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ABSTRACT: Objective
The adherence to public health recommendations to control COVID-19 spread is influenced by public knowledge, attitudes and practices (KAP). We performed this cross-sectional study to assess the levels and determinants of public KAP towards COVID-19 in a large, multinational sample.Design
Cross-sectional study (survey).Setting
The questionnaire was distributed to potential respondents via online platforms.Participants
71 890 individuals from 22 countries.Methods
We formulated a four-section questionnaire in English, followed by validation and translation into seven languages. The questionnaire was distributed (May to June 2020) and each participant received a score for each KAP section.Results
Overall, the participants had fair knowledge (mean score: 19.24±3.59) and attitudes (3.72±2.31) and good practices (12.12±1.83) regarding COVID-19. About 92% reported moderate to high compliance with national lockdown. However, significant gaps were observed: only 68.2% knew that infected individuals may be asymptomatic; 45.4% believed that antibiotics are an effective treatment; and 55.4% stated that a vaccine has been developed (at the time of data collection). 71.9% believed or were uncertain that COVID-19 is a global conspiracy; 36.8% and 51% were afraid of contacting doctors and Chinese people, respectively. Further, 66.4% reported the pandemic had moderate to high negative effects on their mental health. Female gender, higher education and urban residents had significantly (p≤0.001) higher knowledge and practice scores. Further, we observed significant correlations between all KAP scores.Conclusions
Although the public have fair/good knowledge and practices regarding COVID-19, significant gaps should be addressed. Future awareness efforts should target less advantaged groups and future studies should develop new strategies to tackle COVID-19 negative mental health effects.
SUBMITTER: Masoud AT
PROVIDER: S-EPMC7907623 | biostudies-literature | 2021 Feb
REPOSITORIES: biostudies-literature
Masoud Ahmed Taher AT Zaazouee Mohamed Sayed MS Elsayed Sarah Makram SM Ragab Khaled Mohamed KM Kamal Esraa M EM Alnasser Yusra T YT Assar Ahmed A Nourelden Anas Z AZ Istatiah Loai J LJ Abd-Elgawad Mohamed M MM Abdelsattar Ahmed T AT Sofy Ahmed A AA Hegazy Doaa G DG Femía Victor Z VZ Mendonça Adriana R AR Sayed Fatma M FM Elmoursi Ahmed A Alareidi Alaa A Abd-Eltawab Ahmed K AK Abdelmonem Mohamed M Mohammed Omar M OM Derballa EzzEldeen A EA El-Fas Kareem A KA Abdel-Daim Mohamed M MM Abushouk Abdelrahman I AI
BMJ open 20210223 2
<h4>Objective</h4>The adherence to public health recommendations to control COVID-19 spread is influenced by public knowledge, attitudes and practices (KAP). We performed this cross-sectional study to assess the levels and determinants of public KAP towards COVID-19 in a large, multinational sample.<h4>Design</h4>Cross-sectional study (survey).<h4>Setting</h4>The questionnaire was distributed to potential respondents via online platforms.<h4>Participants</h4>71 890 individuals from 22 countries. ...[more]