Department of Community Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.
Center of Data Analytics and Knowledge Synthesis for Health Care, Chiang Mai University, Chiang Mai 50200, Thailand.
Int J Environ Res Public Health. 2022 Jul 28;19(15):9261. doi: 10.3390/ijerph19159261.
The transition from online to on-site education was difficult due to a lack of standardized school guidance for school reopening. Even though schools have reopened, uncertainty about the COVID-19 situation and the capacity of the school to maintain safe school operations to mitigate risks may increase hesitancy among students and parents to participate in on-site studying. Rapid-response surveys of students and parents can provide information to stakeholders on how learning and well-being can best be supported during the educational transition in each context. The aim of this study was to explore the hesitancy of high-school students and the factors that influenced their hesitancy to return to school on site. An online cross-sectional survey was distributed to high-school students in an urban district of Chiang Mai, Thailand, during the fourth wave of the pandemic from 17 November to 13 December 2021. A multivariable logistic regression was performed to explore factors related to the students' hesitancy to attend on-site education. With a response rate of 10.2% of the targeted study population, the 1266 participants revealed that 15.9% of them had very-high- and extremely high-level hesitancy to study on site, which was associated with less negative moods while studying online (aOR, 1.69; , 0.016) and a greater fear of infection after returning to school (aOR, 2.95; , 0.001). Increased readiness to return to school on site (aOR, 0.28; , 0.001) and discussing COVID-19 prevention with family or friends (aOR, 0.71; , 0.016) were also associated with a lower hesitancy of students. Only 5.6% of the students reported being hesitant to receive the COVID-19 vaccination. However, no significant associations were found between schooling hesitancy and their willingness to get vaccinated, nor the frequency of students' outside activities. High-school students who experience negative moods during online studying should be monitored and receive additional support if the reopening is postponed. More opportunities to discuss COVID-19 prevention with family or friends, as well as a higher level of readiness, may increase the willingness to return to school on site. Local authorities and schools need to strengthen communication and coordination mechanisms to reduce parents' and students' schooling hesitancy by providing explicit information about the COVID-19 situation and risk-mitigation measures, along with normalizing messages about fear and anxiety.
由于缺乏针对学校重新开放的标准化学校指导，从在线教育向现场教育的过渡很困难。尽管学校已经重新开放，但对 COVID-19 情况的不确定性以及学校降低风险以维持安全学校运营的能力，可能会增加学生和家长对现场学习的参与的犹豫。对学生和家长的快速反应调查可以为利益相关者提供有关如何在每个背景下的教育过渡期间最好地支持学习和福祉的信息。本研究旨在探讨高中生的犹豫情绪以及影响他们重返现场学校的因素。在 2021 年 11 月 17 日至 12 月 13 日期间，在泰国清迈市区进行了第四波大流行期间，对高中生进行了在线横断面调查。采用多变量逻辑回归探讨与学生现场教育犹豫相关的因素。在目标研究人群中，有 10.2%的人做出了回应，其中 15.9%的人对现场学习的犹豫程度非常高和极高，这与在线学习时负面情绪较少（优势比，1.69； ，0.016）和返回学校后对感染的恐惧增加（优势比，2.95； ，0.001）有关。对返回现场学校的准备程度更高（优势比，0.28； ，0.001）以及与家人或朋友讨论 COVID-19 预防措施（优势比，0.71； ，0.016）也与学生的犹豫程度较低有关。只有 5.6%的学生表示对接种 COVID-19 疫苗犹豫不决。但是，在校学习犹豫与接种疫苗的意愿之间以及学生校外活动的频率之间没有发现明显的关联。如果重新开放被推迟，应监测在在线学习期间感到负面情绪的高中生，并为他们提供额外的支持。与家人或朋友更多地讨论 COVID-19 预防措施以及更高的准备水平，可能会增加重返现场学校的意愿。地方当局和学校需要加强沟通和协调机制，通过提供有关 COVID-19 情况和风险缓解措施的明确信息，并使有关恐惧和焦虑的信息正常化，以减轻家长和学生的在校学习犹豫情绪。
