海南医科大学学报

目的:了解海南省手机用户的新型冠状病毒感染肺炎(简称新冠肺炎)知信行现状及防护行为影响因素。方法:2020年1月31月～2月8日,利用网络"问卷星"平台通过微信、QQ等社交软件途径向901位海南省手机用户发放问卷,回收有效答卷804份。结果:研究对象的新冠肺炎相关认知得分为(61.22±22.45)分,高认知者占71.5%;新冠肺炎相关态度得分为(10.69±2.26)分,72.6%为支持的态度;新冠肺炎相关防护行为得分为(11.07±1.40)分,73.6%采取了积极防护行为。经Spearman相关分析,认知与态度呈弱相关(r=0.183,P<0.001),认知与行为呈强相关(r=0.770,P<0.05),行为与态度呈弱相关(r=0.230,P<0.001)。二元Logistic分析结果显示,认知(高认知vs.低认知:OR=1.515,95%CI:1.072-2.140,P<0.05)、态度(支持态度vs.不支持态度:OR=1.635,95%CI:1.154～2.316,P<0.05)与良好防护行为相关。获得新冠肺炎相关资讯的主要途经依次为社交软件(80.0%)、社交平台(69.9%)、电视(67.0%)和网站(65.4%)。结论:疫情上升期间,海南省手机用户新冠肺炎相关知信行状况欠佳,应重点针对低学历群体利用新媒体手段加强健康宣教。

Objective: To investigate the Knowledge-Attitude-Behavior(KAP)status and the influencing factors of protective behavior on COVID-19 among mobile phone users in Hainan province. Methods: From 31 January to 8 February, 2020, questionnaires using the online "questionnaire star" platform were distributed to 901 mobile phone users in Hainan Province via wechat, QQ and other social software channels, and 804 valid responses were collected. Results: The average score of knowledge was(61.22 ± 22.45),and 71.5% of participants with good knowledge of COVID-19; the average score of COVID-19 related attitude was(10.69±2.26), and 72.6% of participants with supportive attitudes; the average score of protective behaviors was(11.07±1.40), and 73.6% of participants with positive protective behaviors.Spearman correlation analysis showed a weak correlation between knowledge and attitude(r=0.183,P<0.001), a strong correlation between knowledge and behavior(r=0.770,P<0.05), and a weak correlation between behavior and attitude(r=0.23,P<0.001). Binary logistic analysis showed that knowledge(good vs. less:OR=1.515, 95% CI: 1.072-2.140;P<0.05) and attitude(supportive vs.non-supportive: OR=1.635,95% CI:1.154-2.316;P<0.05) were related to protective behavior of COVID-19. The major channels of getting COVID-19 related information were social software(80.0%), social platform(69.9%), TV(67.0%), and website(65.4%) respectively. Conclusions: During thepeak of COVID-19,KAP status of Hainan mobile phone users wasgenerally not satisfying. Health education of COVID-19 should target the low educated groups by using new media.