Public Health and Community Medicine Department, Faculty of Medicine, Menoufia University, Menoufia Governorate, Shebeen Alkoom 32511, Egypt.
Pediatrics Department, Faculty of Medicine, Menoufia University, Menoufia Governorate, Shebeen Alkoom 32511, Egypt.
J Epidemiol Glob Health. 2020 Dec;10(4):378-385. doi: 10.2991/jegh.k.200909.001. Epub 2020 Sep 14.
COVID-19 is a public Health Emergency of International Concern. The aim of this work was to assess the level of Knowledge, Attitude and Practice (KAP) among Egyptians toward COVID-19. A cross-sectional study was conducted from March 1st to April 1st, on 3712 participants of different ages and sex. An author designed KAP questionnaire toward COVID-19 administered online and personally was delivered. Satisfactory knowledge, positive attitude and good practice were reported among 70.2%, 75.9% and 49.2% of the participants respectively. Middle-aged participants reported high knowledge and attitude levels with poor practice level ( < 0.001). Females reported high knowledge and practice levels and low attitude ( < 0.001 and = 0.041 respectively). Despite reporting high knowledge and attitude among urban residents ( < 0.001), practice level was high among rural residents ( = 0.001). Post-graduate education reported the highest levels of KAP ( < 0.001). Rural residents, working and non-enough income participants reported lower level of practice ( < 0.001). Logistic regression was carried out. It was found that unsatisfactory knowledge was associated with low education [Odds Ratio (OR) = 1.97, 95% CI: 1.51-2.56], and of rural residency (OR = 1.2, 95% CI: 1.05-1.41). Negative attitude was associated with not working (OR = 1.94, 95% CI: 1.61-2.35) and not enough income (OR = 1.29, 95%CI: 1.10-1.51 respectively). Poor practice is associated with young age (OR = 2.41, 95% CI: 1.94-2.98) and low education (OR = 1.19, 95% CI: 1.03-1.37) and not working (OR = 4.95, 95% CI: 4.07-6.02). Satisfactory knowledge, positive attitude and poor practice were found among the participants. A good knowledge and lower practice level were found among middle-aged, working participants, and participants with insufficient income. The demographic characters associated with KAP could be the cornerstone in directing policy-makers to target the health education campaigns to the suitable target groups.
新型冠状病毒肺炎是国际关注的突发公共卫生事件。本研究旨在评估埃及人对新型冠状病毒肺炎的知识、态度和实践水平。本研究采用横断面研究，于 2020 年 3 月 1 日至 4 月 1 日对不同年龄和性别的 3712 名参与者进行调查。采用作者设计的新型冠状病毒肺炎知识、态度和实践问卷进行在线和面对面调查。结果显示，70.2%、75.9%和 49.2%的参与者分别具有满意的知识、积极的态度和良好的实践水平。中年参与者报告具有较高的知识和态度水平，但实践水平较低（<0.001）。女性报告具有较高的知识和实践水平，以及较低的态度（<0.001 和=0.041）。尽管城市居民报告具有较高的知识和态度水平（<0.001），但农村居民的实践水平较高（=0.001）。研究生教育报告具有最高的 KAP 水平（<0.001）。农村居民、工作和收入不足的参与者报告实践水平较低（<0.001）。进行了 logistic 回归分析。结果发现，知识不足与低教育水平相关（优势比[OR] = 1.97，95%置信区间[CI]：1.51-2.56），与农村居民身份相关（OR = 1.2，95%CI：1.05-1.41）。消极态度与不工作（OR = 1.94，95%CI：1.61-2.35）和收入不足（OR = 1.29，95%CI：1.10-1.51）相关。实践水平差与年龄较小（OR = 2.41，95%CI：1.94-2.98）和教育水平较低（OR = 1.19，95%CI：1.03-1.37）以及不工作（OR = 4.95，95%CI：4.07-6.02）相关。研究参与者中存在满意的知识、积极的态度和较差的实践水平。中年、工作和收入不足的参与者具有良好的知识和较低的实践水平。与 KAP 相关的人口统计学特征可能是决策者针对目标群体开展健康教育活动的基础。
