Abstract
This study sought to assess the level of knowledge, attitude, and practice (KAP) toward COVID-19 among Bangladeshi students. An online-based cross-sectional study was conducted in late April 2020 among 904 Bangladeshi students using a Snowball sampling technique. Data collected were analyzed using descriptive statistics, independent sample t-tests, and analysis of variance (ANOVA) test. Multiple linear regression was employed to calculate the associations between KAP scores and other demographic variables. The mean COVID-19 knowledge score was 14.45 (SD: 1.72; range: 7-17), indicating a moderate level of knowledge. The mean scores for attitudes and practices were 2.45 (SD: 1.13; range: 0-6) and 4.58 (SD: 0.71; range: 1-5), indicating negative attitudes and reasonable practices toward COVID-19, respectively. Students enrolled at the undergraduate level or higher and from urban areas were associated with higher knowledge and practice scores. Students who read scientific articles as their main source of COVID-19 information were more knowledgeable than their peers. Students who participated in online training/courses about COVID-19 were significantly associated with higher KAP scores. The negative attitude of students reported in this study indicates the need for government and policymakers to ensure more targeted awareness campaigns are implemented to enhance public confidence and participation in COVID-19 preventive measures.
References
Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet. 2020 Feb ;395:507–13. https://doi.org/10.1016/s0140-6736(20)30211-7
Hassan SA, Sheikh FN, Jamal S, Ezeh JK, Akhtar A, et al. Coronavirus (COVID-19): a review of clinical features, diagnosis, and treatment. Cureus. 2020 Mar 21;12(3) :e7355. https://doi.org/10.7759/cureus.7355
Adhikari SP, Meng S, Wu YJ, Mao YP, Ye RX, Wang QZ, et al. Epidemiology, causes, clinical manifestation and diagnosis, prevention and control of coronavirus disease (COVID-19) during the early outbreak period: a scoping review. Infect Dis Poverty. 2020 Mar 17;9(1):29. https://doi.org/10.1186/s40249-020-00646-x
Wang Y, Wang Y, Chen Y, Qin Q. Unique epidemiological and clinical features of the emerging 2019 novel coronavirus pneumonia (COVID‐19) implicate special control measures. J Med Virol. 2020 Jun;92(6):568-576. https://doi.org/10.1002/jmv.25748
Ahmed SS. The Coronavirus disease 2019 (COVID-19): a review. J Adv Med Med Res. 2020;32(4):1–9. https://doi.org/10.9734/jammr/2020/v32i430393
Oran DP, Topol EJ. Prevalence of asymptomatic SARS-CoV-2 infection: a narrative review. Ann Intern Med. 2021 Feb;174(2):286-287. https://doi.org/10.7326/l20-1285
Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, et al. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med. 2020; 382(18): 1708-20. https://doi.org/10.1056/nejmoa2002032
Zhang J, Wang X, Jia X, Li J, Hu K, Chen G, et al. Risk factors for disease severity, unimprovement, and mortality in COVID-19 patients in Wuhan, China. Clin Microbiol Infect. 2020 Jun; 26(6):767-772. https://doi.org/10.1016/j.cmi.2020.04.012
WHO. Coronavirus disease (COVID-19) Advice for the Public. 2020. [Acceessed 2022 Mar 04]. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public
Zhong BL, Luo W, Li HM, Zhang QQ, Liu XG, Li WT, et al. Knowledge, attitudes, and practices towards COVID-19 among Chinese residents during the rapid rise period of the COVID-19 outbreak: a quick online cross-sectional survey. Int J Biol Sci. 2020 Mar 15; 16(10):1745-1752. https://doi.org/10.7150/ijbs.45221
Yap J, Lee VJ, Yau TY, Ng TP, Tor PC. Knowledge, attitudes and practices towards pandemic influenza among cases, close contacts, and healthcare workers in tropical Singapore: a cross-sectional survey. BMC Public Health. 2010 Jul 28;10:442. https://doi.org/10.1186/1471-2458-10-442
Ayinde O, Usman AB, Aduroja P, Gbolahan A. A cross-sectional study on Oyo state health care workers knowledge, attitude and practice regarding corona virus disease 2019 (COVID-19). 2020; 10(3). https://doi.org/10.4236/aid.2020.103002
Paul A, Sikdar D, Hossain MM, Amin MR, Deeba F, Mahanta J, et al. Knowledge, attitudes, and practices toward the novel coronavirus among Bangladeshis: Implications for mitigation measures. PLoS One. 2020 Sep 2; 15(9):e0238492. https://doi.org/10.1371/journal.pone.0238492
Kumar B, Pinky SD, Nurudden AM. Knowledge, attitudes and practices towards COVID-19 guidelines among students in Bangladesh. Soc Sci Humanit Open. 2021; 4(1): 100194. https://dx.doi.org/10.1016%2Fj.ssaho.2021.100194
Jia Y, Ma S, Bai L, Xiao Q, Wu Y, Gao Y, et al. Health Literacy and Disparities in Knowledge, Attitude and Practice Regarding COVID-19 Among College Students During the COVID-19 Outbreak in China: A Cross-Sectional Study. Risk Manag Healthc Policy. 2021 Nov 2;14:4477-4488. https://doi.org/10.2147/rmhp.s319331
Sazali MF, Rahim SSSA, Mohamed MH, Omar A, Pang NTP, Jeffree MS, et al. Knowledge, attitude and practice on COVID-19 among students during the early phase of pandemic in a university in Borneo, Malaysia. J Public Health Res. 2021 Mar 24;10(3):2122. https://doi.org/10.4081/jphr.2021.2122
Rahman A, Sathi NJ. Knowledge, Attitude, and Preventive Practices toward COVID-19 among Bangladeshi Internet Users. Electron J Gen Med. 2020;17(5): em245. https://doi.org/10.29333/ejgm/8223
Hussein NR, Naqid IA, Jacksi K, Ali Abdi B. Assessment of knowledge, attitudes, and practices toward COVID-19 virus among university students in Kurdistan region, Iraq: Online cross-sectional study. J Fam Med Prim care. 2020 Sep;9(9):4809-4814. https://dx.doi.org/10.4103%2Fjfmpc.jfmpc_870_20
BBC. Coronavirus: One month of identifying the first case, what is the current situation of Bangladesh? 2020.
Kundu S, Al Banna MH, Sayeed A, Begum MR, Brazendale K, Hasan MT, et al. Knowledge, attitudes, and preventive practices toward the COVID-19 pandemic: an online survey among Bangladeshi residents. Z Gesundh Wiss. 2021 Aug 14:1-15. https://doi.org/10.1007/s10389-021-01636-5
Elmer T, Mepham K, Stadtfeld C. Students under lockdown: Comparisons of students’ social networks and mental health before and during the COVID-19 crisis in Switzerland. PLoS One. 2020 Jul 23;15(7):e0236337. https://doi.org/10.1371/journal.pone.0236337
WHO. Emerging respiratory viruses, including COVID-19: methods for detection, prevention, response, and control. 2020. [Accessed 2022 Mar 04]. Available from: https://extranet.who.int/goarn/emerging-respiratory-viruses-including-covid-19-methods-detection-prevention-response-and-control
Eysenbach G. Improving the quality of Web surveys: the Checklist for Reporting Results of Internet E-Surveys (CHERRIES). J Med Internet Res. 2004 Sep 29;6(3):e34. https://doi.org/10.2196/jmir.6.3.e34
Williams JR. The Declaration of Helsinki and public health. Bull World Health Organ. 2008;86(8):650-2. https://doi.org/10.2471/blt.08.050955
Taber KS. The use of Cronbach’s alpha when developing and reporting research instruments in science education. Res Sci Educ. 2018; 48:1273–96. https://doi.org/10.1007/s11165-016-9602-2
Gohel KH, Patel PB, Shah PM, Patel JR, Pandit N, Raut A. Knowledge and perceptions about COVID-19 among the medical and allied health science students in India: An online cross-sectional survey. Clin Epidemiol Glob Health. 2021 Jan-Mar;9:104-109. https://doi.org/10.1016/j.cegh.2020.07.008
Singh AK, Karmacharya RM, Vaidya S, Malla BR, Bhatt G. Knowledge, Attitude and Practices towards COVID-19 among Medical Students. J KIST Med Coll. 2020; 2(2):1–10. https://doi.org/10.3126/jkistmc.v2i2.33564
Khalil NS, Al-Yuzbaki DB, Tawfeeq RS. COVID-19 knowledge, attitude and practice among medical undergraduate students in Baghdad City. Eur Asian J Biosci. 2020; 14:4179–86.
Peng Y, Pei C, Zheng Y, Wang J, Zhang K, Zheng Z, et al. A cross-sectional survey of knowledge, attitude and practice associated with COVID-19 among undergraduate students in China. BMC Public Health. 2020 Aug 26;20(1):1292. https://doi.org/10.1186/s12889-020-09392-z
Prasad Singh J, Sewda A, Shiv DG. Assessing the knowledge, attitude and practices of students regarding the COVID-19 pandemic. J Health Manag. 2020;22:281–90. https://doi.org/10.1177%2F0972063420935669
Al-Mohrej OA, Al-Shirian SD, Al-Otaibi SK, Tamim HM, Masuadi EM, Fakhoury HM. Is the Saudi public aware of Middle East respiratory syndrome? J Infect Public Health. 2016 May-Jun;9(3):259-66. https://doi.org/10.1016/j.jiph.2015.10.003
Bawazir A, Al-Mazroo E, Jradi H, Ahmed A, Badri M.MERS-CoV infection: mind the public knowledge gap. J Infect Public Health. 2018 Jan-Feb;11(1):89-93. https://doi.org/10.1016/j.jiph.2017.05.003
Beier ME, Ackerman PL. Determinants of health knowledge: an investigation of age, gender, abilities, personality, and interests. J Pers Soc Psychol. 2003; 84(2), 439–448. https://psycnet.apa.org/doi/10.1037/0022-3514.84.2.439
Ferdous MZ, Islam MS, Sikder MT, Mosaddek ASM, Zegarra-Valdivia JA, Gozal D. Knowledge, attitude, and practice regarding COVID-19 outbreak in Bangladesh: An online-based cross-sectional study. PLoS One. 2020 Oct 9;15(10):e0239254. https://doi.org/10.1371/journal.pone.0239254
Alzoubi H, Alnawaiseh N, Al-Mnayyis A, Abu-lubad M, Aqel A, Alshagahin H. COVID-19-knowledge, attitude and practice among medical and non-medical University Students in Jordan. J Pure Appl Microbiol. 2020; 14:17–24. [Accessed 2022 Mar 04]. Available from: https://pesquisa.bvsalud.org/global-literature-on-novel-coronavirus-2019-ncov/resource/pt/covidwho-142234
Al-Hanawi MK, Angawi K, Alshareef N, Qattan AMN, Helmy HZ, Abudawood Y, et al. Knowledge, attitude and practice toward COVID-19 among the public in the Kingdom of Saudi Arabia: a cross-sectional study. Front public Heal. 2020 May 27;8:217. https://doi.org/10.3389/fpubh.2020.00217
Blendon RJ, Benson JM, DesRoches CM, Raleigh E, Taylor-Clark K. The public’s response to severe acute respiratory syndrome in Toronto and the United States. Clin Infect Dis. 2004 Apr 1;38(7):925-31. https://doi.org/10.1086/382355
Banna MHA, Sayeed A, Kundu S, Christopher E, Hasan MT, Begum MR, et al. The impact of the COVID-19 pandemic on the mental health of the adult population in Bangladesh: a nationwide cross-sectional study. Int J Environ Health Res. 2022 Apr;32(4):850-861. https://doi.org/10.1080/09603123.2020.1802409
Taghrir MH, Borazjani R, Shiraly R. COVID-19 and Iranian medical students; a survey on their related-knowledge, preventive behaviors and risk perception. Arch Iran Med. 2020 Apr 1;23(4):249-254. https://doi.org/10.34172/aim.2020.06
Pawlowski B, Atwal R, Dunbar RIM. Sex differences in everyday risk-taking behavior in humans. Evol Psychol 2008; 6(1): 29-42. https://doi.org/10.1177%2F147470490800600104
Cobey KD, Stulp G, Laan F, Buunk AP, Pollet TV. Sex differences in risk taking behavior among Dutch cyclists. Evol Psychol. 2013 May 14;11(2):350-64. https://doi.org/10.1177%2F147470491301100206
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