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Revista Cubana de Higiene y Epidemiología

On-line version ISSN 1561-3003

Abstract

MEJIA, Christian R. et al. Factors associated to patient empowerment in the context of coronavirus infection in Peru. Rev Cubana Hig Epidemiol [online]. 2021, vol.58  Epub Dec 01, 2021. ISSN 1561-3003.

Introduction:

The fight against coronavirus infection requires knowledge about how to cope with this disease, as well as awareness of its main characteristics and the leading role played by basic hygiene actions.

Objective:

Determine the factors associated to patient empowerment in the context of coronavirus infection.

Methods:

A multicenter analytical cross-sectional study based on a self-applied survey was conducted in Peru from March to May 2020. The "empowered patient" was defined by a 10-question survey (Cronbach's alpha: 0.83); four: basic knowledge about severity and contagion; two: who are the most harshly affected, and four: protection measures. Total scores were added together and compared with four socioeducational variables.

Results:

Most of the 4 167 respondents were aware of the measures required to prevent contagion: hand and respiratory hygiene (both with 65% respondents very much in agreement). Multivariate analysis revealed that people with a technical educational level were less empowered about the disease (coefficient: 0.39; CI95%: 0.15-0.98; p=0.046). Comparison between respondents under no risk for complications, the health personnel (coefficient: 1.77; CI 95%: 1.01-3.09; p=0.045) and the health personnel under some sort of risk (coefficient: 4.73; CI 95%: 1.46-15.31; p=0.010) showed that the latter were the most empowered about the disease. These comparisons were adjusted for respondent sex, age and location.

Conclusions:

The health personnel were found to be the most highly empowered about COVID-19, due to the job they do, and showed to have the broadest knowledge about transmission and prevention topics.

Keywords : coronavirus; health empowerment; decision-making; personal autonomy; patient involvement; Peru.

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