Assessment of Knowledge, Attitude, and Practice toward COVID-19 among a Sample of Iranian General Population

Authors

  • Heshmatollah Nourmoradi Biotechnology and Medicinal Research Center, Ilam University of Medical Sciences, Ilam, Iran; Department of Environmental Health Engineering, School of Health, Ilam University of Medical Sciences, Ilam, Iran
  • Farogh Kazembeigi Department of Environmental Health Engineering, School of Health, Ilam University of Medical Sciences, Ilam, Iran; Department of Environmental Engineering, School of Environment, Tehran University, Tehran, Iran
  • Hojatollah Kakaei Department of Occupational Health Engineering, School of Health, Ilam University of Medical Sciences, Ilam, Iran
  • Mohsen Jalilian Department of Public Health, School of Health, Ilam University of Medical Sciences, Ilam, Iran
  • Amin Mirzaei Department of Public Health, School of Health, Ilam University of Medical Sciences, Ilam, Iran

DOI:

https://doi.org/10.3889/oamjms.2020.5094

Keywords:

COVID-19, Knowledge, Attitude, Practice, Iran

Abstract

BACKGROUND: The new coronavirus (COVID-19) pandemic is rapidly spreading around the world. At present (up to July 11, 2020), 255,117 cases and 12,635 deaths due to this disease have been reported in Iran. Following the guidelines recommended for the prevention and control of the disease is the most important approach to combating this global threat.

AIM: The aim of this study was to assess the knowledge, attitude, practice, and fear of the Iranian people in relation to COVID-19.

METHODS: A cross-sectional study was conducted with the participation of 558 Iranian people who entered the study by convenience sampling method. The knowledge, attitude, practice, and fear of the Iranian general population toward COVID-19 were collected using an online 50-items questionnaire. Descriptive statistics, one-way analysis of variance, independent sample T-test, and bivariate Pearson’s correlation were used to analyze the data.

RESULTS: The studied subjects were mostly in urban area (81.0%), female (61.3%), and married (57.9%). The participants’ knowledge about personal hygiene (88.9%), using a facemask (82.2%), and the symptoms of the COVID-19 (76.8%) were adequate. However, their knowledge about contaminated surfaces disinfection procedure (41.8%), and the importance of using a facemask for healthy people (43.7%) was lower. The highest level of the subjects’ attitude was related to the role of social distancing (94.6%), staying at home (94.5%), and personal hygiene (91.2%). The low levels of attitude were also associated with access to personal protective equipment (84.1%) and the psychological effects of COVID-19 (65.3%). Furthermore, the highest levels of practices were related to avoiding hand shaking with others (91.5%) and washing hands frequently (88.8%). The practices such as following a healthy and nutritious diet (45.1%) and wearing gloves (51.4%) were reported to be less common.

CONCLUSION: The results showed that about half of the subjects did not have enough knowledge about COVID-19. However, the attitude and practice of most of the participants toward COVID-19 were moderate or good. Nevertheless, the extensive health education interventions are needed to promote knowledge about COVID-19 and also to motivate people to do preventive behaviors.

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References

Carlos WG, Cruz CS, Cao B, Pasnick S, Jamil S. Novel Wuhan (2019-nCoV) coronavirus. Am J Respir Crit Care Med. 2020;201(4):7-8. https://doi.org/10.1164/rccm.2014p7 PMid:32004066

Giao H, Han NT, Van Khanh T, Ngan VK, Van Tam V, Le An P. Knowledge and attitude toward COVID-19 among healthcare workers at district 2 hospital, Ho Chi Minh city. Asian Pac J Trop Med. 2020;1:13.

Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med. 2020;382(8):727-33. PMid:31978945

World Health Organization. Coronavirus Disease (COVID-19) Outbreak Situation. Geneva: World Health Organization; 2019. Available from: https://www.who.int/emergencies/diseases/ novel-coronavirus-2019. [Last accessed on 2020 Jun 01].

Iranian Ministry of Health and Medical Education. COVID-19 Daily Epidemiology Journal; 2020. Available from: http://www. corona.behdasht.gov.ir/files/site1/files/factsheet_24-0126-Fa. pdf. [Last accessed on 2020 Apr 14].

Takian A, Raoofi A, Kazempour-Ardebili S. COVID-19 battle during the toughest sanctions against Iran. Lancet. 2020;395:1035-6. https://doi.org/10.1016/s0140-6736(20) 30668-1 PMid:32199073

Fernandes N. Economic Effects of Coronavirus Outbreak (COVID-19) on the World Economy. Spain: University of Navarra; 2020.

World Health Organization. Rolling Updates on Coronavirus Disease (COVID-19). Geneva: World Health Organization; 2020c. Available from: https://www.who.int/emergencies/ diseases/novel-coronavirus-2019/events-as-they-happen. [Last accessed on 2020 Apr 28]

Roy D, Tripathy S, Kar SK, Sharma N, Verma SK, Kaushal V. Study of knowledge, attitude, anxiety and perceived mental healthcare need in Indian population during COVID-19 pandemic. Asian J Psychiatry. 2020;51:102083. https://doi. org/10.1016/j.ajp.2020.102083 PMid:32283510

Kwok KO, Li KK, Chan HH, Yi YY, Tang A, Wei WI, et al. Community Responses during the Early Phase of the COVID-19 Epidemic in Hong Kong: Risk Perception, Information Exposure and Preventive Measures. medRxiv; 2020. https://doi. org/10.1101/2020.02.26.20028217

Centers for Disease Control and Prevention. Coronavirus Disease 2019 (COVID-19). Atlanta, Georgia: Centers for Disease Control and Prevention; 2020. Available from: https://www.cdc.gov/coronavirus/2019-ncov/about/transmission.html. [Last accessed on 2020 May 03]. https://doi.org/10.1093/ofid/ ofv131.60

World Health Organization. WHO Director-General’s Opening Remarks at the Mission Briefing on COVID-19. Geneva: World Health Organization; 2020. Available from: https://www.who.int/dg/ speeches/detail/who-director-general-s-opening-remarks-at-themission-briefing-on-covid-19. [Last accessed on 2020 May 01]. https://doi.org/10.1093/ww/9780199540884.013.u44226

Peng X, Xu X, Li Y, Cheng L, Zhou X, Ren B. Transmission routes of 2019-nCoV and controls in dental practice. Int J Oral Sci. 2020;12(1):9. https://doi.org/10.1038/s41368-020-0075-9

Huang C, Wang Y, Li X, Liu L, Yan X, Wang J, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395(10223):497-506. https://doi. org/10.1016/s0140-6736(20)30183-5

Wang, D, Hu B, Hu C. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China. JAMA. 2020;323:1061-9. https://doi. org/10.1001/jama.2020.1585 PMid:32031570

Alzoubi H, Alnawaiseh N, Al-Mnayyis MA, Lubada AA, Al-Shagahin H. COVID-19-knowledge, attitude and practice among medical and non-medical university students in Jordan. J. Pure Appl Microbiol. 2020;14(1):17-24. https://doi. org/10.22207/jpam.14.1.04

Riou J, Althaus CL. Pattern of early human-to-human transmission of Wuhan 2019 novel coronavirus (2019- nCoV), December 2019 to January 2020. Euro Surveill. 2020;25(4):2000058. https://doi.org/10.2807/1560-7917. es.2020.25.4.2000058 PMid:32019669

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;16(10):1745-52. https://doi.org/10.7150/ijbs.45221 PMid:32226294

Person B, Sy F, Holton K, Govert B, Liang A, National Center for Inectious Diseases SCOT. Fear and stigma: The epidemic within the SARS outbreak. Emerg Infect Dis. 2004;10(2):358- 63. https://doi.org/10.3201/eid1002.030750 PMid:15030713

Tao N. An analysis on reasons of SARS-induced psychological panic among students. J Anhui Inst Educ. 2003;21:78-9.

Mirzaei A, Esmaeili F, Jalilian M. Predictors of complementary feeding in infants aged 6 to 18 months: An application of health belief model. Sri Lanka J Child Health. 2020;49(1):48-53. https:// doi.org/10.4038/sljch.v49i1.8898

Mirzaei A, Ghofranipour F, Ghazanfar ZI. School children’s breakfast consumption: An educational intervention based on social cognitive theory. Ann Trop Med Public Health. 2018;2(1):SP36. https://doi.org/10.9734/jammr/2019/v29i430080

Al-Lela OQ, Bahari MB, Salih MR, Al-Abbassi MG, Elkalmi RM, Jamshed SQ. Factors underlying inadequate parents’ awareness regarding pediatrics immunization: Findings of cross-sectional study in Mosul-Iraq. BMC Pediatr. 2014;14(1):29. https://doi. org/10.1186/1471-2431-14-29

Kashfi M, Eslahi M, Rakhshani T, Hashemi H, Baqeri P, Sharafi M. A survey of knowledge, attitude and performance of people of fasa on segregation of household solid wastes, Fasa, Iran, 2017. J Health Sci Surveill Syst. 2018;6(1):40-5.

Wolf MS, Serper M, Opsasnick L, O’Conor RM, Curtis LM, Benavente JY, Wismer G, Batio S, Eifler M, Zheng P, Russell A. Awareness, attitudes, and actions related to COVID-19 among adults with chronic conditions at the onset of the US outbreak: A cross-sectional survey. Ann Intern Med. 2020;173(2):100-9. https://doi.org/10.7326/m20-1239 PMid:32271861

Johnson EJ, Hariharan S. Public health awareness: Knowledge, attitude and behaviour of the general public on health risks during the H1N1 influenza pandemic. J Public Health. 2017;25:333-7. https://doi.org/10.1007/s10389-017-0790-7

Srichan P, Apidechkul T, Tamornpark R, Yeemard F, Khunthason S, Kitchanapaiboon S, et al. Knowledge, attitude and preparedness to respond to the 2019 novel coronavirus (COVID-19) among the bordered population of Northern Thailand in the early period of the outbreak: A cross-sectional study. SSRN Electron J. 2020;1:3546046. https://doi.org/10.2139/ ssrn.3546046

Peng Y, Pei C, Zheng Y, Wang J, Zhang K, Zheng Z, et al. Knowledge, Attitude and Practice Associated with COVID-19 among University Students: A Cross-sectional Survey in China. China: Fourth Military Medical University; 2020. https://doi. org/10.21203/rs.3.rs-21185/v1

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;23(4):249-54. https://doi.org/10.34172/aim.2020.06 PMid:32271598

Zhou M, Tang F, Wang Y, Nie H, Zhang L, You G, et al. Knowledge, attitude and practice regarding COVID-19 among health care workers in Henan, China. J Hosp Infect. 2020;105(2):183-7. https://doi.org/10.1016/j.jhin.2020.04.012 PMid:32278701

Kamate SK, Sharma S, Thakar S, Srivastava D, Sengupta K, Hadi AJ, et al. Assessing Knowledge, Attitudes and Practices of dental practitioners regarding the COVID-19 pandemic: A multinational study. Dent Med Probl. 2020;57(1):11-7. https:// doi.org/10.17219/dmp/119743 PMid:32307930

Mirzaei A, Nourmoradi H, Zavareh MS, Jalilian M, Mansourian M, Mazloomi S, et al. Food safety knowledge and practices of male adolescents in west of Iran. Open Access Maced J Med Sci. 2018;6(5):908. https://doi.org/10.3889/oamjms.2018.175 PMid:29875870

Glanz K, Rimer BK, Viswanath K, editors. Health Behavior and Health Education: Theory, Research, and Practice. Hoboken, New Jersey: John Wiley and Sons; 2008.

Ministry of Health and Medical Education. Health Education and Promotion Office. Available from: http://www.iec.behdasht.gov. ir. [Last accessed on 2020 May 01].

Nemati M, Ebrahimi B, Nemati F. Assessment of Iranian nurses’ knowledge and anxiety toward COVID-19 during the current outbreak in Iran. Arch Clin Infect Dis. 2020;15:In Press. https:// doi.org/10.5812/archcid.102848

Raeisi A, Tabrizi JS, Gouya MM. IR of Iran national mobilization against COVID-19 epidemic. Arch Iran Med. 2020;23(4):216-9. https://doi.org/10.34172/aim.2020.01

Geldsetzer P. Knowledge and Perceptions of Coronavirus Disease 2019 among the General Public in the United States and the United Kingdom: A Cross-sectional Online Survey. medRxiv; 2020. https://doi.org/10.1101/2020.03.13.20035568

Husnayain A, Fuad A, Su EC. Applications of google search trends for risk communication in infectious disease management: A case study of COVID-19 outbreak in Taiwan. Int J Infect Dis 2020;95:221-3. https://doi.org/10.1016/j.ijid.2020.03.021

Qian M, Wu Q, Wu P, Hou Z, Liang Y, Cowling BJ, et al. Psychological Responses, Behavioral Changes and Public Perceptions during the Early Phase of the COVID-19 Outbreak in China: A Population Based Cross-sectional Survey. medRxiv; 2020. https://doi.org/10.1101/2020.02.18.20024448

Allahverdipour H. Global challenge of health communication: Infodemia in the coronavirus disease (COVID-19) pandemic. J Educ Community Health 2020;7(2):65-7. https://doi. org/10.29252/jech.7.2.65

Zarocostas J. How to fight an infodemic. Lancet. 2020;395:(10225):676. https://doi.org/10.1016/s0140-6736 (20)30461-x PMid:32113495

Pennycook G, McPhetres J, Zhang Y, Rand D. Fighting COVID-19 misinformation on social media: Experimental evidence for a scalable accuracy nudge intervention. Psychol Sci. 2020;1:177.

Golboni F, Nadrian H, Najafi S, Shirzadi S, Mahmoodi H. Urban rural differences in health literacy and its determinants in Iran: A community-based study. Aust J Rural Health. 2018;26(2):98-105. https://doi.org/10.1111/ajr.123 PMid:29214687

Zahnd WE, Scaife SL, Francis ML. Health literacy skills in rural and urban populations. Am J Health Behav. 2009;33(5):550-7. PMid:19296745

Salmani B, Mohammadzadeh P, Zoolghadr H. Investigating the effect of economic factors on Internet diffusion in developing countries. Q J Appl Theories Econ. 2015;2(2):81-102.

Zarabi V, Khorasani IM, Maddah M. Predicting the Internet diffusion rate in Iran by providing a Fuzzy-diffusion model. J Technol Dev Manag. 2013;3:123-51.

Baheiraei A, Bakouei F, Mohammadi E, Montazeri A, Hosseni M. The social determinants of health in association with women’s health status of reproductive age: A populationbased study. Iran J Public Health. 2015;44(1):119. https://doi. org/10.1186/1742-4755-11-35

Koskenvuo M, Daprio J, Lonnqvist J, Sarna S. Social factors and the gender difference in mortality. Soc Sci Med. 1986;23:605-9. https://doi.org/10.1016/0277-9536(86)90154-1

Trovato F, Lauris G. Marital status and mortality in Canada. J Mar Fam. 1989;51:907-22.

Wyke S, Ford G. Competing explanations for associations between marital status and health. Soc Sci Med. 1992;34:523-32. https://doi.org/10.1016/0277-9536(92)90208-8

Ballantyne PJ. The social determinants of health: A contribution to the analysis of gender differences in health and illness. Scand J Public Health. 1999;27(4):290-5. https://doi.org/10.1177/1403 4948990270040101

Mirzaei A, Ramezankhani A, Ghaffari M, Jorvand R, Bazyar M, Momeni K, et al. The effectiveness of health literacy based educational intervention on nutritional outcomes of elderly (Persian). Salmand. 2020;1:136.

Tavousi T, Mehrizi AH, Rafiefar SH, Solimanian A, Sarbandi F, Ardestani M, et al. Health literacy in Iran: Findings from a national study. PAYESH. 2016;15(1):95-102.

Statistical Center of Iran. The Detailed Results of Iran. National Population and Housing Census; 2016. Available from: https:// www.amar.org.ir. [Last accessed on 2020 May 20].

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Published

2020-09-10

How to Cite

1.
Nourmoradi H, Kazembeigi F, Kakaei H, Jalilian M, Mirzaei A. Assessment of Knowledge, Attitude, and Practice toward COVID-19 among a Sample of Iranian General Population. Open Access Maced J Med Sci [Internet]. 2020 Sep. 10 [cited 2024 Apr. 25];8(T1):167-74. Available from: https://oamjms.eu/index.php/mjms/article/view/5094