Alemu Tefera, Amare Semagn, Legesse Seid, Abera Abtew, Ayalew Misganaw, Bezabih Belay
Amhara Public Health Institute, Public Health Emergency Management Directorate, Bahir Dar, Ethiopia.
Amhara Public Health Institute Dessie Branch, Dessie, Ethiopia.
Risk Manag Healthc Policy. 2021 Feb 4;14:439-451. doi: 10.2147/RMHP.S287600. eCollection 2021.
BACKGROUND: Sufficient knowledge and favorable attitude are among the key determinants for people's adherence to coronavirus disease (COVID-19) precaution measures. Hence, this study assessed Dessie city resident's knowledge, attitude, and practice on COVID-19. METHODS: We used a facility-based cross-sectional study among 424 Dessie city residents from 17 to 21/05/2020. We dichotomized knowledge, attitude and practice scores based on the mean value. We entered the data into EpiData manager software 4.2 and exported to SPSS-20 for data analysis. We run three independent logistic regression analyses to determine factors associated with sufficient knowledge, a favorable attitude, and adequate practice. We defined significant association at a p-value of <0.05. RESULTS: Among 424 participants, 92.7% have sufficient knowledge about COVID-19, while 96% have a favorable attitude to prevent and control the pandemic. However, the practice was adequate only in 44.6% of the participants. Increasing educational status (AOR: 6.5, 95% CI: 2-21.4), availability of television (AOR: 3.8, 95% CI: 1.4-10.5), having a telephone (AOR: 3.4, 95% CI: 1.3-9.1) and radio (AOR: 4.2, 95% CI: 1.1-15.5) are the factors associated with sufficient knowledge, while sufficient knowledge (AOR: 5.4, 95% CI: 1.7-17.2), is the only predictor identified for favorable attitude. Similarly, being a farmer (AOR: 0.14, 95% CI: 0.047-0.4), availability of telephone (AOR: 3.1, 95% CI: 1.2-8.2), and sufficient knowledge (AOR: 15.2, 95% CI: 1.9-118) are the predictors of adequate practice. CONCLUSION: In the study area, the participant's knowledge and attitude are found to be sufficient to halt coronavirus transmission. However, practice in the vast majority is not adequate to stop coronavirus transmission. Educational status, television, telephone, radio, occupation and knowledge are the significant factors for successful prevention and control of coronavirus. Despite escalating public knowledge, our finding suggests the government to follow some compulsory regulations for uniform implementation of preventive measures.
背景：足够的知识和良好的态度是人们遵守冠状病毒病（COVID-19）预防措施的关键决定因素。因此，本研究评估了德西市居民对COVID-19的知识、态度和实践情况。 方法：我们于2020年5月17日至21日在德西市424名居民中开展了一项基于机构的横断面研究。我们根据平均值将知识、态度和实践得分进行二分法划分。我们将数据录入EpiData manager软件4.2，并导出到SPSS-20进行数据分析。我们进行了三项独立的逻辑回归分析，以确定与足够知识、良好态度和充分实践相关的因素。我们将p值<0.05定义为显著关联。 结果：在424名参与者中，92.7%对COVID-19有足够的了解，而96%对预防和控制疫情持积极态度。然而，只有44.6%的参与者实践情况良好。教育程度提高（调整后比值比：6.5，95%置信区间：2-21.4）、有电视（调整后比值比：3.8，95%置信区间：1.4-10.5）、有电话（调整后比值比：3.4，95%置信区间：1.3-9.1）和有收音机（调整后比值比：4.2，95%置信区间：1.1-15.5）是与足够知识相关的因素，而足够的知识（调整后比值比：5.4，95%置信区间：1.7-17.2）是唯一确定的良好态度预测因素。同样，身为农民（调整后比值比：0.14，95%置信区间：0.047-0.4）、有电话（调整后比值比：3.1，95%置信区间：1.2-8.2）和足够的知识（调整后比值比：15.2，95%置信区间：1.9-118）是充分实践的预测因素。 结论：在研究区域，发现参与者的知识和态度足以阻止冠状病毒传播。然而，绝大多数人的实践不足以阻止冠状病毒传播。教育程度、电视、电话、收音机、职业和知识是成功预防和控制冠状病毒的重要因素。尽管公众知识不断增加，但我们的研究结果表明，政府应遵循一些强制性规定，以统一实施预防措施。
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