Community-level survey of coronavirus disease 2019 (COVID-19) preventive measures in Kwara State, Nigeria: good knowledge vs poor attitude

Nusirat Elelu , Olaolu Bilewu , Fatima Sanusi , Ahmad Ibrahim Al-Mustapha
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引用次数: 1

Abstract

Background

The public knowledge and adherence to the established coronavirus disease 2019 (COVID-19) precautionary measures are crucial to Nigeria's war against the pandemic. Public health education on its preventive practices at the grassroots level was initially crucial to achieving a lower COVID-19 incidence in Kwara State, Nigeria.

Methods

We assessed the knowledge of, and adherence to COVID-19 precautionary measures at the community level among 795 respondents from the three senatorial zones of Kwara State.

Results

54.5% (433/795) of the respondents were aged between 21 and 40 years, and 45.9% (365/795) of the respondents had a bachelor's degree or higher. Study participants had a good knowledge of COVID-19, its symptoms, and its mode of transmission. 91.8% of the respondents (730/795) had a positive perception of the COVID-19 preventive measures while 96.1% (763/795) of the respondents agreed that maintaining social distance was important in curbing the COVID-19 pandemic. However, only 38% (302/795) of them used face masks and only 25.7% (204/795) of the respondents used hand sanitizers. In addition, only 31.9% (253/795) of the respondents isolated themselves when they were ill. Multi-variable logistic regression analysis revealed that education, occupation, gender, and ethnicity were significantly associated with positive COVID-19 preventive practices among residents of Kwara State. Civil servants were more likely (AOR: 3.14; 95% confidence interval [CI]: 0.67 to 14.82; P = 0.034) to have positive preventive attitudes than other respondents. Study participants with tertiary education and those that were Yoruba (ethnicity) were 14.81 times more likely (95% CI: 4.29 to 51.05; P = 0.001) and 5.19 times more likely (95% CI: 1.82 to 14.84; P = 0.007) to have positive attitudes towards the laid-down COVID-19 preventive measures respectively.

Conclusion

The poor community adherence to the COVID-19 preventive practices could pre-dispose Kwara to more COVID-19 cases. More community engagement activities are needed to fully curb the spread of the COVID-19. Public health education should focus on preventive measures, vaccine acceptance, and community monitoring of COVID-19.

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尼日利亚夸拉州2019冠状病毒病(COVID-19)预防措施的社区调查:良好的知识vs不良的态度
公众对2019冠状病毒病(COVID-19)预防措施的了解和遵守对尼日利亚抗击这一流行病的战争至关重要。在尼日利亚夸拉州,在基层开展关于预防措施的公共卫生教育最初对于降低COVID-19发病率至关重要。结果54.5%(433/795)的调查对象年龄在21 ~ 40岁之间,45.9%(365/795)的调查对象具有本科及以上学历。研究参与者对COVID-19及其症状和传播方式有很好的了解。91.8%(730/795)的受访者对新冠肺炎的预防措施持积极态度,96.1%(763/795)的受访者认为保持社交距离对遏制新冠肺炎大流行很重要。然而,只有38%(302/795)的受访者使用口罩,只有25.7%(204/795)的受访者使用洗手液。此外,只有31.9%(253/795)的受访者在生病时进行了自我隔离。多变量logistic回归分析显示,夸拉州居民的教育程度、职业、性别和种族与积极的COVID-19预防措施显著相关。公务员更有可能(AOR: 3.14;95%置信区间[CI]: 0.67 ~ 14.82;P = 0.034)有积极的预防态度。受过高等教育的研究参与者和约鲁巴人(种族)的可能性高出14.81倍(95% CI: 4.29至51.05;P = 0.001)和5.19倍的可能性(95% CI: 1.82至14.84;P = 0.007),分别对安置的COVID-19预防措施持积极态度。结论社区对COVID-19预防措施的依从性差可能会使夸拉县发生更多的COVID-19病例。要全面遏制疫情蔓延,需要开展更多社区参与活动。公共卫生教育应侧重于预防措施、疫苗接受和社区监测。
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来源期刊
Global health journal (Amsterdam, Netherlands)
Global health journal (Amsterdam, Netherlands) Public Health and Health Policy
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