孟加拉国城市贫民窟居民对新冠病毒传播预防的知识、态度和实践:一项横断面研究。

Knowledge, attitude, and practice of Bangladeshi urban slum dwellers towards COVID-19 transmission-prevention: A cross-sectional study.

作者信息

Hasan Md Zahid, Hasan A M Rumayan, Rabbani Md Golam, Selim Mohammad Abdus, Mahmood Shehrin Shaila

机构信息

Health Economics and Financing Research Group, Health System and Population Studies Division, icddr,b, Dhaka, Bangladesh.

Leeds Institute of Health Sciences, University of Leeds, Leeds, United Kingdom.

出版信息

PLOS Glob Public Health. 2022 Sep 6;2(9):e0001017. doi: 10.1371/journal.pgph.0001017. eCollection 2022.

Abstract

The first COVID-19 case in Bangladesh was detected on March 8, 2020. Since then, efforts are being made across the country to raise awareness among the population for preventing the spread of this virus. We aimed to examine the urban slum dwellers' knowledge, attitude, and practice (KAP) towards COVID-19 transmission-prevention. A phone-based cross-sectional survey was conducted in five slums of Dhaka City. Total 476 adult slum dwellers were interviewed between October 31 to December 1, 2020 using a pre-tested questionnaire. During an interview, information was collected on participants' demographic characteristics and KAP items towards COVID-19. We used quartiles for categorization of knowledge and practice score where the first quartile represents poor, the second and third quartiles represent average while the fourth quartile represents good. Attitude score was standardized using z-score and identified as positive and negative attitude. Multiple linear regression models were used separately to identify the socioeconomic predictors of the KAP scores. The results showed that 25% of the respondents had good knowledge and 25% had poor knowledge, 48% had a positive attitude and 52% had a negative attitude, and 21% maintained good practice and 33% maintained poor practice towards COVID-19 transmission-prevention. About 75% respondents relied on television for COVID-19 related information. Regression results showed that knowledge and attitude scores were significantly higher if respondents had primary or secondary and above level of education compared to the uneducated group. Female respondents maintained significantly good practice compared to their male counterparts (β = 6.841; p<0.01). This study has found that one third of the studied slum dwellers maintained poor practice and one fourth had poor knowledge towards COVID-19 transmission-prevention. As KAP domains are significantly correlated, efforts are needed to raise awareness of COVID-19 particularly targeting individuals with average and lower knowledge to improve attitude and practice for the prevention of COVID-19.

摘要

2020年3月8日,孟加拉国发现首例新冠病毒病病例。自那时起,该国各地都在努力提高民众对预防该病毒传播的认识。我们旨在调查城市贫民窟居民对新冠病毒病传播预防的知识、态度和行为。在达卡市的五个贫民窟开展了一项基于电话的横断面调查。2020年10月31日至12月1日期间,使用经过预测试的问卷对476名成年贫民窟居民进行了访谈。在访谈过程中,收集了参与者的人口统计学特征以及对新冠病毒病的知识、态度和行为方面的信息。我们使用四分位数对知识和行为得分进行分类,其中第一四分位数表示差,第二和第三四分位数表示中等,而第四四分位数表示好。态度得分使用z分数进行标准化,并确定为积极态度和消极态度。分别使用多元线性回归模型来确定知识、态度和行为得分的社会经济预测因素。结果显示,25%的受访者知识良好,25%的受访者知识较差,48%的受访者态度积极,52%的受访者态度消极,21%的受访者在预防新冠病毒病传播方面行为良好,33%的受访者行为较差。约有75%的受访者依靠电视获取与新冠病毒病相关的信息。回归结果显示,与未受过教育的群体相比,接受过小学或初中及以上教育的受访者的知识和态度得分显著更高。女性受访者在行为方面明显优于男性受访者(β = 6.841;p<0.01)。本研究发现,三分之一的被调查贫民窟居民在预防新冠病毒病传播方面行为较差,四分之一的居民知识较差。由于知识、态度和行为领域显著相关,因此需要努力提高对新冠病毒病的认识,特别是针对知识水平中等和较低的人群,以改善预防新冠病毒病的态度和行为。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5576/10021697/9c488405a107/pgph.0001017.g001.jpg

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