Survey on Knowledge, Attitude, Perception and Practice among University Students during the COVID-19 Pandemic
Background: The numbers of infections and death by COVID-19 have continued to rise worldwide and preventive practice has remained to be one of the most effective ways to prevent it. We conducted this study to survey the knowledge, attitude, perception and practice of university students during the early stage of the pandemic in Bangladesh. Methods: This was a cross-sectional study with 305 students from Rajshahi University, conducted between March 11 and March 19, 2020. We developed a questionnaire for collecting information regarding COVID-19 following the instructions and guidelines of WHO and used frequency distribution, Kolmogorov-Smirnov test and Mann-Whitney and Kruskal-Wallis (non-parametric) tests for data analysis. Statistical significance was accepted at p < 0.05. Results: The knowledge of the students on COVID-19 was of average level; however, more than one-third of them were unwilling to avoid public transport and travel public places with friends and family. Their practice of preventive measures was not at a satisfactory level. More than one-third of them were not keen to stay home and not hesitant to visit crowded places. About half of the students thought the pandemic would not affect their daily activities, and most of them felt it would not affect their study, financial status, fieldwork of their course, or meeting with their friends and relatives. Female students were found more knowledgeable than male ones. Conclusions: The general knowledge of students had an average level on COVID-19, but their attitude, perception and preventive practices were not consistent with their level of education. The authorities should consider the findings while promulgating policies and implementing measures for the prevention of COVID-19.
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Wuhan Municipal Health and Health Commission's briefing on the current pneumonia epidemic situation in our city 2019. Available online: https://crofsblogs.typepad.com/h5n1/2019/12/wuhan-municipal-health-commission-announces-pneumonia-epidemic.html (accessed on 27 March, 2020).
Naming the coronavirus disease (COVID-19) and the virus that causes it. Available online: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance/naming-the-coronavirus-disease-(covid-2019)-and-the-virus-that-causes-it (accessed on 27 March, 2020).
Sohrabi, C., Alsafi, Z., O’Neill, N., Khan, M., Kerwan, A., Al-Jabir, A., … Agha, R. (2020). World Health Organization declares global emergency: A review of the 2019 novel coronavirus (COVID-19). International Journal of Surgery, 76, 71–76. doi:10.1016/j.ijsu.2020.02.034.
The Novel Coronavirus Pneumonia Emergency Response Epidemiology Team, Weekly Surveillance (Chinese Centers for Disease Control and Prevention). Available online: http://weekly.chinacdc.cn/en/article/id/e53946e2-c6c4-41e9-9a9b-fea8db1a8f51 (accessed on 27 March, 2020).
Corona Virus Resource Centre, John Hopkins University and Medicine. Available online: Available online: https://coronavirus.jhu.edu/map.html (accessed on May 26, 2020).
Bassetti, M., Vena, A., & Giacobbe, D. R. (2020). The novel Chinese coronavirus (2019‐nCoV) infections: Challenges for fighting the storm. European Journal of Clinical Investigation, 50(3). doi:10.1111/eci.13209.
Ji, W., Wang, W., Zhao, X., Zai, J., & Li, X. (2020). Cross-species transmission of the newly identified coronavirus 2019-nCoV. Journal of Medical Virology, 92(4), 433-440. doi:10.1002/jmv.25682.
Shereen, M. A., Khan, S., Kazmi, A., Bashir, N., & Siddique, R. (2020). COVID-19 infection: Emergence, transmission, and characteristics of human coronaviruses. Journal of Advanced Research, 24, 91–98. doi:10.1016/j.jare.2020.03.005.
Carlos, W. G., Dela Cruz, C. S., Cao, B., Pasnick, S., & Jamil, S. (2020). Novel Wuhan (2019-nCoV) Coronavirus. American Journal of Respiratory and Critical Care Medicine, 201(4), P7–P8. doi:10.1164/rccm.2014p7.
Wu, P., Hao, X., Lau, E. H. Y., Wong, J. Y., Leung, K. S. M., Wu, J. T., … Leung, G. M. (2020). Real-time tentative assessment of the epidemiological characteristics of novel coronavirus infections in Wuhan, China, as at 22 January 2020. Euro Surveillance, 25(3). doi:10.2807/1560-7917.es.2020.25.3.2000044.
World Health Organization, Corona Virus. Available online: https://www.who.int/health-topics/coronavirus#tab=tab_1 (accessed on 27 March, 2020).
UNICEF. Coronavirus disease (COVID-19): What parents should know. Available online: https://www.unicef.org/bangladesh/en/coronavirus-disease-covid-19-what-parents-should-know (accessed on 27 March, 2020).
Peng, Y., Pei, C., Zheng, Y., Wang, J., Zhang, K., Zheng, Z., & Zhu, P. (2020). Knowledge, Attitude and Practice Associated with COVID-19 among University Students: a Cross-Sectional Survey in China. Research Square Preprint. doi:10.21203/rs.3.rs-21185/v1.
Taghrir, M. H., Borazjani, R., & Shiraly, R. (2020). COVID-19 and Iranian Medical Students; A Survey on Their Related-Knowledge, Preventive Behaviors and Risk Perception. Archives of Iranian Medicine, 23(4), 249–254. doi:10.34172/aim.2020.06.
Ikhaq, A., Bint E Riaz, H., Bashir, I., & Ijaz, F. (2020). Awareness and Attitude of Undergraduate Medical Students towards 2019-novel Corona virus. Pakistan Journal of Medical Sciences, 36(COVID19-S4). doi:10.12669/pjms.36.covid19-s4.2636.
Alzoubi, H., Alnawaiseh, N., Al-Mnayyis, A., Lubad, M. A., Aqel, A., & Al-Shagahin, H. (2020). COVID-19-knowledge, attitude and practice among medical and non-medical University Students in Jordan. J Pure Appl Microbiol, 14(1), 17-24.
Souli, D., & Dilucca, M. (2020). Knowledge, attitude and practice of secondary school students toward COVID-19 epidemic in Italy: a cross selectional study. BioRxiv Preprint. doi:10.1101/2020.05.08.084236.
Abdelhafiz, A. S., Mohammed, Z., Ibrahim, M. E., Ziady, H. H., Alorabi, M., Ayyad, M., & Sultan, E. A. (2020). Knowledge, Perceptions, and Attitude of Egyptians Towards the Novel Coronavirus Disease (COVID-19). Journal of Community Health, 45(5), 881–890. doi:10.1007/s10900-020-00827-7.
Tomar, B. S., Singh, P., Suman, S., Raj, P., Nathiya, D., Tripathi, S., & Chauhan, D. S. (2020). Indian community’s Knowledge, Attitude & Practice towards COVID-19. MedRxiv Preprint. doi:10.1101/2020.05.05.20092122.
Olapegba, P. O., Ayandele, O., Kolawole, S. O., Oguntayo, R., Gandi, J. C., Dangiwa, A. L., … Iorfa, S. K. (2020). A Preliminary Assessment of Novel Coronavirus (COVID-19) Knowledge and Perceptions in Nigeria. SSRN Electronic Journal. doi:10.2139/ssrn.3584408.
Azlan, A. A., Hamzah, M. R., Sern, T. J., Ayub, S. H., & Mohamad, E. (2020). Public knowledge, attitudes and practices towards COVID-19: A cross-sectional study in Malaysia. MedRxiv Preprint. doi:10.1101/2020.04.29.20085563.
Nazli, T., Heena, Raheem, A., & Kishore, J. (2020). Perceptions and Practices of the Adult Population in Response to SARS-CoV-2 Pandemic in India. Epidemiology International, 05(02), 10–16. doi:10.24321/2455.7048.202011.
Zegarra-Valdivia, J., Chino Vilca, B. N., & Ames-Guerrero, R. J. (2020). Knowledge, perception and attitudes in Regard to COVID-19 Pandemic in Peruvian Population. PsyArXiv. doi:10.31234/osf.io/kr9ya.
IEDCR (Institute of Epidemiology, Disease Control and Research). Covid-19 Status Bangladesh. Available online: https://www.iedcr.gov.bd/ (accessed on 27 March, 2020).
Dhaka Tribune. (2020). Bangladesh coronavirus test rate lowest in world. Available online: https://www.dhakatribune.com/bangladesh/2020/04/01/only-one-in-100-000-tested-for-coronavirus-in-bangladesh (accessed on 01 April, 2020).
Bangladesh Bureau of Statistics. (2015). Complimentary population monograph of Bangladesh. Bangladesh Bureau of Statistics (BBS), Dhaka, November 2015. Available online: http://220.127.116.11:8008/WebTestApplication/userfiles/Image/ PopMonographs/Volume-7_PDV.pdf (Accessed on April 6, 2020).
Bangladesh literacy rate: Available online: http://uis.unesco.org/en/country/bd (accessed on April 6, 2020).
UNICEF, Bangladesh. Safer sanitation and hygiene. Available online: https://www.unicef.org/bangladesh/en/better-access-safe-drinking-water/safer-sanitation-and-hygiene (accessed on April 6, 2020).
Pattanaik, S. S. (2020). Covid-19 and Bangladesh: Looming Crisis in the Horizon. Manohar Parrikar Institute for Defence Studies and Analyses, New Delhi. Available online: https://idsa.in/idsacomments/covid19-bangladesh-smruti-090420 (accessed on April 6, 2020).
Hasan, R. (2020). Shambolic: 142 Italy returnees allowed to go home after day-long mismanagement, The Daily Star, 15 March 2020. Available online: https://www.thedailystar.net/frontpage/news/shambolic-1880866 (accessed on April 6, 2020).
Alif, A. (2020). Covid-19 pandemic: Testing remains low despite having enough kits in stock. Dhaka Tribune. Available online: https://www.dhakatribune.com/bangladesh/2020/03/29/covid-19-pandemic-testing-remains-low-despite-having-enough -kits-in-stock (accessed on 30 March, 2020).
Ar Rafee, A. (2020). The COVID-19 Outbreak: How Has Bangladesh Fared? Stimson (2020). Available online: https://www.stimson.org/2020/the-covid-19-outbreak-how-has-bangladesh-fared/ (accessed on 30 March, 2020).
Ramachandran, S. (2020). The COVID-19 Catastrophe in Bangladesh. The Diplomat. Available online: https://thediplomat.com/2020/04/the-covid-19-catastrophe-in-bangladesh/ (accessed on April 29, 2020).
AFP. (2020). Massive Bangladesh coronavirus prayer gathering sparks outcry. Available online: https://news.yahoo.com/massive-bangladesh-coronavirus-prayer-gathering-sparks-outcry-193538973.html (accessed on 19 March, 2020).
Ahamad, R. and Rashid, M. (2020). People back in lax mode, violating social distancing. Available online: https://epaper.newagebd.net/31-03-2020/8 (accessed on 31 March, 2020).
Person, B., Sy, F., Holton, K., Govert, B., Liang, A., … Garza, B. (2004). Fear and Stigma: The Epidemic within the SARS Outbreak. Emerging Infectious Diseases, 10(2), 358–363. doi:10.3201/eid1002.030750.
Ghosh, B., Sarkar, S., Sepay, N., Das, K., Das, S., & Dastidar, S. G. (2021). Factors for COVID-19 Infection that Govern the Severity of Illness. SciMedicine Journal, 3(2), 177–197. doi:10.28991/scimedj-2021-0302-9.
Tegally, H., Wilkinson, E., Giovanetti, M., Iranzadeh, A., Fonseca, V., Giandhari, J., … de Oliveira, T. (2021). Detection of a SARS-CoV-2 variant of concern in South Africa. Nature, 592(7854), 438–443. doi:10.1038/s41586-021-03402-9.
Dao, T. L., Hoang, V. T., & Gautret, P. (2020). Recurrence of SARS-CoV-2 viral RNA in recovered COVID-19 patients: a narrative review. European Journal of Clinical Microbiology & Infectious Diseases, 40(1), 13–25. doi:10.1007/s10096-020-04088-z.
Banik, R., Rahman, M., Sikder, M. T., Rahman, Q. M., & Pranta, M. U. R. (2021). Knowledge, attitudes, and practices related to the COVID-19 pandemic among Bangladeshi youth: a web-based cross-sectional analysis. Journal of Public Health. doi:10.1007/s10389-020-01432-7.
Islam, S., Emran, G. I., Rahman, E., Banik, R., Sikder, T., Smith, L., & Hossain, S. (2020). Knowledge, attitudes and practices associated with the COVID-19 among slum dwellers resided in Dhaka City: a Bangladeshi interview-based survey. Journal of Public Health, 43(1), 13–25. doi:10.1093/pubmed/fdaa182.
Hossain, M. A., Rashid, M. U. B., Khan, M. A. S., Sayeed, S., Kader, M. A., & Hawlader, M. D. H. (2021). Healthcare Workers’ Knowledge, Attitude, and Practice Regarding Personal Protective Equipment for the Prevention of COVID-19. Journal of Multidisciplinary Healthcare, Volume 14, 229–238. doi:10.2147/jmdh.s293717.
Rana, M., Sayem, A., Karim, R., Islam, N., Islam, R., Zaman, T. K., & Hossain, G. (2015). Assessment of knowledge regarding tuberculosis among non-medical university students in Bangladesh: a cross-sectional study. BMC Public Health, 15(1). doi:10.1186/s12889-015-2071-0.
WHO. (2020). Survey Tool and Guidance (Rapid, simple, flexible behavioural insights on COVID-19). Available online: https://www.euro.who.int/__data/assets/pdf_file/0007/436705/COVID-19-survey-tool-and-guidance.pdf (accessed on 10 August, 2020).
Etikan, I. (2017). Combination of Probability Random Sampling Method with Non Probability Random Sampling Method (Sampling Versus Sampling Methods). Biometrics & Biostatistics International Journal, 5(6). doi:10.15406/bbij.2017.05.00148.
Maswood, M. H., & Hossain, S. (2020). Bangladesh at high risk of coronavirus. The New Age, Bangladesh. Available online: https://www.newagebd.net/article/101292/bangladesh-at-high-risk-of-coronavirus (accessed on 20 March, 2020).
Zhong, B.-L., Luo, W., Li, H.-M., Zhang, Q.-Q., Liu, X.-G., Li, W.-T., & Li, Y. (2020). Knowledge, attitudes, and practices towards COVID-19 among Chinese residents during the rapid rise period of the COVID-19 outbreak: a quick online cross-sectional survey. International Journal of Biological Sciences, 16(10), 1745–1752. doi:10.7150/ijbs.45221.
Bangladesh National Hygiene Baseline Survey, Preliminary Report (2014). Available online: https://washmatters.wateraid.org/publications/bangladesh-national-hygiene-baseline-survey-preliminary-report-2014 (accessed on 20 March, 2020).
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