Portsmouth Brawijaya Center for Global Health, Population and Policy & Department of Public Administration, Universitas Brawijaya, Malang 65145, Indonesia.
Portsmouth Brawijaya Center for Global Health, Population and Policy & Faculty of Medicine, Universitas Brawijaya, Malang 65142, Indonesia.
Int J Environ Res Public Health. 2022 Apr 3;19(7):4287. doi: 10.3390/ijerph19074287.
Lack of knowledge often leads to nonchalant attitudes and improper practices that expose people to greater risks during a pandemic. Therefore, improving the general public’s knowledge, attitudes, and practices (KAP) concerning coronavirus disease (COVID-19) can play a pivotal role in reducing the risks, especially in a country such as Indonesia with its scarcity of health resources for testing and tracing. Using the case of Malang District, this study set out to evaluate KAP regarding COVID-19 and its risk factors immediately after the Malang health authorities implemented various preventive measures. A population-based survey involving 3425 individuals was carried out between 1 May and 20 May 2020. Our findings revealed that less than half of the respondents demonstrated accurate knowledge (25.3%), positive attitudes (36.6%), or frequent best practices (48.8%) with regard to COVID-19 prevention. The results of logistic regression analyses showed that more accurate knowledge was associated with more positive attitudes and more frequent best practices (OR = 1.603, p-value < 0.001; OR = 1.585, p-value < 0.001, respectively). More positive attitudes were also associated with more frequent best practices (OR = 1.126, p-value < 0.001). The level of KAP varied according to sociodemographic characteristics, access to the services of community health workers, and mobile health technology for COVID-19 screening. Some global health proposals to improve health behaviors among the general public in the context of the scarcity of health resource settings are suggested based on the study findings.
知识的缺乏往往导致人们在大流行期间漠不关心的态度和不当的做法，使他们面临更大的风险。因此，提高公众对冠状病毒病（COVID-19）的知识、态度和实践（KAP）可以在降低风险方面发挥关键作用，特别是在印度尼西亚这样一个卫生资源有限的国家，用于检测和追踪的资源有限。本研究以玛琅地区为例，在玛琅卫生当局实施各种预防措施后，立即评估 COVID-19 及其危险因素的 KAP。在 2020 年 5 月 1 日至 5 月 20 日期间，进行了一项基于人群的调查，涉及 3425 人。我们的研究结果表明，不到一半的受访者对 COVID-19 预防表现出准确的知识（25.3%）、积极的态度（36.6%）或频繁的最佳做法（48.8%）。逻辑回归分析的结果表明，更准确的知识与更积极的态度和更频繁的最佳实践相关（OR = 1.603，p 值<0.001；OR = 1.585，p 值<0.001）。更积极的态度也与更频繁的最佳实践相关（OR = 1.126，p 值<0.001）。KAP 的水平根据社会人口特征、获得社区卫生工作者服务以及 COVID-19 筛查的移动健康技术而有所不同。根据研究结果，提出了一些改善卫生资源有限情况下公众健康行为的全球卫生建议。
