{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T10:44:23Z","timestamp":1784025863498,"version":"3.55.0"},"reference-count":57,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2021,6,15]],"date-time":"2021-06-15T00:00:00Z","timestamp":1623715200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>COVID-19 was declared a worldwide pandemic in 2020; thus, preventing in-flight infection transmission is important for stopping global spread via air travel. Infection prevention (IP) performance among aircraft cabin crew is crucial for preventing in-flight transmission. We aimed to identify the level of IP performance and factors affecting IP performance among aircraft cabin crew during the COVID-19 pandemic in South Korea. An online survey was conducted with 177 cabin crew members between August and September 2020. The survey assessed IP performance, and IP awareness, using a five-point Likert scale, and also evaluated simulation-based personal protective equipment (PPE) training experience, and organizational culture. The average IP performance score was 4.56 \u00b1 0.44. Although the performance level for mask-wearing was high (4.73 \u00b1 0.35), hand hygiene (HH) performance (4.47 \u00b1 0.56) was low. Multivariate analysis showed that IP performance was significantly associated with IP awareness (p &lt; 0.05) and simulation-based PPE training experience (p &lt; 0.05). Since HH performance was relatively low, cabin crew and airlines should make efforts to improve HH performance. Furthermore, a high level of IP awareness and PPE training experience can improve IP performance among cabin crew members. Therefore, simulation-based PPE training and strategies to improve IP awareness are essential for preventing in-flight infection transmission.<\/jats:p>","DOI":"10.3390\/ijerph18126468","type":"journal-article","created":{"date-parts":[[2021,6,15]],"date-time":"2021-06-15T11:00:33Z","timestamp":1623754833000},"page":"6468","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Infection Prevention Performance among In-Flight Cabin Crew in South Korea"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5729-7680","authenticated-orcid":false,"given":"Jaegeum","family":"Ryu","sequence":"first","affiliation":[{"name":"College of Nursing, Seoul National University, Seoul 03080, Korea"},{"name":"The Research Institute of Nursing Science, Seoul National University, Seoul 03080, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1327-1905","authenticated-orcid":false,"given":"Jungha","family":"Kim","sequence":"additional","affiliation":[{"name":"Aeromedical Center, KoreanAir, Seoul 07505, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Smi","family":"Choi-Kwon","sequence":"additional","affiliation":[{"name":"College of Nursing, Seoul National University, Seoul 03080, Korea"},{"name":"The Research Institute of Nursing Science, Seoul National University, Seoul 03080, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,6,15]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Kemenesi, G., Zeghbib, S., Somogyi, B.A., T\u00f3th, G.E., B\u00e1nyai, K., Solymosi, N., Szabo, P.M., Szab\u00f3, I., B\u00e1lint, \u00c1., and Urb\u00e1n, P. 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