scholarly journals The Role of Health Literacy in COVID-19 Preventive Behaviors and Infection Risk Perception: Evidence from a Population-Based Sample of Essential Frontline Workers during the Lockdown in the Province of Prato (Tuscany, Italy)

2021 ◽  
Vol 18 (24) ◽  
pp. 13386
Author(s):  
Vieri Lastrucci ◽  
Chiara Lorini ◽  
Marco Del Riccio ◽  
Eleonora Gori ◽  
Fabrizio Chiesi ◽  
...  
Keyword(s):  
Health Literacy ◽  
Risk Perception ◽  
Preventive Measures ◽  
Population Based ◽  
Control Measures ◽  
Preventive Behaviors ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Frontline Workers ◽  
Attitudes And Practices

Background: The effectiveness of pandemic control measures requires a broad understanding from the population. This study aimed to evaluate the role played by health literacy (HL) in influencing the adherence to COVID-19 preventive measures and risk perception of essential frontline workers during the lockdown period. Methods: A cross-sectional survey was conducted on a population-based sample of frontline workers from Prato Province (Italy). Data on knowledge, attitudes and practices towards COVID-19 preventive measures and risk perception were collected. HL was measured with the HLS-EU-Q6 tool. Multivariate linear regression analyses were performed. Results: A total of 751 people participated in this study, and 56% of the sample showed a sufficient level of HL. In the multivariate models, HL resulted in being positively correlated with both knowledge (beta 0.32 for sufficient HL, 0.11 for problematic HL) and attitudes (beta 0.33 for sufficient HL, 0.17 for problematic HL) towards the importance of COVID-19 preventive measures. The HL level was not associated with the adoption of preventive behaviors and COVID-19 risk perception. Conclusions: HL may play a key role in maintaining a high adherence to infection prevention behaviors and may be a factor to take into account in the implementation of public health interventions in pandemic times.

scholarly journals Findings of a Cross-Sectional Survey on Knowledge, Attitudes, and Practices about COVID-19 in Uganda: Implications for Public Health Prevention and Control Measures

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Gerald Okello ◽  
Jonathan Izudi ◽  
Steven Teguzirigwa ◽  
Allan Kakinda ◽  
Guido Van Hal
Keyword(s):  
Public Health ◽  
Preventive Measures ◽  
Control Measures ◽  
Health Prevention ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Online Social Media ◽  
Positive Attitudes ◽  
Knowledge Attitudes And Practices

Background. The coronavirus disease (COVID-19) morbidity is rising in Uganda. However, data are limited about people’s knowledge, attitudes, and practices. Objective. To determine knowledge about COVID-19, attitudes towards presidential directives and Ministry of Health (MoH) guidelines, and adherence to practicing public health preventive measures (KAP) in Uganda. Methods. This cross-sectional survey was conducted between April 28 and May 19, 2020. Data were collected using online social media platforms, websites, and popular media outlets. We descriptively summarized data and categorized KAP scores as knowledgeable about COVID-19, positive attitude towards presidential directives and MoH guidelines, and adherent to public health preventive measures, respectively. We tested sex differences in KAP using tests of significance and established independently associated factors using modified Poisson regression analysis, reported using adjusted prevalence risk ratio (aPR) with 95% confidence interval (CI). Results. We studied 362 participants with the following sociodemographic characteristics: 86 (23.8%) aged 25-29 years, 212 (58.6%) males, 270 (74.6%) with tertiary or university levels of education, and 268 (74.0%) urban residents. Of the 362 participants, 264 (93.9%) were knowledgeable about COVID-19 (94.1% males and 93.8% females), 51.3% had positive attitudes towards presidential directives and MoH guidelines (51.0% male and 51.8% female), and 175 (48.3%) were adherent to practicing public health preventive measures (42.9% males and 56.0% females). Compared to males, our data shows that females were more adherent to practicing public health preventive measures (aPR, 1.23; 95% CI, 1.01-1.53), knowledgeable about COVID-19 (aPR, 1.01; 95% CI, 0.95-1.07), and had positive attitudes towards directives and guidelines (aPR, 1.01; 95% CI, 0.82-1.25). Conclusions. This study shows that public health prevention efforts should be directed to closing the identified gaps in KAP among Ugandans in order to halt the spread of COVD-19 in Uganda as well as the East African region.

scholarly journals The relationship between socioeconomic position and health literacy among urban and rural adults in regional China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Wei Chen ◽  
Hongfu Ren ◽  
Na Wang ◽  
Yaqing Xiong ◽  
Fei Xu
Keyword(s):  
Health Literacy ◽  
Educational Attainment ◽  
Socioeconomic Position ◽  
Population Based ◽  
Outcome Variable ◽  
Average Income ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Rural Adults

Abstract Background To examine associations of socioeconomic position (SEP), separately indicated by education, monthly family average income (FAI) and occupation, with health literacy (HL) among adults in regional China. Methods A cross-sectional survey was conducted among urban and rural adults (aged 25–69 years) who were randomly selected, using the probability proportionate to size sampling approach, from Nanjing municipality of China during October and December of 2016. HL, the outcome variable, was assessed using the Chinese Resident Health Literacy Scale. SEP, our independent variable, was separately measured with educational attainment, monthly family average income and occupation. Logistic regression models were introduced to examine SEP-HL association with odds ratio (OR) and 95% confidence interval (CI). Results Totally, 8698 participants completed the survey. The proportion of participants with unweighted and weighted adequate HL was 18.0% (95%CI = 17.2, 18.8%) and 19.9% (95%CI = 16.6, 23.6%), respectively, in this study. After adjustment for possible confounding factors, each SEP indicator was in significantly positive relation to both unweighted and weight HL level. Participants who obtained 13+ and 10–12 years educational attainment, respectively, had 2.41 (95%CI = 1.60, 3.64) and 1.68 (95%CI = 1.23, 2.29) times odds to record weighted adequate HL compared to their counterparts who were with 0–9 years education. Subjects within upper (OR = 1.92, 95%CI = 1.24, 2.98) and middle FAI tertile (OR = 1.59, 95%CI = 1.19, 2.13), respectively, were more likely to report weighted adequate HL relative to those who were within lower FAI tertile. White collars were more likely to have weighted adequate HL (OR = 1.33, 95%CI = 1.09, 1.61) than blue collars. Conclusions Each of education, FAI and occupation was positively associated with health literacy among urban and rural adults in China. The findings have important implications that different SEP indicators can be used to identify vulnerable residents in population-based health literacy promotion campaigns.

scholarly journals Knowledge, attitudes, and practices towards COVID-19 pandemic among residents of Jharkhand state, India: An online survey

2020 ◽  
Author(s):  
Arpita Rai ◽  
Nishant Nishant ◽  
D Singh ◽  
Nitin Kulkarni ◽  
Shailesh Chaurasia ◽  
...  
Keyword(s):  
Disease Surveillance ◽  
Online Survey ◽  
Radio Channel ◽  
Age Groups ◽  
Knowledge Score ◽  
Control Measures ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Knowledge Attitudes And Practices

Abstract Background: People's adherence to control measures is imperative in the fight against COVID-19. The present study was done to evaluate knowledge, attitudes, and practices towards COVID-19 among residents of Jharkhand and to assist government in deciding further course of action during the COVID-19 outbreak. Methods: This study was an online cross sectional survey. The link to the questionnaire was displayed on the official website of Rajendra Institute of Medical Sciences, Ranchi, Government of Jharkhand, National Health Mission, Jharkhand, official website of all districts under Jharkhand state administration, Integrated Disease Surveillance Programme and Information & Public Relations department. Participation of residents in the survey was also extensively propagated using mass media mainly local television networks, radio channel and newspapers. Results: A total of 4683 responses were received from all districts of Jharkhand. Majority of the participants were young adults (47.5%) and number of male participants was more than the females (81.4%). Mean correct knowledge score for participants of this study was 10.73+2.2 (maximum attainable score was 14) while mean practice score for the participants was 4.5+0.69 (maximum attainable score was 5). Knowledge score of the participants was significantly associated with their age, education status and economic class (p<0.05). The participants largely held an optimistic attitude and healthy practices towards COVID-19. Conclusions: Participants had positive attitude but were also logically worried and uncertain about near future. Adequate knowledge of participants was visible in the practices of residents. There was however a gap across age groups, gender, literacy and income levels which should be addressed in future campaigns.

scholarly journals Knowledge, attitudes, and practices (KAP) towards COVID-19: A quick online cross-sectional survey among Tanzanian residents

2020 ◽  
Author(s):  
Sima Rugarabamu ◽  
Mariam Ibrahim ◽  
Aisha Byanaku
Keyword(s):  
Linear Regression Analysis ◽  
Knowledge Score ◽  
Multiple Linear Regression Analysis ◽  
Control Measures ◽  
Good Knowledge ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Correct Score ◽  
Knowledge Attitudes And Practices

AbstractBackgroundThe COVID-19 pandemic is a global health and societal emergency that requires the adoption of Unprecedented measures to control the rapid spread of the ongoing COVID-19 epidemic. Residents’ adherence to control measures is affected by their knowledge, attitudes, and practices (KAP) towards the disease, therefore. This study was carried out to investigate KAP towards COVID-19 KAP among residents in Tanzania during the April –May 2020 period of the epidemic.MethodsThis was a cross-sectional study that involved a sample of online Tanzanian residents who was recruited randomly by sending an invitation asking to answer my survey”. Survey Monkey tool was used to develop a link and KAP questionnaire for data collection. Participants self-selected themselves when they choose to answer the questionnaire. The questionnaire assessed demographic characteristics of participants, Knowledge, attitude, and practice toward COVID. simple descriptive to complex analyses of multivariate was carried out using SPSS 17.ResultsFour hundred residents completed a survey. The mean age of study participants was 32 years, and majorities were females 216 (54.0%). There were no significant differences in demographic variables (p>0.3). Those who held a bachelor’s degree or above (60.3%) had a more correct score. Overall, (84.4%) of participants had good knowledge which was significantly associated with education level (p=0.001). Nearly all of the participants (96.0%) had confidence that COVID-19 will be eliminated. The majority of the respondents (77%) did not go to a crowded place in recent days. Multiple linear regression analysis showed that male gender, age-group of 16-29 years, and education of secondary or lower were significantly associated with lower knowledge score.ConclusionOur findings revealed good knowledge, optimistic attitudes, and appropriate practices towards COVID-19. Suggesting that a community-based health education program about COVID-19 is helpful and necessary to control the disease.

scholarly journals Knowledge, Attitude and Practice of Clients towards COVID-19 at Primary Healthcare Facilities in Rivers State, Nigeria

2020 ◽  
pp. 66-73
Author(s):  
Clement Kevin Edet ◽  
Anthony Ike Wegbom ◽  
Victor Alangibi Kiri
Keyword(s):  
Primary Healthcare ◽  
Statistical Significance ◽  
Control Measures ◽  
Categorical Variables ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Attitudes And Practices ◽  
Preventive Practices ◽  
Rivers State

Introduction: In spite of all the measures introduced to fight the spread of the coronavirus (COVID-19) in Nigeria by relevant authorities, it is still ravaging the country. This calls for the commitment and responsibility of the citizens in their adherence to all the control measures and guidelines, whose effectiveness is dependent on their knowledge, attitudes, and practices (KAP). This study investigated the KAP of clients who attended primary healthcare facilities (PHFs) in Rivers State, Nigeria over the period 16th to 20th June 2020.  Methods: A cross-sectional survey was conducted involving the clients seeking care at the           public primary healthcare facilities in the 23 local government areas (LGAs) of Rivers State,         Nigeria as respondents. Using descriptive analysis, the results for each of the quantitative variables were presented as mean ± standard deviation, whilst those for the categorical variables were reported as frequency and percentage.  The association between the responses on KAP and demographic characteristics were tested using the Chi-square test. Binary logistic regression was performed to identify factors associated with KAP and statistical significance was assessed at P<0.05. Results: Out of 460 questionnaires distributed, 434 respondents participated in the survey, revealing a 94.3% response rate. The proportion of respondents with moderate and above scores in knowledge, attitude, and COVID-19 related practices are 86.6% (62.9+23.7), 80.6% (57.6+23.0), and 58.0% (30.8+27.2) respectively. Occupation, educational level, and senatorial districts are associated with knowledge and attitude, whilst age and senatorial districts are associated with the level of adherence to preventive practices; knowledge level also has associations with both attitude and practices towards COVID-19. Conclusion: On the basis of these findings, we suggest public health education programs on COVID-19 should target individuals with low knowledge levels, lower educational attainment, and those residing in the Rivers South-East senatorial zone in the promotion of their messages on COVID-19.

scholarly journals Knowledge, attitudes, and practices towards COVID-19 pandemic among residents of Jharkhand state, India: An online survey

2021 ◽  
Author(s):  
Arpita Rai ◽  
Nishant Nishant ◽  
DK Singh ◽  
Nitin Madan Kulkarni ◽  
Shailesh Kumar Chaurasia ◽  
...  
Keyword(s):  
Disease Surveillance ◽  
Online Survey ◽  
Radio Channel ◽  
Age Groups ◽  
Knowledge Score ◽  
Control Measures ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Knowledge Attitudes And Practices

Abstract Background People's adherence to control measures is imperative in the fight against COVID-19. The present study was done to evaluate knowledge, attitudes, and practices towards COVID-19 among residents of Jharkhand and to assist government in deciding further course of action during the COVID-19 outbreak. Methods This study was an online cross sectional survey. The link to the questionnaire was displayed on the official website of Rajendra Institute of Medical Sciences, Ranchi, Government of Jharkhand, National Health Mission, Jharkhand, official website of all districts under Jharkhand state administration, Integrated Disease Surveillance Programme and Information & Public Relations department. Participation of residents in the survey was also extensively propagated using mass media mainly local television networks, radio channel and newspapers. Results A total of 4683 responses were received from all districts of Jharkhand. Majority of the participants were young adults (47.5%) and number of male participants was more than the females (81.4%). Mean correct knowledge score for participants of this study was 10.73 + 2.2 (maximum attainable score was 14) while mean practice score for the participants was 4.5 + 0.69 (maximum attainable score was 5). Knowledge score of the participants was significantly associated with their age, education status and economic class (p < 0.05). The participants largely held an optimistic attitude and healthy practices towards COVID-19. Conclusions Participants had positive attitude but were also logically worried and uncertain about near future. Adequate knowledge of participants was visible in the practices of residents. There was however a gap across age groups, gender, literacy and income levels which should be addressed in future campaigns.

scholarly journals Knowledge and Risk Perception of The Novel Coronavirus Disease 2019 Among Adult Nigerians: A Cross-Sectional Study

2020 ◽  
Author(s):  
Erick Wesley Hedima ◽  
Samuel Adeyemi Michael ◽  
Emmanuel Agada David
Keyword(s):  
Risk Perception ◽  
Preventive Measures ◽  
Adult Population ◽  
Healthcare Providers ◽  
Face Mask ◽  
World Health ◽  
Good Knowledge ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Income Status

AbstractCOVID-19 caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a highly infectious disease declared a pandemic by the World Health Organization. The Knowledge and risk perception in the adult population may influence adherence to safety guidelines.ObjectiveTo assess the knowledge, preventive measures and risk perception of adult Nigerians regarding COVID-19.MethodsWe conducted an online cross-sectional survey in which five hundred and ten (510) adult participants consented and filled the questionnaire. The questionnaire is divided in to four sections: 1) socio-demographic characteristics of the participants, 2) assessment of knowledge, 3) risk perception and the 4) preventive measures.ResultsOf the 510 respondents, 95.9% claimed knowledge of COVID-19, through the traditional media (55.3%), and social media (41%), while only 3.7% got informed through health officials. Level of education (P=0.0001), income status (P<0.00001) and being a healthcare worker (P=0.002) were significantly associated with a good knowledge of COVID-19. Overall Risk perception was high (median score of 4 out of 5). Risk perception was significantly high among the female participants (P=0.04), young adult (P=0.039) and healthcare providers (P=0.001), while knowledge of preventive measures like avoiding to eat outside the home (P=0.001), traveling to high risk areas (P=0.017), wearing face mask (P=0.01) and eating balanced diet (P=0.014) were significant across gender.ConclusionMost participants demonstrated good knowledge of COVID-19 and its preventive measures, while risk perception was higher among healthcare workers. Findings from this survey could guide information campaigns by public health authorities, clinicians, and the media.

Developing an Understanding of Adolescents’ Knowledge, Attitudes, and Practices Toward COVID-19

2020 ◽  
Vol 36 (6) ◽  
pp. 430-441 ◽  
Author(s):  
Latefa Ali Dardas ◽  
Inaam Khalaf ◽  
Manar Nabolsi ◽  
Omayyah Nassar ◽  
Suhaila Halasa
Keyword(s):  
School Nurses ◽  
Control Measures ◽  
Health Practices ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Protective Measures ◽  
Attitudes And Practices ◽  
Infection Control Measures ◽  
Positive Attitudes ◽  
Knowledge Attitudes And Practices

Adolescents are more likely to engage in risky health practices related to COVID-19. Their compliance with infection control measures is a key factor to mitigate the spread of the disease. The purpose of this study was to explore the knowledge, attitudes, and practices toward COVID-19 and their correlates among Jordanian adolescents. An online cross-sectional survey was utilized. A total of 1,054 Jordanian adolescents aged 12–18 completed and returned the survey. Overall, Jordanian adolescents showed a good base of knowledge regarding COVID-19 (regardless of their demographic characteristics) and tended to hold positive attitudes toward the country’s curfew and other protective measures. The majority of adolescents reported that television and social media were their main source of information on COVID-19, while few reported receiving such information from their schools. The majority reported practicing effective health protective behaviors to prevent the spread of COVID-19, which was significantly predicted by their knowledge and attitudes toward these measures. However, there was a relatively small, yet clinically significant, percentage of adolescents who showed poor knowledge on COVID-19, had negative attitudes toward protective measures, and reported being engaged in risky practices related to infection spread. Tailored efforts are needed to improve the levels of knowledge, attitudes, and practices among adolescents. Raising awareness and promoting positive attitudes are vital to change adolescents’ health practices. Policy makers should ensure that school nurses are available in all schools and working to their full scope. School nurses are the eyes and ears of public health and primary care. They are essential members on pandemic preparedness, reopening and reentry planning teams, and can lead health care in schools and practice in a holistic culturally competent proactive manner to address the needs of students.

COVID-19 Vaccine Acceptance among Cold-Chain Food Workers in China: A Cross-Sectional Survey (Preprint)

2021 ◽  
Author(s):  
Lizhen Liu ◽  
Minyi Zhang ◽  
Hongbiao Chen ◽  
Juxian Xian ◽  
He Cao ◽  
...  
Keyword(s):  
Population Based ◽  
Cold Chain ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Vaccine Acceptance ◽  
Effective Measure ◽  
Frozen Food ◽  
Attitudes And Practices ◽  
High Level ◽  
Food Workers

BACKGROUND As cold-chain transportation in frozen food may lead to localized outbreaks of COVID-19 in destinations. Given the high level of exposure to SARS-CoV-2, the cold-chain food workers are considered priority vaccination groups. To date, a number of studies have reported the willingness to be vaccinated against COVID-19 within distinct populations, whereas it has not been reported among cold-chain food workers worldwide. OBJECTIVE We aim to investigate the willingness for COVID-19 vaccination and its influencing factors within cold-chain food workers during the COVID-19 pandemic. METHODS An online cross-sectional, population-based survey was employed to gather information regarding the willingness of COVID-19 vaccination and the knowledge, attitudes, and practices (KAP) associated with COVID-19 and vaccination among cold-chain food workers in Shenzhen City of China. Binomial logistic analyses were conducted to qualify the associations between COVID-19-related KAP factors and the willingness of COVID-19 vaccination using adjusted odds ratios (aORs) and 95% confidence interval (CI). RESULTS A total of 244 cold-chain food workers were recruited. Overall, 76.2% of the subjects indicated that they were willing to be vaccinated. After adjustment for general characteristics, knowledge on COVID-19 conception (aOR 2.313, 95%CI 1.098-4.872), comprehending the most effective measure (aOR 2.399, 95%CI 1.233-4.666), understanding the transmission routes (aOR 8.760, 95%CI 2.406-31.890), and recognizing the priority vaccination groups (aOR 2.587, 95%CI 1.331-5.029) were positively associated with the dependent variable. Regarding attitude factors, perceiving the social harmfulness (aOR 2.643, 95%CI 1.178-5.927) and severity of COVID-19 (aOR 3.109, 95%CI 1.116-8.660) were related to a higher willingness to get vaccinated. In terms of practice factors, participants who have attained more knowledge (aOR 2.608, 95%CI 1.115-6.099) were more likely to be vaccinated, and higher self-reported compliance with maintaining indoor ventilation (aOR 2.371, 95%CI 1.049-5.363) was also positively associated with the dependent variable. Agreement on the importance of vaccination to prevent COVID-19 was the most frequent reason for accepting the COVID-19 vaccine; additionally, concerns about side effects and poor understanding of efficacy were the main factors contributing to the vaccination refusal. CONCLUSIONS Enhancing KAP levels related to COVID-19 might be the key to promote vaccine acceptance. Health authorities ought to promptly implement educational activities following the updated vaccine situations.

1424Knowledge, Attitudes, and Practices towards COVID-19: An Epidemiological Survey in Mumbai, India

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Sneha Pratap Kotian ◽  
Prasad Waingankar ◽  
Ashlesha Tawde
Keyword(s):  
Sampling Technique ◽  
Epidemiological Survey ◽  
Control Measures ◽  
Health Concern ◽  
Snowball Sampling ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Exact Test ◽  
Attitudes And Practices ◽  
The Government

Abstract Background The COVID-19 pandemic has become a serious public health concern around the world, with countries taking significant preventive and control measures to halt the spread of this deadly virus. The knowledge, attitude & practices (KAP) of the general population play a major role in the containment measures adopted by the country. The current study was conducted to assess the KAP of the population of Mumbai towards COVID-19 pandemic. Methods The study was a web-based, cross sectional survey. A Snowball sampling technique was used. The digital forms were made available in local languages. A 25-item survey instrument was developed according to the guidelines issued by the Government to test the KAP of the population about COVID-19. Cronbach’s alpha was used to measure the internal consistency of the questionnaire. Chi-square test or Fischer exact test was used to compare categorical data and multiple linear regression was used to identify factors influencing KAP. Results A total of 1360 responses were included in the study. The overall knowledge, attitude and practice score was 83.7%, 77.33% and 63.8% respectively. About 14.85% did not know about the asymptomatic spread of COVID-19. Conclusion The assessment of COVID-19 related KAP among the public could be instrumental in providing better insights to the policy makers to deliver tailored health intervention programmes. Key messages The findings of this study can serve as a guide to future efforts aimed at public readiness to adhere to control measures to address such emergency crises.

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