Research Center of Translational Medicine, Second Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong, P.R. China.
Clinical Research Unit, Shantou University Medical College, Shantou, Guangdong, P.R. China.
J Infect Dev Ctries. 2022 Jan 31;16(1):41-48. doi: 10.3855/jidc.14328.
Students from Shantou University Medical College were subject to domicile quarantine during the early phase of the COVID-19 outbreak.
We investigated their experience during March-April 2020 using a cross-sectional, self-administered, anonymous online survey.
Out of 531 respondents, 75.7% became aware of the outbreak via the Internet (61.7%), WeChat (57.8%), and Weibo (49%). Nearly all students knew COVID-19 manifestations, incubation period, and transmission modes; about half considered wearing facemask and hand hygiene as effective epidemic interventions. They experienced various emotional reactions that changed significantly in response to the outbreak, lockdown, and quarantine (ps < 0.001), with depression in 23.3%. Most students (83.4%-99.4%) had positive attitudes and good compliance towards domicile quarantine and preventive measures. Females were significantly better than males in hand hygiene compliance (p = 0.04). More students with positive attitudes and good compliance than those without educated their families (ps < 0.05 - ps < 0.001). Multiple logistic regression showed negative relationships between anger and hand hygiene attitude (OR = 0.06, 95% CI = 0.01-0.87); confusion and quarantine compliance (0.30, 0.12-0.76); and anger and compliance with quarantine (0.32, 0.11-0.93), facemask (0.12, 0.03-0.50), and hand hygiene (0.27, 0.08-0.88).
This study revealed how multichannel risk communication, early awareness, positive attitudes, and conformity of medical college students might have contributed to the favorable outcome from the COVID-19 epidemic in China. Clear, accurate, consistent, early risk communication by the local, national, and international public health authorities seems critical to promote public understanding, correct risk perception, and rational emotions and attitudes, leading to optimal conformity.
在 COVID-19 疫情早期，汕头大学医学院的学生接受了户籍隔离。
我们使用横断面、自我管理、匿名在线调查的方式，在 2020 年 3 月至 4 月期间调查了他们的经历。
在 531 名受访者中，75.7%通过互联网（61.7%）、微信（57.8%）和微博（49%）了解疫情。几乎所有的学生都知道 COVID-19 的表现、潜伏期和传播方式；约一半人认为戴口罩和手部卫生是有效的疫情干预措施。他们经历了各种情绪反应，这些反应随着疫情、封锁和隔离而发生显著变化（p<0.001），其中 23.3%的人出现抑郁。大多数学生（83.4%-99.4%）对户籍隔离和预防措施持积极态度和良好配合。女性在手部卫生依从性方面明显优于男性（p=0.04）。与没有良好态度和配合的学生相比，有良好态度和配合的学生更愿意教育家人（p<0.05-p<0.001）。多因素逻辑回归显示，愤怒与手部卫生态度（OR=0.06，95%CI=0.01-0.87）、困惑与隔离配合（0.30，0.12-0.76）呈负相关；愤怒与隔离配合（0.32，0.11-0.93）、口罩（0.12，0.03-0.50）和手部卫生（0.27，0.08-0.88）。
本研究揭示了多渠道风险沟通、早期意识、医学生的积极态度和一致性如何有助于中国 COVID-19 疫情的有利结果。当地、国家和国际公共卫生当局的清晰、准确、一致、早期风险沟通似乎对促进公众理解、正确的风险感知和理性的情绪和态度至关重要，从而导致最佳一致性。
