Knowledge, attitudes, risk perceptions, and practices of adults toward COVID-19: a population and field-based study from Iran

Int J Public Health. 2020 Jul;65(6):731-739. doi: 10.1007/s00038-020-01406-2. Epub 2020 Jun 24.

Abstract

Objectives: To determine peoples' knowledge, attitudes, risk perceptions, and practices to provide policymakers pieces of field-based evidence and help them in the management of the COVID-19 epidemic.

Methods: This population-based survey was conducted using multi-stage stratified and cluster sampling in Shiraz, Iran. A total of 1331 persons were interviewed. The questionnaires were completed by face-to-face interviews. Univariable and multivariable (linear regression) data analyses were done using SPSS.

Results: The participants answered 63% of questions regarding knowledge, and 78% of questions regarding practice correctly. Only, 4.8% knew about common symptoms of COVID-19 and 7.3% about warning signs that require referral to hospitals. Males, lower educated people, and elders had a lower level of knowledge and poorer practices. Knowledge was also lower in the marginalized (socially deprived) people. Knowledge and practices' correlation was 37%. Overall, 43.6% considered themselves at high risk of COVID-19, and 50% considered it as a severe disease. This disease had negative effects on most participants' routine activities (69.1%). The participants preferred to follow the news from the national TV/Radio, social networks, and foreign satellite channels, respectively.

Conclusions: Encouragement of people to observe preventive measures and decreasing social stress, especially among males, lower educated people, elders, and marginalized groups, are highly recommended.

Keywords: Attitude; COVID-19; Health belief model; Knowledge; Practice; Risk perception.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • COVID-19
  • Coronavirus Infections / epidemiology*
  • Coronavirus Infections / prevention & control*
  • Cross-Sectional Studies
  • Epidemics / prevention & control*
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Iran / epidemiology
  • Male
  • Middle Aged
  • Pandemics / prevention & control*
  • Pneumonia, Viral / epidemiology*
  • Pneumonia, Viral / prevention & control*
  • Risk Assessment
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Young Adult