This article was originally published here
JMIR Form Res. 2021 Apr 22. doi: 10.2196/28344. Online ahead of print.
BACKGROUND: The world has been grappling with COVID-19 since December 2019, a dire public health crisis. Preventive and control measures have been adopted to reduce the spread of COVID-19. To date, the public’s knowledge, attitudes, and practices (KAP) regarding COVID-19 across Bangladesh are poorly understood. Therefore, it is important to assess people’s KAP towards the disease and suggest appropriate strategies to combat COVID-19 effectively.
OBJECTIVE: This study aimed to assess the KAP of Bangladeshi people towards COVID-19 and to identify the determinants of those KAPs.
METHODS: We conducted a country-wide cross-sectional telephonic survey from 7 May to 29 May 2020. A purposive sampling method was applied, and adult Bangladeshi citizens who have mobile phones were approached to participate in the survey. Interviews were conducted based on verbal consent. Multiple logistic regression analyses and several tests were performed to identify the factors associated with KAP on COVID-19.
RESULTS: A total of 492 out of 576 Bangladeshi adults aged 18 years and above completed the interview with a response rate of 85.4% (492/576). Three hundred and twenty-one (65.24%) were male, and three hundred and four (61.79%) lived in the rural area. Mean scores for knowledge, attitude, and practice were 10.56±2.86, 1.24±0.83, and 3.17±1.5, respectively. Among the respondents, 273 (55.49%) respondents had poor knowledge, 251 (48.98%) respondents expressed a negative attitude, and 192 out of 359 respondents (53.48%) had poor practice towards COVID-19. Mean scores of knowledge, attitude, and practice differed significantly across various demographic and socioeconomic groups. Rural people lagged, as they had lower mean scores of knowledge (9.8±3.1, P<.001) and adhering to appropriate practice measures (4±1.4, P<.001) compared to their urban counterparts. A positive and statistically strong correlation between knowledge with attitude (r=0.21, P<.001), knowledge with practice (r=0.45, P<.001), and attitude with practice (r=0.27, P<.001) was observed. Television (53.7%) was identified as the major source of knowledge regarding COVID-19. Almost three-fourths (72.97%) of the respondents went outside the home during the lockdown period. Furthermore, the study found that good knowledge (OR:3.13, 95% CI:2.03-4.83 and AOR: 2.33, 95% CI:1.16-4.68) and positive attitude (OR:2.43, 95% CI:1.59-3.72 and OR:3.87, 95% CI:1.95-7.68) are significantly associated with COVID-19 health measures’ better practice.
CONCLUSIONS: Evidence-informed and context-specific risk communication and community engagement, and a social and behavior change communication strategy against COVID-19 should be developed in Bangladesh, based on the findings of this study, targeting different socioeconomic groups.