A cross-sectional survey on the experience of people with allergic rhinitis amidst COVID-19 pandemic: The impact of the facemask: A pilot study

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Nadia Al Mazrouei https://orcid.org/0000-0002-1339-9730
Asim Ahmed Elnour https://orcid.org/0000-0002-4143-7810
Abdalla Abou Hajal https://orcid.org/0000-0003-4655-1193
Adel Sadeq https://orcid.org/0000-0001-9529-8898
Al Kubaisi Khalid Awad https://orcid.org/0000-0002-4260-1117
Raneem Hammouri https://orcid.org/0000-0003-2516-8582
Ola Ishbair https://orcid.org/0000-0001-8580-3993
Nour Dabbagh https://orcid.org/0000-0001-7644-6736
Alin Alkwarit https://orcid.org/0000-0001-6991-3228
Maisoun Alkaabi https://orcid.org/0000-0003-3023-5639
Vineetha Menon https://orcid.org/0009-0009-0013-4221
Semira Abdi Beshir https://orcid.org/0000-0003-2516-8582
Mohamed A. Baraka https://orcid.org/0000-0002-7645-2420
Israa Yousif Khidir https://orcid.org/0000-0001-8674-3603
Samah Mohammed Hussein https://orcid.org/0000-0003-3802-8714
Abdulla Al Amoodi https://orcid.org/0000-0001-5248-9598
Sami Fatehi Abdalla https://orcid.org/0000-0002-7396-8376


Allergic rhinitis, COVID-19, Eye symptoms, Facemask, Nasal symptoms


Background: Since outbreak of COVID-19 pandemic, almost whole world asked to wear the facemask especially in the public areas as a precaution to avoid the transmission of the disease, and curbs the pandemic. Looking from another perspective, we need to consider the effect of the facemask in reducing allergic rhinitis symptoms. Objective: The current study objective was to assess the impact of facemasks on the symptoms of allergic rhinitis in subjects who were obligatory using facemask due to the COVID-19 pandemic. Methods: The current study was ethically approved self-administered validated survey (Cronbach Alfa 0.81) comprised of 28-items to assess the impact of wearing the facemask, and whether there was an improvement in symptoms of allergic rhinitis. The outcome measure was the responses to the four domains (knowledge, attitude, symptoms, and help/advice) measured on Likert scale to assess the responses of subjects with allergic rhinitis during the COVID -19 pandemic. Results: 82 respondents (mean age was 22.59 ±2.77 years) have completed the survey, of which 73 females (89%) and (52/82, 63.4%) university students. 29 (35.4%), stated that the fabric facemask is useful in reduction of symptoms. 44 (53.7%) believe that the surgical mask N95 is very beneficial in the reduction of symptoms. There was a significant difference in knowledge levels for both eye and nasal symptoms’ reduction responses (P <0.001). Tukey’s HSD (honestly significant difference) used to determine the specifics of the variances (differences in multiple means) in symptom reduction. For eye symptoms, the analysis revealed that respondents who reported that they had reduced symptoms had higher knowledge scores (6.74±2.7) than those who reported no reduction in allergic symptoms (mean ±SD: 4.96±3.2). The lowest score was associated with respondents that were uncertain regarding their symptom alleviation (mean ±SD: 4.53±3.1). For nasal symptoms, the analysis revealed that respondents who reported that they had reduced symptoms had higher knowledge scores (7.03±2.7) than those who reported no reduction in allergic symptoms (3.94±2.5). Conclusion: Our results reveal that facemask usage may reduce allergic rhinitis symptom severity in chronically affected individuals with intermittent disease. The study supports the hypothesis that facemask may reduce atopic allergic responses

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