@Article{info:doi/10.2196/19913,
author="Ali, Khawla F
and Whitebridge, Simon
and Jamal, Mohammad H
and Alsafy, Mohammad
and Atkin, Stephen L",
title="Perceptions, Knowledge, and Behaviors Related to COVID-19 Among Social Media Users: Cross-Sectional Study",
journal="J Med Internet Res",
year="2020",
month="Sep",
day="8",
volume="22",
number="9",
pages="e19913",
keywords="COVID-19; social media; public health; perception; knowledge; health information; health education; virus",
abstract="Background: Social media is one of the most rapid and impactful ways of obtaining and delivering information in the modern era. Objective: The aim of this study was to rapidly obtain information on public perceptions, knowledge, and behaviors related to COVID-19 in order to identify deficiencies in key areas of public education. Methods: Using a cross-sectional study design, a survey web link was posted on the social media and messaging platforms Instagram, Twitter, and WhatsApp by the study investigators. Participants, aged ≥18 years, filled out the survey on a voluntary basis. The main outcomes measured were knowledge of COVID-19 symptoms, protective measures against COVID-19, and source(s) of information about COVID-19. Subgroup analyses were conducted to determine the effects of age, gender, underlying illness, and working or studying in the health care industry on the perceived likelihood of acquiring COVID-19 and getting vaccinated. Results: A total of 5677 subjects completed the survey over the course of 1 week. ``Fever or chills'' (n=4973, 87.6{\%}) and ``shortness of breath'' (n=4695, 82.7{\%}) were identified as the main symptoms of COVID-19. Washing and sanitizing hands (n=4990, 87.9{\%}) and avoiding public places and crowds (n=4865, 85.7{\%}) were identified as the protective measures most frequently used against COVID-19. Social media was the most utilized source for information on the disease (n=4740, 83.5{\%}), followed by the World Health Organization (n=2844, 50.1{\%}). Subgroup analysis revealed that younger subjects (<35 years), males, and those working or studying in health care reported a higher perceived likelihood of acquiring COVID-19, whereas older subjects, females, and those working or studying in non--health care areas reported a lower perceived likelihood of acquiring COVID-19. Similar trends were observed for vaccination against COVID-19, with older subjects, females, and those working or studying in non--health care sectors reporting a lower likelihood of vaccinating against COVID-19. Conclusions: Our results are indicative of a relatively well-informed cohort implementing appropriate protective measures. However, key knowledge deficiencies exist with regards to vaccination against COVID-19, which future efforts should aim at correcting. ",
issn="1438-8871",
doi="10.2196/19913",
url="http://www.jmir.org/2020/9/e19913/",
url="https://doi.org/10.2196/19913",
url="http://www.ncbi.nlm.nih.gov/pubmed/32841153"
}