Associations Between Wearing Masks and Respiratory Viral Infections: A Meta-Analysis and Systematic Review

被引:14
作者
Chen, Yiming [1 ]
Wang, Yuelin [1 ]
Quan, Ningbin [1 ]
Yang, Jun [2 ,3 ]
Wu, Yinyin [1 ]
机构
[1] Fac Med, Sch Publ Hlth, Dept Epidemiol & Hlth Stat, Hangzhou NormalUnivers, Hangzhou, Peoples R China
[2] Hangzhou Normal Univ, Fac Med, Sch Publ Hlth, Dept Nutr & Toxicol, Hangzhou, Peoples R China
[3] Zhejiang Univ Sch Med, Affiliated Hosp 1, Natl Key Lab Diag & Treatment Infect Dis, Hangzhou, Peoples R China
基金
中国国家自然科学基金;
关键词
masks; effectiveness; respiratory viral infections; meta-analysis; systematic review; HEALTH-CARE WORKERS; RISK-FACTORS; NONPHARMACEUTICAL INTERVENTIONS; NOSOCOMIAL TRANSMISSION; INFLUENZA TRANSMISSION; CORONAVIRUS INFECTION; RANDOMIZED-TRIAL; N95; RESPIRATORS; SURGICAL MASKS; H1N1; VIRUS;
D O I
10.3389/fpubh.2022.874693
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: Respiratory viral infections (RVIs) are a major health concern, and some previous studies have shown that wearing masks was effective in preventing RVIs, while others failed to show such effect. Therefore, a systematic review and meta-analysis was conducted to investigate the effectiveness of wearing masks. Methods: PubMed, ScienceDirect, Web of Science, the Cochrane Library, EMBASE, MEDLINE, China National Knowledge Infrastructure (CNKI), and Chinese Scientific Journal Database (VIP database) were searched for studies evaluating the effectiveness of wearing masks. The risk ratio (RR) was used to measure the effectiveness of wearing masks in preventing RVIs for randomized controlled trials (RCTs) and cohort studies, and the odds ratio (OR) was used for case-control studies. Forest plots were used to visually assess pooled estimates and corresponding 95% CIs. The I-2 test was used to examine the heterogeneity, and subgroup analysis was used to explore the possible explanations for heterogeneity or compare the results between subgroups. Sensitivity analysis was conducted to assess robustness of the synthesized results. Begg's test and Egger's test were used to assess the publications bias. Results: Thirty-one studies (13,329 participants) were eligible for meta-analyses. Overall, the results showed that wearing masks was effective in preventing RVIs. The sensitivity analysis showed that the results of those meta-analyses were robust and reliable. There was no significant publication bias in meta-analysis of case-control studies and most subgroup analyses. Conclusions: Wearing masks might be effective in preventing RVIs. To reduce their RVI risk, people should wear masks when they go out in public.
引用
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页数:9
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