Knowledge, attitudes, practices, and the effects of COVID-19 among the youth in Kenya.

Knowledge, attitudes, practices, and the effects of COVID-19 among the youth in Kenya.
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DOI:
10.1186/s12889-021-11067-2
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发表时间:
2021-05-30
期刊:
影响因子:
4.5
通讯作者:
Abuya T
Abuya T
中科院分区:
医学2区
文献类型:
--
作者:
Karijo E;Wamugi S;Lemanyishoe S;Njuki J;Boit F;Kibui V;Karanja S;Abuya T

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自2020年3月肯尼亚确诊首例病例以来,该国2019年冠状病毒病(COVID-19)病例持续快速增加。在这一流行病之后,肯尼亚青年所经历的健康和社会经济挑战可能会加剧。我们评估了肯尼亚青年对COVID-19的知识、实践、感知的感染风险、推荐行为的采纳情况以及影响。在2020年4月30日至5月7日期间,通过结合在线调查和电话访谈进行了一项横断面描述性研究。肯尼亚所有47个县的2156名青年完成了对研究问题的回答。使用Stata第15版分析的所有调查答复按性别、年龄和教育水平制表,以生成基本描述性表格,并使用卡方检验按类别测试差异。如适用,使用就业状况、性别和教育水平等协变量进行线性和logistic回归分析模型。对COVID-19症状的认识普遍较高。与男性相比,女性受访者更有可能正确识别更多症状(p < 0.001)。然而,青年人报告的感染风险非常低(7.1%)。大多数年轻人都采取了必要的行为来减缓感染。报告的无法获得与性健康和生殖健康有关的保健服务的情况普遍很少。约50.0%的受访者表示在疫情期间收入显著下降,近三分之一的受访者表示生活在恐惧中,26.5%的受访者表示感到压力。人们对COVID-19的症状、预防策略和预防措施的采用率很高。保持年轻人积极行为的策略对于减少COVID-19的传播至关重要。尽管报告的无法获得性健康和生殖健康服务的比率很低,但应对措施应包括促进在年轻人中持续提供服务的战略。据报该流行病的社会影响表明,需要采取干预措施,满足青年的健康和社会经济需要,并尽量减少该流行病的长期后果。在线版本包含补充材料,可通过10.1186/s12889-021-11067-2获得。
Cases of the Corona Virus Disease of 2019 (COVID-19) in Kenya have continued to increase rapidly, since the first case in the country was confirmed in March 2020. In the wake of the pandemic, the health and socio-economic challenges experienced by the youth in Kenya are likely to be elevated. We assessed knowledge, practices, perceived risk of infection, adoption of recommended behaviour and the effects of COVID-19 among the youth in Kenya. A cross sectional descriptive study was conducted between April 30th to May 7th, 2020 through a combined online survey and phone interviews. A total of 2156 youth across all 47 counties in Kenya completed the responses to the study questions. All survey responses analyzed using Stata version 15 were tabulated by gender, age, and education level to generate basic descriptive tables and tested for differences by category using chi-square tests. Where applicable, linear and logistic regression analysis model was conducted using covariates such as employment status, gender, and education level. Knowledge on symptoms of COVID-19 was generally high. Female respondents were more likely to identify more symptoms correctly compared to men (p < 0.001). However, youth reported very low levels of anyone being at risk of infection (7.1%). Most youth have adopted behavior necessary to slow down the infection. There were generally very low reported levels of inability to access health services related to sexual and reproductive health. About 50.0% of respondents reported significant decline in income during the pandemic period, nearly a third reported living in fear while 26.5% reported feeling stressed. There was high knowledge of COVID-19 symptoms, preventive strategies, and high adoption of preventive practices. Strategies to sustain behaviors positively adopted among young people will be critical to reduce the spread of COVID-19. Despite the low reported rates of inability to access sexual and reproductive health, response measures should include strategies that facilitate continuity of services among young people. The reported social effects of the pandemic show the need for interventions to meet the health and socio-economic needs of the youth and minimize the long-term consequences of the pandemic. The online version contains supplementary material available at 10.1186/s12889-021-11067-2.
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