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Abu Bakar SF, Md Isa Z, Ibrahim R, Ismail A, Daud F, Ibrahim R. Knowledge, attitudes, and practices towards COVID-19 prevention among indigenous population in Malaysia: A cross-sectional study. Sci Rep 2024; 14:21428. [PMID: 39271935 PMCID: PMC11399268 DOI: 10.1038/s41598-024-72519-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2024] [Accepted: 09/09/2024] [Indexed: 09/15/2024] Open
Abstract
The COVID-19 pandemic has become a significant challenge to humanity, especially marginalized groups such as indigenous people. This study aimed to assess the knowledge, attitude, and practice towards COVID-19 prevention among the indigenous population in Lipis district, Pahang, Malaysia. A cross-sectional study was conducted among the indigenous population and the data were collected through face-to-face interviews using a validated questionnaire. The mean score of knowledge, attitude, and practice were 2.35 (SD 1.104), 32.84 (SD 4.756), and 9.64 (SD 3.227), respectively. In the bivariable analysis, the younger the age (p < 0.001), and the higher the education level (p = 0.001) of the participants, the higher the knowledge score on COVID-19. Meanwhile, the female participants (p = 0.043) and the higher the household income, the higher the attitude score of the participants (p = 0.006). Factors that contributed to a higher score of practice towards COVID-19 prevention were younger age (p = 0.013), female (p < 0.001), no religion (p = 0.026), unemployed (p < 0.001), and higher household income (p = 0.012). There was a positive correlation between knowledge score and practice score (p = 0.001) and a positive correlation between attitude score and practice score (p < 0.001), respectively. Multivariable regression analysis showed that the younger age (p < 0.001) was significantly associated with a higher knowledge score. Furthermore, female (p = 0.018), unemployed (p = 0.001), higher knowledge score (p < 0.001), and higher attitude score (p < 0.001) were significantly associated with a higher score of practice towards COVID-19 prevention among the participants, respectively. Indigenous people in Malaysia have a good knowledge, attitude, and practice towards COVID-19. However, strategic planning and programmes related to preventive practices against infectious disease outbreaks need to be conducted continuously to reduce the outbreaks in the future.
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Affiliation(s)
- Siti Fairuz Abu Bakar
- Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, 56000, Cheras, Wilayah Persekutuan Kuala Lumpur, Malaysia
| | - Zaleha Md Isa
- Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, 56000, Cheras, Wilayah Persekutuan Kuala Lumpur, Malaysia.
| | - Roszita Ibrahim
- Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, 56000, Cheras, Wilayah Persekutuan Kuala Lumpur, Malaysia
| | - Aniza Ismail
- Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, 56000, Cheras, Wilayah Persekutuan Kuala Lumpur, Malaysia
- Faculty of Public Health, Universitas Sumatera Utara, Jalan Universitas No. 21, Kampus USU, Medan, 20155, North Sumatra, Indonesia
| | - Faiz Daud
- Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, 56000, Cheras, Wilayah Persekutuan Kuala Lumpur, Malaysia
| | - Rozita Ibrahim
- Centre for Liberal Studies (Pusat Pengajian Citra Universiti), Universiti Kebangsaan Malaysia, 43600, Bangi, Selangor, Malaysia
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Tasnim Z, Islam MN, Roy A, Sarker M. Factors associated with knowledge and practices of COVID-19 prevention among mothers of under-2 children in Bangladesh. PLOS GLOBAL PUBLIC HEALTH 2024; 4:e0003346. [PMID: 39231127 PMCID: PMC11373813 DOI: 10.1371/journal.pgph.0003346] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/01/2024] [Accepted: 07/22/2024] [Indexed: 09/06/2024]
Abstract
The COVID-19 pandemic extensively impacted maternal, neonatal, and child health (MNCH) in Bangladesh. Misconceptions arising from a lack of knowledge related to the virus contributed to reduced uptake of MNCH services, which eventually helped increase maternal and neonatal mortality rates during the pandemic. In this study, we assessed the knowledge and practices related to COVID-19 prevention among the mothers of under-2 children in Bangladesh. The study was conducted in May 2021 as part of a broader research project related to COVID-19 response on MNCH service utilization. We collected data from 2207 mothers in six districts of Bangladesh using a multi-stage cluster sampling technique. We constructed weighted and unweighted composite knowledge and practice scores and identified different socio-demographic characteristics associated with the scores using multilevel generalized mixed-effect linear regression models. In general, the mothers revealed poor knowledge and practices related to COVID-19. On a weighted scale of 100, the mean composite knowledge and practice scores were 32.6 (SD = 16.4) and 53.1 (SD = 13.9), respectively. The mothers presented inadequate knowledge about COVID-19 transmission, symptoms, and the recommended preventive measures. At the same time, maintaining a safe physical distance was the least practiced preventative measure (10.3%). Level of education, access to television, and the internet were significantly positively associated with their knowledge and practices related to COVID-19. Knowledge score was also positively associated with the practice score (OR = 1.26; p-value <0.001). Mothers living in islands or wetlands scored poorly compared to those living in inland. The results indicate significant gaps in knowledge and practices related to COVID-19 prevention among mothers of under-2 children. Addressing these gaps, particularly by targeting mothers with lower levels of education and residing in hard-to-reach geographic locations, could consequently help enhance MNCH service uptake during pandemics like COVID-19.
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Affiliation(s)
- Zarin Tasnim
- BRAC James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh
| | | | - Antara Roy
- BRAC James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh
| | - Malabika Sarker
- BRAC James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh
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Sobieraj E, Goławski J, Sikora A, Duda-Duma Ł, Korzeń M, Pasek O, Pyzio K, Gańczak M. Knowledge and preventive practices regarding COVID-19 disease among Ukrainian refugees in Poland. Medicine (Baltimore) 2024; 103:e37833. [PMID: 38640299 PMCID: PMC11029944 DOI: 10.1097/md.0000000000037833] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/16/2024] [Revised: 03/10/2024] [Accepted: 03/15/2024] [Indexed: 04/21/2024] Open
Abstract
Russia's invasion of Ukraine contributed one of the largest migration movements in the 21st century. Refugees may become a source of severe acute respiratory syndrome coronavirus 2 infections for the residents of host countries. The study aim was to assess knowledge and preventive practices regarding coronavirus disease 2019 (COVID-19) among Ukrainian refugees in Poland. The cross-sectional study was conducted between March and April 2022 among Ukrainian refugees registering consecutively in Zielona Góra, Poland. Knowledge and preventive practices were assessed by giving 1 point for each correct answer by anonymous, self-administered questionnaire. The response rate was 96%, 190 participated (mean age 37.8 ± 15.5 years; 57.9% females); 61.6% self-reported their socio-economic status (SES) as high, 38.9% reported high level of education. The mean COVID-19 knowledge score was 3.06 ± 1.95; 19.5% scored >50%. The knowledge level was higher among migrants with high SES (P = .003). The mean preventive practices score was 2.56 ± 1.38; 54.0% scored ≥ 60%. 40.5% declared social distancing, 62.6% followed coughing etiquette, 69.0% home isolate themselves during COVID-19. 57.9% always used masks in public space, however 74.2% wore masks with uncovered nose. Refugees with higher education, high SES and knowledge level had significantly greater preventive practices scores (P = .002; P = .02; P = .03, respectively). The knowledge and preventive practices level was insufficient. Educational campaigns oriented to raising knowledge and prevention behavior skills should be implemented, especially targeting high-risk groups to avoid spread of COVID-19.
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Affiliation(s)
- Ewa Sobieraj
- Student Research Group, Collegium Medicum, University of Zielona Gora, Zielona Gora, Poland
| | - Jakub Goławski
- Student Research Group, Collegium Medicum, University of Zielona Gora, Zielona Gora, Poland
| | - Anna Sikora
- Student Research Group, Collegium Medicum, University of Zielona Gora, Zielona Gora, Poland
| | - Łukasz Duda-Duma
- Student Research Group, Collegium Medicum, University of Zielona Gora, Zielona Gora, Poland
| | - Marcin Korzeń
- Department of Methods of Artificial Intelligence and Applied Mathematics, West Pomeranian University of Technology, Szczecin, Poland
| | - Oskar Pasek
- Student Research Group, Collegium Medicum, University of Zielona Gora, Zielona Gora, Poland
| | - Klaudia Pyzio
- Student Research Group, Collegium Medicum, University of Zielona Gora, Zielona Gora, Poland
| | - Maria Gańczak
- Department of Infectious Diseases, Collegium Medicum, University of Zielona Gora, Zielona Gora, Poland
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Hai Ha V, Hoang Duc N, Thi Anh Van D, Viet Lac Thu N, Minh Son N, Thi Xuan Hien N, Huu Le N, Tien Hung D, Thi Bich Ngoc N, Thanh Hung L, Tien Huy N. Knowledge, attitude and preventive practice toward Covid-19 and associated factors among outpatients in a rural hospital in Vietnam. J Public Health Res 2024; 13:22799036241243269. [PMID: 38606394 PMCID: PMC11008347 DOI: 10.1177/22799036241243269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2023] [Accepted: 03/14/2024] [Indexed: 04/13/2024] Open
Abstract
Background The COVID-19 pandemic has emphasized the critical role of public knowledge, attitudes, and practices (KAP) in disease containment. Understanding these aspects can guide health promotion initiatives and policy decisions. Design and methods This cross-sectional study examined the KAP concerning COVID-19 prevention in Vietnam. Participants' sociodemographic data, along with KAP toward COVID-19, were collected in a survey utilizing a standardized questionnaire. Uni- and multivariable logistic regression were used to identify factors associated with poor level of KAP. Results Of 335 participants, 97 (28.9%) had poor knowledge, 52 (15.5%) poor attitude, and 48 (14.3%) poor practices. Older age (OR = 2.23; p = 0.024), minority non-Kinh ethnicity (OR = 3.05; p = 0.03), education below high school (OR = 8.80; p < 0.001), limited social media access (OR = 2.86; p = 0.002), and limited mobile phone usage (OR = 3.08; p = 0.001) increased poor knowledge risks. Non-Kinh ethnicity (OR = 5.00; p = 0.005) and lower education (OR = 14.79; p < 0.001) were linked to poor attitude. Older age (OR = 2.26; p = 0.035), lower education (OR = 5.74; p = 0.003), and poor knowledge (OR = 3.33; p = 0.005) were associated with poor practices. Conclusions Elderly individuals, those with low education, and limited media access had elevated risks of poor KAP. Emphasizing public health media and targeted education, especially for underserved groups, is vital for effective epidemic management and future strategy planning.
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Affiliation(s)
- Vu Hai Ha
- National Institute of Hygiene and Epidemiology, Hanoi, Vietnam
| | - Nguyen Hoang Duc
- Online Research Club, Nagasaki, Japan
- Hanoi Medical University,1Ton That Tung, Dong Da District, Hanoi, Vietnam
- Cardiovascular Laboratories, Methodist Hospital, Merrillville, IN, USA
| | | | - Nguyen Viet Lac Thu
- Faculty of Medicine, College of Medicine and Pharmacy, Duy Tan University, Da Nang, Vietnam
- Institute for Research and Training in Medicine, Biology and Pharmacy, Duy Tan University, Da Nang, Vietnam
| | - Nguyen Minh Son
- Hanoi Medical University,1Ton That Tung, Dong Da District, Hanoi, Vietnam
| | - Nguyen Thi Xuan Hien
- Faculty of Medicine, College of Medicine and Pharmacy, Duy Tan University, Da Nang, Vietnam
- Institute for Research and Training in Medicine, Biology and Pharmacy, Duy Tan University, Da Nang, Vietnam
| | | | | | | | - Le Thanh Hung
- Online Research Club, Nagasaki, Japan
- Heart Institute, Ho Chi Minh City, Vietnam
| | - Nguyen Tien Huy
- Online Research Club, Nagasaki, Japan
- School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan
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Jaiyesimi B, Bamitale T, Diyaolu B, Alabi K. The Nigerian youth knowledge, Attitude and Practice (KAP) towards the national drive against the Spread of COVID-19: An online cross-sectional Survey. F1000Res 2024; 11:1353. [PMID: 38572413 PMCID: PMC10988216 DOI: 10.12688/f1000research.121826.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 01/05/2024] [Indexed: 04/05/2024] Open
Abstract
Background The global impact of coronavirus disease 2019 (COVID-19)has led to the need to prioritise public health campaign by all stakeholders among diverse population groups. This study investigated the dispositions of Nigerian adolescents towards the prevention of the spread of COVID-19. Methods The young adolescents (n=1,529) included in this study, were between the ages of 15 and 26 years from Afe Babalola University. Students were contacted through their various colleges and residential hostels to complete the questionnaire via a shared link. All students included, voluntarily participated in this cross-sectional study by completing the adapted COVID-19 knowledge, attitude and practice (KAP) questionnaire. The collected data were analysed to show the level of knowledge, attitude and preventative practices and also to test for significant association between gender and variables for the study. The study was conducted between March 23-April 25, 2021. Results The outcome of the findings showed that students with families with 5-10 members showed significant association with knowledge accuracy on COVID-19 (χ 2 = 6.077, p = 0.044). There was a significant association between gender and the need to report the suspected case of COVID-19 infection to the health authorities (χ 2 = 14.075, p = 0.001) with more females likely to report a suspected case. More females (59.2%) were significantly (χ 2 = 8.904, p = 0.012) involved in the practice of social distancing or home quarantine as a preventive measure. Conclusions This study showed evidence of high prevalence of knowledge related to COVID-19 in majority of the study participants. This is a pointer to the efficacy and success of present public health campaigns in Nigeria.
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Affiliation(s)
- Boluwaji Jaiyesimi
- Sports Science Unit, Afe Babalola University, Ado Ekiti, Ekiti, 23405, Nigeria
| | - Toba Bamitale
- Sports Science Unit, Afe Babalola University, Ado Ekiti, Ekiti, 23405, Nigeria
| | - Babajide Diyaolu
- Sports Science Unit, Afe Babalola University, Ado Ekiti, Ekiti, 23405, Nigeria
| | - Kolawole Alabi
- Family Medicine Unit, Afe Babalola University, Ado EKiti, Ekiti State, 23405, Nigeria
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Chen L, Liang H, Liu L, Qiu W, Su L, Yang H. The association between adverse events of COVID-19 vaccination and anxiety and willingness to receive a booster dose. Hum Vaccin Immunother 2023; 19:2176643. [PMID: 36798968 PMCID: PMC10026905 DOI: 10.1080/21645515.2023.2176643] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/18/2023] Open
Abstract
Many countries have initiated a booster dose for COVID-19 vaccination. However, little is known about the association between adverse events to vaccination and individual psychological status and willingness to receive the booster dose. From December 1, 2021 to February 1, 2022, 474 participants answered a questionnaire in a university town in China, and information about previous adverse events, anxiety status, and vaccination intention were collected. Chi-square test and logistic regression models were used to analyze the factors associated with willingness to receive booster dose of vaccine. Previous adverse events, such as pain at the injection site, fatigue, muscle pain and headache were associated with anxiety of the participants. About 76.2% of the participants were willing to receive booster dose of vaccine. However, adverse event was not associated with their willingness to receive the booster dose. Participants with age ≤25 were less willing to receive the booster dose, although the association was not statistically significant in the multivariable model. In conclusion, the adverse events of COVID-19 vaccination were associated with psychology status of the vaccinated people. It is still necessary to strengthen the public education on COVID-19 vaccination to improve the vaccination willingness of people, especially among the young people.
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Affiliation(s)
- Liling Chen
- Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, China
| | - Haiyu Liang
- Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, China
| | - Li Liu
- Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, China
| | - Wenji Qiu
- Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, China
| | - Liuhui Su
- Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, China
| | - Haomin Yang
- Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, China
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Cancela A, González-Noriega M, Visiers A. Fear of COVID-19: the mediation role between the COVID-19 diagnosis and KAP in Spanish university students. BMC Public Health 2023; 23:1909. [PMID: 37789262 PMCID: PMC10546735 DOI: 10.1186/s12889-023-16777-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Accepted: 09/17/2023] [Indexed: 10/05/2023] Open
Abstract
BACKGROUND Although health public services recommend prevention strategies for COVID-19 some of these recommendations have not been taken seriously by young people. Understanding why some people comply with these recommendations and others do not seem to be crucial in helping public health services to predict behavior and compliance with rules, especially for young people. Previous studies suggest that knowledge, attitudes, and practices (KAP) are useful to assess compliance with the preventive measures and public health policies. Being afraid has also been found to correlate with more engagement with preventive measures. This study aims to assess the KAP and fear of COVID-19 of Spanish university students and to understand the relation between diagnosis, KAP and the level of fear. METHOD Participants of this cross-sectional study were 598 college students (69.4% women) from different Spanish Universities. Data were collected for a month using an online questionnaire through Sphinx iQ2. RESULTS Levels of KAP among Spanish students were satisfactory and results suggest the presence of fear among them. More importantly, fear of COVID-19 mediated the impact of the diagnosis on the KAP. CONCLUSIONS Feeling fear seems to be the mechanism underlying the relationship between diagnosis and KAP. Diagnosis is associated with KAP when the diagnosis it is accompanied by measures of fear. KAP, diagnosis, or perceived fear of COVID must be taken together in consideration for health interventions and public health campaigns design.
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Affiliation(s)
- Ana Cancela
- Departamento de Psicología, Universidad Villanueva, c/ Costa Brava, 6, Madrid, 28034, Spain.
| | - Mar González-Noriega
- Departamento de Psicología, Universidad Villanueva, c/ Costa Brava, 6, Madrid, 28034, Spain
| | - Ana Visiers
- Universidad Europea del Atlántico, Santander, Spain
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Berekaa MM, AlMulla AA, AlMoslem MM, AlSahli KS, AlJassim MT, AlSaif AS, AlQuwayi SA. Public Anxiety, Attitudes, and Practices towards COVID-19 Infection in the Eastern Province of Saudi Arabia: A Cross-Sectional Study. Healthcare (Basel) 2023; 11:2083. [PMID: 37510523 PMCID: PMC10379982 DOI: 10.3390/healthcare11142083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2023] [Revised: 07/18/2023] [Accepted: 07/19/2023] [Indexed: 07/30/2023] Open
Abstract
Coronavirus disease 2019, or COVID-19, still has a terrifying potential due to its continuous genetic variation. Although vaccines have been created, adherence to preventive measures remains a privileged choice to tackle the pandemic. This study aims to investigate the anxiety, attitudes, and practices (KAPs) towards COVID-19 infection in the Eastern Province of Saudi Arabia. In this cross-sectional study, data were collected from 400 participants via an online self-structured questionnaire. Anxiety, attitude, and practice scores were calculated by summing the points of the statements under the corresponding domain multiplied by 100 over 12, 21, or 15, respectively. Chi-square and one-way analysis of variance were used to investigate the relationships between vaccination, anxiety, attitude, practice scores, and demographic characteristics. More than half of the participants were female (58.5%; mean age of 29.5 years; the majority in the age groups of <20 years and 21-30 years). Only 21.5% of the participants were suffering from or previously had chronic diseases. Notably, 22.3% of the male participants were vaccinated (p = 0.000). The old age groups (41-50 years and >50 years) were more vaccinated (16.3% and 24.1%, respectively, p = 0.000), as well as the unemployed (36.4%; p = 0.000). The mean scores of anxiety, attitude, and practice were 66.8, 72.3, and 85.2, respectively. Females had an anxiety score of 68.5% (p = 0.008) and a higher attitude score of 68.5% (p = 0.008). Infected male participants had a lower practice score of 80% (p = 0.038), while females recorded higher practice scores (85.7 ± 11.6). The results highlight the importance of reliable communication from health representatives and legislators in educating the public and promoting their knowledge about non-therapeutic interventions. Efficient intervention approaches are required to fill the gap during the implementation of non-therapeutic measures. Also, it is recommended that awareness programs, during COVID-19 or any other similar pandemics, should be tailored to target Eastern Province inhabitants, especially males.
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Affiliation(s)
- Mahmoud Mohamed Berekaa
- Department of Environmental Health, Collage of Public Health, Imam Abdulrahman Bin Faisal University (IAU), P.O. Box 1982, Dammam 31441, Saudi Arabia
| | - Abdulaziz Abdulrahman AlMulla
- Department of Environmental Health, Collage of Public Health, Imam Abdulrahman Bin Faisal University (IAU), P.O. Box 1982, Dammam 31441, Saudi Arabia
| | - Munthir Mohammed AlMoslem
- Department of Environmental Health, Collage of Public Health, Imam Abdulrahman Bin Faisal University (IAU), P.O. Box 1982, Dammam 31441, Saudi Arabia
| | - Khalid Saif AlSahli
- Department of Environmental Health, Collage of Public Health, Imam Abdulrahman Bin Faisal University (IAU), P.O. Box 1982, Dammam 31441, Saudi Arabia
| | - Mohammed Tawfiq AlJassim
- Department of Environmental Health, Collage of Public Health, Imam Abdulrahman Bin Faisal University (IAU), P.O. Box 1982, Dammam 31441, Saudi Arabia
| | - Abdulmalik Salman AlSaif
- Department of Environmental Health, Collage of Public Health, Imam Abdulrahman Bin Faisal University (IAU), P.O. Box 1982, Dammam 31441, Saudi Arabia
| | - Salman Ali AlQuwayi
- Department of Environmental Health, Collage of Public Health, Imam Abdulrahman Bin Faisal University (IAU), P.O. Box 1982, Dammam 31441, Saudi Arabia
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Wang G, Zheng C, Lu M, Luo L, Wan Z, Ma ZF. Assessment of knowledge, attitudes, practices, and risk perceptions regarding COVID-19: a cross-sectional study from China. ZEITSCHRIFT FUR GESUNDHEITSWISSENSCHAFTEN = JOURNAL OF PUBLIC HEALTH 2023:1-11. [PMID: 37361275 PMCID: PMC10020754 DOI: 10.1007/s10389-023-01877-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Accepted: 03/02/2023] [Indexed: 03/19/2023]
Abstract
Aim To analyze the level of knowledge, attitudes, practices, and risk perception regarding COVID-19 among Chinese residents 1.5 years after the pandemic. Subject and methods A cross-sectional study was carried out with both online and paper questionnaires. We included a variety of covariates that were characteristic-related factors such as age, gender, education level, and retirement status, as well as those closely associated with risk perception regarding COVID-19. Results Participants (n = 3588), 53.49 ± 18.88 years old, from two provinces of China, of which 44.7% were male and 52.03% had a high school or greater level of education, answered the questions. More than 90% of participants had adequate background knowledge about COVID-19 and agreed or even strongly agreed with many attitude items related to the government's role in diagnosis, treatment, and dealing with COVID-19 infections. About three fifths of the participants reported fear of contracting COVID-19, but only a minority (18.63%) felt they were more susceptible than others. Respondents aged 45 years or younger were more likely to fear contracting the virus than those older than 45 years (adjusted OR = 1.464, 95% CI 1.196 to 1.794, P = 0.0002). High education level (adjusted OR = 1.503, 95% CI 1.187 to 1.904, P = 0.0007) and non-retired status (adjusted OR = 1.679, 95% CI 1.354 to 2.083, P < 0.0001) were associated with a higher perception of susceptibility to infection than others. Moreover, respondents who were not retired had a significantly reduced practice score (adjusted OR = 1.554, 95% CI 1.261 to 1.916, P < 0.0001). Age, retirement status, and education level were also associated with knowledge, attitude, and practice level. Conclusion Our findings suggest that the public generally has trust in the COVID-19 vaccine and the government with regard to COVID-19 in China. We recommend that high-risk groups of communities, such as elders and patients with chronic diseases, be given greater consideration in the outbreaks. Health education campaigns combined with workplace preventive intervention should be aimed at improving COVID-19 knowledge and beliefs in order to encourage more optimistic attitudes and to maintain safe practices.
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Affiliation(s)
- Guiping Wang
- Laboratory Animal Center, Medical College of Soochow University, 199 Ren’ai Road, Suzhou, China
| | - Canjie Zheng
- Quzhou Center for Disease Control and Prevention, Quzhou, 324000 Zhejiang province China
| | - Mingxia Lu
- Henan Provincial Center for Disease Control and Prevention, No.105 Nongye South Road, Zhengzhou, 450016 Henan China
| | - Lan Luo
- School of Public Health, Soochow University, 199 Ren’ai Road, Suzhou, 215123 China
| | - Zhongxiao Wan
- School of Public Health, Soochow University, 199 Ren’ai Road, Suzhou, 215123 China
- Department of Nutrition and Food Hygiene, School of Public Health, Soochow University, 199 Ren’ai Road, Suzhou, 215123 China
| | - Zheng Feei Ma
- Center for Public Health, School of Health and Social Wellbeing, Faculty of Health and Applied Sciences, University of the West of England, Bristol, UK
- Center for Public Health, School of Health and Social Wellbeing, College of Health, Science and Society, University of the West of England, Bristol, UK
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Häfliger C, Diviani N, Rubinelli S. Communication inequalities and health disparities among vulnerable groups during the COVID-19 pandemic - a scoping review of qualitative and quantitative evidence. BMC Public Health 2023; 23:428. [PMID: 36879229 PMCID: PMC9986675 DOI: 10.1186/s12889-023-15295-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2022] [Accepted: 02/20/2023] [Indexed: 03/08/2023] Open
Abstract
BACKGROUND The COVID-19 pandemic has exacerbated health disparities in vulnerable groups (e.g., increased infection, hospitalization, and mortality rates in people with lower income, lower education, or ethnic minorities). Communication inequalities can act as mediating factors in this relationship. Understanding this link is vital to prevent communication inequalities and health disparities in public health crises. This study aims to map and summarize the current literature on communication inequalities linked with health disparities (CIHD) in vulnerable groups during the COVID-19 pandemic and to identify research gaps. METHODS A scoping review of quantitative and qualitative evidence was conducted. The literature search followed the guidelines of PRISMA extension for scoping reviews and was performed on PubMed and PsycInfo. Findings were summarized using a conceptual framework based on the Structural Influence Model by Viswanath et al. RESULTS: The search yielded 92 studies, mainly assessing low education as a social determinant and knowledge as an indicator for communication inequalities. CIHD in vulnerable groups were identified in 45 studies. The association of low education with insufficient knowledge and inadequate preventive behavior was the most frequently observed. Other studies only found part of the link: communication inequalities (n = 25) or health disparities (n = 5). In 17 studies, neither inequalities nor disparities were found. CONCLUSIONS This review supports the findings of studies on past public health crises. Public health institutions should specifically target their communication to people with low education to reduce communication inequalities. More research about CIHD is needed on groups with migrant status, financial hardship, not speaking the language in the country of residence, sexual minorities, and living in deprived neighborhoods. Future research should also assess communication input factors to derive specific communication strategies for public health institutions to overcome CIHD in public health crises.
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Affiliation(s)
- Clara Häfliger
- Swiss Paraplegic Research, Guido A. Zäch Strasse 4, Nottwil, Lucerne, 6207, Switzerland. .,Faculty of Health Sciences and Medicine, University of Lucerne, Frohburgstrasse 3, Lucerne, 6002, Switzerland.
| | - Nicola Diviani
- Swiss Paraplegic Research, Guido A. Zäch Strasse 4, Nottwil, Lucerne, 6207, Switzerland.,Faculty of Health Sciences and Medicine, University of Lucerne, Frohburgstrasse 3, Lucerne, 6002, Switzerland
| | - Sara Rubinelli
- Swiss Paraplegic Research, Guido A. Zäch Strasse 4, Nottwil, Lucerne, 6207, Switzerland.,Faculty of Health Sciences and Medicine, University of Lucerne, Frohburgstrasse 3, Lucerne, 6002, Switzerland
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Mbonane H, Sibanda M, Godman B, Meyer JC, Matlala M. Knowledge, attitudes and practices of healthcare professionals on the use of an electronic stock visibility and management tool in a middle-income country: Implications for access to medicines. EXPLORATORY RESEARCH IN CLINICAL AND SOCIAL PHARMACY 2023; 9:100233. [PMID: 36845673 PMCID: PMC9945761 DOI: 10.1016/j.rcsop.2023.100233] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2022] [Revised: 01/17/2023] [Accepted: 01/28/2023] [Indexed: 02/04/2023] Open
Abstract
Background The Stock Visibility System (SVS) is a mobile application and web-based management tool used at public primary health care (PHC) facilities in South Africa to capture and monitor medicines availability, providing visibility at national level. Medicine stock-outs are prevalent despite the implementation of SVS, compromising patient care. This study aimed to assess the knowledge, attitudes and practices (KAP) of healthcare professionals (HCPs) on the use of the SVS at PHC level to provide future guidance. Method A cross-sectional study using a structured self-administered questionnaire among 206 HCPs at 21 randomly selected PHC facilities located in a health district in KwaZulu-Natal Province, South Africa. Closed-ended questions were used to collect data on socio-demographic characteristics, knowledge on the SVS and practices on its use. A Likert scale was used to determine attitudes towards the SVS. Cronbach's alpha (α) was used to assess the internal consistency of the questionnaire and independent samples t-test and one-way analysis of variance (ANOVA) was used to test statistical difference in the mean scores for KAP and socio-demographic variables. Association between knowledge and practices, and attitude and practices was determined using odds ratios (OR) and Chi-square. Results The majority (99.5%) of HCPs had previous training on SVS. Nearly two thirds (62.1%; 128/206) generally had good knowledge about the SVS and 76.7% (158/206) had positive attitudes towards the SVS while only 17.0% had a good practice score. There was no statistically significant association between KAP of HCPs on the use of the SVS, and sociodemographic variables (HCP qualification, age and sex). There was a significant association between the knowledge and practice scores (aOR: 5.44; 95% CI: 1.92-15.4; p = 0.001). Although positive attitudes, was associated with good practices, it was not statistically significant (OR: 1.21; 95% CI: 0.46-3.22; p = 0.702). Conclusions HCPs in this district had poor practices when using SVS despite good knowledge and positive attitudes towards SVS and the higher the HCPs knowledge of SVS, the more desirable the practices on SVS. This underscores the need for continuous training of HCPs to ensure a constant and efficient supply of medicines to meet the health needs of the population.
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Affiliation(s)
- Hlalanathi Mbonane
- Department of Public Health Pharmacy and Management, School of Pharmacy, Sefako Makgatho Health Sciences University; Molotlegi Street, Ga-Rankuwa 0208, South Africa,East Boom Community Health Centre, 541 Boom Street, Pietermaritzburg 3201, South Africa
| | - Mncengeli Sibanda
- Department of Public Health Pharmacy and Management, School of Pharmacy, Sefako Makgatho Health Sciences University; Molotlegi Street, Ga-Rankuwa 0208, South Africa,South African Vaccination and Immunisation Centre, Sefako Makgatho Health Sciences University, Pretoria, Molotlegi Street, Ga-Rankuwa 0208, South Africa,Corresponding author at: Department of Public Health Pharmacy and Management, School of Pharmacy, Sefako Makgatho Health Sciences University, Molotlegi Street, Ga-Rankuwa 0208, South Africa.
| | - Brian Godman
- Department of Public Health Pharmacy and Management, School of Pharmacy, Sefako Makgatho Health Sciences University; Molotlegi Street, Ga-Rankuwa 0208, South Africa,Centre of Medical and Bio-allied Health Sciences Research, Ajman University, United Arab Emirates,Strathclyde Institute of Pharmacy and Biomedical Sciences, University of Strathclyde, Glasgow, UK
| | - Johanna C. Meyer
- Department of Public Health Pharmacy and Management, School of Pharmacy, Sefako Makgatho Health Sciences University; Molotlegi Street, Ga-Rankuwa 0208, South Africa,South African Vaccination and Immunisation Centre, Sefako Makgatho Health Sciences University, Pretoria, Molotlegi Street, Ga-Rankuwa 0208, South Africa
| | - Moliehi Matlala
- Department of Public Health Pharmacy and Management, School of Pharmacy, Sefako Makgatho Health Sciences University; Molotlegi Street, Ga-Rankuwa 0208, South Africa
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Rehman S, Shehzad A, Andriyani LD, Effendi MH, Abadeen ZU, Ilyas Khan M, Bilal M. A cross-sectional survey of avian influenza knowledge among poultry farmworkers in Indonesia. PeerJ 2023; 11:e14600. [PMID: 36684680 PMCID: PMC9851045 DOI: 10.7717/peerj.14600] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2022] [Accepted: 11/29/2022] [Indexed: 01/18/2023] Open
Abstract
Background Avian influenza (AI) poses a serious threat to global public health, especially the highly pathogenic form. Awareness and protective behavior among the public, particularly the high-risk populations, are essential for prevention and control. This study aimed to ascertain the level of AI knowledge among Indonesia's poultry farmworkers. Methods This was a cross-sectional study conducted online. A predesigned standardized questionnaire, containing six demographic questions and 14 questions on AI knowledge, was used. The questionnaire was distributed via WhatsApp and email platforms. Volunteers (respondents) included 119 men and 81 women, aged 18-50 years, who work on poultry farms in Indonesia. Data were analyzed using the chi-squared and Fisher exact tests. Results The study's findings revealed that more than two-thirds (67.0%) of the respondents had heard about AI. Their primary sources of information were health workers (36.0%) and media, especially television (34.0%). The majority of the participants (91.3%) had good knowledge about AI as a contagious infection, transmissible from birds to other birds, animals, or humans. A total of 76.8% of the respondents believed that poultry workers and veterinarians were at high risk of contracting AI infection. Conclusions The study concluded that poultry workers had good knowledge about AI infection, transmission, and risk variables. Health workers and television were the main sources of information on AI. The level of AI knowledge was high among the respondents.
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Affiliation(s)
- Saifur Rehman
- Laboratory of Virology and Immunology Division of Microbiology, Faculty of Veterinary Medicine, Airlangga University, Surabaya, East Java, Indonesia
- Division of Veterinary Public Health Faculty of Veterinary Medicine, Airlangga University, Surabaya, East Java, Indonesia
| | - Aamir Shehzad
- Laboratory of Virology and Immunology Division of Microbiology, Faculty of Veterinary Medicine, Airlangga University, Surabaya, East Java, Indonesia
| | | | - Mustofa Helmi Effendi
- Division of Veterinary Public Health Faculty of Veterinary Medicine, Airlangga University, Surabaya, East Java, Indonesia
| | - Zain Ul Abadeen
- Department of Pathology Faculty of Veterinary Science, University of Agriculture Faisalabad, Faisalabad, Punjab, Pakistan
| | - Muhammad Ilyas Khan
- Department of Epidemiology and Public Health, Faculty of Veterinary Science, University of Veterinary and Animal Sciences, Lahore, Punjab, Pakistan
| | - Muhammad Bilal
- Department of Epidemiology and Public Health, Faculty of Veterinary Science, University of Veterinary and Animal Sciences, Lahore, Punjab, Pakistan
- Current affiliation: Faculty of Veterinary Medical Sciences, University of Calgary, Alberta, Canada
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COVID-19-Related Awareness and Behaviors of Non-Saudi Travelers and Their Satisfaction with Preventive Measures at Saudi Airports. Trop Med Infect Dis 2022; 7:tropicalmed7120435. [PMID: 36548690 PMCID: PMC9780880 DOI: 10.3390/tropicalmed7120435] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2022] [Revised: 12/09/2022] [Accepted: 12/10/2022] [Indexed: 12/15/2022] Open
Abstract
Airports could serve as hotspots for the spread of the COVID-19 infection. We aimed to assess the awareness, attitude, and behaviors of non-Saudi travelers about COVID-19 and their satisfaction with preventive measures at Saudi airports. A cross-sectional study was conducted among non-Saudi travelers arriving in Saudi Arabia at two international airports. Data were collected using a questionnaire in Arabic, Hindi, and Urdu languages. Awareness, attitude, behavior scores, and satisfaction levels were calculated. Linear regression analyses were done to assess the predictors of awareness, attitude, and behaviors. A total of 633 participants were included in the study. The mean awareness, attitude, and behavior scores were 16.3/22, 18.3/24, and 3.2/5, respectively. Nationality, education, and income were significant predictors of awareness. Nationality was the only significant predictor of attitude, while gender and nationality were predictors of behaviors. Overall satisfaction with preventive measures was: transportation (94%), lounges and corridors (96%), counters (98%), and airport staff (97%). There was overall good awareness and attitude among travelers. Behavior scores were relatively low, which needs to change as air travel poses a threat to the spread of infectious diseases. Airport authorities need to manage passengers properly to ensure adequate distancing to prevent the potential transmission of infections.
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Low Seroprevalence of SARS-CoV-2 among Healthcare Workers in Malaysia during the Third COVID-19 Wave: Prospective Study with Literature Survey on Infection Prevention and Control Measures. Healthcare (Basel) 2022; 10:healthcare10101810. [PMID: 36292257 PMCID: PMC9601718 DOI: 10.3390/healthcare10101810] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2022] [Revised: 09/14/2022] [Accepted: 09/16/2022] [Indexed: 11/17/2022] Open
Abstract
Healthcare workers (HCWs) are at greater risk for severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection. This serology surveillance study aimed to investigate the prevalence of SARS-CoV-2 antibodies among the HCWs who were asymptomatic during the third wave of COVID-19 in Malaysia. HCWs from the Universiti Sains Malaysia (USM) Health Campus were prospectively recruited between August 2020 and March 2021 on a voluntary basis. Data on socio-demographics, possible risk factors and travel history were recorded. Serological diagnoses from serum samples were examined for total antibodies against SARS-CoV-2 using an immunoassay kit. A literature survey was performed on the compliance with infection and prevention control (IPC) practices for COVID-19 among HCWs. The majority of the total 617 HCWs participating in this study were nurses (64.3%, n = 397), followed by health attendants (20.9%, n = 129), medical doctors (9.6%, n = 59) and others (6.3%, n = 39). Of those, 28.2% (n = 174) claimed to have exposure to COVID-19 cases, including history of close contact and casual contact with infected patients. Most importantly, all serum samples were found to be non-reactive to SARS-CoV-2, although nearly half (40.0%, n = 246) of the HCWs had been involved directly in the management of acute respiratory illness cases. A proportion of 12.7% (n = 78) of the HCWs reported having underlying health problems, such as diabetes mellitus, hypertension and hyperlipidemia. Despite the presence of medical and sociological risks associated with SARS-CoV-2 infections, the current study found zero prevalence of antibodies against SARS-CoV-2 among the HCWs of USM. Based on the literature survey, the vast majority of Malaysian HCWs demonstrated good IPC practices during the pandemic (average percentage ranged between 92.2% and 99.8%). High compliance with IPC measures may have led to the low seroprevalence of SARS-CoV-2 among the HCWs.
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Imboumy-Limoukou RK, Ngoubangoye B, Dibakou SE, Oyegue-Liabagui SL, Mounioko F, Kouna LC, Matangoye WR, Ontoua SS, Mbani Mpega NC, Lekana-Douki JB. Knowledge, Attitude and Practice during the COVID-19 Pandemic in South-East Gabon. Behav Sci (Basel) 2022; 12:bs12070226. [PMID: 35877296 PMCID: PMC9312151 DOI: 10.3390/bs12070226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Revised: 05/18/2022] [Accepted: 05/19/2022] [Indexed: 11/16/2022] Open
Abstract
COVID-19 is an emerging respiratory disease; it was declared a global pandemic by the World Health Organization. This survey aimed to describe the knowledge, attitudes, perception and practices of the Gabonese public towards COVID-19. This study was performed on 1016 participants. All participants filled in the questionnaire voluntarily, reporting demographic characteristics and answering questions assessing their level of knowledge, attitudes, perceptions and practice towards COVID-19. Among participants, there were 535 men and 476 women. The mean age of the participants was 33.2 ± 16.7 years old. Almost all participants (98.1%) said that they had heard about COVID-19 but only 2.8% knew the pathogenic agent responsible for COVID-19. More than 80% knew that the disease could be transmitted by greeting infected people (87.3%), kissing an infected person (90.0%), touching an infected doorknob (83.5%) and attending meetings (83.9%). The mean knowledge score was higher among younger than older participants, higher among participants living in urban areas than those living in rural areas and higher among participants with higher levels of education than those with lower levels of education. In general, respondents had good knowledge of COVID-19 and a positive attitude towards using protective measures; however, there were differences according to gender, age group, place of residence, professional group and level of education.
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Affiliation(s)
- Roméo Karl Imboumy-Limoukou
- Centre International de Recherches Médicales de Franceville, BP 769 Franceville, Gabon; (S.E.D.); (S.L.O.-L.); (F.M.); (L.C.K.); (W.R.M.); (S.S.O.); (N.C.M.M.); (J.-B.L.-D.)
- Correspondence: (R.K.I.-L.); (B.N.); Tel.: +241-66072638 (R.K.I.-L.); +241-62521239 (B.N.)
| | - Barthélemy Ngoubangoye
- Centre International de Recherches Médicales de Franceville, BP 769 Franceville, Gabon; (S.E.D.); (S.L.O.-L.); (F.M.); (L.C.K.); (W.R.M.); (S.S.O.); (N.C.M.M.); (J.-B.L.-D.)
- Correspondence: (R.K.I.-L.); (B.N.); Tel.: +241-66072638 (R.K.I.-L.); +241-62521239 (B.N.)
| | - Serge Ely Dibakou
- Centre International de Recherches Médicales de Franceville, BP 769 Franceville, Gabon; (S.E.D.); (S.L.O.-L.); (F.M.); (L.C.K.); (W.R.M.); (S.S.O.); (N.C.M.M.); (J.-B.L.-D.)
| | - Sandrine Lydie Oyegue-Liabagui
- Centre International de Recherches Médicales de Franceville, BP 769 Franceville, Gabon; (S.E.D.); (S.L.O.-L.); (F.M.); (L.C.K.); (W.R.M.); (S.S.O.); (N.C.M.M.); (J.-B.L.-D.)
- Laboratoire de Recherches en Immunologie, Parasitologie et Microbiologie, Ecole Doctorale Régionale d’Afrique Centrale en Infectiologie Tropicale (ECODRAC), Université des Sciences et Techniques de Masuku, BP 876 Franceville, Gabon
| | - Franck Mounioko
- Centre International de Recherches Médicales de Franceville, BP 769 Franceville, Gabon; (S.E.D.); (S.L.O.-L.); (F.M.); (L.C.K.); (W.R.M.); (S.S.O.); (N.C.M.M.); (J.-B.L.-D.)
| | - Lady Charlene Kouna
- Centre International de Recherches Médicales de Franceville, BP 769 Franceville, Gabon; (S.E.D.); (S.L.O.-L.); (F.M.); (L.C.K.); (W.R.M.); (S.S.O.); (N.C.M.M.); (J.-B.L.-D.)
| | - Walter Roddy Matangoye
- Centre International de Recherches Médicales de Franceville, BP 769 Franceville, Gabon; (S.E.D.); (S.L.O.-L.); (F.M.); (L.C.K.); (W.R.M.); (S.S.O.); (N.C.M.M.); (J.-B.L.-D.)
| | - Steede Seinnat Ontoua
- Centre International de Recherches Médicales de Franceville, BP 769 Franceville, Gabon; (S.E.D.); (S.L.O.-L.); (F.M.); (L.C.K.); (W.R.M.); (S.S.O.); (N.C.M.M.); (J.-B.L.-D.)
| | - Nancy Cheronne Mbani Mpega
- Centre International de Recherches Médicales de Franceville, BP 769 Franceville, Gabon; (S.E.D.); (S.L.O.-L.); (F.M.); (L.C.K.); (W.R.M.); (S.S.O.); (N.C.M.M.); (J.-B.L.-D.)
| | - Jean-Bernard Lekana-Douki
- Centre International de Recherches Médicales de Franceville, BP 769 Franceville, Gabon; (S.E.D.); (S.L.O.-L.); (F.M.); (L.C.K.); (W.R.M.); (S.S.O.); (N.C.M.M.); (J.-B.L.-D.)
- Département de Parasitologie-Mycologie, Université des Sciences de la Santé, BP 4009 Libreville, Gabon
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Rahman MM, Marzo RR, Chowdhury S, Qalati SA, Hasan MN, Paul GK, Abid K, Sheferaw WE, Mariadass A, Chandran D, Kanan S, Firdaus AUSBA, Sabarin FAZB, Lin Y. Knowledge, Attitude and Practices Toward Coronavirus Disease (COVID- 19) in Southeast and South Asia: A Mixed Study Design Approach. Front Public Health 2022; 10:875727. [PMID: 35801233 PMCID: PMC9253590 DOI: 10.3389/fpubh.2022.875727] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2022] [Accepted: 04/27/2022] [Indexed: 11/13/2022] Open
Abstract
Background Coronavirus has spread to almost every country since its emergence in Wuhan, China and countries have been adopted an array of measures to control the rapid spread of the epidemic. Here, we aimed to assess the person's knowledge, attitude and practices (KAP) toward the COVID-19 epidemic in Southeast and South Asia applying the mixed study design (cross-sectional and systematic review). Methods In the cross-sectional study, 743 respondents' socio-demographic and KAP-related information was collected through an online population-based survey from the Malaysian population. In the systematic review, the database PubMed, Web of Science and Google Scholar search engine were searched and related published articles from South and Southeast Asia were included. Frequency distribution, Chi-square association test and binary logistic regression were fitted using cross-sectional data whereas random effect model and study bias were performed in meta-analysis. We used 95% confidence interval and P <0.05 as statistical significances. Results The prevalence of good knowledge, positive attitude and frequent practice toward COVID-19 epidemic were 52.6%, 51.8% and 57.1%, respectively, obtained by cross-sectional data analysis. The KAP prevalence were ranged from 26.53% (Thailand) to 95.4% (Nepal); 59.3% (Turkey) to 92.5% (Pakistan); and 50.2 (Turkey) to 97% (Afghanistan), respectively, obtained by 18 studies included in the meta-analysis. The prevalence of KAP was higher [84% vs. 79%, Pheterogeneity <0.001; 83% vs. 80%, Pheterogeneity <0.001; 85% vs. 83%, Pheterogeneity <0.001] in South Asia compared to Southeast Asia, obtained by subgroup analysis. Some studies reported mean level instead of the proportion of the KAP where the score varied from 8.15-13.14; 2.33-33.0; and 1.97-31.03, respectively. Having more knowledge and attitude were encouraged more likely to practice toward COVID-19. Study suggests age, gender, education, place of residence and occupation as the most frequent significant risk factors of KAP toward COVID-19. Conclusion The study sufficiently informs how other countries in Southeast and South Asia enriches their KAP behaviors during the pandemic which may help health professionals and policymakers to develop targeted interventions and effective practices.
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Affiliation(s)
- Mohammad Meshbahur Rahman
- Department of Biostatistics, National Institute of Preventive and Social Medicine, Dhaka, Bangladesh
| | - Roy Rillera Marzo
- Department of Community Medicine, International Medical School, Management and Science University, Selangor, Malaysia
- Department of Community Medicine, Faculty of Medicine, Asia Metropolitan University, Johor, Malaysia
- Global Public Health, Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Subang Jaya, Malaysia
| | - Shanjida Chowdhury
- Department of General Educational Development, Daffodil International University, Dhaka, Bangladesh
| | | | - Mohammad Nayeem Hasan
- Department of Statistics, Shahjalal University of Science and Technology, Sylhet, Bangladesh
| | - Gowranga Kumar Paul
- Department of Statistics, Mawlana Bhashani Science and Technology University, Santosh, Bangladesh
| | - Khadijah Abid
- Department of Public Health, The Shaheed Zulfikar Ali Bhutto Institute of Science and Technology, Karachi, Pakistan
| | | | - Angela Mariadass
- Department of Community Medicine, Faculty of Medicine, Asia Metropolitan University, Johor, Malaysia
| | - Divitra Chandran
- Department of Community Medicine, Faculty of Medicine, Asia Metropolitan University, Johor, Malaysia
| | - Shasvini Kanan
- Department of Community Medicine, Faculty of Medicine, Asia Metropolitan University, Johor, Malaysia
| | | | | | - Yulan Lin
- Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, China
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Tadesse AW, Aychiluhm SB, Mare KU, Tarekegn SM, Biset G. Practice Level and Associated Factors Towards the Preventive Measures of COVID-19 Among the General Population; A Systematic Review and Meta-Analysis. Front Public Health 2022; 10:844692. [PMID: 35784216 PMCID: PMC9240620 DOI: 10.3389/fpubh.2022.844692] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2021] [Accepted: 05/09/2022] [Indexed: 11/13/2022] Open
Abstract
Background Studies conducted on the practice of COVID-19 preventive methods across the world are highly inconsistent and inconclusive. Hence, this study intended to estimate the pooled preventive practice and its determinants among the general population. Methods This study was conducted using online databases (PubMed, HINARI, Scopus, EMBASE, Science Direct, and Cochrane library database), African Journals online, Google Scholar, open gray and online repository accessed studies. The quality of the included studies was assessed using Newcastle-Ottawa Quality Assessment Scale (NOS). STATA 14.0 software for analysis. The existence of heterogeneity between studies was checked using Cochran Q test and I2 test statistics and then, the presence of publication bias was detected using both funnel plot and Egger's test. Results 51 studies were included and the pooled level of practice toward the preventive measures of COVID-19 was 74.4% (95% CI: 70.2-78.6%, I2 = 99.7%, P < 0.001] using a random effects model. Being female [OR = 1.97: 95% CI 1.75, 2.23; I2 = 0.0%, P < 0.698], rural residence [OR = 0.53: 95% CI 0.44, 0.65; I2 = 73.5%, P < 0.013], attending higher education level [OR = 1.47: 95% CI 1.18, 1.83; I2 = 75.4%, P < 0.001], being employed [OR = 2.12: 95% CI 1.44, 3.12; I2 = 91.8%, P < 0.001], age < 30 [OR = 0.73: 95% CI 0.60, 0.89; I2 = 73.9%, P < 0.001], and knowledgeable [OR = 1.22: 95% CI 1.09, 1.36; I2 = 47.3%, P < 0.077] were the independent predictors of adequate practice level. Conclusions nearly three-fourths of the general population has an adequate preventive practice level toward COVID-19. Thus, the global, regional, national, and local governments need to establish policies and strategies to address the identified factors.
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Affiliation(s)
- Abay Woday Tadesse
- College of Medicine and Health Sciences, Samara University, Samara, Ethiopia
- Dream Science and Technology College, Dessie, Ethiopia
- Department of Malaria and NTD, Armauer Hansen Research Institute, Addis Ababa, Ethiopia
| | | | - Kusse Urmale Mare
- College of Medicine and Health Sciences, Samara University, Samara, Ethiopia
| | - Setegn Mihret Tarekegn
- Dream Science and Technology College, Dessie, Ethiopia
- College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Gebeyaw Biset
- Dream Science and Technology College, Dessie, Ethiopia
- College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
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Suet SPC, Farrukh MJ, Qi HM, Saleem Z, Salman M, ur Rahman A, Goh KW, Ming LC. Are Malaysians Ready to Resume the New Norm? Findings From a Nationwide Study. Front Public Health 2022; 10:823047. [PMID: 35719621 PMCID: PMC9205470 DOI: 10.3389/fpubh.2022.823047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2021] [Accepted: 04/07/2022] [Indexed: 11/13/2022] Open
Abstract
ObjectiveThe study aimed to evaluate the knowledge, attitude, and practices toward the prevention of coronavirus disease 2019 (COVID-19) among the public in Malaysia.MethodsA cross-sectional study was conducted online among the general public in Malaysia from June 2020 to August 2020 between the second and third wave (Phase 3 of the Recovery Movement Control Order). Participants were conveniently recruited through multiple social media platforms to encourage nationwide participation. A patient-administered questionnaire was used to assess their knowledge, attitude, and practice toward the prevention of COVID-19. For descriptive analysis, percentage, mean, and standard deviation (SD) were used to report demographic characteristics and knowledge, attitude, and practice scores. For inferential analysis, t-test, ANOVA, Pearson's correlation, Spearman's correlation, Chi-square test, and Binary Logistic Regression was used to analyze the study variables' differentiation, association, and correlations. The confidence interval selected for this study was 95%.ResultsA total of 420 respondents participated in this survey. The majority of the participants (n = 412, 98%) were aware of COVID-19. Most participants (60%) learned about the pandemic through social media. About half of the participants had poor knowledge (45.5%) and a negative attitude (43.3%). Participants residing in urban areas showed good preventive practices as compared to those residing in rural areas (P < 0.05). There was a significant association between participants' attitudes and preventive practices toward COVID-19, where the majority of the participants (57.4%) who showed negative attitudes were more likely to follow poor preventive practices.ConclusionDespite having good knowledge, participants with a negative attitude toward COVID-19 were less likely to follow the preventive practices of COVID-19. People's mindset and willingness may play an important role to influence their practices. Thus, these are the vulnerable groups, and strategies should be made to change their mindset through proper counseling and education.
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Affiliation(s)
| | - Muhammad Junaid Farrukh
- Faculty of Pharmaceutical Sciences, UCSI University, Kuala Lumpur, Malaysia
- *Correspondence: Muhammad Junaid Farrukh
| | - Hee Mei Qi
- Faculty of Pharmaceutical Sciences, UCSI University, Kuala Lumpur, Malaysia
| | - Zikria Saleem
- Faculty of Pharmacy, University of Lahore, Lahore, Pakistan
| | | | - Aziz ur Rahman
- Faculty of Pharmaceutical Sciences, UCSI University, Kuala Lumpur, Malaysia
| | - Khang Wen Goh
- Faculty of Data Science and Information Technology, INTI International University, Nilai, Malaysia
- Khang Wen Goh
| | - Long Chiau Ming
- PAP Rashidah Sa'adatul Bolkiah Institute of Health Sciences, Universiti Brunei Darussalam, Gadong, Brunei
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Wafula ST, Mugume IB, Sensasi B, Okware S, Chimbaru A, Nanyunja M, Talisuna A, Kabanda R, Bakyaita T, Wanyenze RK, Byakika-Tusiime J. Intention to vaccinate against COVID-19 and adherence to non-pharmaceutical interventions against COVID-19 prior to the second wave of the pandemic in Uganda: a cross-sectional study. BMJ Open 2022; 12:e057322. [PMID: 35654469 PMCID: PMC9163003 DOI: 10.1136/bmjopen-2021-057322] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
OBJECTIVES The resurgence in cases and deaths due to COVID-19 in many countries suggests complacency in adhering to COVID-19 preventive guidelines. Vaccination, therefore, remains a key intervention in mitigating the impact of the COVID-19 pandemic. This study investigated the level of adherence to COVID-19 preventive measures and intention to receive the COVID-19 vaccine among Ugandans. DESIGN, SETTING AND PARTICIPANTS A nationwide cross-sectional survey of 1053 Ugandan adults was conducted in March 2021 using telephone interviews. MAIN OUTCOME MEASURES Participants reported on adherence to COVID-19 preventive measures and intention to be vaccinated with COVID-19 vaccines. RESULTS Overall, 10.2% of the respondents adhered to the COVID-19 preventive guidelines and 57.8% stated definite intention to receive a SARS-CoV-2 vaccine. Compared with women, men were less likely to adhere to COVID-19 guidelines (Odds Ratio (OR)=0.64, 95% CI 0.41 to 0.99). Participants from the northern (4.0%, OR=0.28, 95% CI 0.12 to 0.92), western (5.1%, OR=0.30, 95% CI 0.14 to 0.65) and eastern regions (6.5%, OR=0.47, 95% CI 0.24 to 0.92), respectively, had lower odds of adhering to the COVID-19 guidelines than those from the central region (14.7%). A higher monthly income of ≥US$137 (OR=2.31, 95% CI 1.14 to 4.58) and a history of chronic disease (OR=1.81, 95% CI 1.14 to 2.86) were predictors of adherence. Concerns about the chances of getting COVID-19 in the future (Prevalence Ratio (PR)=1.26, 95% CI 1.06 to 1.48) and fear of severe COVID-19 infection (PR=1.20, 95% CI 1.04 to 1.38) were the strongest predictors for a definite intention, while concerns for side effects were negatively associated with vaccination intent (PR=0.75, 95% CI 0.68 to 0.83). CONCLUSION Behaviour change programmes need to be strengthened to promote adherence to COVID-19 preventive guidelines as vaccination is rolled out as another preventive measure. Dissemination of accurate, safe and efficacious information about the vaccines is necessary to enhance vaccine uptake.
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Affiliation(s)
- Solomon Tsebeni Wafula
- Department of Disease Control and Environmental Health, Makerere University College of Health Sciences, Kampala, Uganda
| | - Innocent B Mugume
- Department of Disease Control and Environmental Health, Makerere University College of Health Sciences, Kampala, Uganda
| | | | | | | | - Miriam Nanyunja
- Regional Office for Africa, Eastern and Southern Africa Hub, World Health Organization, Nairobi, Kenya
| | | | | | | | - Rhoda K Wanyenze
- Department of Disease Control and Environmental Health, Makerere University College of Health Sciences, Kampala, Uganda
| | - Jayne Byakika-Tusiime
- Regional Office for Africa, Eastern and Southern Africa Hub, World Health Organization, Nairobi, Kenya
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Yesuf M, Abdu M. Knowledge, attitude, prevention practice, and associated factors toward COVID-19 among preparatory school students in Southwest Ethiopia, 2021. PLoS One 2022; 17:e0262907. [PMID: 35073358 PMCID: PMC8786179 DOI: 10.1371/journal.pone.0262907] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2021] [Accepted: 01/07/2022] [Indexed: 12/23/2022] Open
Abstract
Introduction As of February 2021 COVID-19 report in 57 African countries, there were 3,761,512 confirmed cases and 98,088 deaths. Ethiopia reported the highest number of cases in East Africa with a total of 147,092 cases and 2,194 deaths. Over 1.5 billion students from 195 countries across the world separated from school as a consequence of the closure of schools related to the pandemic. This study aimed to determine the level of knowledge, attitude, prevention practices, and determinant factors regarding COVID-19 among preparatory school students in southwest Ethiopia. Methods An institution-based cross-sectional study design was used for 422 samples. Each respondent was selected using simple random sampling. Data were collected using a self-administered questionnaire. The collected data were entered and analyzed using Statistical Package for social science software version 25.0. Multivariable binary logistic regression was used to identify factors that were significantly associated with the practice of COVID-19 prevention. Results The response rate in this study was 96.2%. A higher proportion of the respondents were female (53.9%), Bench (43.6%), and protestant (47.3%). The level of good knowledge, positive attitude, and good practice were 81.8%, 70.9%, and 47.0% respectively. Using social media [AOR: 1.801, 95% CI: 1.005, 3.226], watching television [AOR: 1.884 95% CI: 1.093, 3.247], being knowledgeable [AOR: 5.173 95% CI: 2.276, 11.755], and having a positive attitude [AOR: 4.300 95% CI: 2.351, 7.868] were positively associated with COVID-19 prevention practice. Conclusion Despite the high level of knowledge and a moderate level of positive attitude, the practice of COVID-19 prevention measures was low. Using social media, watching television, being knowledgeable, and having positive attitudes towards COVID-19 increases the tendency to practice COVID-19 prevention measures. School directors and teachers should strictly monitor students for their adherence to COVID-19 prevention measures as directed by the local and national health care departments.
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Affiliation(s)
- Mohammed Yesuf
- Department of Nursing, College of Medicine and Health Science, Mizan-Tepi University, Mizan-Teferi, Ethiopia
| | - Mehd Abdu
- Department of Nursing, College of Medicine and Health Science, Mizan-Tepi University, Mizan-Teferi, Ethiopia
- * E-mail:
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21
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Abdollahzadeh H, Rahmanian V, Sharifi N, Zahedi R, Bajestani MJN, GholianAval M, Esmaeilzadeh N, Hadjzadeh M, Ahmadian M. Risks assessment of Adherence to non-pharmaceutical measures towards COVID-19 among residents of Mashhad in the North-East of Iran during the awful wave of the epidemic. J Family Med Prim Care 2021; 10:3211-3218. [PMID: 34760732 PMCID: PMC8565165 DOI: 10.4103/jfmpc.jfmpc_130_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2021] [Revised: 04/27/2021] [Accepted: 05/26/2021] [Indexed: 12/15/2022] Open
Abstract
Background: Since the Coronavirus disease 19 (Covid-19) rampaged in Iran, three waves of the epidemic occurred. Objective: In the present study, two issues are considered. First: What proportion of the people adhere to the mitigation approaches towards the disease? Second: Which are the reasons to disobey these rules? Methods: A cross-sectional, population-based phone survey was applied among the population aged over 16 years in Mashhad between November 5 and December 1, 2020. A valid and reliable knowledge, attitude, and performance (KAP (designed questionnaire was used and logistic regression was performed with STATA 14. Results: The final sample size was 776; 90.59, 89.8 and 48.1% of the participants had sufficient reliable knowledge, attitude, and practice, respectively; 20.1% of the participants did not wear masks; nearly half of them visited traditional healers for the prevention and cure; 97.8% of them believed the efficiency of the vaccine and stated that they will consume it if it is distributed. Among the sociodemographic factors, only the unemployed had low adherence to the preventive approach; 51.7% of the main worry was the weak economic situation and 69% of jobs and expenditures were poorly affected. The odds ratio (OR) for optimising attitude reduced from 4.64 to 3.22, and for good performance from 5.64 to 5.43 after adjusting for the economic, knowledge and perception factors. Conclusion: Despite all the health rules and probably COVID-19 vaccines global access (COVAX), it seems that the most effective way to reverse this horrific wave and its economic consequences is the improvement of the economy and livelihood of the society.
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Affiliation(s)
- Hasan Abdollahzadeh
- Department of Persian Medicine, School of Persian and Complementary Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Vahid Rahmanian
- Department of Epidemiology, Research Center for Social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran
| | - Nader Sharifi
- Department of Health Education and Promotion, Research Center for Social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran
| | - Razieh Zahedi
- Department of Epidemiology, Research Center for Social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran
| | - Majid Jafari Nejad Bajestani
- Department of Persian Medicine, School of Persian and Complementary Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Mahdi GholianAval
- Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Nayereh Esmaeilzadeh
- Department of Epidemiology, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
| | - MousaAlReza Hadjzadeh
- Department of Physiology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Mohammad Ahmadian
- Department of Persian Medicine, School of Persian and Complementary Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
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22
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Beca-Martínez MT, Romay-Barja M, Falcón-Romero M, Rodríguez-Blázquez C, Benito-Llanes A, Forjaz MJ. Compliance with the main preventive measures of COVID-19 in Spain: The role of knowledge, attitudes, practices, and risk perception. Transbound Emerg Dis 2021; 69:e871-e882. [PMID: 34730277 PMCID: PMC8661801 DOI: 10.1111/tbed.14364] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2021] [Revised: 10/11/2021] [Accepted: 10/20/2021] [Indexed: 12/23/2022]
Abstract
In epidemics such as COVID‐19, major changes need to be made to the population's behavior to prevent infection and stop disease transmission. The three most recommended preventive measures are wearing a mask, washing hands with soap or hydroalcoholic gel, and watching an interpersonal distance of at least two meters (3W) from other people. This study aimed to assess adherence to these COVID‐19‐related three preventive measures and its association with knowledge, attitudes, risk perception, and practices in Spain. The COSMO‐Spain survey, based on the WHO Behavioral Insights questionnaire on COVID‐19, was conducted in the general Spanish population using an online questionnaire (n = 1,033). Sociodemographic, knowledge, attitudes, practices, and risk perception variables were included. A multivariable logistic regression model was carried out to evaluate the factors associated with compliance with the three preventive measures. Half of the respondents (49.8%) were women with a median age of 45 (Inter‐quartile Range, IR = 21) years. In the logistic regression, the factors associated with 3W compliance were being over 45 years; knowing about how COVID‐19 spreads and wearing masks properly; appropriate attitudes towards COVID‐19 (greater agreement with mandatory mask use); high risk perception (feeling that the coronavirus is spreading rapidly, being concerned about non‐mask wearers), and adherence to other preventive measures against COVID‐19, such as staying at home. Adequate knowledge, attitudes and risk perception are determinants of 3W compliance. Developing effective health education programs and frequent communication strategies are necessary, particularly for those who adhere less to preventive measures.
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Affiliation(s)
- María Teresa Beca-Martínez
- Servicio de Medicina Preventiva, Hospital Virgen de la Salud, Toledo, Spain.,Universidad Nacional de Educación a Distancia (UNED), Madrid, Spain
| | - María Romay-Barja
- Centro Nacional de Medicina Tropical, Instituto de Salud Carlos III, Madrid, Spain
| | | | | | | | - María João Forjaz
- Centro Nacional de Epidemiología, Instituto de Salud Carlos III, Madrid, Spain.,Red de Investigación en Servicios de Salud en Enfermedades Crónicas, Madrid, Spain
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23
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Ye X, Ye W, Yu J, Gao Y, Ren Z, Chen L, Dong A, Yi Q, Zhan C, Lin Y, Wang Y, Huang S, Song P. The landscape of COVID-19 vaccination among healthcare workers at the first round of COVID-19 vaccination in China: willingness, acceptance and self-reported adverse effects. Hum Vaccin Immunother 2021; 17:4846-4856. [PMID: 34618663 DOI: 10.1080/21645515.2021.1985354] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
The COVID-19 vaccines have been developed in a wide range of countries. This study aimed to examine factors that related to vaccination rates and willingness to be vaccinated against COVID-19 among Chinese healthcare workers (HCWs). From 3rd February to 18th February, 2021, an online cross-sectional survey was conducted among HCWs to investigate factors associated with the acceptance and willingness of COVID-19 vaccination. Sociodemographic characteristics and the acceptance of COVID-19 vaccination among Chinese HCWs were evaluated. A total of 2156 HCWs from 21 provinces in China responded to this survey (effective rate: 98.99%)), among whom 1433 (66.5%) were vaccinated with at least one dose. Higher vaccination rates were associated with older age, working as a clinician, having no personal religion, working in a fever clinic or higher hospital grade, and having received vaccine education, family history for influenza vaccination and strong familiarity with the vaccine. Willingness for vaccination was related to working in midwestern China, considerable knowledge of the vaccine, received vaccine education, and strong confidence in the vaccine. Results of this study can provide evidence for the government to improve vaccine coverage by addressing vaccine hesitancy in the COVID-19 pandemic and future public health emergencies.
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Affiliation(s)
- Xinxin Ye
- School of Public Health and Women's Hospital, Zhejiang University School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China
| | - Wan Ye
- Department of Nursing, Xiamen Medical College, Xiamen, Fujian, China
| | - Jinyue Yu
- Institute of Child Health, University College London, London, UK
| | - Yuzhen Gao
- Department of Clinical Laboratory, Sir Run Run Shaw Hospital, Hangzhou, Zhejiang, China
| | - Ziyang Ren
- School of Public Health and Women's Hospital, Zhejiang University School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China
| | - Lanzhen Chen
- Department of Nursing, The Second Affiliated Hospital of Xiamen Medical College, Xiamen, Fujian, China
| | - Ao Dong
- The Second Clinical School of Beijing University of Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China
| | - Qian Yi
- School of Public Health and Women's Hospital, Zhejiang University School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China
| | - Chenju Zhan
- Department of Nursing, Mindong Hospital of Ningde City, Fuan, Fujian, China
| | - Yanni Lin
- Department of Nursing, No.1 Hospital of Longhai City, Longhai, Fujian, China
| | - Yangxin Wang
- Department of Orthopedic Surgery, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou City, Zhejiang Province, PR China
| | - Simin Huang
- Department of Nursing, Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian, China
| | - Peige Song
- School of Public Health and Women's Hospital, Zhejiang University School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China
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Siddiquea BN, Shetty A, Bhattacharya O, Afroz A, Billah B. Global epidemiology of COVID-19 knowledge, attitude and practice: a systematic review and meta-analysis. BMJ Open 2021; 11:e051447. [PMID: 34521674 PMCID: PMC8441223 DOI: 10.1136/bmjopen-2021-051447] [Citation(s) in RCA: 33] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/20/2021] [Accepted: 08/06/2021] [Indexed: 12/17/2022] Open
Abstract
OBJECTIVE To assess the knowledge, attitude and practice (KAP) of the global general population regarding COVID-19. DESIGN Systematic review and meta-analysis. METHODS MEDLINE, Embase, CINAHL and PsycINFO were used to identify articles published between 1 January and 30 June 2021 assessing KAP regarding COVID-19 in the global general population. The quality of eligible studies was assessed. Random effects model was used to obtain the pooled proportion of each component of KAP of COVID-19. Heterogeneity (I2) was tested, and subgroup and correlation analyses were performed. RESULTS Out of 3099 records, 84 studies from 45 countries across all continents assessing 215 731 participants' COVID-19 KAP were included in this study. The estimated overall correct answers for knowledge, good attitude and good practice in this review were 75% (95% CI 72% to 77%), 74% (95% CI 71% to 77%) and 70% (95% CI 66% to 74%), respectively. Low-income countries, men, people aged below 30 years and people with 12 years of education or less had the lowest practice scores. Practice scores were below 60% in Africa and Europe/Oceania. Overall heterogeneity was high (I2 ≥98%), and publication bias was present (Egger's regression test, p<0.01). A positive significant correlation between knowledge and practice (r=0.314, p=0.006), and attitude and practice (r=0.348, p=0.004) was observed. CONCLUSIONS This study's findings call for community-based awareness programmes to provide a simple, clear and understandable message to reinforce knowledge especially regarding efficacy of the preventive measures in low and lower middle-income countries, and in Africa and Europe/Oceania, which will translate into good practice. Targeted intervention for men, people with low education, unemployed people and people aged below 30 years should be recommended. As most of the included studies were online surveys, underprivileged and remote rural people may have been missed out. Additional studies are needed to cover heterogeneous populations. PROSPERO REGISTRATION NUMBER CRD42020203476.
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Affiliation(s)
- Bodrun Naher Siddiquea
- Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
| | - Aishwarya Shetty
- Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
| | - Oashe Bhattacharya
- Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
| | - Afsana Afroz
- Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
- Centre of Epidemiology and Biostatistics, School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia
| | - Baki Billah
- Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
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25
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Duong MC, Nguyen HT, Duong BT, Vu MT. The Levels of COVID-19 Related Health Literacy among University Students in Vietnam. Infect Chemother 2021; 53:107-117. [PMID: 34409784 PMCID: PMC8032923 DOI: 10.3947/ic.2020.0152] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2020] [Accepted: 03/09/2021] [Indexed: 01/08/2023] Open
Abstract
Background Vietnam is among the few countries that were successful in the fight against the first wave of coronavirus disease 2019 (COVID-19). However, subsequent domestic outbreaks of COVID-19 continue to occur. To sharp the community education program to guarantee the final success in the fight against COVID-19 in Vietnam and comparable countries, we examined the levels of COVID-19 knowledge and associated predictors among university students in Vietnam. Materials and Methods A cross-sectional study was conducted on all students enrolling at Phenikaa University using a self-developed questionnaire consisted of 20 questions regarding COVID-19's risk factors, transmission routes, symptoms, and prevention. Results Among 728 participants, 40.9% were male, 63.2% studied health-related majors, and 18.1% lived alone. Correct response rates ranged from 25.3% to 98.9% across 20 questions. Only 51.9% (378/728) of participants had good knowledge levels. Studying health majors (adjusted odds ratio [AOR] 0.547, 95% confidence interval [CI] 0.398 - 0.751, P <0.001), and living with the seniors (AOR 0.612, 95% CI 0.389 - 0.963, P = 0.034) or with friends (AOR 0.405, 95% CI 0.252 – 0.650, P <0.001) were negatively associated with a poor level of COVID-19 knowledge. Conclusion The proportion of university students having good knowledge levels is suboptimal. It is essential to improve the quality of COVID-19 education with a more focus on not only the preventive measures, but also the disease itself. More studies are needed to improve the level of COVID-19 knowledge among those living alone or do not study health-related majors.
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Affiliation(s)
- Minh Cuong Duong
- School of Population Health, University of New South Wales, Samuels Building, F25, Samuel Terry Ave, Kensington, Australia.
| | - Hong Trang Nguyen
- Faculty of Nursing, Phenikaa University, Yen Nghia ward, Ha Dong district, Hanoi, Vietnam
| | | | - Minh Thuy Vu
- Faculty of Nursing, Phenikaa University, Yen Nghia ward, Ha Dong district, Hanoi, Vietnam
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Bui HTT, Duong DM, Pham TQ, Mirzoev T, Bui ATM, La QN. COVID-19 Stressors on Migrant Workers in Vietnam: Cumulative Risk Consideration. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:8757. [PMID: 34444521 PMCID: PMC8391707 DOI: 10.3390/ijerph18168757] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/19/2021] [Revised: 08/12/2021] [Accepted: 08/17/2021] [Indexed: 11/16/2022]
Abstract
This study explored the impact of COVID-19 on migrant workers in Vietnam, using a cumulative risk assessment (CRA) framework which comprises four domains (workplace, environment, individual and community). A cross-sectional study was conducted. Data were collected in 2020 through a self-administered questionnaire with 445 domestic migrant workers in two industrial zones in two northern provinces (Bac Ninh and Ninh Binh) in Vietnam. The majority of migrant workers were female (65.2%), aged between 18 and 29 years old (66.8%), and had high school or higher education level qualifications. Most migrant workers had good knowledge about preventive measures (>90%) and correct practices on COVID-19 prevention (81.1%). Three health risk behaviors were reported: 10% of participants smoked, 25% consumed alcohol and 23.1% were engaged in online gaming. In terms of workplace, occupational working conditions were good. Noise was the most commonly reported hazard (29%). Regarding environment, about two-thirds of migrant workers lived in a small house (<36 m2). Most participants (80.4%) lived with their families. About community domain, many reported low salary or losing their job during January-July, 2020. Most migrants received information about COVID-19. The migrant workers suffered from poor health and low occupational safety, fear of job loss and income cut, poor housing and living conditions and limited access to public services. The holistic approach to address stressors is recommended to improve health and safety of migrant workers.
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Affiliation(s)
- Ha Thi Thu Bui
- Faculty of Social & Behavioural Sciences, Hanoi University of Public Health, 1A Duc Thang Road, Duc Thang Ward, Bac Tu Liem District, Hanoi 119000, Vietnam;
| | - Duc Minh Duong
- Faculty of Social & Behavioural Sciences, Hanoi University of Public Health, 1A Duc Thang Road, Duc Thang Ward, Bac Tu Liem District, Hanoi 119000, Vietnam;
| | - Thanh Quoc Pham
- Faculty of Fundamental Sciences, Hanoi University of Public Health, 1A Duc Thang Road, Duc Thang Ward, Bac Tu Liem District, Hanoi 119000, Vietnam; (T.Q.P.); (Q.N.L.)
| | - Tolib Mirzoev
- Nuffield Centre for International Health & Development, Leeds Institute of Health Sciences, 6 Clarendon Way, Woodhouse, Leeds LS2 9NL, UK;
| | - Anh Thi My Bui
- Health Management Training Institute, Hanoi University of Public Health, 1A Duc Thang Road, Duc Thang Ward, Bac Tu Liem District, Hanoi 119000, Vietnam;
| | - Quang Ngoc La
- Faculty of Fundamental Sciences, Hanoi University of Public Health, 1A Duc Thang Road, Duc Thang Ward, Bac Tu Liem District, Hanoi 119000, Vietnam; (T.Q.P.); (Q.N.L.)
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Delgado-Hernández B, Mugica L, Acosta M, Pérez F, Montano DDLN, Abreu Y, Ayala J, Percedo MI, Alfonso P. Knowledge, Attitudes, and Risk Perception Toward Avian Influenza Virus Exposure Among Cuban Hunters. Front Public Health 2021; 9:644786. [PMID: 34368040 PMCID: PMC8342762 DOI: 10.3389/fpubh.2021.644786] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2020] [Accepted: 06/28/2021] [Indexed: 11/24/2022] Open
Abstract
A critical step for decreasing zoonotic disease threats is to have a good understanding of the associated risks. Hunters frequently handle potentially infected birds, so they are more at risk of being exposed to zoonotic avian pathogens, including avian influenza viruses (AIVs). The objective of the current study was to gain a better understanding of Cuban hunters' general hunting practices, focusing on their knowledge and risk perception on avian influenza. An anonymous and voluntary semi-structured questionnaire was designed and applied to 398 hunters. Multiple correspondence analyses found relationships with potential exposure of AIVs to people and domestic animals. The main associated risks factors identified were not taking the annual flu vaccine (60.1%) and not cleaning hunting knives (26.3%); Direct contact with water (32.1%), cleaning wild birds at home (33.2%); receiving assistance during bird cleaning (41.9%), keeping poultry at home (56.5%) and feeding domestic animals with wild bird leftovers (30.3%) were also identified as significant risk factors. The lack of use of some protective measures reported by hunters had no relationship with their awareness on avian influenza, which may imply a lack of such knowledge. The results evidenced that more effective risk communication strategies about the consequences of AIVs infecting human or other animals, and the importance of reducing such risks, are urgently needed.
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Affiliation(s)
- Beatriz Delgado-Hernández
- Epidemiology Group, National Center for Animal and Plant Health (CENSA), World Organisation for Animal Health (OIE) Collaborating Center for the Reduction of the Risk of Disaster in Animal Health, San José de las Lajas, Cuba
| | - Lourdes Mugica
- Bird Ecology Group, Biology Faculty, Havana University, Vedado, Cuba
| | - Martin Acosta
- Bird Ecology Group, Biology Faculty, Havana University, Vedado, Cuba
| | - Frank Pérez
- Epidemiology Group, National Center for Animal and Plant Health (CENSA), World Organisation for Animal Health (OIE) Collaborating Center for the Reduction of the Risk of Disaster in Animal Health, San José de las Lajas, Cuba.,Department of Veterinary Medicine, Faculty of Agricultural Sciences, University of Granma, Bayamo, Cuba
| | - Damarys de Las Nieves Montano
- Epidemiology Group, National Center for Animal and Plant Health (CENSA), World Organisation for Animal Health (OIE) Collaborating Center for the Reduction of the Risk of Disaster in Animal Health, San José de las Lajas, Cuba
| | - Yandy Abreu
- Epidemiology Group, National Center for Animal and Plant Health (CENSA), World Organisation for Animal Health (OIE) Collaborating Center for the Reduction of the Risk of Disaster in Animal Health, San José de las Lajas, Cuba
| | - Joel Ayala
- Epidemiology Group, National Center for Animal and Plant Health (CENSA), World Organisation for Animal Health (OIE) Collaborating Center for the Reduction of the Risk of Disaster in Animal Health, San José de las Lajas, Cuba
| | - María Irian Percedo
- Epidemiology Group, National Center for Animal and Plant Health (CENSA), World Organisation for Animal Health (OIE) Collaborating Center for the Reduction of the Risk of Disaster in Animal Health, San José de las Lajas, Cuba
| | - Pastor Alfonso
- Epidemiology Group, National Center for Animal and Plant Health (CENSA), World Organisation for Animal Health (OIE) Collaborating Center for the Reduction of the Risk of Disaster in Animal Health, San José de las Lajas, Cuba
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Tien TQ, Tuyet-Hanh TT, Linh TNQ, Hai Phuc H, Van Nhu H. Knowledge, Attitudes, and Practices Regarding COVID-19 prevention among Vietnamese Healthcare Workers in 2020. Health Serv Insights 2021; 14:11786329211019225. [PMID: 34103939 PMCID: PMC8155755 DOI: 10.1177/11786329211019225] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2021] [Accepted: 05/03/2021] [Indexed: 11/17/2022] Open
Abstract
Introduction Healthcare workers (HCWs) are at the frontline of COVID-19 control and prevention but also are high-risk groups for COVID-19 infection. The low level of knowledge and negative attitudes toward COVID-19 among HCWs can lead to inappropriate responding, wrong diagnoses, and poor practices for prevention. This research aims to examine the knowledge, attitudes, and practices regarding COVID-19 prevention and factors influencing the practices among HCWs in Daklak province, Vietnam. Method A cross-sectional study was conducted among 963 HCWs working at district health centers and commune health stations through an online survey. Results Overall, HCWs have good knowledge (91.3%), a positive attitude (71.5%), and appropriate practice (83.1%) regarding COVID-19 prevention. There was 89.6% of HCWs facing difficulties in practicing preventive measures such as felt difficult to change their habits (56.4%), insufficient personal protective equipment (PPE) (40.0%), and inconvenience to practice preventive measures (14.4%). The factors associated with implementing good practices are age group, residence, and knowledge about COVID-19. Recommendation The Daklak Department of Health should provide additional training programs and guidelines about COVID-19 prevention and PPE for HCWs. More studies on risk and protective factors, and assessment about KAP regarding COVID-19 prevention at the post of the pandemic are needed.
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Affiliation(s)
| | | | - Tran Nu Quy Linh
- Hatinh Centre for Disease Control and Prevention, Hatinh, Vietnam
| | - Hoang Hai Phuc
- Daklak Center for Diseases Control and Prevention, Daklak, Vietnam
| | - Ha Van Nhu
- Hanoi University of Public Health, Hanoi, Vietnam
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Nguyen HB, Nguyen THM, Tran TTT, Vo THN, Tran VH, Do TNP, Truong QB, Nguyen TH, Ly LK. Knowledge, Attitudes, Practices, and Related Factors Towards COVID-19 Prevention Among Patients at University Medical Center Ho Chi Minh City, Vietnam. Risk Manag Healthc Policy 2021; 14:2119-2132. [PMID: 34079399 PMCID: PMC8163721 DOI: 10.2147/rmhp.s305959] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2021] [Accepted: 04/14/2021] [Indexed: 11/23/2022] Open
Abstract
AIM This study measured the level of knowledge, attitudes and practices towards COVID-19 prevention and examined associated factors among patients at a national tertiary general hospital in Vietnam. METHODS Adult patients admitted to University Medical Center during research period were recruited in a cross-sectional study, which employed a convenience sampling method with a 4-component questionnaire in order to examine the patients' consciousness towards COVID-19 spreading prevention based on four aspects: demographic characteristics (10 items), knowledge (14 items), attitudes (6 items), and practices (7 items). RESULTS The study involved 2769 respondents (18-90 years) with the mean age of 38.05±13.91 years. About two thirds of the respondents obtained diploma degree or higher (63.4%) and shared their living space with others (64.4%). The majority of patients settled in urban area (74.9%). All participants stayed informed about COVID-19, with the most commonly used channels like television (75.2%), the Internet (72.2%) and phone (69.8%). The vast majority showed sufficient knowledge (93.7%) and positive attitudes (76.3%). Just over half of participants remained good practiced of COVID-19 prevention (57.7%). On average, the factors of younger age, higher educational level, frequency and department of admission, and the number of COVID-19 informative channels were significantly associated with sufficient knowledge, positive attitudes, and good practices regarding preventive action against COVID-19 spreading. The optimistic attitude and having more undergoing chronic diseases were associated with the likelihood of well-practiced COVID-19 preventive measures (OR 3.63, 95% CI 1.54-8.55, p=0.003 and OR 0.86, 95% CI 0.78-0.98, p=0.02, respectively). CONCLUSION The results of this study demonstrated that the likelihood of good preventive practices in the fight against COVID-19 pandemic was influenced by attitudes and several sociodemographic factors. More drastic interventions for the prevention of COVID-19 should be widely furnished and equipped in hospitals, through various routes to maximize the efficiency and adherence to prevention practices.
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Affiliation(s)
- Hoang Bac Nguyen
- University Medical Center Ho Chi Minh City, Ho Chi Minh City, 700000, Vietnam
- University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, 700000, Vietnam
| | | | - Thi Thanh Tam Tran
- University Medical Center Ho Chi Minh City, Ho Chi Minh City, 700000, Vietnam
| | - Thi Hong Nhan Vo
- University Medical Center Ho Chi Minh City, Ho Chi Minh City, 700000, Vietnam
| | - Van Hung Tran
- University Medical Center Ho Chi Minh City, Ho Chi Minh City, 700000, Vietnam
| | - Thi Nam Phuong Do
- University Medical Center Ho Chi Minh City, Ho Chi Minh City, 700000, Vietnam
| | - Quang Binh Truong
- University Medical Center Ho Chi Minh City, Ho Chi Minh City, 700000, Vietnam
- University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, 700000, Vietnam
| | - Thi Hiep Nguyen
- Tissue Engineering and Regenerative Medicine Department, School of Biomedical Engineering, International University, Ho Chi Minh City, 700000, Vietnam
- Vietnam National University, Ho Chi Minh City, 700000, Vietnam
| | - Loan Khanh Ly
- Tissue Engineering and Regenerative Medicine Department, School of Biomedical Engineering, International University, Ho Chi Minh City, 700000, Vietnam
- Vietnam National University, Ho Chi Minh City, 700000, Vietnam
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Fan Z, Mou Y, Cheng R, Zhao Y, Zhang F. Investigation of Knowledge, Attitude and Practice of Personal Protection Among Different Types of Workers Returning to Work Under COVID-19 Epidemic. Front Public Health 2021; 9:679699. [PMID: 34079789 PMCID: PMC8165179 DOI: 10.3389/fpubh.2021.679699] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2021] [Accepted: 04/19/2021] [Indexed: 12/23/2022] Open
Abstract
Background: Since the outbreak of the coronavirus disease 2019 (COVID-19) world pandemic, it has had a significant negative impact on the economy and employment. The orderly resumption of work and production is an important factor in reducing the impact of the COVID-19 and an important guarantee of social and economic stability. The study aimed to investigate the knowledge, attitudes, and practice (KAP) of people returning to work about personal protection under the COVID-19 world pandemic. Methods: During March 2020, based on WeChat, QQ and other internet platforms, online questionnaire survey was conducted by the convenience sampling method. SPSS version 20.0 (SPSS, Inc., Chicago, IL, USA) was used for statistics analysis. Descriptive statistics and multiple linear regression analyses were conducted to analyze the data. Results: A total of 302 valid questionnaires was collected, and the valid response rate was 86.7%. About knowledge, people who return to work had the highest awareness rate of safe communication distance and the lowest awareness rate of exposure risk levels in different workplaces. The average scores of respondents in different occupations were higher than 95 in terms of personal protective attitude. In terms of practice, the average scores of respondents in different occupations were higher than 90 points. Multiple linear regression results showed that education and place of residence were the influencing factors of knowledge, while gender was the influencing factor of practice. Conclusion: The awareness of prevention and control among the 302 participants was good. There were differences in personal protection knowledge among different occupational groups, but there were no differences in attitude and practice. Our findings were of great significance to improve the pertinence of COVID-19 prevention programs.
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Affiliation(s)
- Zhaoya Fan
- School of Public Health and Management, Research Center for Medicine and Social Development, Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing, China
| | - Yuanlin Mou
- School of Public Health and Management, Research Center for Medicine and Social Development, Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing, China
| | - Rui Cheng
- School of Public Health and Management, Research Center for Medicine and Social Development, Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing, China
| | - Yong Zhao
- School of Public Health and Management, Research Center for Medicine and Social Development, Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing, China
| | - Fan Zhang
- School of Public Health and Management, Research Center for Medicine and Social Development, Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing, China
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31
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Maude RR, Jongdeepaisal M, Skuntaniyom S, Muntajit T, Blacksell SD, Khuenpetch W, Pan-Ngum W, Taleangkaphan K, Malathum K, Maude RJ. Improving knowledge, attitudes and practice to prevent COVID-19 transmission in healthcare workers and the public in Thailand. BMC Public Health 2021; 21:749. [PMID: 33865342 PMCID: PMC8053080 DOI: 10.1186/s12889-021-10768-y] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2021] [Accepted: 03/30/2021] [Indexed: 12/20/2022] Open
Abstract
Background Key infection prevention and control measures to limit transmission of COVID-19 include social distancing, hand hygiene, use of facemasks and personal protective equipment. However, these have limited or no impact if not applied correctly through lack of knowledge, inappropriate attitude or incorrect practice. In order to maximise the impact of infection prevention and control measures on COVID-19 spread, we undertook a study to assess and improve knowledge, attitudes and practice among 119 healthcare workers and 100 general public in Thailand. The study setting was two inpatient hospitals providing COVID-19 testing and treatment. Detailed information on knowledge, attitudes and practice among the general public and healthcare workers regarding COVID-19 transmission and its prevention were obtained from a combination of questionnaires and observations. Results Knowledge of the main transmission routes, commonest symptoms and recommended prevention methods was mostly very high (> 80%) in both groups. There was lower awareness of aerosols, food and drink and pets as sources of transmission; of the correct duration for handwashing; recommended distance for social/physical distancing; and about recommended types of face coverings. Information sources most used and most trusted were the workplace, work colleagues, health workers and television. The results were used to produce a set of targeted educational videos which addressed many of these gaps with subsequent improvements on retesting in a number of areas. This included improvements in handwashing practice with an increase in the number of areas correctly washed in 65.5% of the public, and 57.9% of healthcare workers. The videos were then further optimized with feedback from participants followed by another round of retesting. Conclusions Detailed information on gaps in knowledge, attitudes and practice among the general public and healthcare workers regarding COVID-19 transmission and its prevention were obtained from a combination of questionnaires and observations. This was used to produce targeted educational videos which addressed these gaps with subsequent improvements on retesting. The resulting videos were then disseminated as a resource to aid in efforts to fight COVID-19 in Thailand and worldwide. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-021-10768-y.
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Affiliation(s)
- Rapeephan R Maude
- Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand. .,Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
| | - Monnaphat Jongdeepaisal
- Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
| | | | - Thanomvong Muntajit
- Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
| | - Stuart D Blacksell
- Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.,Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK
| | - Worarat Khuenpetch
- Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
| | - Wirichada Pan-Ngum
- Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.,Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK
| | - Keetakarn Taleangkaphan
- Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
| | - Kumtorn Malathum
- Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
| | - Richard James Maude
- Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.,Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.,Harvard TH Chan School of Public Health, Harvard University, Boston, USA.,The Open University, Milton Keynes, UK
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Duong MC, Nguyen HT, Duong BT. A Cross-Sectional Study of Knowledge, Attitude, and Practice Towards Face Mask Use Amid the COVID-19 Pandemic Amongst University Students in Vietnam. J Community Health 2021; 46:975-981. [PMID: 33772684 PMCID: PMC8000688 DOI: 10.1007/s10900-021-00981-6] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/18/2021] [Indexed: 01/17/2023]
Abstract
Although Vietnam has been successful in the fight against the first wave of COVID-19, domestic outbreaks have continued to occur. Given university students constitute a significant proportion of the population in Vietnam, to improve the prevention and control of COVID-19 in Vietnam and comparable countries, we examined their knowledge, attitude, and practice (KAP) towards face mask use which is an important preventive measure and the association between the levels of COVID-19 knowledge and KAP towards face mask use. A cross-sectional survey was conducted on all students studying at Phenikaa University, Hanoi, using a self-developed questionnaire consisted of 42 questions regarding KAP towards face mask use as well as reuse of cloth mask, and COVID-19 knowledge. Among 728 participants, 40.9% (298/728) were male, 63.2% (460/728) were from health-related faculties, 46% (335/728) lived in urban areas, and 51.9% (378) had good levels of COVID-19 knowledge. Regarding face mask, most (89.7%, 653/728) participants had good knowledge scores, 72.8% (530/728) had positive attitudes, and 76.5% (557/728) had good practice scores. The most common types of masks used were surgical mask (57.6%, 419/728), followed by non-antibacterial cloth mask (23.1%, 168/728). Among 168 participants using non-antibacterial cloth mask, 43.5% reused masks (73/168), of whom 6.8% (5/73) did not wash their masks at least daily. Face mask use knowledge was statistically associated with COVID-19 knowledge (P < 0.001). Face mask use attitudes were statistically associated with education levels (P = 0.02), and COVID-19 knowledge (P < 0.001). Practice of face mask use was statistically associated with gender (P = 0.03), geographical distribution (P = 0.04), academic majors (P = 0.02), and COVID-19 knowledge (P = 0.01). The levels of KAP towards face mask use among Vietnamese university students are high. It is important to continue to enforce the mass masking policy, together with the ongoing community education with an emphasis on the route of COVID-19 transmission and how correct face mask use can stop the spread. To ensure the effectiveness of face masks, there is an urgent need to educate the community regarding the procedures for cloth masks re-use.
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Affiliation(s)
- Minh Cuong Duong
- School of Population Health, University of New South Wales, Samuels Building, F25, Samuel Terry Ave, Kensington, NSW, 2033, Australia.
| | - Hong Trang Nguyen
- Faculty of Nursing, Phenikaa University, Yen Nghia ward, Ha Dong District, Hanoi, 100000, Vietnam
| | - Bich Thuy Duong
- Hospital for Tropical Diseases, Ho Chi Minh City, 700000, Vietnam
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Saadatjoo S, Miri M, Hassanipour S, Ameri H, Arab-Zozani M. Knowledge, attitudes, and practices of the general population about Coronavirus disease 2019 (COVID-19): a systematic review and meta-analysis with policy recommendations. Public Health 2021; 194:185-195. [PMID: 33962095 PMCID: PMC7988473 DOI: 10.1016/j.puhe.2021.03.005] [Citation(s) in RCA: 35] [Impact Index Per Article: 11.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2020] [Revised: 02/01/2021] [Accepted: 03/03/2021] [Indexed: 12/23/2022]
Abstract
Objectives This study aimed to investigate and synthesize the current evidence on knowledge, attitudes, and practices (KAPs) of the general population regarding COVID-19. Study design This is a systematic review and meta-analysis. Methods We conducted a systematic search on PubMed/LitCovid, Scopus, and Web of Sciences databases for papers in the English language only, up to 1 January 2021. We used the Joanna Briggs Institute checklist developed for cross-sectional studies to appraise the quality of the included studies. All stages of the review conducted by two independent reviewers and potential discrepancies were solved with a consultation with a third reviewer. We reported the result as number and percentage. A meta-analysis conducted using a random effect model with a 95% confidence interval. Results Forty-eight studies encompassing 76,848 participants were included in this review. 56.53% of the participants were female. The mean age of the participants was 33.7 years. 85.42% of the included studies were scored as good quality, 12.50% as fair quality, and the remaining (2.08%) as low quality. About 87.5% examined all three components of the KAPs model. The knowledge component was reported as good and poor in 89.5% and 10.5% of the included studies, respectively. Of the studies that examined the attitude component, 100% reported a positive attitude. For the practice component, 93.2% reported satisfactory practice, and 6.8% poor practice. The result of the meta-analysis showed that the overall score of KAPs components about COVID-19 were 78.9, 79.8, and 74.1, respectively. Conclusions This systematic review and meta-analysis showed that the overall KAP components in the included studies were at an acceptable level. In general, knowledge was at a good level, the attitude was positive and practice was at a satisfactory level. Using an integrated international system can help better evaluate these components and compare them between countries. PROSPERO registration code (CRD42020186755).
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Affiliation(s)
- S Saadatjoo
- Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran.
| | - M Miri
- Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran.
| | - S Hassanipour
- Cardiovascular Diseases Research Center, Department of Cardiology, Heshmat Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
| | - H Ameri
- Health Policy and Management Research Center, Department of Health Services Management, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
| | - M Arab-Zozani
- Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran.
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Alnasser AHA, Al-Tawfiq JA, Al-Kalif MSH, Shahadah RFB, Almuqati KSA, Al-Sulaiman BSA, Alharbi KKS, Alabbad FYM, Alabbad JYM, Alquwaiz IAI, Almashama IKI. Public Knowledge, Attitudes, and Practice towards COVID-19 Pandemic in Saudi Arabia: A Web-Based Cross-Sectional Survey. Med Sci (Basel) 2021; 9:11. [PMID: 33669208 PMCID: PMC7931095 DOI: 10.3390/medsci9010011] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2020] [Revised: 01/25/2021] [Accepted: 02/09/2021] [Indexed: 12/21/2022] Open
Abstract
(1) Background: COVID-19 has become a worldwide public health problem. No previous study has investigated factors associated with COVID-19 knowledge, attitude, and practice (KAP) after completely lifting the curfew in all Saudi Arabia regions and cities. Therefore, adequate knowledge, a positive attitude, and correct control of COVID-19 are essential to eradicate the disease. Hence, this study aims to assess factors associated with KAP of COVID-19; (2) Methods: This cross-sectional web-based survey was performed with the participation of 4305 individuals aged over 15 years living in Saudi Arabia from 11 to 19 August 2020. They were included using the snowball sampling method; (3) Results: Of the 4305 participants, 94.9% were Saudis, 60% females, and 45.4% were in the age group of 20-34 years, 61.7% married, and 49.3% from the Eastern Province of Saudi Arabia. Most of the participants demonstrated good KAP levels (89.6%, 87.2%, and 87.2%) towards the COVID-19 pandemic, respectively. In addition, most of the participants (85.8%) used the internet and social media as a source for COVID-19 information (4) Conclusions: The finding showed that most of the participants demonstrated good knowledge of COVID-19, positive attitudes, and demonstrated good practices for preventing the spread of disease infection.
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Affiliation(s)
- Ali Hassan A. Alnasser
- Department of Laboratory, Dhahran Eye Specialist Hospital, Ministry of Health, Dhahran 31942, Saudi Arabia
| | - Jaffar A. Al-Tawfiq
- Infectious Disease Unit, Specialty Internal Medicine, Johns Hopkins Aramco Healthcare, Dhahran 31311, Saudi Arabia;
- Division of Infectious Diseases, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA
- Division of Infectious Diseases, Department of Medicine, School of Medicine, Johns Hopkins University, Baltimore, MD 21287, USA
| | - Mohammed Sheker H. Al-Kalif
- College of Public Health, Imam Abdulrahman Bin Faisal University, Dammam 31441, Saudi Arabia;
- Technical and Vocational Training Corporation, Riyadh 11472, Saudi Arabia
| | | | | | | | - Khulud Khalid S. Alharbi
- College of Applied Medical Science, Umm Al-Qura University, Makkah 21955, Saudi Arabia;
- The Panuska College of Professional Studies, The University of Scranton, Scranton, PA 18510, USA
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Small S, Blanc J. Mental Health During COVID-19: Tam Giao and Vietnam's Response. Front Psychiatry 2021; 11:589618. [PMID: 33488422 PMCID: PMC7820702 DOI: 10.3389/fpsyt.2020.589618] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Accepted: 11/30/2020] [Indexed: 01/19/2023] Open
Abstract
COVID-19 is a novel infectious disease and global health crisis with major psychological implications. Of particular focus are the effects it will have on low- and middle-income countries (LMICs) as being under-resourced poses many challenges. Vietnam, a country with an estimated population of 97.33 million people, which until 30 July, 2020, had 459 confirmed COVID-19 cases with no fatalities but as of November 4th had 35 deaths, can be viewed as a model LMIC for other countries struggling with COVID-19. Employing key tactics such as transparency and effective communication, Vietnam was able to foster strong cooperation between government and citizens, contributing to its success during COVID-19. Moreover, Vietnamese resilience, attributable, in part, to "tam giao," a coexistence of religious and philosophical Taoism, Buddhism, and Confucianism through cultural additivity, provides a unique mindset that other countries can learn from to adapt and even build psychological resilience against COVID-19 pandemic's psychological outcomes. We suggest countries prioritize transparency and communication to mitigate stigmatization and psychological distress that can result from quarantine and other interventions while promoting resources that provide accurate scientific information and psychological aid to citizens. We believe that Tam giao could be repurposed to relieve inevitable contradictions between values and lifestyles in the context of this devastating global health crisis.
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Affiliation(s)
- Sean Small
- Department of Applied Psychology, New York University Steinhardt School of Culture, Education, and Human Development, New York, NY, United States
| | - Judite Blanc
- Department of Applied Psychology, New York University Steinhardt School of Culture, Education, and Human Development, New York, NY, United States
- Department of Population Health, Center for Healthful Behavior Change, New York University Grossman School of Medicine, New York, NY, United States
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Shi C, Guo Z, Luo C, Lei C, Li P. The Psychological Impact and Associated Factors of COVID-19 on the General Public in Hunan, China. Risk Manag Healthc Policy 2020; 13:3187-3199. [PMID: 33408541 PMCID: PMC7781106 DOI: 10.2147/rmhp.s280289] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2020] [Accepted: 12/03/2020] [Indexed: 11/25/2022] Open
Abstract
PURPOSE This study aimed to assess the psychological impact of the COVID-19 pandemic among the general public in Hunan Province, China, which could help develop psychological interventions and mental health programs. PARTICIPANTS AND METHODS This online cross-sectional study recruited 571 participants through snowball sampling between February 2 and February 5, 2020. Data were collected through a general information questionnaire, the Public Emergency Psychological State Questionnaire, the Simple Coping Style Questionnaire, and the Public Disease Awareness on COVID-19 Scale. RESULTS The total mean score of the public emergency psychological state of the sample was 0.27 (0.31) points, with only 5.78% of participants (n = 33) developing psychological distress. Avoidant coping style and disease awareness were weakly positively correlated (rs = 0.257, p < 0.01) and weakly negatively correlated (rs = -0.124, p <0.01) with psychological responses, respectively. There were significant psychological differences among the following variables: occupation, symptoms of fever or fatigue, discernment of the authenticity of COVID-19 information, and level of concern regarding COVID-19 (p < 0.05). CONCLUSION The COVID-19 pandemic appears to have had a minor psychological impact on the general population in Hunan Province. However, psychological health promotion in the general public is still required, especially for employees (such as company employees, migrant workers, and businessmen), individuals with COVID-19-like symptoms, limited discernment competence and unconcerned attitudes. IMPLICATIONS The initiatives for improving psychological health among the general public could focus on delivering COVID-19 knowledge and alleviating avoidant coping styles. Our findings could provide important insight for the development of psychological support strategies in China, as well as in other places affected by the epidemic.
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Affiliation(s)
- Chunhong Shi
- School of Nursing, Xiangnan University, Chenzhou423000, People’s Republic of China
| | - Zhihua Guo
- Nursing Department, Changsha Health Vocational College, Changsha410100, People’s Republic of China
| | - Chan Luo
- Nursing Department, The First Affiliated Hospital of University of South China, Hengyang421001, People’s Republic of China
| | - Changbin Lei
- Clinical Medicine Research Center, Affiliated Hospital of Xiangnan University, Chenzhou423000, People’s Republic of China
| | - Pan Li
- School of Nursing, Xiangnan University, Chenzhou423000, People’s Republic of China
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