everson J, Grijalva CG. Social distancing measures: evidence of interruption of seasonal influenza activity and early lessons of the SARS-CoV-2 pandemic. Clin Infect Dis. 2021;73(1):e141-3. [Crossref]  [PubMed]  [PMC] 
  10. Republic of Turkey Ministry of Health. 14 Rules Aganist The Risk Of New Coronavirus. 2020. Available from: [Link] 
  11. Marroquín B, Vine V, Morgan R. Mental health during the COVID-19 pandemic: Effects of stay-at-home policies, social distancing behavior, and social resources. Psychiatry Res. 2020;293:113419. [Crossref]  [PubMed]  [PMC] 
  12. Qiu J, Shen B, Zhao M, Wang Z, Xie B, Xu Y. A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations. Gen Psychiatr. 2020;33(2):e100213. [Crossref]  [PubMed]  [PMC] 
  13. Goodman LA. Snowball sampling. Annals of Mathematical Statistics. 1961;32(1):148-70. [Crossref] 
  14. Guidry JPD, O?Donnell NH, Austin LL, Coman IA, Adams J, Perrin PB. Stay socially distant and wash your hands: using the health belief model to determine intent for COVID-19 preventive behaviors at the beginning of the pandemic. Health Educ Behav. 2021;48(4):424-33. [Crossref]  [PubMed] 
  15. Júnior A, Dula J, Mahumane S, Koole O, Enosse S, Fodjo JNS, et al. Adherence to COVID-19 preventive measures in mozambique: two consecutive online surveys. Int J Environ Res Public Health. 2021;18(3):1091. [Crossref]  [PubMed]  [PMC] 
  16. Ditekemena JD, Nkamba DM, Muhindo HM, Siewe JNF, Luhata C, Van den Bergh R, et al. Factors associated with adherence to COVID-19 prevention measures in the Democratic Republic of the Congo (DRC): results of an online survey. BMJ Open. 2021;11(1):e043356. [Crossref]  [PubMed]  [PMC] 
  17. Shewasinad Yehualashet S, Asefa KK, Mekonnen AG, Gemeda BN, Shiferaw WS, Aynalem YA, et al. Predictors of adherence to COVID-19 prevention measure among communities in North Shoa Zone, Ethiopia based on health belief model: a cross-sectional study. PLoS One. 2021;16(1):e0246006. [Crossref]  [PubMed]  [PMC] 
  18. Makhni S, Umscheid CA, Soo J, Chu V, Bartlett A, Landon E, et al. Hand hygiene compliance rate during the COVID-19 pandemic. JAMA Intern Med. 2021;181(7):1006-8. [Crossref]  [PubMed]  [PMC] 
  19. Qeadan F, Akofua Mensah N, Tingey B, Bern R, Rees T, Talboys S, et al. What protective health measures are Americans taking in response to COVID-19? Results from the COVID impact survey. Int J Environ Res Public Health. 2020;17(17):6295. [Crossref]  [PubMed]  [PMC] 
  20. Sirin H, Ketrez G, Ahmadi AA, Arslan A, Altunel E, Gunes IS, et al. Community approach towards COVID-19 in Turkey: one month after the first confirmed case. Turkish Bull Hyg Exp Biol. 2020;77(4):381-98. [Crossref] 
  21. Zhou Q, Lai X, Zhang X, Tan L. Compliance measurement and observed influencing factors of hand hygiene based on COVID-19 guidelines in China. Am J Infect Control. 2020;48(9):1074-9. [Crossref]  [PubMed]  [PMC] 
  22. Singh A, Ahuja R. Knowledge, attitude, and practice of general public towards COVID-19 in India: an online cross-sectional study. Int J Innov Res Sci Eng Technol. 2020;09(06):5005-12. [Crossref] 

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