The Indian Journal of Chest Diseases and Allied Sciences

Register      Login

VOLUME 65 , ISSUE 4 ( October-December, 2023 ) > List of Articles

Original Article

A Descriptive Analytical Study to Assess the Knowledge and Practice of Proper Face Mask Wearing among Healthcare Professionals, Patients and Attendants in a Tertiary Care Center of North India

Arjun Kumar, Ashok K Janmeja, Balbir Singh, Rohit Manchanda, Rahul Gupta, Ankit Lakra

Keywords : Face mask, Healthcare workers, Infection, Knowledge, Tuberculosis

Citation Information : Kumar A, Janmeja AK, Singh B, Manchanda R, Gupta R, Lakra A. A Descriptive Analytical Study to Assess the Knowledge and Practice of Proper Face Mask Wearing among Healthcare Professionals, Patients and Attendants in a Tertiary Care Center of North India. Indian J Chest Dis Allied Sci 2023; 65 (4):182-187.

DOI: 10.5005/jp-journals-11007-0095

License: CC BY-NC 4.0

Published Online: 26-03-2024

Copyright Statement:  Copyright © 2023; The Author(s).


Introduction: Respiratory infections including tuberculosis (TB) is a major public health issue around the world. Regular use of a proper face mask is a cost-effective preventive measure to reduce the risk of respiratory infection among healthcare workers (HCWs) and patients attending hospitals. Hence, we conducted the study aimed to assess the knowledge and practice of proper face mask wearing among healthcare professionals, patients, and attendants. Materials and methods: We conducted a descriptive cross-sectional study from November 2022 to August 2023 at the Maharishi Markandeshwar Medical College & Hospital, Kumarhatti, Himachal Pradesh, India. A total of 390 participants were enrolled in this study including healthcare professionals, patients, and their attendants presented to Maharishi Markandeshwar Medical College & Hospital, Kumarhatti, Himachal Pradesh, India. All participants fulfilling inclusion criteria were interviewed face to face using a validated, semi-structured questionnaire for collecting data regarding knowledge and proper practices for face mask utilization. The collected data were analyzed using the Software Statistical Package for the Social Sciences (SPSS), version 20.0. Results: Out of 390 subjects, 221 (56%) were females and the predominant 212 (54.3%) age group was in between 18 and 34 years. Among 390 participants 165 (42.3%) were medical students, 114 (29.2%) were patients and attendants, 68 (17.4%) were nurses, and 43 (11%) were doctors. There was a statistically significant association between face mask wearing in public places and higher education levels (p = 0.0234). It was found that most participants did not wash their hands before wearing 293 (75.1%) and after removing 307 (78%) the face mask. Conclusion: Knowledge and proper practice of face mask wearing among the participants, specifically patients and attendants was poor. Hence, there is an utmost need to improve awareness regarding knowledge and proper practices of mask utilization among HCWs, patients, and the general population to prevent respiratory infections.

PDF Share
  1. Sohrabi C, Alsafi Z, O'Neill N, et al. World Health Organization declares global emergency: A review of the 2019 novel coronavirus (COVID-19). Int J Surg 2020;76:71–76. DOI: 10.1016/j.ijsu.2020.02.034.
  2. World Health Organization. TB disease burden: TB incidence. 2023. Available at: Accessed on: 02 January 2023.
  3. Anderson RM, Heesterbeek H, Klinkenberg D, et al. How will country-based mitigation measures influence the course of the COVID-19 epidemic? Lancet 2020;395(10228):931–934. DOI: 10.1016/S0140-6736(20)30567-5.
  4. Shen M, Zu J, Fairley CK, et al. Projected COVID-19 epidemic in the United States in the context of the effectiveness of a potential vaccine and implications for social distancing and face mask use. Vaccine 2021;39(16):2295–2302. DOI: 10.1016/j.vaccine.2021.02.056.
  5. Liang M, Gao L, Cheng C, et al. Efficacy of face mask in preventing respiratory virus transmission: A systematic review and meta-analysis. Travel Med Infect Dis 2020;36:101751. DOI: 10.1016/j.tmaid.2020.101751.
  6. Chatterjee S, Das P, Shikhule A, et al. Journey of the tuberculosis patients in India from onset of symptom till one-year post-treatment. PLoS Glob Public Health 2023;3(2):e0001564. DOI: 10.1371/journal.pgph.0001564.
  7. Kumar J, Katto MS, Siddiqui AA, et al. Knowledge, attitude, and practices of healthcare workers regarding the use of face mask to limit the spread of the new coronavirus disease (COVID-19. Cureus 2020;12(4):e7737. DOI: 10.7759/cureus.7737.
  8. World Health Organization. Rational use of personal protective equipment (PPE) for coronavirus disease (COVID-19): Interim guidance. 2020. Available at: Accessed on: 05 November 2022.
  9. Anastopoulos I, Pashalidis I. Single-use surgical face masks, as a potential source of microplastics: Do they act as pollutant carriers? J Mol Liq 2021;326:115247. DOI: 10.1016/j.molliq.2020.115247.
  10. Alfarisi S, Sholihah M, Mitake Y, et al. Sustainable approach towards disposable face mask production amidst pandemic outbreaks. sustainability 2022;14(7):3849. DOI: 10.3390/su14073849.
  11. De Perio MA, Brueck SE, Mueller CA, et al. Evaluation of 2009 pandemic influenza A (H1N1) exposures and illness among physicians in training. Am J Infect Control 2012;40:617–621. DOI: 10.1016/j.ajic.2012.01.014.
  12. Hayat K, Rosenthal M, Xu S, et al. View of Pakistani residents toward coronavirus disease (COVID-19) during a rapid outbreak: A rapid online survey. Int J Environ Res Public Health 2020;17(10):3347. DOI: 10.3390/ijerph17103347.
  13. Honarbakhsh M, Jahangiri M, Ghaem H. Knowledge, perceptions and practices of healthcare workers regarding the use of respiratory protection equipment at Iran hospitals. J Infect Prev 2018;19(1):29–36. DOI: 10.1177/1757177417724880.
  14. MacIntyre CR, Chughtai AA. A rapid systematic review of the efficacy of face masks and respirators against coronaviruses and other respiratory transmissible viruses for the community, healthcare workers and sick patients. Int J Nurs Stud 2020;108:103629. DOI: 10.1016/j.ijnurstu.2020.103629.
  15. Yimenu DK, Jejaw A, Haylu E, et al. Knowledge, attitude, and practice towards face-mask use amid the coronavirus 2019 pandemic among public transport drivers in Gondar town: A cross-sectional study. Inquiry 2022;59:469580221096285. DOI: 10.1177/0046958 0221096285.
  16. Ajaj R, Shahin S, Moda H, et al. Knowledge, attitude, and practices of face mask use among university students during the COVID-19 pandemic: A cross-sectional study. Sustainability 2023;15(4):2868. DOI: 10.3390/su15042868.
  17. Kutralam–Muniasamy G, Pérez–Guevara F, Shruti VC. A critical synthesis of current peer-reviewed literature on the environmental and human health impacts of COVID-19 PPE litter: New findings and next steps. J. Hazard Mater 2022;422:126945. DOI: 10.1016/j.jhazmat.2021.126945.
  18. World Health Organization. Coronavirus disease (COVID-19) advice for public: When and how to use masks. Available at: Accessed on: 2 June 2023.
  19. Rathinamoorthy R, Balasaraswathi SR. Impact of coronavirus pandemic litters on microfiber pollution: Effect of personal protective equipment and disposable face masks. Int J Environ Sci Technol 2022;20:1–20. DOI: 10.1007/s13762-022-04462-8.
  20. Jamil MN, Rasheed A, Mukhtar Z. Corporate social responsibility impacts sustainable organizational growth (firm performance): An empirical analysis of Pakistan stock exchange-listed firms. J Environ Sci Econ 2022;1:25–29. DOI: 10.5281/zenodo.6245428.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.