{"title":"大流行早期泰国北部边境人口应对COVID-19的知识、态度和准备:一项横断面研究","authors":"Peeradone Srichan, Tawatchai Apidechkul, Ratipark Tamornpark, Fartima Yeemard, Siriyaporn Khunthason, Siwarak Kitchanapaiboon, Pilasinee Wongnuch, Asamaphon Wongphaet, Panupong Upala","doi":"10.4103/2224-3151.294305","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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).</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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 (OR<sub>adj</sub>) = 2.52; 95% CI = 1.36-4.68); those aged 18-30 years (OR<sub>adj</sub> = 4.26; 95% CI = 1.18-15.30), 31-45 years (OR<sub>adj</sub> = 4.60; 95% CI = 1.59-13.32) or 46-60 years (OR<sub>adj</sub> = 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 (OR<sub>adj</sub> = 2.43; 95% CI = 1.09-5.43) or to university level (OR<sub>adj</sub> = 3.18; 95% CI = 1.06-9.51) were better prepared.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":37393,"journal":{"name":"WHO South-East Asia journal of public health","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"50","resultStr":"{\"title\":\"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.\",\"authors\":\"Peeradone Srichan, Tawatchai Apidechkul, Ratipark Tamornpark, Fartima Yeemard, Siriyaporn Khunthason, Siwarak Kitchanapaiboon, Pilasinee Wongnuch, Asamaphon Wongphaet, Panupong Upala\",\"doi\":\"10.4103/2224-3151.294305\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>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).</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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 (OR<sub>adj</sub>) = 2.52; 95% CI = 1.36-4.68); those aged 18-30 years (OR<sub>adj</sub> = 4.26; 95% CI = 1.18-15.30), 31-45 years (OR<sub>adj</sub> = 4.60; 95% CI = 1.59-13.32) or 46-60 years (OR<sub>adj</sub> = 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 (OR<sub>adj</sub> = 2.43; 95% CI = 1.09-5.43) or to university level (OR<sub>adj</sub> = 3.18; 95% CI = 1.06-9.51) were better prepared.</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":37393,\"journal\":{\"name\":\"WHO South-East Asia journal of public health\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2020-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"50\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"WHO South-East Asia journal of public health\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/2224-3151.294305\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"WHO South-East Asia journal of public health","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/2224-3151.294305","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 50
摘要
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)或46-60岁(ORadj = 2.69;95% CI = 1.16-6.26)比60-90岁的患者准备得更好;与未接受过正规教育的人相比，受过小学教育的人(ORadj = 2.43;95% CI = 1.09-5.43)或达到大学水平(ORadj = 3.18;95% CI = 1.06-9.51)。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。
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.
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.
期刊介绍：
The journal will cover technical and clinical studies related to health, ethical and social issues in field of Public Health, Epidemiology, primary health care, epidemiology, health administration, health systems, health economics, health promotion, public health nutrition, communicable and non-communicable diseases, maternal and child health, occupational and environmental health, social and preventive medicine. Articles with clinical interest and implications will be given preference.
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