Associations Between COVID-19 Misinformation Exposure and Belief With COVID-19 Knowledge and Preventive Behaviors: Cross-Sectional Online Study.

Associations Between COVID-19 Misinformation Exposure and Belief With COVID-19 Knowledge and Preventive Behaviors: Cross-Sectional Online Study.
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DOI:
10.2196/22205
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发表时间:
2020-11-13
影响因子:
7.4
通讯作者:
Shin S
Shin S
中科院分区:
医学2区
文献类型:
--
作者:
Lee JJ;Kang KA;Wang MP;Zhao SZ;Wong JYH;O'Connor S;Yang SC;Shin S

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在2019冠状病毒病大流行期间,网上错误信息的扩散已成为一个主要的公共卫生问题。我们的目的是评估COVID-19错误信息暴露和信念的患病率,相关因素,包括错误信息暴露的心理困扰,以及COVID-19知识与预防行为数量之间的关系。2020年4月,对1049名韩国成年人进行了横断面在线调查。受访者被问及使用世界卫生组织确定的12个项目接收COVID-19错误信息的情况。采用Logistic回归计算接受错误信息与社会人口学特征、信息来源、COVID-19错误信息信念和心理困扰之间的校正比值比,以及接受错误信息者的COVID-19错误信息信念与COVID-19知识和COVID-19预防行为数量之间的关联。所有数据都是根据2018年韩国人口普查数据进行加权的。总体而言,67.78% (n=711)的受访者报告至少接触过一个COVID-19错误信息项目。错误信息暴露与年龄较小、教育程度较高和收入较低有关。与错误信息暴露相关的信息来源是社交网络服务(aOR 1.67, 95% CI 1.20-2.32)和即时通讯(aOR 1.79, 1.27-2.51)。错误信息暴露还与心理困扰相关,包括焦虑(aOR 1.80, 1.24-2.61)、抑郁(aOR 1.47, 1.09-2.00)、创伤后应激障碍症状(aOR 1.97, 1.42-2.73)以及错误信息信念(aOR 7.33, 5.17-10.38)。错误信息信念与较差的COVID-19知识(高:aOR 0.62, 0.45-0.84)和较少的预防行为(≥7种行为:aOR 0.54, 0.39-0.74)相关。错误信息暴露与错误信息信念相关,错误信息信念与较少的预防行为相关。鉴于错误信息有可能破坏全球COVID-19疾病控制工作,需要采取最新的公共卫生战略来遏制错误信息的扩散。
Online misinformation proliferation during the COVID-19 pandemic has become a major public health concern. We aimed to assess the prevalence of COVID-19 misinformation exposure and beliefs, associated factors including psychological distress with misinformation exposure, and the associations between COVID-19 knowledge and number of preventive behaviors. A cross-sectional online survey was conducted with 1049 South Korean adults in April 2020. Respondents were asked about receiving COVID-19 misinformation using 12 items identified by the World Health Organization. Logistic regression was used to compute adjusted odds ratios (aORs) for the association of receiving misinformation with sociodemographic characteristics, source of information, COVID-19 misinformation belief, and psychological distress, as well as the associations of COVID-19 misinformation belief with COVID-19 knowledge and the number of COVID-19 preventive behaviors among those who received the misinformation. All data were weighted according to the Korea census data in 2018. Overall, 67.78% (n=711) of respondents reported exposure to at least one COVID-19 misinformation item. Misinformation exposure was associated with younger age, higher education levels, and lower income. Sources of information associated with misinformation exposure were social networking services (aOR 1.67, 95% CI 1.20-2.32) and instant messaging (aOR 1.79, 1.27-2.51). Misinformation exposure was also associated with psychological distress including anxiety (aOR 1.80, 1.24-2.61), depressive (aOR 1.47, 1.09-2.00), and posttraumatic stress disorder symptoms (aOR 1.97, 1.42-2.73), as well as misinformation belief (aOR 7.33, 5.17-10.38). Misinformation belief was associated with poorer COVID-19 knowledge (high: aOR 0.62, 0.45-0.84) and fewer preventive behaviors (≥7 behaviors: aOR 0.54, 0.39-0.74). COVID-19 misinformation exposure was associated with misinformation belief, while misinformation belief was associated with fewer preventive behaviors. Given the potential of misinformation to undermine global efforts in COVID-19 disease control, up-to-date public health strategies are required to counter the proliferation of misinformation.
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