Awareness, Attitudes, and Actions Related to COVID-19 Among Adults With Chronic Conditions at the Onset of the US Outbreak A Cross-sectional Survey
Awareness, Attitudes, and Actions Related to COVID-19 Among Adults With Chronic Conditions at the Onset of the US Outbreak A Cross-sectional Survey
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DOI：
10.7326/m20-1239
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发表时间：
2020-07-21
影响因子：
39.2
通讯作者：
Bailey, Stacy C.
中科院分区：
文献类型：
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作者：
Wolf, Michael S.;Serper, Marina;Bailey, Stacy C.
背景：2019冠状病毒病（COVID-19）的不断爆发需要社交距离和其他措施来保护公众健康。然而，信息传递一直不一致和不明确。目的：确定美国成年人对COVID-19的认识、知识、态度和相关行为，这些成年人因年龄和合并症而更容易感染并发症。设计：与3项活跃的临床试验和1项队列研究相关的横断面调查。设置：5个学术内科实践和2个联邦合格的健康中心。患者：630名年龄在23岁至88岁之间的成年人患有一种或多种慢性疾病。测量：自我报告的与COVID-19相关的知识，态度和行为。结果：四分之一（24.6%）的参与者“非常担心”感染冠状病毒。近三分之一的人不能正确识别症状（28.3%）或预防感染的方法（30.2%）。四分之一的成年人（24.6%）认为他们“根本不可能”感染病毒，21.9%的人报告COVID-19对他们的日常生活影响很小或没有影响。十分之一的受访者非常有信心联邦政府能够阻止全国范围内的疫情爆发。在多变量分析中，黑人、生活在贫困线以下、健康素养低的参与者更有可能不太担心COVID-19，不相信自己会被感染，对疫情的准备也更少。健康素养低的人对联邦政府的应对措施更有信心。局限性：在COVID-19美国爆发的最初一周，对1个城市有潜在健康状况的成年人进行的横断面研究。结论：许多患有共病的成年人缺乏对COVID-19的关键知识，尽管担心，但并没有改变日常生活或计划。注意到的差距表明，可能需要加大公共卫生工作力度，以动员最脆弱的社区。
Background: The evolving outbreak of coronavirus disease 2019 (COVID-19) is requiring social distancing and other measures to protect public health. However, messaging has been inconsistent and unclear.Objective: To determine COVID-19 awareness, knowledge, attitudes, and related behaviors among U.S. adults who are more vulnerable to complications of infection because of age and co-morbid conditions.Design: Cross-sectional survey linked to 3 active clinical trials and 1 cohort study.Setting: 5 academic internal medicine practices and 2 federally qualified health centers.Patients: 630 adults aged 23 to 88 years living with 1 or more chronic conditions.Measurements: Self-reported knowledge, attitudes, and behaviors related to COVID-19.Results: A fourth (24.6%) of participants were "very worried" about getting the coronavirus. Nearly a third could not correctly identify symptoms (28.3%) or ways to prevent infection (30.2%). One in 4 adults (24.6%) believed that they were "not at all likely" to get the virus, and 21.9% reported that COVID-19 had little or no effect on their daily routine. One in 10 respondents was very confident that the federal government could prevent a nationwide outbreak. In multivariable analyses, participants who were black, were living below the poverty level, and had low health literacy were more likely to be less worried about COVID-19, to not believe that they would become infected, and to feel less prepared for an outbreak. Those with low health literacy had greater confidence in the federal government response.Limitation: Cross-sectional study of adults with underlying health conditions in 1 city during the initial week of the COVID-19 U.S. outbreak.Conclusion: Many adults with comorbid conditions lacked critical knowledge about COVID-19 and, despite concern, were not changing routines or plans. Noted disparities suggest that greater public health efforts may be needed to mobilize the most vulnerable communities.