As the world tries to cope with the devastating effects of the COVID-19 pandemic and emerging variants of the virus, COVID-19 vaccination has become an even more critical tool toward normalcy. The effectiveness of the vaccination program and specifically vaccine uptake and coverage, however, is a function of an individual’s knowledge and individual opinion about the disease and available vaccines. This study investigated the knowledge, attitudes, and resulting community practice(s) associated with the new COVID-19 variants and vaccines in Bangladesh, Colombia, India, Malaysia, Zimbabwe, and the USA. A cross-sectional web-based Knowledge, Attitudes, and Practices (KAP) survey was administered to respondents living in six different countries using a structured and multi-item questionnaire. Survey questions were translated into English, Spanish, and Malay to accommodate the local language in each country. Associations between KAP and a range of explanatory variables were assessed using univariate and multiple logistic regression. A total of 781 responses were included in the final analysis. The Knowledge score mean was 24 (out of 46), Attitude score 28.9 (out of 55), and Practice score 7.3 (out of 11). Almost 65% of the respondents reported being knowledgeable about COVID-19 variants and vaccination, 55% reported a positive attitude toward available COVID-19 vaccines, and 85% reported engaging in practices that supported COVID-19 vaccination. From the multiple logistic models, we found post-graduate education (AOR = 1.83, 95% CI: 1.23–2.74) and an age range 45–54 years (AOR = 5.81, 95% CI: 2.30–14.69) to be significantly associated with reported COVID-19 knowledge. In addition, positive Attitude scores were associated with respondents living in Zimbabwe (AOR = 4.49, 95% CI: 2.04–9.90) and positive Practice scores were found to be associated with people from India (AOR = 3.68, 95% CI: 1.15–11.74) and high school education (AOR = 2.16, 95% CI: 1.07–4.38). This study contributes to the identification of socio-demographic factors associated with poor knowledge, attitudes, and practices relating to COVID-19 variants and vaccines. It presents an opportunity for collaboration with diverse communities to address COVID-19 misinformation and common sources of vaccine hesitancy (i.e., knowledge, attitudes, and practices).
This cross sectional study was carried out among 313 higher secondary college students to assess the knowledge on health literacy and behaviors related to non communicable diseases (Diabetes and Cancer). The study period was from January to December 2013. Majorities (63%) of the respondents were male and rests of them (37.0%) were female. Maximum of the (45.1%) respondent’s father was higher educated (masters) and more than one-third (34.9%) mothers were graduate. A vast majority (98.1%) of the respondents indicated smoking as the main risk factor for Cancer in which most (89.8%) of the respondents mentioned excess body weight as the most important risk factor for Diabetes. A vast majority (93.9%) of the respondents gave emphasis about cessation of tobacco for the prevention of cancer whereas majority (79.9%) of the respondents gave emphasis about physical exercise and labor for the prevention of Diabetes. Knowledge about health literacy is statistically significant (p=0.021) with gender of the students. Father and mother educational status were not significantly associated (p>0.05) with health literacy. Need based, specific, time relevant and school based programs and community based awareness program need to be designed for further improvement of health literacy among college students.Asian J. Med. Biol. Res. September 2017, 3(3): 341-346
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