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Knowledge, attitude, and preventive practices towards COVID-19 and associated factors among adult hospital visitors in South Gondar Zone Hospitals, Northwest Ethiopia

机译：埃塞俄比亚西北部南渡墩区医院成人医院访客的知识，态度和预防措施，以及南渡墩区医院

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BackgroundCoronavirus disease 2019 (COVID-19) is currently the critical health problem of the globe, including Ethiopia. Visitors of healthcare facilities are the high-risk groups due to the presence of suspected and confirmed cases of COVID-19 in the healthcare setting. Increasing the knowledge, attitude, and practices towards COVID-19 prevention among hospital visitors are very important to prevent transmissions of the pandemic despite the lack of evidence remains a challenge in Ethiopia. Therefore, this study was designed to investigate the status of knowledge, attitude, and preventive practice towards COVID-19 and associated factors among hospital visitors in South Gondar Zone Hospitals, Northwest Ethiopia.MethodsA facility-based cross-sectional study design was employed during August 1 to 30, 2020 from randomly selected 404 adult hospital visitors in South Gondar Zone Hospitals, Northwest Ethiopia. The data was collected using interviewer-administered questionnaire. The outcome of this study was good or poor knowledge, positive or negative attitude and good or poor preventive practice towards COVID-19. Three different binary logistic regression models with 95% CI (Confidence interval) was used for data analysis. For each mode, bivariable analysis (crude odds ratio [COR]) and multivariable analysis (adjusted odds ratio [AOR]) was used during data analysis. From the bivariable analysis, variables with a p-value <0.25 were retained into the multivariable logistic regression analysis. From the multivariable logistic regression analysis, variables with a significance level of p-value <0.05 were taken as factors independently associated with knowledge, attitude and preventive practices towards COVID-19.Main findingsAbout 69.3% of the respondents had good knowledge, 62.6% had a positive attitude, and 49.3% had good preventive practice towards the prevention of COVID-19. We found that factors significantly associated with good knowledge about COVID-19 were educational status who can read and write (AOR = 2.78; 95%CI: 1.18-6.56) and college and above (AOR = 6.15; 95%CI: 2.18-17.40), and use of social media (AOR = 2.96; 95%CI: 1.46-6.01). Furthermore, factors significantly associated with a positive attitude towards COVID-19 includes the presence of chronic illnesses (AOR = 5.00; 95%CI; 1.71-14.67), training on COVID-19 (AOR = 3.91; 95%CI: 1.96-7.70), and peer/family as a source of information (AOR = 2.45; 95%CI: 1.06-5.63). Being a student (AOR = 7.70; 95%CI: 1.15-15.86) and participants who had a good knowledge on COVID-19 (AOR = 4.49; 95%CI: 2.41-8.39) were factors significantly associated with good practice towards COVID-19.ConclusionWe found that knowledge, attitude, and preventive practices towards prevention of COVID-19 among adult hospital visitors were low. Therefore, we recommended that different intervention strategies for knowledge, attitude and preventive practices are urgently needed to control the transmission of COVID-19 among adult hospital visitors. Health education of those who could not read and write about COVID-19 knowledge issues and advocating use of social media that transmit messages about COVID-19 are highly encouraged to increase the good knowledge status of adult hospital visitors. Furthermore, providing training about COVID-19 prevention methods and using various sources of information about COVID-19 will help for improving positive attitude towards COVID-19 prevention, whereas for increasing the status of good preventive practices towards COVID-19, improving the good knowledge about COVID-19 of adult hospital visitors are essential.
机译：BackgroundCoronavirus疾病2019（Covid-19）目前是全球的关键健康问题，包括埃塞俄比亚。由于医疗保健设定中的疑似和确认的Covid-19案例，医疗保健设施的访客是高风险群体。越来越多的知识，态度和实践，在医院游客之间预防措施，尽管缺乏证据仍然是埃塞俄比亚的挑战，但仍然是预防大流行的传播。因此，本研究旨在调查知识，态度和预防实践对Covid-19以及南戈内尔区医院医院的相关因素，西北埃塞俄比亚的埃塞俄比亚..在八月期间采用了基于南戈尼岛地区医院的医院访客。基于机构的横断面研究设计1至30,2020来自随机选择的404名成人医院参观南戈内尔区医院，西北埃塞俄比亚。使用采访者管理的调查问卷收集数据。本研究的结果是良好的或差的知识，积极或消极的态度，良好或贫困的预防措施对Covid-19。具有95％CI（置信区间）的三种不同二元逻辑回归模型用于数据分析。对于每种模式，在数据分析期间使用了可行分析（粗少数率[COR]）和多变量分析（调整后的差距[AOR]）。从可生效的分析中，将P值<0.25的变量保留在多变量逻辑回归分析中。从多变量的逻辑回归分析中，具有显着性P值水平的变量<0.05，作为与知识，态度和预防措施与Covid-19.Main的态度和预防措施独立相关的因素69.3％的受访者具有良好的知识，62.6％积极的态度，49.3％对预防Covid-19有良好的预防措施。我们发现，与Covid-19的良好知识有明显相关的因素是可以阅读和写入的教育身份（AOR = 2.78; 95％CI：1.18-6.56）和大学（AOR = 6.15; 95％CI：2.18-17.40 ）和使用社交媒体（AOR = 2.96; 95％CI：1.46-6.01）。此外，与Covid-19具有积极态度显着相关的因素包括慢性疾病的存在（AOR = 5.00; 95％CI; 1.71-14.67），Covid-19培训（AOR = 3.91; 95％CI：1.96-7.70 ）和对等/家族作为信息来源（AOR = 2.45; 95％CI：1.06-5.63）。作为学生（AOR = 7.70; 95％CI：1.15-15.86）和参与者在Covid-19上具有良好了解的参与者（AOR = 4.49; 95％CI：2.41-8.39）是与对Covid的良好做法显着相关的因素 - 19.结论我们发现，在成人医院访客中预防Covid-19的知识，态度和预防措施较低。因此，我们建议迫切需要为知识，态度和预防措施进行不同的干预策略来控制成人医院访客中Covid-19的传播。高度鼓励无法读取和写下Covid-19知识问题的人的健康教育，并倡导使用关于Covid-19的信息的信息，以增加成人医院访客的良好知识状态。此外，提供有关Covid-19预防方法的培训，并使用各种信息来源有关Covid-19的各种信息，将有助于提高对Covid-19预防的积极态度，而为了提高对Covid-19的良好预防性实践的状态，提高了良好的知识关于成人医院的Covid-19是必不可少的。

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