Knowledge, attitudes and practices of COVID-19 among income-poor households in the Philippines: A cross-sectional study
Knowledge, attitudes and practices of COVID-19 among income-poor households in the Philippines: A cross-sectional study
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DOI：
10.7189/jogh.10.011007
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发表时间：
2020-06-01
影响因子：
7.2
通讯作者：
Wei, Xiaolin
中科院分区：
文献类型：
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作者：
Lau, Lincoln Leehang;Hung, Natalee;Wei, Xiaolin
在卫生系统脆弱和错误信息普遍存在的背景下，COVID-19在低收入和中等收入国家的存在引起了人们对有效应对和防范大流行的重大关切。本研究的目的是了解菲律宾极端贫困家庭对COVID-19的看法。本研究是与国际关怀部（ICM）合作进行的，ICM是一个菲律宾的非政府组织（NGO），它运行一个名为Transform的扶贫项目，针对极端低收入家庭。从2020年2月20日至3月13日，我们将知识、态度和实践（KAP）问题整合到ICM的横向项目监测和评估系统中。计算频率和比例来描述受访者的回答，并进行Kruskal-Wallis检验和二项逻辑回归来确定与COVID-19 kap相关的社会人口统计学特征。结果共调查了来自农村、城市和沿海地区166个社区的2224名受访者。尽管这项调查是在大流行的早期阶段进行的，但94.0%的受访者已经听说过COVID-19。据报道，电视（85.5%）和广播（56.1%）等传统媒体是病毒信息的主要来源。89.5%的应答者认为咳嗽和打喷嚏是传播途径，而间接手接触是最不常见的传播途径，只有72.6%的应答者认识到这一点。82.2%的受访者认为洗手是预防措施，但分别只有32.4%和40.6%的受访者认为保持社交距离和避开人群是预防措施。洗手是应对COVID-19最常见的预防措施，被89.9%的受访者采用。对潜在传播途径了解更多的人采取了更多的预防措施。结论：有必要将有针对性的健康教育作为低收入地区应对COVID-19的策略，重要的是策略应与具体情况相关。在为中低收入国家制定公共卫生应对和传播战略的量身定制指导时，了解极端贫困人口的kap将非常重要。
Background The presence of COVID-19 in low- and middle-income countries (LMICs) is raising important concerns about effective pandemic response and preparedness in the context of fragile health systems and the pervasiveness of misinformation. The objective of this study was to gain an understanding of how COVID-19 was perceived by households experiencing extreme poverty in the Philippines.Methods This study was conducted in partnership with International Care Ministries (ICM), a Philippine-based non-governmental organization (NGO) that runs a poverty-alleviation program called Transform targeted towards extreme low-income households. We integrated knowledge, attitudes, and practices (KAP) questions into ICM's cross-sectional program monitoring and evaluation systems from February 20 through March 13, 2020. Frequencies and proportions were calculated to describe the respondents' responses, and the Kruskal-Wallis test and binomial logistic regression were undertaken to determine the socio-demographic characteristics associated with COVID-19 KAPs.Results In total, 2224 respondents from 166 communities in rural, urban and coastal settings were surveyed. Although the survey was administered during the earlier stages of the pandemic, 94.0% of respondents had already heard of COVID-19. Traditional media sources such as television (85.5%) and radio (56.1%) were reported as the main sources of information about the virus. Coughing and sneezing were identified as a transmission route by 89.5% of respondents, while indirect hand contact was the least commonly identified transmission route, recognized by 72.6% of respondents. Handwashing was identified by 82.2% of respondents as a preventive measure against the virus, but social distancing and avoiding crowds were only identified by 32.4% and 40.6%, respectively. Handwashing was the most common preventive practice in response to COVID-19, adopted by 89.9% of respondents. A greater number of preventive measures were taken by those with more knowledge of potential transmission routes.Conclusions There is a need for targeted health education as a response strategy to COVID-19 in low-income settings, and it is important that strategies are contextually relevant. Understanding KAPs among populations experiencing extreme poverty will be important as tailored guidance for public health response and communication strategies are developed for LMICs.