Faculty of Health, School of Health Administration, Dalhousie University, Halifax, Nova Scotia, Canada.
Department of Critical Care Medicine, University of Calgary, Calgary, Alberta, Canada.
PLoS One. 2020 Oct 23;15(10):e0241259. doi: 10.1371/journal.pone.0241259. eCollection 2020.
INTRODUCTION: Efforts to mitigate the global spread of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causing Corona Virus Disease-19 (COVID-19) have largely relied on broad compliance with public health recommendations yet navigating the high volume of evolving information can be challenging. We assessed self-reported public perceptions related to COVID-19 including, beliefs (e.g., severity, concerns, health), knowledge (e.g., transmission, information sources), and behaviors (e.g., physical distancing) to understand perspectives in Canada and to inform future public health initiatives. METHODS: We administered a national online survey aiming to obtain responses from 2000 adults in Canada. Respondent sampling was stratified by age, sex, and region. We used descriptive statistics to summarize responses and tested for regional differences using chi-squared tests, followed by weighted logistic regression. RESULTS: We collected 1,996 eligible questionnaires between April 26th and May 1st, 2020. One-fifth (20%) of respondents knew someone diagnosed with COVID-19, but few had tested positive themselves (0.6%). Negative impacts of pandemic conditions were evidenced in several areas, including concerns about healthcare (e.g. sufficient equipment, 52%), pandemic stress (45%), and worsening social (49%) and mental/emotional (39%) health. Most respondents (88%) felt they had good to excellent knowledge of virus transmission, and predominantly accessed (74%) and trusted (60%) Canadian news television, newspapers/magazines, or non-government news websites for COVID-19 information. We found high compliance with distancing measures (80% reported self-isolating or always physical distancing). We identified associations between region and self-reported beliefs, knowledge, and behaviors related to COVID-19. DISCUSSION: We found that information about COVID-19 is largely acquired through domestic news sources, which may explain high self-reported compliance with prevention measures. The results highlight the broader impact of a pandemic on the general public's overall health and wellbeing, outside of personal infection. The study findings should be used to inform public health communications during COVID-19 and future pandemics.
简介：为了遏制严重急性呼吸系统综合症冠状病毒 2（SARS-CoV-2）的全球传播，导致 2019 年冠状病毒病（COVID-19），人们在很大程度上依赖于广泛遵守公共卫生建议，然而，应对大量不断变化的信息可能具有挑战性。我们评估了与 COVID-19 相关的自我报告公众看法，包括信念（例如，严重程度、关注、健康）、知识（例如，传播、信息来源）和行为（例如，保持身体距离），以了解加拿大的观点，并为未来的公共卫生倡议提供信息。 方法：我们进行了一项全国性的在线调查，旨在从加拿大的 2000 名成年人中获得回应。受访者抽样按年龄、性别和地区进行分层。我们使用描述性统计数据总结了回应，并使用卡方检验测试了地区差异，然后使用加权逻辑回归进行了检验。 结果：我们于 2020 年 4 月 26 日至 5 月 1 日期间收集了 1996 份符合条件的问卷。五分之一（20%）的受访者认识有人被诊断出患有 COVID-19，但很少有人自己检测呈阳性（0.6%）。大流行条件的负面影响在几个领域表现出来，包括对医疗保健的担忧（例如，设备是否充足，52%）、大流行压力（45%）、社会恶化（49%）和社会/心理健康恶化（39%）。大多数受访者（88%）认为他们对病毒传播有很好到极好的了解，并且主要通过（74%）和信任（60%）加拿大新闻电视、报纸/杂志或非政府新闻网站获取 COVID-19 信息。我们发现，人们高度遵守保持距离的措施（80%的人报告自我隔离或始终保持身体距离）。我们发现与 COVID-19 相关的自我报告信念、知识和行为与地区之间存在关联。 讨论：我们发现，有关 COVID-19 的信息主要是通过国内新闻来源获得的，这可能解释了预防措施的高自我报告遵守率。结果强调了大流行对公众整体健康和福祉的更广泛影响，而不仅仅是个人感染。研究结果应在 COVID-19 和未来大流行期间用于告知公共卫生沟通。
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