Department of Research Methods and Statistics, Morgridge College of Education, University of Denver, 1999 E Evans Ave, Denver, CO, USA.
The Frederick S. Pardee Center for International Futures, Josef Korbel School of International Studies, University of Denver, 2201 S. Gaylord St., Denver, CO, USA.
Global Health. 2022 Aug 8;18(1):76. doi: 10.1186/s12992-022-00864-y.
SARS-CoV-2, a new coronavirus first reported by China on December 31st, 2019, has led to a global health crisis that continues to challenge governments and public health organizations. Understanding COVID-19 knowledge, attitudes, and practices (KAP) is key for informing messaging strategies to contain the pandemic. Cross-national studies (e.g.: comparing China to the U.S.) are needed to better understand how trans-cultural differences may drive differences in pandemic response and behaviors. The goal of the study is to compare knowledge and perceptions of COVID-19 between adults in China and the U.S. These data will provide insight into challenges these nations may face in coordinating pandemic response.
This is a convergent mixed methods study comparing responses from China and the U.S. to a multinational COVID-19 KAP online survey. The survey included five quantitative constructs and five open-ended questions. Chinese respondents (n = 56) were matched for gender, age, education, perceived social standing, and time of survey completion with a U.S. cohort (n = 57) drawn from 10,620 U.S.
Quantitative responses were compared using T-test & Fisher-Exact tests. Inductive thematic analysis was applied to open-ended questions.
Both U.S. and Chinese samples had relatively high intention to follow preventive behaviors overall. Differences in intended compliance with a specific recommendation appear to be driven by the different cultural norms in U.S. and China. Both groups expressed trepidation about the speed of COVID-19 vaccine development, driven by concern for safety among Chinese respondents, and concern for efficacy among U.S.
The Chinese cohort expressed worries about other countries' passive handling of the pandemic while the U.S. cohort focused on domestic responses from individuals and government. U.S. participants appeared more knowledgeable on some aspects of COVID-19. Different perspectives regarding COVID-19 origins were identified among the two groups. Participants from both samples reported high trust in health professionals and international health organizations.
Mixed methods data from this cross-national analysis suggests sociocultural differences likely influence perceptions and knowledge of COVID-19 and its related public health policies. Discovering and addressing these culturally-based differences and perceptions are essential to coordinate a global pandemic response.
2019 年 12 月 31 日，中国首次报告了一种新型冠状病毒 SARS-CoV-2，由此引发了一场持续挑战各国政府和公共卫生组织的全球卫生危机。了解 COVID-19 知识、态度和实践（KAP）对于制定信息策略以遏制大流行至关重要。需要进行跨国研究（例如：将中国与美国进行比较），以更好地了解跨文化差异如何导致大流行应对和行为的差异。本研究的目的是比较中国和美国成年人对 COVID-19 的知识和看法。这些数据将为了解这些国家在协调大流行应对方面可能面临的挑战提供参考。
这是一项比较中国和美国对多国 COVID-19 KAP 在线调查的反应的收敛混合方法研究。该调查包括五个定量结构和五个开放式问题。从来自 10620 名美国的人群中，为中国的受访者（n=56）匹配了性别、年龄、教育、感知社会地位和调查完成时间，与美国队列（n=57）进行了匹配。
使用 T 检验和 Fisher 精确检验比较定量反应。对开放式问题进行归纳主题分析。
美国和中国的样本总体上都有相对较高的遵循预防行为的意愿。对特定建议的遵守意愿的差异似乎是由美国和中国不同的文化规范驱动的。两组都对 COVID-19 疫苗开发的速度表示担忧，中国受访者的担忧是出于对安全性的关注，而美国受访者的担忧则是出于对疗效的关注。
中国队列对其他国家对大流行的被动处理表示担忧，而美国队列则关注个人和政府对国内的反应。美国参与者在 COVID-19 的某些方面表现出更多的知识。两组之间确定了 COVID-19 起源的不同观点。来自两个样本的参与者都对卫生专业人员和国际卫生组织表示高度信任。
这项跨国分析的混合方法数据表明，社会文化差异可能会影响对 COVID-19 及其相关公共卫生政策的看法和认识。发现和解决这些基于文化的差异和看法对于协调全球大流行应对至关重要。
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