Gender specific differences in COVID-19 knowledge, behavior and health effects among adolescents and young adults in Uttar Pradesh and Bihar, India.
Gender specific differences in COVID-19 knowledge, behavior and health effects among adolescents and young adults in Uttar Pradesh and Bihar, India.
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在北方邦和印度比哈尔邦的青少年和年轻人中，在19009年的知识，行为和健康影响方面的性别特定差异。
DOI：
10.1371/journal.pone.0244053
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发表时间：
2020
期刊：
影响因子：
3.7
通讯作者：
Ngo TD
中科院分区：
文献类型：
--
作者：
Pinchoff J;Santhya KG;White C;Rampal S;Acharya R;Ngo TD
2020 年 3 月 24 日，印度实施全国封锁，以防止新型冠状病毒病 (COVID-19) 在其 13 亿人口中传播。由于这一流行病可能对妇女和女童造成不成比例的影响，本研究探讨了对 COVID-19 症状和预防行为的了解的性别差异，以及封锁对青少年和年轻人的不利影响。 2020 年 4 月 3 日至 22 日，在北方邦和比哈尔邦对从现有队列研究中随机选出的受访者进行了一项基于手机的调查。受访者回答了与人口统计、COVID-19 知识、态度和预防行为以及对社会、经济和健康结果的影响相关的问题。对所有参与者分别对男性和女性进行描述性分析和线性概率回归模型。共有 1,666 名青少年和年轻人（18-24 岁）接受了调查； 70%是女性。虽然大多数参与者对疾病症状和预防行为都有很高的认识，但性别之间存在差异。与男性相比，女性了解 COVID-19 主要症状的可能性低 7 个百分点 (pp)（系数 = -0.071；95% 置信区间：-0.122 - -0.021）。女性的知识因教育水平、城市居住地和家庭财富而存在差异。与男性相比，女性采取关键预防行为的可能性要低 22%（系数 = -0.222；95% CIL -0.263，-0.181）。女性也比男性更有可能报告近期抑郁症状（coeff = 0.057；95% CI：0.004，0.109）。我们的研究结果强调，COVID-19 已经对青春期女孩和年轻女性产生了不成比例的影响，她们可能需要额外的有针对性的、性别敏感的信息来促进行为改变。必须开展对性别问题有敏感认识的宣传活动和提供卫生服务，并在大流行期间为妇女和女孩提供所需的资源和支持，以确保公共卫生和性别平等方面的成果不会丧失。
On March 24, 2020 India implemented a national lockdown to prevent spread of the novel Coronavirus disease (COVID-19) among its 1.3 billion people. As the pandemic may disproportionately impact women and girls, this study examines gender differences in knowledge of COVID-19 symptoms and preventive behaviors, as well as the adverse effects of the lockdown among adolescents and young adults. A mobile phone-based survey was implemented from April 3–22, 2020 in Uttar Pradesh and Bihar among respondents randomly selected from an existing cohort study. Respondents answered questions related to demographics, COVID-19 knowledge, attitudes, and preventive behaviors practiced, and impacts on social, economic and health outcomes. Descriptive analyses and linear probability regression models were performed for all participants and separately for men and women. A total of 1,666 adolescents and young adults (18–24 years old) were surveyed; 70% were women. While most participants had high awareness of disease symptoms and preventive behaviors, there was variation by gender. Compared to men, women were seven percentage points (pp) less likely to know the main symptoms of COVID-19 (coeff = -0.071; 95% confidence interval: -0.122 - -0.021). Among women, there was variation in knowledge by education level, urban residence, and household wealth. Women were 22 pp less likely to practice key preventive behaviors compared to men (coeff = -0.222; 95% CIL -0.263, -0.181). Women were also more likely to report recent depressive symptoms than men (coeff = 0.057; 95% CI: 0.004, 0.109). Our findings underscore that COVID-19 is already disproportionately impacting adolescent girls and young women and that they may require additional targeted, gender-sensitive messaging to foster behavior change. Gender-sensitive information campaigns and provision of health services must be accessible and provide women and girls with needed resources and support during the pandemic to ensure gains in public health and gender equity are not lost.
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DOI：
10.1016/0749-5978(91)90020-t
发表时间：
1991-12-01
影响因子：
4.6
作者：
AJZEN, I
通讯作者：
AJZEN, I
影响因子：
4.5
作者：
Davies, Sara E.;Bennett, Belinda
通讯作者：
Bennett, Belinda
影响因子：
1.5
作者：
Santhya, K. G.;Zavier, A. J. Francis
通讯作者：
Zavier, A. J. Francis
影响因子：
7.1
作者：
Akseer, Nadia;Kandru, Goutham;Bhutta, Zulfiqar A.
通讯作者：
Bhutta, Zulfiqar A.
影响因子：
11.3
作者：
Liu, Nianqi;Zhang, Fan;Liu, Weizhi
通讯作者：
Liu, Weizhi