COVID-19: DO MEDICAL STUDENTS KNOW, BOTHER ABOUT, AND PRACTISE PREVENTIVE MEASURES IN MALAYSIA?
Keywords:knowledge, attitude, practice, COVID-19, Sarawak
Since December 2019, a novel coronavirus disease (COVID-19) creates a global threat. Medical students are more susceptible to be infected by the virus. This study aimed to assess COVID-19 related knowledge, attitude towards COVID-19, and preventive behaviours against COVID-19 among medical students within the first month of the onset of the outbreak in Malaysia. We collect data from medical students using an online Google survey form. Out of 696 students, 467 responded to the questionnaire. The analysis revealed that the mean percentage of knowledge was (85.04), attitude (84.12), and preventive practice (77.75) respectively. Hierarchical multiple linear regression analysis revealed that living with family (p<0.01) and knowledge of COVID-19 (p<0.001) appeared to be important predictors of attitude toward COVID-19. However, gender (p<0.001), living status (p<0.001), frequency of travel during movement control order (p<0.01), attitude towards COVID-19 (p<0.001) have appeared significant predictors for preventive practice against COVID-19. But knowledge of COVID-19 had no impact on preventive practice against COVID-19 (p>0.05). We found a high level of COVID-19 related knowledge, attitude, and preventive practice against COVID-19 among medical students. A sustained knowledge, attitude, and preventive behavioural strategy could play an ingredient in upholding the student’s learning and practice against any disease like COVID-19.
Chen N, Zhou M, Dong X, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. The Lancet. 2020;395(10223):507-513. doi:10.1016/S0140-6736(20)30211-7
Zhong B-L, Luo W, Li H-M, et al. 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. Int J Biol Sci. 2020;16(10):1745-1752. doi:10.7150/ijbs.45221
WHO. WHO Director-General’s opening remarks at the media briefing on COVID-19. Published 2020. Accessed April 18, 2020. https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020
Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395(10223):497-506. doi:10.1016/S0140-6736(20)30183-5
Guo Y-R, Cao Q-D, Hong Z-S, et al. The origin, transmission and clinical therapies on coronavirus disease 2019 (COVID-19) outbreak – an update on the status. Military Medical Research. 2020;7(1):11. doi:10.1186/s40779-020-00240-0
Lana RM, Coelho FC, Gomes MF da C, et al. The novel coronavirus (SARS-CoV-2) emergency and the role of timely and effective national health surveillance. Cadernos de Saúde Pública. 2020;36(3). doi:10.1590/0102-311x00019620
Readfearn G. How did coronavirus start and where did it come from? Was it really Wuhan’s animal market? The Guardian. https://www.theguardian.com/world/2020/apr/15/how-did-the-coronavirus-start-where-did-it-come-from-how-did-it-spread-humans-was-it-really-bats-pangolins-wuhan-animal-market. Published April 15, 2020. Accessed April 18, 2020.
CDC. Coronavirus Disease 2019 (COVID-19) - Transmission. Centers for Disease Control and Prevention. Published April 13, 2020. Accessed April 15, 2020. https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/how-covid-spreads.html
WHO. Key Messages and Actions for COVID-19 Prevention and Control in Schools. Published online 2020. https://www.who.int/docs/default-source/coronaviruse/key-messages-and-actions-for-covid-19-prevention-and-control-in-schools-march-2020.pdf?sfvrsn=baf81d52_4
Prime Minister’s Office of Malaysia. Restriction of Movement Order, 2020. Prime Minister’s Office of Malaysia. Published 2020. Accessed April 15, 2020. https://www.pmo.gov.my/2020/03/movement-control-order/
OECD. Reducing the risk of policy failure: challenges for regulatory compliance. Published online 2020. https://www.oecd.org/gov/regulatory-policy/1910833.pdf
OECD. Flattening the COVID-19 peak: Containment and mitigation policies. OECD. Published 2020. Accessed May 14, 2020. http://www.oecd.org/coronavirus/policy-responses/flattening-the-covid-19-peak-containment-and-mitigation-policies-e96a4226/
Alzoubi H, Alnawaiseh N, Lubad MA-, Aqel A, Al-Shagahin H. COVID-19 – Knowledge, Attitude and Practice among Medical and Non-Medical University Students in Jordan. Journal of Pure and Applied Microbiology. 2020;14(1):17-24. doi:10.22207/JPAM.14.1.04
Giao H, Nguyen, Thi N, et al. Knowledge and attitude toward COVID-19 among healthcare workers at District 2 Hospital, Ho Chi Minh City. Asian Pacific Journal of Tropical Medicine. 2020;13:1-7. doi:10.4103/1995-7645.280396
IBM SPSS. IBM SPSS Statistics for Windows. IBM SPSS; 2013.
Sawyer SF. Analysis of Variance: The Fundamental Concepts. Journal of Manual & Manipulative Therapy. 2009;17(2):27E-38E. doi:10.1179/jmt.2009.17.2.27E
Shingala MC, Rajyaguru DA. Comparison of Post Hoc Tests for Unequal Variance. 2015;2(5):12.
Devlieger I, Mayer A, Rosseel Y. Hypothesis Testing Using Factor Score Regression: A Comparison of Four Methods. Educational and Psychological Measurement. 2016;76(5):741-770. doi:10.1177/0013164415607618
Sharma A. Understanding Mahalanobis Distance And Its Use Cases. Analytics India Magazine. Published July 10, 2018. Accessed June 10, 2019. https://www.analyticsindiamag.com/understanding-mahalanobis-distance-and-its-use-cases/
Gray JB, Woodall WH. The Maximum Size of Standardized and Internally Studentized Residuals in Regression Analysis. The American Statistician. 1994;48(2):111-113. doi:10.2307/2684258
Frost J. How to Interpret Adjusted R-Squared and Predicted R-Squared in Regression Analysis. Statistics By Jim. Published April 9, 2017. Accessed February 11, 2020. http://statisticsbyjim.com/regression/interpret-adjusted-r-squared-predicted-r-squared-regression/
Taghrir MH, Borazjani R, Shiraly R. COVID-19 and Iranian Medical Students; A Survey on Their Related-Knowledge, Preventive Behaviors and Risk Perception. Arch Iran Med. 2020;23(4):249-254. doi:10.34172/aim.2020.06
Erfani A, Shahriarirad R, Ranjbar K, Moghadami M. Title: Knowledge, Attitude and Practice toward the Novel Coronavirus (COVID-19) Outbreak: A Population-Based Survey in Iran. Bulletin of the World Health Organization. 2020;(e-Pub):1-23.
Xu Z, Shi L, Wang Y, et al. Pathological findings of COVID-19 associated with acute respiratory distress syndrome. Lancet Respir Med. 2020;8(4):420-422. doi:10.1016/S2213-2600(20)30076-X
WHO. Global Surveillance for human infection with coronavirus disease (COVID-19). Published 2020. Accessed May 20, 2020. https://www.who.int/publications-detail/global-surveillance-for-human-infection-with-novel-coronavirus-(2019-ncov)
MOH, Malaysia. Guidelines COVID-19 Management In Malaysia. Ministry of Health (Malaysia); 2020. Accessed May 20, 2020. https://www.moh.gov.my/index.php/pages/view/2019-ncov-wuhan-guidelines
Liu L, Liu Y-P, Wang J, An L-W, Jiao J-M. Use of a knowledge-attitude-behaviour education programme for Chinese adults undergoing maintenance haemodialysis: Randomized controlled trial. J Int Med Res. 2016;44(3):557-568. doi:10.1177/0300060515604980
Aldinger C, Zhang X-W, Liu L-Q, et al. Changes in attitudes, knowledge and behavior associated with implementing a comprehensive school health program in a province of China. Health Educ Res. 2008;23(6):1049-1067. doi:10.1093/her/cyn022
De Pretto L, Acreman S, Ashfold MJ, Mohankumar SK, Campos-Arceiz A. The Link between Knowledge, Attitudes and Practices in Relation to Atmospheric Haze Pollution in Peninsular Malaysia. PLoS One. 2015;10(12). doi:10.1371/journal.pone.0143655
Mohamad EM, Azlan AA, Hamzah MR, Tham JS, Ayub SH. Public knowledge, attitudes and practices towards COVID-19: A cross-sectional study in Malaysia. medRxiv. Published online May 5, 2020:2020.04.29.20085563. doi:10.1101/2020.04.29.20085563
Aomo J, Aloka P, Raburu P, Ogolla P. Relationship between Self-Esteem and Indulgence in Behavior Problems among Secondary School Students in Kenya. Mediterranean Journal of Social Sciences. 2018;9(3):135-142. doi:10.2478/mjss-2018-0055
Bennasar-Veny M, Yañez AM, Pericas J, et al. Cluster Analysis of Health-Related Lifestyles in University Students. International Journal of Environmental Research and Public Health. 2020;17(5):1776. doi:10.3390/ijerph17051776
Tirodimos I, Georgouvia I, Savvala T-N, Karanika E, Noukari D. Healthy lifestyle habits among Greek university students: differences by sex and faculty of study. East Mediterr Health J. 2009;15(3):722-728.
von Bothmer MIK, Fridlund B. Gender differences in health habits and in motivation for a healthy lifestyle among Swedish university students. Nurs Health Sci. 2005;7(2):107-118. doi:10.1111/j.1442-2018.2005.00227.x
Harris C, Jenkins M, Glaser D. Gender differences in risk assessment: Why do women take fewer risks than men? Judgment and Decision Making. 2006;1:48-63.
Wright KB. Researching Internet-Based Populations: Advantages and Disadvantages of Online Survey Research, Online Questionnaire Authoring Software Packages, and Web Survey Services. J Comput Mediat Commun. 2005;10(3). doi:10.1111/j.1083-6101.2005.tb00259.x
Thompson LF, Surface EA, Martin DL, Sanders MG. From Paper to Pixels: Moving Personnel Surveys to the Web. Personnel Psychology. 2003;56(1):197-227. doi:10.1111/j.1744-6570.2003.tb00149.x
Althubaiti A. Information bias in health research: definition, pitfalls, and adjustment methods. J Multidiscip Healthc. 2016;9:211-217. doi:10.2147/JMDH.S104807
Nederhof AJ. Methods of coping with social desirability bias: A review. European Journal of Social Psychology. 1985;15(3):263-280. doi:10.1002/ejsp.2420150303