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大学生新型冠状病毒肺炎疫情知信行现况及其影响因素

刘丹,  陈沛良,  李志浩,  王政和,  申动,  张宇杰,  张希如,  杨佩,  张文婷,  杨海莲,  王嘉慧,  吴娴波,  毛琛,  杨杏芬

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文章导航 > 中华疾病控制杂志  > 2020 >  24(5): 501-505
刘丹, 陈沛良, 李志浩, 王政和, 申动, 张宇杰, 张希如, 杨佩, 张文婷, 杨海莲, 王嘉慧, 吴娴波, 毛琛, 杨杏芬. 大学生新型冠状病毒肺炎疫情知信行现况及其影响因素[J]. 中华疾病控制杂志, 2020, 24(5): 501-505. doi: 10.16462/j.cnki.zhjbkz.2020.05.002
引用本文: 刘丹, 陈沛良, 李志浩, 王政和, 申动, 张宇杰, 张希如, 杨佩, 张文婷, 杨海莲, 王嘉慧, 吴娴波, 毛琛, 杨杏芬. 大学生新型冠状病毒肺炎疫情知信行现况及其影响因素[J]. 中华疾病控制杂志, 2020, 24(5): 501-505. doi: 10.16462/j.cnki.zhjbkz.2020.05.002
shu
LIU Dan, CHEN Pei-liang, LI Zhi-hao, WANG Zheng-he, SHEN Dong, ZHANG Yu-jie, ZHANG Xi-ru, YANG Pei, ZHANG Wen-ting, YANG Hai-lian, WANG Jia-hui, WU Xian-bo, MAO Chen, YANG Xing-fen. The status of knowledge, attitude and practice about coronavirus disease 2019 epidemic among university students and its influencing factors[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2020, 24(5): 501-505. doi: 10.16462/j.cnki.zhjbkz.2020.05.002
Citation: LIU Dan, CHEN Pei-liang, LI Zhi-hao, WANG Zheng-he, SHEN Dong, ZHANG Yu-jie, ZHANG Xi-ru, YANG Pei, ZHANG Wen-ting, YANG Hai-lian, WANG Jia-hui, WU Xian-bo, MAO Chen, YANG Xing-fen. The status of knowledge, attitude and practice about coronavirus disease 2019 epidemic among university students and its influencing factors[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2020, 24(5): 501-505. doi: 10.16462/j.cnki.zhjbkz.2020.05.002
shu

大学生新型冠状病毒肺炎疫情知信行现况及其影响因素

doi: 10.16462/j.cnki.zhjbkz.2020.05.002
  • 1.

    510515 广州, 南方医科大学公共卫生学院流行病学系

  • 2.

    510515 广州, 南方医科大学公共卫生学院食物安全与健康研究中心

刘丹和陈沛良为共同第一作者
基金项目: 教育部人文社会科学研究规划基金项目(18YJAZH115);广东省高等学校珠江学者岗位计划资助项目(2019);浙江大学新型冠状病毒肺炎(COVID-19)应急科研专项(K920330111)
详细信息
    通讯作者:

    毛琛, E-mail:maochen9@smu.edu.cn

    杨杏芬, E-mail:yangalice79@smu.edu.cn

  • 中图分类号: R563.12

The status of knowledge, attitude and practice about coronavirus disease 2019 epidemic among university students and its influencing factors

  • 1.

    Department of Epidemiology, School of Public Health, Southern Medical University y Guangzhou 510515, China

  • 2.

    Food Safety and Health Research Center, School of Public Health, Southern Medical University, Guangzhou 510515, China

LIU Dan and CHEN Pei-liang contributed equally to this article.
Funds: Ministry of Education Project of Humanities and Social Science(18YJAZH115); Guangdong Province Higher Vocational Colleges & Schools Pearl River Scholar Funded Scheme(2019); Zhejiang University Special Scientific Research Fund for COVID-19 Prevention and Control(K920330111)
More Information

    摘要
  • 摘要:   目的   了解新型冠状病毒肺炎(coronavirus disease 2019, COVID-19)流行期间中国大学生的知识、态度及行为现状, 为高校开展科学防控及公共卫生精准决策提供理论依据。   方法   2020年1月31日―2月5日, 选取4所高校共计56 997名大学生为研究对象, 采用32条目自编结构化调查问卷对大学生开展线上现况调查。   结果   共收集到44 456名大学生的调查问卷, 应答率为78.0%(44 456/56 997)。94.1%大学生认为COVID-19能通过与无症状感染者接触感染, 知晓主要传播途径和临床表现者达76.4%~98.9%, 但知晓预后情况者仅占52.9%。53.0%的大学生认为疫情严峻, 出现恐慌和焦虑的大学生占28.5%。采取规范洗手、佩戴口罩、减少外出和聚会等防护行为的大学生占86.9%~94.2%。亚组分析结果显示, 女性、高年龄组、教育程度高者及城市大学生知识和行为水平较高(均有P < 0.05)。   结论   本次COVID-19疫情期间, 大学生认识、态度和行为评分较高, 但知识缺口依然存在, 部分大学生出现恐慌和焦虑情绪。因此, 应针对大学生防疫意识薄弱点进行精准健康宣教。
    Abstract:   Objective   To understand the knowledge, attitude and practice of Chinese university students during the epidemic of coronavirus disease 2019(COVID-19), so as to provide a theoretical basis for scientific prevention and control and accurate decision-making of public health in universities.   Methods   From January 31 to February 5, 2020, a total of 56 997 university students from four universities were selected to participate in the survey. A 32-item structured questionnaire was used to carry out an online survey.   Results   A total of 44 456 questionnaires were collected and the response rate was 78.0%(44 456/56 997). Among the university students, 94.1% of them believed that COVID-19 could be infected through contact with asymptomatic infected cases, and 76.4%-98.9% of them knew the main mode of transmission and clinical manifestations, but only 52.9% knew the prognosis of COVID-19. And 53.0% of them thought the epidemic was serious, and 28.5% students experienced panic and anxiety. The proportion of university students who adopt protective behaviors such as washing hands, wearing masks, and reducing going out and gathering ranged from 86.9% to 94.2%. Subgroup analysis results showed that the knowledge and practice levels among females, older age groups, those with higher education levels and urban university students were higher(allP < 0.05).   Conclusions   During the epidemic of COVID-19, university students scored highly in knowledge, attitude and practice, but the knowledge gap still existed, and some university students experienced panic and anxiety. Therefore, accurate health education should be carried out according to the weak point of epidemic prevention awareness among university students.
    • HTML全文

  • 表  1  研究对象基本特征[n(%)]

    Table  1.   Basic characteristics of the respondents[n(%)]

    特征 合计 暴露组 未暴露组 χ2值 P值
    年龄(岁) 334.45 < 0.001
    15~ 39 213 (88.2) 1 620 (75.8) 37 593 (88.8)
    ≥24 5 239 (11.8) 518 (24.2) 4 721 (11.2)
    性别 0.42 0.518
    男 20 220 (45.5) 958 (44.8) 19 262 (45.5)
    女 24 232 (54.5) 1 180 (55.2) 23 052 (54.5)
    民族 75.62 < 0.001
    汉族 43 188 (97.2) 2 012 (94.1) 41 176 (97.3)
    少数民族 1 264 (2.8) 126 (5.9) 1 138 (2.7)
    文化程度 696.00 < 0.001
    本专科 39 728 (89.4) 1 544 (72.2) 38 184 (90.2)
    研究生 4 724 (10.6) 594 (27.8) 4 130 (9.8)
    假期居住地 0.13 0.716
    城市 28 320 (63.7) 1 370 (64.1) 26 950 (63.7)
    农村 16 132 (36.3) 768 (35.9) 15 364 (36.3)
    健康状况 183.45 < 0.001
    健康 38 152 (85.8) 1 623 (75.9) 36 529 (86.3)
    一般 6 116 (13.8) 496 (23.2) 5 620 (13.3)
    不健康 184 (0.4) 19 (0.9) 165 (0.4)
    合计 44 452 (100.0) 2 138 (100.0) 42 314 (100.0) - -
    下载: 导出CSV

    表  2  研究对象新型冠状病毒肺炎知信行总得分情况(x±s)

    Table  2.   Total score of knowledge, attitudes and practices with COVID-19 among the respondents (x±s)

    维度 暴露组 非暴露组 合计 t值 P值
    知识 12.85±1.79 12.66±1.76 12.67±1.76 4.64 < 0.001
    态度 3.70±1.05 3.59±1.09 3.59±1.09 4.49 < 0.001
    行为 8.85±1.80 8.93±1.68 8.92±1.69 -1.97 0.048
    总得分 25.40±3.24 25.18±3.02 25.19±3.04 3.20 0.001
    下载: 导出CSV

    表  3  研究对象新型冠状病毒肺炎知信行得分多因素Logistic回归分析

    Table  3.   Multiple Logistic regression analysis of the knowledge, attitudes, and practices score with COVID-19 among the respondents

    特征 知识得分不合格 OR (95% CI)值 P值 态度得分不合格 OR (95% CI)值 P值 行为得分不合格 OR (95% CI)值 P值 知信行得分不合格 OR (95% CI)值 P值
    年龄(岁)
    15~ 6 217 (30.8) 1.00 14 005 (35.7) 1.00 13 827 (35.3) 1.00 15 385 (39.2) 1.00
    ≥24 5 572 (23.0) 0.81 (0.72~0.91) < 0.001 1 241 (23.7) 0.76 (0.69~0.85) < 0.001 1 363 (26.0) 0.85 (0.77~0.95) 0.002 1 102 (21.0) 0.74 (0.66~0.82) < 0.001
    性别
    男 11 035 (28.1) 1.00 7 528 (37.2) 1.00 7 951 (39.3) 1.00 8 931 (44.2) 1.00
    女 754 (14.4) 0.67 (0.64~0.70) < 0.001 7 718 (31.9) 0.78 (0.75~0.81) < 0.001 7 239 (29.9) 0.65 (0.62~0.68) < 0.001 7 556 (31.2) 0.56 (0.54~0.59) < 0.001
    文化程度
    本专科 11 271 (28.4) 1.00 14 197 (35.7) 1.00 14 065 (35.4) 1.00 15 683 (39.5) 1.00
    研究生 518 (11.0) 0.37 (0.33~0.43) < 0.001 1 049 (22.2) 0.56 (0.50~0.62) < 0.001 1 125 (23.8) 0.57 (0.51~0.63) < 0.001 804 (17.0) 0.36 (0.32~0.41) < 0.001
    假期居住地
    城市 7 106 (25.1) 1.00 9 772 (34.5) 1.00 9 399 (33.2) 1.00 10 076 (35.6) 1.00
    农村 4 683 (29.0) 1.22 (1.16~1.27) < 0.001 5 474 (33.9) 0.97 (0.93~1.01) 0.154 5 791 (35.9) 1.12 (1.08~1.17) < 0.001 6 411 (39.7) 1.19 (1.14~1.24) < 0.001
    健康状况
    健康 10 407 (27.3) 1.00 12 826 (33.6) 1.00 12 776 (33.5) 1.00 14 188 (37.2) 1.00
    一般 1 321 (21.6) 0.97 (0.91~1.04) 0.385 2 333 (38.2) 1.53 (1.45~1.63) < 0.001 2 313 (37.8) 1.50 (1.41~1.59) < 0.001 2 202 (36.0) 1.34 (1.26~1.43) < 0.001
    不健康 61 (33.2) 1.29 (0.94~1.76) 0.110 87 (47.3) 1.75 (1.31~2.35) 0.068 101 (54.9) 2.39 (1.78~3.20) < 0.001 97 (52.7) 1.85 (1.38~2.49) < 0.001
    注:多因素Logistic回归模型纳入了年龄、性别、民族、文化程度、假期居住地和健康状况。
    下载: 导出CSV
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