Knowledge, attitudes and preparedness to respond to COVID-19 among the border population of northern Thailand in the early period of the pandemic: a cross-sectional study.
Knowledge, attitudes and preparedness to respond to COVID-19 among the border population of northern Thailand in the early period of the pandemic: a cross-sectional study.
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DOI：
10.4103/2224-3151.294305
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发表时间：
2020-09-01
影响因子：
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通讯作者：
Upala, Panupong
中科院分区：
文献类型：
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作者：
Srichan, Peeradone;Apidechkul, Tawatchai;Upala, Panupong
背景：泰国北部的清莱省是许多人在附近国家和地区旅行的地方，包括中国云南省。2020年2月，人们对2019年冠状病毒病（COVID-19）的易感性感到担忧。方法：在距离边境不到10公里的15个村庄进行了横断面研究。编制了一份问卷，并对其信度和效度进行了测试；48个问题涵盖了参与者的特征，以及对COVID-19的知识、态度和准备。卡方检验用于检测变量之间的任何显著关联。计算未调整和调整95%置信区间（ci）的优势比，以评估各种因素与参与者报告的知识、态度和准备水平之间可能存在的关联。结果：共招募了520名参与者，其中320名（61.5%）为女性。年龄范围18-90岁；平均年龄为45.2岁。调整后与COVID-19防控准备良好至中等程度相关的变量为：女性比男性准备更好(调整优势比(ORadj) = 2.52；95% ci = 1.36-4.68)；18 ~ 30岁（ORadj = 4.26, 95% CI = 1.18 ~ 15.30）、31 ~ 45岁（ORadj = 4.60, 95% CI = 1.59 ~ 13.32）、46 ~ 60岁（ORadj = 2.69, 95% CI = 1.16 ~ 6.26）患者的术前准备均优于60 ~ 90岁；与没有受过正规教育的人相比，受过小学教育（ORadj = 2.43; 95% CI = 1.09-5.43）或大学教育（ORadj = 3.18; 95% CI = 1.06-9.51）的人准备得更好。结论：在这一人群中，有效沟通有关COVID-19预防和控制的基本、准确和最新信息至关重要，特别是对于男性、老年群体和缺乏正规教育的人群。
Background: Chiang Rai province in northern Thailand is a site of many people travelling among nearby countries and areas, including Yunnan province, China. In February 2020, there was concern about the population's vulnerability to coronavirus disease 2019 (COVID-19).Methods: A cross-sectional study was conducted in 15 villages less than 10 km from a border. A questionnaire was developed and tested for reliability and validity; 48 questions covered participant characteristics, plus knowledge about, attitudes to and preparedness for COVID-19. Chi-squared tests were used to detect any significant association between variables. Unadjusted and adjusted odds ratios with 95% confidence intervals (CIs) were calculated to assess the possible association of various factors with participants' level of reported knowledge, attitudes and preparedness.Results: A total of 520 participants were recruited of whom 320 (61.5%) were women. The age range was 18-90 years; the average age was 45.2 years. Variables with an association with good to moderate preparedness for COVID-19 prevention and control that remained after adjustment were: women were better prepared than men (adjusted odds ratio (ORadj) = 2.52; 95% CI = 1.36-4.68); those aged 18-30 years (ORadj = 4.26; 95% CI = 1.18-15.30), 31-45 years (ORadj = 4.60; 95% CI = 1.59-13.32) or 46-60 years (ORadj = 2.69; 95% CI = 1.16-6.26) were better prepared than those aged 60-90 years; and, compared with those with no formal education, those educated to primary school level (ORadj = 2.43; 95% CI = 1.09-5.43) or to university level (ORadj = 3.18; 95% CI = 1.06-9.51) were better prepared.Conclusion: Effective communication of essential, accurate and up-to-date information regarding COVID-19 prevention and control is essential in this population - especially for men, older age groups and those lacking formal education.