Factors influencing patients’ willingness to test for COVID-19: a cross sectional study amongst non COVID-19 patients at the Teaching Hospital in Jaffna, Sri Lanka

Introduction: Sri Lanka adopted various control measures to stop the spread of COVID-19 including early detection by widespread testing, contact tracing and isolation. However, some people were not willing to accept testing due to several reasons. This is the first study from Sri Lanka conducted to determine people's level of willingness to undergo a COVID-19 swab test. Method: This cross-sectional study was conducted among 427 non-COVID-19 patients who visited the outpatient department at a Teaching hospital in northern Sri Lanka. Data collection was done over a one month period in July 2021. The data collected was entered and analysed using SPSS version 28. Results: The mean age of the participants was 43.4, and a majority of the participants were female (62.8%). A significant proportion of the participants (37.9% CI: 34.3-43.6) were not willing to accept the test to screen for COVID-19. Among the 162 patients who were not willing to accept the test, 56.2% reported fear regarding testing, and 37.6% reported fear of getting a positive result. A significant association was observed between people's willingness to accept the test and their gender (P-0.022) and knowledge of the test (P-0.001). Conclusion: As a considerable proportion of participants were not willing to accept COVID-19 screen testing, and people's knowledge regarding testing significantly influenced their acceptance of such testing, this study concludes that the public can be educated further about the COVID-19 infection, identifying the symptoms of disease by themselves, available testing methods, the importance of testing early and how they will be treated if they get positive test results.