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普通社区中COVID-19知识、风险认知和公众污名化方面的性别差异:印度一项全国性横断面研究的结果

Gender differences in COVID-19 knowledge, risk perception, and public stigma among the general community: Findings from a nationwide cross-sectional study in India.

作者信息

Stephen A, Nair Saritha, Joshi Aparna, Aggarwal Sumit, Adhikari Tulsi, Diwan Vishal, Devi Kangjam Rekha, Mishra Bijaya Kumar, Yadav Girijesh Kumar, Sahu Damodar, Gulati Bal Kishan, Sharma Saurabh, Yadav Jeetendra, Ovung Senthanro, Duggal Chetna, Sharma Moina, Bangar Sampada Dipak, Rebecca Pricilla B, Rani S, Selvaraj Pradeep, Xavier Gladston G, Peter Vanessa, Watson Basilea, Kannan T, Asmathulla K S M D, Bhattacharya Debdutta, Turuk Jyotirmayee, Palo Subrata Kumar, Kanungo Srikanta, Behera Ajit Kumar, Pandey Ashok Kumar, Zaman Kamran, Misra BrijRanjan, Kumar Niraj, Behera SthitaPragnya, Singh Rajeev, Narain Kanwar, Kant Rajni, Sahay Seema, Tiwari RajnarayanRamshankar, Thomas Beena Elizabeth, Karikalan N, Panda Samiran, Vardhana Rao M Vishnu, Ujagare Dhammsagar, Chinchore Sneha

机构信息

Department of Social and Behavioral Research, ICMR-National Institute for Research in Tuberculosis, Chennai, India.

ICMR-National Institute of Medical Statistics, Indian Council of Medical Research, New Delhi, India.

出版信息

Int J Disaster Risk Reduct. 2023 Jul;93:103776. doi: 10.1016/j.ijdrr.2023.103776. Epub 2023 May 30.

Abstract

INTRODUCTION

Individual and community characteristics predictive of knowledge, perception, and attitude on COVID-19, specifically on gender, have not been adequately explored.

OBJECTIVE

To examine the gender differences in COVID-19 knowledge, self-risk perception and public stigma among the general community and to understand other socio-demographic factors which were predictive of them.

METHOD

A nationally representative cross-sectional multi-centric survey was conducted among adult individuals(≥18 yrs) from the community member (N = 1978) from six states and one union territory of India between August 2020 to February 2021. The participants were selected using systematic random sampling. The data were collected telephonically using pilot-tested structured questionnaires and were analyzed using STATA. Gender-segregated multivariable analysis was conducted to identify statistically significant predictors (p < 0.05) of COVID-19-related knowledge, risk perception, and public stigma in the community.

RESULTS

Study identified significant differences between males and females in their self-risk perception (22.0% & 18.2% respectively) and stigmatizing attitude (55.3% & 47.1% respectively). Highly educated males and females had higher odds of having COVID-19 knowledge (aOR: 16.83: p < 0.05) than illiterates. Highly educated women had higher odds of having self-risk perception (aOR: 2.6; p < 0.05) but lower public stigma [aOR: 0.57; p < 0.05]. Male rural residents had lower odds of having self-risk perception and knowledge [aOR: 0.55; p < 0.05 & aOR: 0.72; p < 0.05] and female rural residents had higher odds of having public stigma [aOR: 1.36; p < 0.05].

CONCLUSION

Our study findings suggest the importance of considering thegender differentials and their background, education status and residential status in designing effective interventions to improve knowledge and reduce risk perception and stigma in the community about COVID-19.

摘要

引言

尚未充分探讨预测对新冠病毒病(COVID-19)的知识、认知和态度的个体及社区特征,特别是性别方面的特征。

目的

研究普通社区人群在COVID-19知识、自我风险认知和公众污名化方面的性别差异,并了解其他具有预测作用的社会人口学因素。

方法

于2020年8月至2021年2月期间,对印度六个邦和一个联邦属地的成年社区成员(≥18岁)进行了一项具有全国代表性的多中心横断面调查(N = 1978)。采用系统随机抽样法选取参与者。通过电话使用经过预测试的结构化问卷收集数据,并使用STATA进行分析。进行了按性别分类的多变量分析,以确定社区中COVID-19相关知识、风险认知和公众污名化的统计学显著预测因素(p < 0.05)。

结果

研究发现,男性和女性在自我风险认知(分别为22.0%和18.2%)和污名化态度(分别为55.3%和47.1%)方面存在显著差异。与文盲相比,受过高等教育的男性和女性拥有COVID-19知识的几率更高(调整后比值比:16.83;p < 0.05)。受过高等教育的女性有更高的自我风险认知几率(调整后比值比:2.6;p < 0.05),但公众污名化几率较低[调整后比值比:0.57;p < 0.05]。农村男性居民有自我风险认知和知识的几率较低[调整后比值比:0.55;p < 0.05和调整后比值比:0.72;p < 0.05],农村女性居民有公众污名化的几率较高[调整后比值比:1.36;p < 0.05]。

结论

我们的研究结果表明,在设计有效干预措施以提高社区对COVID-19的知识水平、降低风险认知和污名化时,考虑性别差异及其背景、教育程度和居住状况非常重要。

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