Department of Health Administration, Graduate School, Yonsei University, Wonju, Korea.
Yonsei Global Health Center, Yonsei University, Wonju, Korea.
Afr J Reprod Health. 2020 Jun;24(s1):66-77. doi: 10.29063/ajrh2020/v24i2s.11.
In Africa, the first confirmed case of COVID-19 was reported in Egypt on February 14, 2020. Since then, the number of cases has continued to increase with Ethiopia, the Democratic Republic of Congo (DRC), Nigeria, Sudan, Angola, Tanzania, Ghana, and Kenya identified as vulnerable countries. The present study aimed to: 1) identify differences in trust level of COVID-19 diagnosis, recent healthcare utilization experiences, and COVID-19-related knowledge, information, and prevention practices in South Korea, Ethiopia, and DRC; and 2) identify factors influencing trust level in healthcare facilities regarding COVID-19 diagnosis. The present study was cross-sectional. The questionnaire survey was conducted between May 1-14, 2020 using Google forms, and 748 respondents were included in the final analysis. The data collected were analyzed using ANOVA, post- hoc test, and binary logistic regression analysis. South Korea showed higher rate of practice for COVID-19 prevention such as hand washing, mask wearing, and etc. than Ethiopia and DRC. The results showed significant differences with the trust level being 3.129 times higher in respondents from DRC than those from Ethiopia (aOR=3.129, 95% CI: [1.884-5.196], p <.000) and 29.137 times higher in respondents from South Korean than those from Ethiopia (aOR=29.137, 95% CI: [13.869-61.210], p <.000). Gender, age, number of family members, healthcare utilization experience, information, and practice were significant variables. Health education expansion for information and practice about COVID-19 in Ethiopia and DRC is necessary.
在非洲,2020 年 2 月 14 日埃及报告了首例新冠肺炎确诊病例。此后,病例数量持续增加,埃塞俄比亚、刚果民主共和国(DRC)、尼日利亚、苏丹、安哥拉、坦桑尼亚、加纳和肯尼亚被确定为脆弱国家。本研究旨在:1)确定韩国、埃塞俄比亚和刚果民主共和国之间对 COVID-19 诊断的信任水平、最近的医疗保健利用经验以及与 COVID-19 相关的知识、信息和预防实践的差异;2)确定影响对 COVID-19 诊断的医疗保健设施信任水平的因素。本研究为横断面研究。问卷调查于 2020 年 5 月 1 日至 14 日通过 Google 表格进行,最终分析纳入了 748 名受访者。收集的数据使用 ANOVA、事后检验和二项逻辑回归分析进行分析。韩国在洗手、戴口罩等 COVID-19 预防措施的实施率高于埃塞俄比亚和刚果民主共和国。结果显示,来自刚果民主共和国的受访者的信任水平比来自埃塞俄比亚的受访者高 3.129 倍(aOR=3.129,95%CI:[1.884-5.196],p<.000),来自韩国的受访者的信任水平比来自埃塞俄比亚的受访者高 29.137 倍(aOR=29.137,95%CI:[13.869-61.210],p<.000)。性别、年龄、家庭成员人数、医疗保健利用经验、信息和实践是显著变量。有必要在埃塞俄比亚和刚果民主共和国扩大关于 COVID-19 的信息和实践方面的健康教育。