Association of Knowledge, Attitude and Practice of COVID-19 Prevention with Anxiety Among Residents of Henan Province, China
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Abstract
Background: Coronavirus disease 2019 (COVID-19) has spread rapidly in cities of central China, including Henan Province, since December 2019. Our study aimed to evaluate the knowledge, attitude, and practice of COVID-19 prevention with anxiety among residents of Henan Province, China. Methods: We conducted an electronic survey of 385 residents of Henan Province aged ≥18 years during the period of 3–15 February, 2020. Participants completed a structured questionnaire on the COVID-19 prevention and Zung Self-Rating Anxiety Scale (SAS). Univariate and multivariate logistic regressions was applied to analyze the associations between the explanatory variables and anxiety. Results: 360 participants were enrolled into the study, 45 (12.5%) had anxiety during the COVID-19 epidemic. Primary school or lower education (AOR=4.23; 95% CI = 1.01–15.94), unemployed or retired (AOR=3.11; 95% CI=1.02–9.47), rural (AOR = 3.23; 95% CI=1.54–6.29), low-level attitude toward COVID-19 prevention (AOR= 3.22; 95% CI=1.12–7.30), and medium-level practice of COVID-19 prevention (AOR = 3.17; 95% CI=1.08–9.34) were foud to be associated with anxiety. Conclusions: Local government and public health agencies need to act as a proactive in the provision of health education about COVID-19 prevention to the residents, particularly who are retired, have low-level education, and living in rural area.
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