Knowledge, attitudes, and practices towards COVID-19 among Chinese residents during the rapid rise period of the COVID-19 outbreak: a quick online cross-sectional survey

Bao-Liang Zhong, Wei Luo, Hai-Mei Li, Qian-Qian Zhang, Xiao-Ge Liu, Wen-Tian Li, Yi Li, Bao-Liang Zhong, Wei Luo, Hai-Mei Li, Qian-Qian Zhang, Xiao-Ge Liu, Wen-Tian Li, Yi Li

Abstract

Unprecedented measures have been adopted to control the rapid spread of the ongoing COVID-19 epidemic in China. People's adherence to control measures is affected by their knowledge, attitudes, and practices (KAP) towards COVID-19. In this study, we investigated Chinese residents' KAP towards COVID-19 during the rapid rise period of the outbreak. An online sample of Chinese residents was successfully recruited via the authors' networks with residents and popular media in Hubei, China. A self-developed online KAP questionnaire was completed by the participants. The knowledge questionnaire consisted of 12 questions regarding the clinical characteristics and prevention of COVID-19. Assessments on residents' attitudes and practices towards COVID-19 included questions on confidence in winning the battle against COVID-19 and wearing masks when going out in recent days. Among the survey completers (n=6910), 65.7% were women, 63.5% held a bachelor degree or above, and 56.2% engaged in mental labor. The overall correct rate of the knowledge questionnaire was 90%. The majority of the respondents (97.1%) had confidence that China can win the battle against COVID-19. Nearly all of the participants (98.0%) wore masks when going out in recent days. In multiple logistic regression analyses, the COVID-19 knowledge score (OR: 0.75-0.90, P<0.001) was significantly associated with a lower likelihood of negative attitudes and preventive practices towards COVID-2019. Most Chinese residents of a relatively high socioeconomic status, in particular women, are knowledgeable about COVID-19, hold optimistic attitudes, and have appropriate practices towards COVID-19. Health education programs aimed at improving COVID-19 knowledge are helpful for Chinese residents to hold optimistic attitudes and maintain appropriate practices. Due to the limited sample representativeness, we must be cautious when generalizing these findings to populations of a low socioeconomic status.

Keywords: Attitude; COVID-19; China; Knowledge; Practice.

Conflict of interest statement

Competing Interests: The authors have declared that no competing interest exists.

© The author(s).

References

    1. The Novel Coronavirus Pneumonia Emergency Response Epidemiology Team. The epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (COVID-19) in China. Chin J Epidemiol. 2020;41:145–51.
    1. Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y. et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet. 2020;395:507–13.
    1. Munster VJ, Koopmans M, van Doremalen N, van Riel D, de Wit E. A Novel Coronavirus Emerging in China - Key Questions for Impact Assessment. N Engl J Med. 2020;382:692–4.
    1. World Health Organization. Coronavirus disease (COVID-2019) situation reports. 2020. . (access Feb 16, 2020)
    1. World Health Organization. 2019-nCoV outbreak is an emergency of international concern. 2020. (access Feb 16, 2020)
    1. Ajilore K, Atakiti I, Onyenankey K. College students' knowledge, attitudes and adherence to public service announcements on Ebola in Nigeria: Suggestions for improving future Ebola prevention education programmes. Health Education Journal. 2017;76:648–60.
    1. Tachfouti N, Slama K, Berraho M, Nejjari C. The impact of knowledge and attitudes on adherence to tuberculosis treatment: a case-control study in a Moroccan region. Pan Afr Med J. 2012;12:52.
    1. Person B, Sy F, Holton K, Govert B, Liang A, National Center for Inectious Diseases SCOT. Fear and stigma: the epidemic within the SARS outbreak. Emerg Infect Dis. 2004;10:358–63.
    1. Tao N. An analysis on reasons of SARS-induced psychological panic among students. Journal of Anhui Institute of Education. 2003;21:78–9.
    1. General Office of the National Health Commission of the People's Republic of China. Guideline for the diagnosis and treatment of 2019 novel coronavirus (2019-nCoV) infected pneumonia (The Third Trial Version) 2020. (access Feb 16, 2020)
    1. National Health Commission of the People's Republic of China. A protocol for community prevention and control of the 2019 novel coronavirus (2019-nCoV) infected pneumonia (trial version) 2020. (access Feb 16, 2020)
    1. Taber KS. The Use of Cronbach's Alpha When Developing and Reporting Research Instruments in Science Education. Research in Science Education. 2018;48:1273–96.
    1. Zhou X, Xiu C, Chu Q. Prevention and treatment knowledge and attitudes towards SARS of urban residents in Qingdao. Prev Med Trib. 2004;10:407–8.
    1. Liu Z, Gao H, Zhang S. Prevention and treatment knowledge towards SARS of urban population in Jinan. Prev Med Trib. 2004;10:659–60.
    1. Chen S, Qiu Z, Xu L, Chen J, Lin Y, Yang Y. et al. People groups' responses to SARS in the community. Chinese Rural Health Service Administration. 2003;23:15–8.
    1. Pawlowski B, Atwal R, Dunbar R. Sex Differences in Everyday Risk-Taking Behavior in Humans Evolutionary Psychology. 2008; 6: 29-42.
    1. Cobey KD, Stulp G, Laan F, Buunk AP, Pollet TV. Sex differences in risk taking behavior among Dutch cyclists. Evol Psychol. 2013;11:350–64.
    1. Duell N, Steinberg L, Icenogle G, Chein J, Chaudhary N, Di Giunta L. et al. Age Patterns in Risk Taking Across the World. J Youth Adolesc. 2018;47:1052–72.
    1. Zhang X, Sun Y, Ye D, Sun Z, Su H, Ni J. et al. Analysis on mental health status of community residents in Hefei during SARS spread. Chin J Dis Contr Prev. 2003;7:280–2.
    1. Jiao J, Tang X, Li H, Chen J, Xiao Y, Li A. et al. Survey of knowledge of villagers in prevention and control of SARS in Hainan Province. China Tropical Medicine. 2005;5:703–5.
    1. National Bureau of Statistics of China. China Statistical Yearbook, 2019. Beijing, China: China Statistics Press. 2019.
    1. Zhong BL. Chen SL, Tu X, Conwell Y. Loneliness and Cognitive Function in Older Adults: Findings From the Chinese Longitudinal Healthy Longevity Survey. J Gerontol B Psychol Sci Soc Sci. 2017;72:120–8.

Source: PubMed

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