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Woolley SD, Chambers R, Bishop JRB, Logan A, McMillan P, Fletcher TE, Taegtmeyer M, O'Shea MK. COVID-19 risk, attitudes and behaviour study (CRAB study): A knowledge, attitudes, and practise qualitative study of COVID-19 in the Royal Navy. Front Public Health 2023; 10:1101817. [PMID: 36711341 PMCID: PMC9878343 DOI: 10.3389/fpubh.2022.1101817] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2022] [Accepted: 12/23/2022] [Indexed: 01/15/2023] Open
Abstract
Introduction Outbreaks of SARS-CoV-2 onboard maritime platforms spread rapidly and have high attack rates. The aim of the COVID-19 Risk, Attitudes and Behaviour (CRAB) study was to investigate the knowledge, attitudes, and practises in the Royal Navy in relation to COVID-19 prevention. Methods The CRAB study was a cross-sectional survey, using a census sampling method, conducted in May and June 2021. An online questionnaire was distributed to all serving Royal Navy regular personnel using either the MyNavy application or via a QR code through email for a continuous 14 day period. The questionnaire was based on an existing validated questionnaire used for avian influenza epidemics. Questions investigated individual perceptions of COVID-19 seriousness, compliance with prevention methods, explored vaccination intention and vaccine hesitancy (unvaccinated individuals who declined or were unsure about receiving a COVID-19 vaccine). The chi-squared test of best fit was used to compare the demographic responses against the whole organisation, with p-value < 0.05 deemed significant. Odds ratios were used to investigate associations between demographic groups and responses to questions, with an odds ratio crossing 1.0 deemed non-significant. Results The response rate was 6% (2,080/33,200), with 315 responses collated in the pilot phase and 1,765 in the main study phase. Male participants were less likely to rate COVID-19 as serious (OR 0.34; 95% CI: 0.23-0.49). BAME ethnicity (OR 2.41; 95% CI: 1.12-5.17) rated it as more serious. At the time of the study 62% of respondents had received one dose of a COVID-19 vaccine. In the 797 unvaccinated personnel, vaccine hesitancy accounted for 24.2% (193/797), of whom 136 were white males. Those who had a higher COVID-19 serious rating, the most significant factor for non-adherence to COVID-19 prevention measures in both vaccinated (OR 1.61 [95%CI: 1.20-2.17]) and vaccine-hesitant (OR 3.24 [95%CI: 1.63-6.41]) individuals was colleagues' non-adherence. The most trusted source of information on vaccines was provided by the Defence Medical Services (77.2% [1,606/2,080]). Conclusion This study has identified reasons for COVID-19 protective measure adherence, sources of information trusted by respondents and vaccine hesitancy, in the Royal Navy. The questionnaire can be used to investigate attitudes and behaviours in future emerging infectious diseases.
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Affiliation(s)
- Stephen D. Woolley
- Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, United Kingdom,Institute of Naval Medicine, Alverstoke, United Kingdom,Tropical and Infectious Diseases Unit, Liverpool University Hospitals Foundation NHS Trust, Liverpool, United Kingdom,*Correspondence: Stephen D. Woolley ✉
| | - Robert Chambers
- Royal Navy Healthcare, Royal Navy Headquarters, HMS EXCELLENT, Portsmouth, United Kingdom
| | - Jonathan R. B. Bishop
- NIHR SRMRC, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom
| | - Amy Logan
- Royal Navy Healthcare, Royal Navy Headquarters, HMS EXCELLENT, Portsmouth, United Kingdom
| | - Peter McMillan
- Royal Navy Healthcare, Royal Navy Headquarters, HMS EXCELLENT, Portsmouth, United Kingdom
| | - Thomas E. Fletcher
- Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, United Kingdom,Tropical and Infectious Diseases Unit, Liverpool University Hospitals Foundation NHS Trust, Liverpool, United Kingdom,Academic Department of Military Medicine, Royal Centre for Defence Medicine, Joint Hospital Group, ICT Building, Birmingham Research Park, Birmingham, United Kingdom
| | - Miriam Taegtmeyer
- Tropical and Infectious Diseases Unit, Liverpool University Hospitals Foundation NHS Trust, Liverpool, United Kingdom,Department of International Public Health, Liverpool School of Tropical Medicine, Liverpool, United Kingdom
| | - Matthew K. O'Shea
- Academic Department of Military Medicine, Royal Centre for Defence Medicine, Joint Hospital Group, ICT Building, Birmingham Research Park, Birmingham, United Kingdom,Institute of Immunology and Immunotherapy, College of Medical and Dental Sciences, University of Birmingham, Birmingham, United Kingdom
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Wu X, Luo C, Zhang MX, Wang W, Tung TH, Chen HX. Knowledge, attitudes, and behaviors regarding COVID-19 among hospitalized patients in Taizhou, China. ZEITSCHRIFT FUR GESUNDHEITSWISSENSCHAFTEN = JOURNAL OF PUBLIC HEALTH 2022; 32:1-7. [PMID: 36588659 PMCID: PMC9790809 DOI: 10.1007/s10389-022-01796-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/20/2022] [Accepted: 12/05/2022] [Indexed: 12/27/2022]
Abstract
Objection This study investigated the relationship between the knowledge, attitudes, and behaviors among hospitalized patients regarding the prevention and control of COVID-19. Method An online cross-sectional survey was conducted among hospitalized patients between July 8 and August 11, 2021, at a tertiary hospital in Taizhou, China. We performed descriptive analysis, t test, ANOVA (analysis of variance), and generalized linear regression modeling on the exported data. All data were analyzed using R software, version 4.1.0. Results A total of 1185 valid questionnaires were returned. The average score of the participants on COVID-19 behaviors was 69.3 (SD = 15.6, with a full score of 87), indicating that most inpatients had good COVID-19 prevention and control behaviors. In addition, we found that inpatients with higher COVID-19 awareness also behaved better (B (95%CI) = 1.00 (0.73-1.27)) and were more willing to recommend vaccination to other people (OR (95%CI) = 1.11 (1.06-1.17)). Moreover, hospitalized patients who had positive attitudes toward implementing COVID-19 prevention and control measures had better practices (B (95%CI) = 2.50 (2.24-2.76)) and more willingness to recommend vaccinations (OR (95%CI) = 1.20 (1.14-1.26)). Conclusion The research showed that the COVID-19 behaviors of hospitalized patients were positively associated with their knowledge and attitudes. These findings suggested that, for inpatients, hospitals should focus on teaching basic prevention knowledge of COVID-19. Targeted education initiatives should also be developed for patients from rural areas, especially those over 60 years of age, to help improve their knowledge and cultivate good prevention and control behaviors. Supplementary Information The online version contains supplementary material available at 10.1007/s10389-022-01796-y.
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Affiliation(s)
- Xiaoyan Wu
- Taizhou Hospital of Zhejiang Province, Wenzhou Medical University, Linhai, Zhejiang China
| | - Chengwen Luo
- Evidence-based Medicine Center, Taizhou Hospital of Zhejiang Province, Wenzhou Medical University, Linhai, 317000 Zhejiang China
| | - Mei-Xian Zhang
- Evidence-based Medicine Center, Taizhou Hospital of Zhejiang Province, Wenzhou Medical University, Linhai, 317000 Zhejiang China
| | - Weizhen Wang
- Department of Nursing, Taizhou Hospital of Zhejiang Province, Wenzhou Medical University, Linhai, Zhejiang China
| | - Tao-Hsin Tung
- Evidence-based Medicine Center, Taizhou Hospital of Zhejiang Province, Wenzhou Medical University, Linhai, 317000 Zhejiang China
| | - Hai-Xiao Chen
- Department of Orthopedics, Taizhou Hospital of Zhejiang Province, Wenzhou Medical University, Linhai, 317000 Zhejiang China
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The Effect of the Knowledge, Attitude, and Behavior of Workers Regarding COVID-19 Precautionary Measures on Food Safety at Foodservice Establishments in Jordan. SUSTAINABILITY 2022. [DOI: 10.3390/su14138193] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
The novel coronavirus (COVID-19) pandemic has caused sequential ripples of public health concern worldwide. Restaurant owners and workers have been significantly affected by safety regulations which have governed the activities of both employees and consumers. The objective of this study was to investigate the knowledge, attitude, and practices (KAP) of restaurant owners and workers in the context of COVID-19 and assess the effect of COVID-19 precautions on the implementation of food safety measures at foodservice establishments in Jordan. A cross-sectional survey was conducted that involved 605 participants from 91 restaurants and catering establishments in Jordan. The questionnaire was filled out during a face-to-face interview or via online platforms. Most (77%) of the respondents were male and under 35 years old (79%), with 42% of them having a high educational level (bachelor’s degree or postgraduate studies) and 46% having 1–5 years of work experience. It was found that only 20% of workers possessed good knowledge (scores above 75%), 56% had positive attitudes, and 55% had good practices, with a mean of 47% being compliant with the KAP levels expected. In total, 19 to 34% of participants observed that the precautions and preventive measures put in place during the pandemic improved the application of key food safety regulations within their workplaces. It is evident that more training is required for both employees and employers to ensure the effective implementation of the regulations required to prevent the spread of COVID-19 and food-borne pathogens via the application of good hygienic practices that improve food safety, reducing illnesses and food waste while maintaining food security and economic sustainability.
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