Abdollah Dargahi - Department of Environmental Health, Khalkhal University of Medical Sciences, Khalkhal, Iran.
Mehdi Vosoughi Niri - Social Determinants of Health Research Center, Ardabil University of Medical Sciences, Ardabil, Iran.
Hamed Zandian - Social Determinants of Health Research Center, Ardabil University of Medical Sciences, Ardabil, Iran.
Mohsen Poursadeqiyan - Department of Occupational Health and Safety Engineering, School of Health, Ardabil University of Medical Sciences, Ardabil, Iran.
Yousef Hamidzadeh Arbabi - Department of Occupational Health and Safety Engineering, School of Health, Ardabil University of Medical Sciences, Ardabil, Iran.

Background: Assessment of the effective factors in non-compliance with health guidelines related to coronavirus disease ۲۰۱۹ (COVID-۱۹) can help make more effective decisions and better control of the pandemic. This study aims to determine the effective factors in noncompliance with health guidelines related to COVID-۱۹ in Ardebil, Iran. Materials and Methods: This is a descriptive cross-sectional study. The study population consists of all members of WhatsApp groups in Ardebil, Iran in ۲۰۲۰. Sampling was done online, by which ۳۶۶ people were selected, but only ۱۲۸ completed the questionnaire. The questionnaire was a researcher-made tool with acceptable validity and reliability. Data were analyzed in SPSS software, version ۲۰.  Results: The Mean±SD age of the participants was ۳۵.۹۸±۹.۴۵ years. More than ۶۰ factors were involved in not complying with the health guidelines, the most important of which were: (۱) Managerial factors such as the impact of sanctions and increase of prices; (۲) Individual factors such as no previous experience of COVID-۱۹ and lack of understanding the severity of its risk; (۳) Social factors such as lack of support from other people; (۴) Media factors such as false news conflicts; (۵) Economic factors such as lack of facilities for testing and screening, and (۶) Cultural factors such as lack of support from family members. Conclusion: Managerial, individual , social, media, economic and cultural factors are effective in  noncompliance with health guidelines related to COVID-۱۹ in Ardebil, Iran.

Coronavirus, Predictors, Adherence, Protocols