Relationship Between COVID-19 Infection and Risk Perception, Knowledge, Attitude, and Four Nonpharmaceutical Interventions During the Late Period of the COVID-19 Epidemic in China: Online Cross-Sectional Survey of 8158 Adults

Autor: Zhou Tao, Yaoyue Hu, Zuxun Lu, Daikun Zheng, Min Chen, Hong Xu, Mingjiang Li, Chenglu Liu, Yong Gan, Xian Zhu, Chang Xu, Jack Chen, Bo Wu
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Adult
Male
China
knowledge
medicine.medical_specialty
Adolescent
Cross-sectional study
Population
Psychological intervention
Health Informatics
030204 cardiovascular system & hematology
Logistic regression
lcsh:Computer applications to medicine. Medical informatics
Disease Outbreaks
Young Adult
03 medical and health sciences
0302 clinical medicine
risk perception
Surveys and Questionnaires
medicine
Humans
030212 general & internal medicine
nonpharmaceutical personal interventions
education
mask wearing
intervention
Internet
Original Paper
education.field_of_study
SARS-CoV-2
business.industry
Public health
lcsh:Public aspects of medicine
public health
COVID-19
lcsh:RA1-1270
Odds ratio
Middle Aged
infection
Risk perception
Cross-Sectional Studies
Attitude
Relative risk
lcsh:R858-859.7
Female
online survey
NPI
business
Demography
Zdroj: Journal of Medical Internet Research, Vol 22, Iss 11, p e21372 (2020)
Journal of Medical Internet Research
ISSN: 1438-8871
Popis: Background So far, there have been no published population studies on the relationship between a COVID-19 infection and public risk perception, information source, knowledge, attitude, and behaviors during the COVID-19 outbreak in China. Objective This study aims to understand the relationships between COVID-19 infection; four personal nonpharmaceutical interventions (NPIs; handwashing, proper coughing habits, social distancing, and mask wearing); and public risk perception, knowledge, attitude, and other social demographic variables. Methods An online survey of 8158 Chinese adults between February 22 and March 5, 2020, was conducted. Bivariate associations between categorical variables were examined using Fisher exact test. We also explored the determinants of four NPIs as well as their association with COVID-19 infection using logistic regression. Results Of 8158 adults included, 57 (0.73%) were infected with COVID-19. The overwhelming majority of respondents showed a positive attitude (n=8094, 99.2%), positive risk perception (n=8146, 99.9%), and high knowledge levels that were among the strongest predictors of the four adopted NPIs (handwashing: n=7895, 96.8%; proper coughing: 5997/6444, 93.1%; social distancing: n=7104/8158, 87.1%; and mask wearing: 5011/5120, 97.9%). There was an increased risk of COVID-19 infection for those who did not wash their hands (2.28% vs 0.65%; risk ratio [RR] 3.53, 95% CI 1.53-8.15; P=.009), did not practice proper coughing (1.79% vs 0.73%; RR 2.44, 95% CI 1.15-5.15; P=.03), did not practice social distancing (1.52% vs 0.58%; RR 2.63, 95% CI 1.48-4.67; P=.002), and did not wear a mask (7.41% vs 0.6%; RR 12.38, 95% CI 5.81-26.36; P Conclusions We found high levels of risk perception, positive attitude, desirable knowledge, as well as a high level of adopting the four NPIs. The relevant knowledge, risk perception, and attitude were strong predictors of adapting the four NPIs. Mask wearing, among the four personal NPIs, was the most effective protective measure against COVID-19 infection, with added preventive effect among those who practiced all or part of the other three NPIs.
Databáze: OpenAIRE
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