Challenges to self-isolation among contacts of cases of COVID-19: a national telephone survey in Wales
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Abstract
Background
Self-isolation is challenging and adherence is dependent on a range of psychological, social and economic factors. We aimed to identify the challenges experienced by contacts of coronavirus disease 2019 (COVID-19) cases to better target support and minimize the harms of self-isolation.
Methods
The Contact Adherence Behavioural Insights Study (CABINS) was a 15-minute telephone survey conducted with confirmed contacts of COVID-19 (N = 2027), identified through the NHS Wales Test Trace Protect (TTP) database.
Results
Younger people (aged 18–29 years) were three times more likely to report mental health concerns (adjusted odds ratio [aOR]: 3.16, 95% confidence interval [CI]: 2.05–4.86) and two times more likely to report loneliness (aOR: 1.96, CI: 1.37–2.81) compared to people aged over 60 years. Women were 1.5 times more likely to experience mental health concerns (aOR: 1.51, 95% CI: 1.20–1.92) compared to men. People with high levels of income precarity were eight times more likely to report financial challenges (aOR: 7.73, CI: 5.10–11.74) and three times more likely to report mental health concerns than their more financially secure counterparts (aOR: 3.08, CI: 2.22–4.28).
Conclusion
Self-isolation is particularly challenging for younger people, women and those with precarious incomes. Providing enhanced support is required to minimize the harms of self-isolation.
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SciScore for 10.1101/2021.07.23.21261020: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Ethics not detected. Sex as a biological variable not detected. Randomization not detected. Blinding not detected. Power Analysis To increase statistical power, analysis is therefore reported on the full study sample (n=2,027), adjusting for survey round. Table 2: Resources
No key resources detected.
Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).
Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:Strengths and limitations: Our study is the first in Wales to examine the challenges faced by people asked to self-isolate. It included responses …
SciScore for 10.1101/2021.07.23.21261020: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Ethics not detected. Sex as a biological variable not detected. Randomization not detected. Blinding not detected. Power Analysis To increase statistical power, analysis is therefore reported on the full study sample (n=2,027), adjusting for survey round. Table 2: Resources
No key resources detected.
Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).
Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:Strengths and limitations: Our study is the first in Wales to examine the challenges faced by people asked to self-isolate. It included responses from a representative sample of contacts of COVID-19 identified through the national TTP database, ensuring that all those in the study had been confirmed and informed to self-isolate. This enabled sampling to ensure that contacts in our study were representative of all contacts successfully reached by TTP in each of the periods of interest for the two survey rounds. However, this also presents the key limitation of the study, as it includes only those who have been successfully reached by a contact tracer and informed to self-isolate. It is likely that those who are not successfully reached may perceive additional challenges to self-isolation that are not be captured in our findings.
Results from TrialIdentifier: No clinical trial numbers were referenced.
Results from Barzooka: We did not find any issues relating to the usage of bar graphs.
Results from JetFighter: We did not find any issues relating to colormaps.
Results from rtransparent:- Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
- Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
- No protocol registration statement was detected.
Results from scite Reference Check: We found no unreliable references.
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