疫情第一波期间高等教育学生的知识匮乏和对 COVID-19 的恐惧及其对公共卫生的影响：一项多国家横断面调查。
Knowledge deficit and fear of COVID-19 among higher education students during the first wave of the pandemic and implications for public health: a multi-country cross-sectional survey.
机构信息
Department of Epidemiology, Medicine & Health Sciences Faculty, University of Antwerp, Antwerp, Belgium.
Centre for Population, Family and Health, Department of Sociology, University of Antwerp, Antwerp, Belgium.
出版信息
BMC Public Health. 2022 Jun 7;22(1):1144. doi: 10.1186/s12889-022-13511-3.
BACKGROUND
Public health measures such as physical distancing and distance learning have been implemented during the COVID-19 pandemic. COVID-19 related knowledge deficit can increase fear that leads to negative mental health and COVID-19, especially among adolescents. Therefore, our study aimed to assess COVID-19 related knowledge deficit and its association with fear among higher education (HE) students during the first wave of COVID-19.
METHODS
A cross-sectional survey, COVID-19 International Students Well-being Study (C-19 ISWS) was conducted in 133 Higher Education Institutions (HEIs) in 26 countries between April 27 and July 7, 2020. A stratified convenience sampling technique was used. Descriptive, bivariate, mixed-effect logistic regression analyses were conducted using R software.
RESULTS
Out of 127,362 respondents, 72.1% were female, and 76.5% did not report a previous history of confirmed COVID-19. The majority of those without the previous infection 81,645 (83.7%) were from 21 European countries while the rest 15,850 (16.3%) were from 5 non-European countries. The most frequent correct response to COVID-19 related knowledge questions among respondents was having the virus without having symptoms (94.3%). Compared to participants with good knowledge, the odds of being afraid of acquiring SARS-COV-2 infection among those with poor knowledge was 1.05 (95%CI:1.03,1.08) and the odds of being afraid of contracting severe COVID-19 was 1.36 (95%CI:1.31,1.40).
CONCLUSION
COVID-19 related knowledge was independently associated with both fear of acquiring SARS-COV-2 infection as well as contracting severe COVID-19. Our findings will serve as a basis for public health response for both the current and similar future pandemics by highlighting the need for addressing the COVID-19 knowledge deficit to fight the infodemic and prevent negative mental health outcomes.
背景
在 COVID-19 大流行期间，实施了公共卫生措施，如身体距离和远程学习。COVID-19 相关知识不足会增加恐惧，从而导致负面的心理健康和 COVID-19，尤其是在青少年中。因此，我们的研究旨在评估 COVID-19 大流行期间第一波 COVID-19 期间高等教育（HE）学生的相关知识不足及其与恐惧之间的关系。
方法
在 2020 年 4 月 27 日至 7 月 7 日期间，在 26 个国家的 133 所高等教育机构（HEIs）中进行了一项横断面调查，COVID-19 国际学生健康研究（C-19 ISWS）。使用分层便利抽样技术。使用 R 软件进行描述性，双变量，混合效应逻辑回归分析。
结果
在 127,362 名受访者中，72.1％为女性，76.5％没有报告先前确诊的 COVID-19 病史。在没有先前感染的大多数人中，有 81,645 人（83.7％）来自 21 个欧洲国家，其余 15,850 人（16.3％）来自 5 个非欧洲国家。受访者对 COVID-19 相关知识问题的最常见正确回答是没有症状就有病毒（94.3％）。与知识渊博的参与者相比，知识薄弱的参与者感染 SARS-COV-2 感染的恐惧几率为 1.05（95％CI：1.03，1.08），感染严重 COVID-19 的恐惧几率为 1.36（95％CI：1.31，1.40）。
结论
COVID-19 相关知识与获得 SARS-COV-2 感染和感染严重 COVID-19 的恐惧均独立相关。我们的研究结果将为当前和类似未来大流行的公共卫生应对提供依据，突出了解决 COVID-19 知识不足的必要性，以抗击信息流行病并预防负面心理健康后果。
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