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How Does Public Knowledge, Attitudes, and Behaviors Correlate in Relation to COVID-19? A Community-Based Cross-Sectional Study in Nepal

机译:公共知识,态度和行为如何与Covid-19相关联? 基于社区的尼泊尔横截面研究

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Background: The COVID-19 pandemic has created a global health emergency requiring an effective public health response including citizen's roles in preventing spread and controlling the pandemic. Little is known about public knowledge, beliefs and behaviors in-relation to the pandemic in Nepal. This study aims to assess knowledge, attitude and practices (KAP) toward COVID-19 among the general public and to identify associated factors. Methods: A cross-sectional survey was conducted between May–June 2020 with a sample of 645, recruited from 26 hospitals across Nepal. We conducted telephone interviews using a semi-structured questionnaire related to KAP regarding COVID-19. T -test and one-way ANOVA was conducted to determine group differences for socio-demographic variables. Linear regression and correlational analysis were performed to identify associated factors and measure strength and direction of relationships. Results: Overall mean scores for knowledge, attitude and practice were 11.6 (SD 4.5), 2.7 (SD 1.8), and 9.9 (SD 1.93) respectively, but differed by socio-demographic characteristics. Positive but weak linear correlations were observed between knowledge-practice ( r = 0.19, p 0.01) and attitude-practice ( r = 0.08, p 0.05). The relationship between knowledge and education was fairly strong ( r = 0.34, p 0.01). Province, place of residence, ecological area, age, gender and caste/ethnicity were also significantly associated with KAP score of participants. Conclusion: The study found varying degrees of correlation between Knowledge, Attitude and Practice that may increase as the pandemic evolves in Nepal. Knowledge and level of education had positive associations with attitude and adherence to precautionary measures. The findings suggest a need for targeted community awareness interventions for the most vulnerable populations, men, those with no school education, the elderly and people living in rural areas.
机译:背景:Covid-19大流行创造了一个全球健康紧急情况,需要有效的公共卫生应对,包括公民在防止传播和控制大流行方面的角色。对公众知识,信仰和行为的知识,与尼泊尔大流行中有点了解。本研究旨在评估一般公众之间的Covid-19并识别相关因素的知识,态度和实践(KAP)。方法:在2020年5月至6月在645次样本之间进行了横截面调查,从尼泊尔两岸招募了26家医院。我们使用与Covid-19相关的半结构化问卷进行电话访谈。进行T -Test和单向ANOVA以确定社会人口变量的组差异。进行线性回归和相关分析,以识别相关因素并测量关系的力量和方向。结果:知识,态度和实践的总体平均分数分别为11.6(SD 4.5),2.7(SD 1.8)和9.9(SD 1.93),但社会人口统计学特征不同。在知识实践(R = 0.19,P <0.01)之间观察到阳性但弱的线性相关性和姿态实践(R = 0.08,P <0.05)。知识与教育之间的关系相当强劲(r = 0.34,p <0.01)。省,居住地,生态面积,年龄,性别和种姓/种族也与参与者的KAP评分显着相关。结论:该研究发现,在尼泊尔大流行发生的知识,态度和实践之间发现不同程度的相关性。知识和教育程度与态度和遵守预防措施的积极协会。调查结果表明,对最脆弱的人口,男性,没有学校教育,老年人和生活在农村地区的人的人的需求需要。

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