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dc.contributor.authorRomay-Barja, Maria 
dc.contributor.authorPascual, Mario 
dc.contributor.authorTena-Davila, Maria Jose 
dc.contributor.authorFalcón, María
dc.contributor.authorRodriguez-Blazquez, Carmen 
dc.contributor.authorForjaz, Maria João 
dc.contributor.authorAyala, Alba 
dc.contributor.authorMolina-de la Fuente, Irene 
dc.contributor.authorMuñoz, Adolfo 
dc.contributor.authorBenito, Agustin
dc.identifier.citationBMJ Open . 2021 May 20;11(5):e048702.es_ES
dc.description.abstractMost 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. 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. 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). 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.es_ES
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.es_ES
dc.publisherBMJ Publishing Groupes_ES
dc.relation.isversionofPublisher's versiones_ES
dc.subjectInfectious diseaseses_ES
dc.subjectPublic healthes_ES
dc.subjectSocial medicinees_ES
dc.titleHow patients with COVID-19 managed the disease at home during the first wave in Spain: a cross-sectional study.es_ES
dc.rights.licenseAtribución-NoComercial 4.0 Internacional*
dc.contributor.funderInstituto de Salud Carlos III
dc.contributor.funderRed de Investigación Cooperativa en Enfermedades Tropicales (España)
dc.identifier.journalBMJ Openes_ES
dc.repisalud.centroISCIII::Centro Nacional de Epidemologíaes_ES
dc.repisalud.centroISCIII::Centro Nacional de Medicina Tropicales_ES
dc.repisalud.centroISCIII::Unidad de Investigación en Telemedicina y eSaludes_ES

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