Currently submitted to: Journal of Medical Internet Research
Date Submitted: Jul 8, 2020
Open Peer Review Period: Jul 8, 2020 - Jul 20, 2020
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Knowledge, attitudes, and practices towards COVID-19 among primary and middle school students during the COVID-19 outbreak period in Beijing: An online cross-sectional survey
The distribution and influence factors of knowledge, attitudes and practices (KAP) towards coronavirus disease 2019 (COVID-19) among children and adolescents remain unknown.
This study aimed to investigate the KAP towards COVID-19 and their influencing factors among primary and middle school students during the self-quarantine period in Beijing.
This was a cross-sectional study among students from 18 primary and middle schools in Beijing during March 2020. Stratified cluster sampling was conducted. Demographic and KAP-related COVID-19 information was collected through an online questionnaire. The influencing factors were analyzed by multivariable logistic regression.
A total of 7,377 students were included. The overall correct rate for COVID-19 knowledge was 74.1%, while only 31.5% and 40.5% could identify the high-risk places of cross-infection and warning body temperature. Although 94.5% of respondents believed the epidemic could be controlled, over 50% expressed various concerns about the epidemic. The compliance rates for basic preventing behaviors were all over 80%, while those for "rational and effective ventilation" (39.2%) and "dinning separately" (38.6%) were low. The KAP levels were significantly differed according to various school categories of students. The COVID-19 knowledge (OR= 3.309, 95% CI: 2.921, 3.748) and attitude (OR=1.145, 95% CI: 1.003, 1.308) were associated with preventive practices. Besides, female, urban students, those with a healthy lifestyle, and those with the willingness to engage in healthcare tended to have better preventive practices.
Most students in Beijing hold a high level of knowledge, optimistic attitudes and have appropriate practices towards COVID-19. However, targeted interventions are still necessary, especially for students with high-risk characteristics. Keywords: COVID-19; primary and middle school students; knowledge; attitude; practice Clinical Trial: Because the study is not a clinical study, there is no trial ID for this study.
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