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Knowledge and Attitudes Not Strongly Related to COVID-19 Prevention, Behaviors, and Vaccination Among Filipino College Students

  • De Castro, Gefilloyd L. (Zamboanga State College of Marine Sciences and Technology) ;
  • Eijansantos, Abee M. (Zamboanga State College of Marine Sciences and Technology) ;
  • Jalani, Nuriza P. (Zamboanga State College of Marine Sciences and Technology) ;
  • Amora, Joni Czarina P. (Zamboanga State College of Marine Sciences and Technology) ;
  • Lantaya, Gualberto A. Jr. (Zamboanga State College of Marine Sciences and Technology)
  • Received : 2022.04.05
  • Accepted : 2022.11.05
  • Published : 2022.11.30

Abstract

The effects of the COVID-19 pandemic across various sectors are far-reaching, and the education sector is not an exemption. Approved and recognized vaccines are clinically proven to provide protection and have been considered one of the primary mitigations against the virus. Knowledge, attitude, and related practices (henceforth KAP) toward the virus is widely considered to be an essential cognitive key in public health for health intervention, prevention, and promotion. Previous studies revealed a positive correlation between knowledge and attitude. This study investigated the KAP and their relationship among the 857 college students in one state college in the Philippines using an online survey. Using descriptive statistics, the findings showed that the majority of the respondents have been fully vaccinated against COVID-19. Respondents were shown to be knowledgeable about COVID-19, specifically about its transmission, clinical symptoms, treatment, risk groups, isolation, prevention, and control. Positive attitudes toward individual and governmental mitigation and control of the virus were shown. Their scores on practices revealed that they always exhibit protective and preventive behavioral practices. Pearson correlation revealed a weak significant relationship between knowledge and practice, and a fair significant relationship between attitude and practice. No significant relationship is found between knowledge and attitude. This study hopes to find its place in the literature worthy of consideration as empirical support toward understanding a specific group's perceptive risk and preventive behavior toward the virus, policy making, and health intervention and promotion.

Keywords

References

  1. Aceret, C., Alforque, I. T., Aton, R., Dayrit, P. N., Facon, R. H., Go, M. D. N., & Sadang, M. G. (2021). Knowledge, attitudes, and practices of medical technologists in the Philippines, Thailand, and Malaysia on COVID-19. International Journal of Progressive Research in Science and Engineering, 2(8), 509-522. https://www.journals.grdpublications.com/index.php/ijprse/article/view/397
  2. Afzal, M. S., Khan, A., Qureshi, U. U. R., Saleem, S., Saqib, M. A. N., Shabbir, R. M. K., Naveed, M., Jabbar, M., Zahoor, S., & Ahmed, H. (2021). Community-based assessment of knowledge, attitude, practices and risk factors regarding COVID19 among Pakistanis residents during a recent outbreak: A cross-sectional survey. Journal of Community Health, 46(3), 476-486. https://doi.org/10.1007/s10900-020-00875-z
  3. Al-Hanawi, M. K., Angawi, K., Alshareef, N., Qattan, A. M. N., Helmy, H. Z., Abudawood, Y., Alqurashi, M., Kattan, W. M., Kadasah, N. A., Chirwa, G. C., & Alsharqi, O. (2020). Knowledge, attitude and practice toward COVID-19 among the public in the Kingdom of Saudi Arabia: A cross-sectional study. Frontiers in Public Health, 8. https://doi.org/10.3389/fpubh.2020.00217
  4. Alzoubi, H., Alnawaiseh, N., Al-Mnayyis, A., Abu-Lubad, M., Aqel, A., & Al-Shagahin, H. (2020). Covid-19 - Knowledge, attitude and practice among medical and nonmedical university students in Jordan. J. Pure Appl. Microbiol., 1(14), 17-24. https://pesquisa.bvsalud.org/global-literature-on-novel-coronavirus-2019-ncov/resource/en/covidwho-142234
  5. Amit, A. M. L., Pepito, V. C. F., Sumpaico-Tanchanco, L., & Dayrit, M. M. (2022). COVID19 vaccine brand hesitancy and other challenges to vaccination in the Philippines. PLOS Global Public Health, 2(1), e0000165. https://doi.org/10.1371/journal.pgph.0000165
  6. Bautista, A. P., Jr., Balibrea, D., & Bleza, D. G. (2020). Knowledge, attitude, and practice toward the coronavirus disease (COVID-19) outbreak among selected employed people in the National Capital Region, Philippines. Asian Journal for Public Opinion Research, 8(3), 324-350. https://doi.org/10.15206/ajpor.2020.8.3.324
  7. Byambasuren, O., Cardona, M., Bell, K., Clark, J., McLaws, M. L., & Glasziou, P. (2020). Estimating the extent of asymptomatic COVID-19 and its potential for community transmission: Systematic review and meta-analysis. Official Journal of the Association of Medical Microbiology and Infectious Disease Canada, 5(4), 223-234. https://doi.org/10.3138/jammi-2020-0030
  8. Caple, A., Dimaano, A., Sagolili, M. M., Uy, A. A., Aguirre, P. M., Alano, D. L., ... & Austriaco, N. (2022). Interrogating COVID-19 vaccine intent in the Philippines with a nationwide open-access online survey. PeerJ, 10, e12887. https://doi.org/10.7717/peerj.12887
  9. Chen, Y., Wang, A., Yibo, D., Wang, H., Wang, J., Shi, H., & Xu, G. (2020). Epidemiological characteristics of infection among close contacts of novel coronavirus pneumonia in Ningbo. Chinese Journal of Epidemiology, 41(05), 667-671. 10.3760/cma.j.cn112338-20200304-00251
  10. Cleofas, J. V., & Oducado, R. M. F. (2022). Demographic, health and pandemic-related determinants of covid-19 vaccination intention among Filipino emerging adults. Emerging Adulthood, 10(3), 815-820. https://doi.org/10.1177/21676968221084876
  11. Cohen, J. (1992). Statistical power analysis for the behavioural sciences. Current Directions in Psychological Science, 1(3), 98-101. https://doi.org/10.1111/1467-8721.ep10768783
  12. Commission on Higher Education (2021). Expansion of limited face-to-face classes to other degree programs approved by PRRD. https://ched.gov.ph/expansion-oflimited-face-to-face-classes-to-other-degree-programs-approved-by-prrdched/
  13. Desalegn, Z., Deyessa, N., Teka, B., Shiferaw, W., Hailemariam, D., Addissie, A., Abagero, A., Kaba, M., Abebe, W., Nega, B., Ayele, W., Haile, T., Gebrehiwot, Y., Amogne, W., Kantelhardt, E J., & Abebe, T. (2021). COVID-19 and the public response: Knowledge, attitude and practice of the public in mitigating the pandemic in Addis Ababa, Ethiopia. PLoS One, 16(1), e0244780. https://doi.org/10.1371/journal.pone.0244780
  14. Dryhurst, S., Schneider, C. R., Kerr, J., Freeman, A. L., Recchia, G., Van Der Bles, A. M., Spiegelhalter, D.,& Van Der Linden, S. (2020). Risk perceptions of COVID-19 around the world. Journal of Risk Research, 23(7-8), 994-1006. https://doi.org/10.1080/13669877.2020.1758193
  15. Eikenberry, S. E., Mancuso, M., Iboi, E., Phan, T., Eikenberry, K., Kuang, Y., Kostelich, E.,& Gumel, A. B. (2020). To mask or not to mask: Modeling the potential for face mask use by the general public to curtail the COVID-19 pandemic. Infectious disease modelling, 5, 293-308. https://doi.org/10.1016/j.idm.2020.04.001
  16. Feleke, B. T., Wale, M. Z., & Yirsaw, M. T. (2021). Knowledge, attitude and preventive practice towards COVID-19 and associated factors among outpatient service visitors at Debre Markos compressive specialized hospital, north-west Ethiopia, 2020. Plos One, 16(7). https://doi.org/10.1371/journal.pone.0251708
  17. Ferdous, M., Islam, M., Sikder, M., Md Mosaddek, A., Valdivia, J., & Gozal, D. (2020). Knowledge, attitude, and practice regarding COVID-19 outbreak in Bangladesh: An online-based cross-sectional study. Plos One, 15(10), 1-17. https://doi.org/10.1371/journal.pone.0239254
  18. Gao, Z., Xu, Y., Sun, C., Wang, X., Guo, Y., Qiu, S., & Ma, K. (2021). A systematic review of asymptomatic infections with COVID-19. Journal of Microbiology, Immunology and Infection, 54(1), 12-16. https://doi.org/10.1016/j.jmii.2020.05.001
  19. Gerrard, M., Gibbons, F. X., & Reis-Bergan, M. (1999). The effect of risk communication on risk perceptions: The significance of individual differences. JNCI Monographs, 1999(25), 94-100. https://doi.org/10.1093/oxfordjournals.jncimonographs.a024217
  20. Hatabu, A., Mao, X., Zhou, Y., Kawashita, N., Wen, Z., Ueda, M., Takagi, T., & Tian, Y.-S. (2020). Knowledge, attitudes, and practices toward COVID-19 among university students in Japan and associated factors: An online cross-sectional survey. PLoS One, 15(12), e0244350. https://doi.org/10.1371/journal.pone.0244350
  21. Heydari, S. T., Zarei, L., Sadati, A. K., Moradi, N., Akbari, M., Mehralian, G., & Lankarani, K. B. (2021). The effect of risk communication on preventive and protective behaviours during the COVID-19 outbreak: Mediating role of risk perception. BMC public health, 21 Article54. https://doi.org/10.1186/s12889-020-10125-5
  22. Jemal, B., Aweke, Z., Mola, S., Hailu, S., Abiy, S., Dendir, G., Tilahun, A., Tesfaye, B., Asichale, A., Neme, D., Regasa, T., Mulugeta, H., Moges, K., Bedru, M., Ahmed, S., & Teshome, D. (2021). Knowledge, attitude, and practice of healthcare workers toward COVID-19 and its prevention in Ethiopia: A multicenter study. SAGE Open Medicine, 9, 1-10. https://doi.org/10.1177/20503121211034389
  23. Joint Memorandum Circular No. 2021-001 (2021). https://ched.gov.ph/wpcontent/uploads/CHED-DOH-Joint-Memorandum-Circular-No.-2021-001-Guidelines-on-the-Gradual-Reopening-of-Campuses-of-Higher-EducationInstitutions-for-Limited-Face-to-Face-Classes-during-the-COVID-19-Pandemic.pdf
  24. Larson, H. J., Hartigan-Go, K., & de Figueiredo, A. (2019). Vaccine confidence plummets in the Philippines following dengue vaccine scare: Why it matters to pandemic preparedness. Human vaccines & immunotherapeutics, 15(3), 625-627. https://doi.org/10.1080/21645515.2018.1522468
  25. Mendoza, R. U., Dayrit, M. M., Alfonso, C. R., & Ong, M. M. A. (2021). Public trust and the COVID-19 vaccination campaign: Lessons from the Philippines as it emerges from the Dengvaxia controversy. The International Journal of Health Planning and Management, 36(6), 2048-2055. https://doi.org/10.1002/hpm.3297
  26. Moghadas, S. M., Vilches, T. N., Zhang, K., Wells, C. R., Shoukat, A., Singer, B. H., Meyers, L. A., Neuzil, K. M., Langley, J. M., Fitzpatrick, M. C., & Galvani, A. P. (2021). The impact of vaccination on COVID-19 outbreaks in the United States. medRxiv: The preprint server for health sciences, 2020.11.27.20240051. https://doi.org/10.1101/2020.11.27.20240051
  27. Naseef, H. A., Al-Shami, N. M. A., Hadba, L. S. A., Humos, L. A., Shaheen, R. N., Mitwasi, T. T., & El-Khairy, L. (2021). Knowledge, attitudes, and practices about coronavirus disease (COVID-19) among Birzeit University students: A crosssectional study. Journal of Public Health, 30, 2139-2152. https://doi.org/10.1007/s10389-021-01665-0
  28. Oducado, R. M. F., Cleofas, J. V., & Soriano, G. P. (2022). Predicting nursing students' intention to attend face-to face classes on school reopening: A theory of planned behavior application. Nursing Forum 57(5), 733-738. https://doi.org/10.1111/nuf.12732
  29. Padmanaban, S., Rajendran, P., Davis, P., & Velayutham, P. (2021). Knowledge, attitude and practices towards COVID-19 among higher education students in India: A cross sectional study. Journal of Public Health, 1-13. https://doi.org/10.1007/s10389-021-01561-7
  30. Park, T., Ju, I., Ohs, J. E., & Hinsley, A. (2021). Optimistic bias and preventive behavioral engagement in the context of COVID-19. Research in Social and Administrative Pharmacy, 17(1), 1859-1866. https://doi.org/10.1016/j.sapharm.2020.06.004
  31. Peng, Y., Pei, C., Zheng, Y., Wang, J., Zhang, K., Zheng, Z., & Zhu, P. (2020). A crosssectional survey of knowledge, attitude and practice associated with COVID-19 among undergraduate students in China. BMC Public Health, 20(1). https://doi.org/10.1186/s12889-020-09392-z
  32. Pollock, A. M., & Lancaster, J. (2020). Asymptomatic transmission of covid-19. BMJ, 371, Article m4851. https://doi.org/10.1136/bmj.m4851
  33. Prasad Singh, J., Sewda, A., & Shiv, D. G. (2020). Assessing the knowledge, attitude and practices of students regarding the COVID-19 pandemic. Journal of Health Management, 22(2), 281-290. https://doi.org/10.1177/0972063420935669
  34. Proclamation No.1218 (2021). https://mirror.officialgazette.gov.ph/downloads/2021/09sep/20210910-PROC-1218-RRD.pdf
  35. Quisao, E. Z. S., Tayaba, R. R. R., & Soriano, G. P. (2021). Knowledge, attitude, and practice towards COVID-19 among student nurses in Manila, Philippines: A cross-sectional study. Belitung Nursing Journal. https://doi.org/10.33546/bnj.1405
  36. Rabacal, J. S., Lausa, S. M., Egcas, R. A., Oducado, R. M. F., Cleofas, J. V., & Tamdang, K. A. (2022). More than a year into the pandemic: Do higher education students still practice protective behaviors against COVID-19?. Journal of Education and Health Promotion, 11(1), 155. https://doi.org/10.4103/jehp.jehp_1235_21
  37. Renner, B., Gamp, M., Schmalzle, R., & Schupp, H. T. (2015). Health risk perception. In J. D. Wright (Ed.), International encyclopedia of the social & behavioral sciences, (pp. 702-709). Elsevier. https://dx.doi.org/10.1016/B978-0-08-097086-8.14138-8
  38. Reuben, R. C., Danladi, M., Saleh, D. A., & Ejembi, P. E. (2021). Knowledge, attitudes and practices towards COVID-19: An epidemiological survey in North-Central Nigeria. Journal of community health, 46(3), 457-470. https://doi.org/10.1007/s10900-020-00881-1
  39. Saefi, M., Fauzi, A., Kristiana, E., Adi, W. C., Muchson, M., Setiawan, M. E., Islami, N. N., Ningrum, D. E. A. F., Ikhsan, M. A., & Ramadhani, M. (2020). Survey data of COVID-19-related knowledge, attitude, and practices among Indonesian undergraduate students. Data in brief, 31, 105855. https://doi.org/10.1016/j.dib.2020.105855
  40. Santiago, J. M., & Santos, A. R. (2021). Knowledge, attitude and practices of the university students about COVID-19 during the Luzon lockdown in the Philippines. International Journal of Public Health Science, 10(3), 51-29.
  41. Schmalzle, R., Renner, B., & Schupp, H. T. (2017). Health risk perception and risk communication. Policy Insights from the Behavioral and Brain Sciences, 4(2), 163-169. https://doi.org/10.1177/2372732217720223
  42. Subramanian, S. V., & Kumar, A. (2021). Increases in COVID-19 are unrelated to levels of vaccination across 68 countries and 2947 counties in the United States. European journal of epidemiology, 36(12), 1237-1240. https://doi.org/10.1007/s10654-021-00808-7
  43. Superio, D. L., Anderson, K. L., Oducado, R. M. F., Luceno, M. T., Palcullo, V. E. V., & Bendalian, M. V. T. (2021). The information-seeking behavior and levels of knowledge, precaution, and fear of college students in Iloilo, Philippines amidst the COVID-19 pandemic. International Journal of Disaster Risk Reduction, 62, 102414. https://doi.org/10.1016/j.ijdrr.2021.102414
  44. Taber, K. S. (2018). The use of Cronbach's alpha when developing and reporting research instruments in science education. Research in science education, 48(6), 1273-1296. https://doi.org/10.1007/s11165-016-9602-2
  45. Tee, M. L., Tee, C. A., Anlacan, J. P., Aligam, K. J. G., Reyes, P. W. C., Kuruchittham, V., & Ho, R. C. (2020). Psychological impact of COVID-19 pandemic in the Philippines. Journal of Affective Disorders, 277, 379-391. https://doi.org/10.1016/j.jad.2020.08.043
  46. Tuppal, C. P., Ninobla, M. M. G., Ruiz, M. G. D., Loresco, R. D., Tuppal, S. M. P., Panes, I. I., Oducado, R. M. F., Prudencio, D. A. M., Vega, P. D., Eribal, M. J. E., Real, D. V. P., & Roa, M. N. T. (2021). Knowledge, attitude, and practice toward COVID-19 among healthy population in the Philippines. Nurse Media Journal of Nursing, 11(1), 61-70. https://doi.org/10.14710/nmjn.v11i1.36067
  47. Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., McIntyre, R. S., ... & Ho, C. (2020). A longitudinal study on the mental health of general population during the COVID-19 epidemic in China. Brain, Behavior, and Immunity, 87, 40-48. https://doi.org/10.1016/j.bbi.2020.04.028
  48. Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C. S., & Ho, R. C. (2020). Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. International Journal of Environmental Research and Public Health, 17(5), 1729. https://doi.org/10.3390/ijerph17051729
  49. World Health Organization (2020, March 29). Modes of transmission of virus causing COVID-19: implications for IPC precaution recommendations. https://www.who.int/news-room/commentaries/detail/modes-oftransmission-of-virus-causing-covid-19-implications-for-ipc-precautionrecommendations
  50. World Health Organization (2022a, March 16). Coronavirus disease (COVID-19): Vaccines. [Online Article]. https://www.who.int/emergencies/diseases/novelcoronavirus-2019/question-and-answers-hub/q-a-detail/coronavirus-disease-(covid-19)-vaccines?adgroupsurvey={adgroupsurvey}&gclid=CjwKCAjwiuuRBhBvEiwAFXKaNCu17mvhw8QwraXPuAN4fZTWTm0-ftAuI8CxaNC0quvnrMumL2hJNRoCAoEQAvD_BwE
  51. World Health Organization (2022b, January 19). Coronavirus disease (COVID-19) advice for the public: Mythbusters. World Health Organization https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advicefor-public/mythbusters?clid=CjwKCAjwiuuRBhBvEiwAFXKaNPIUAXBTLflnszQweh147eiEkH9Qi34tJ9a-BNm9ky-fpBtdE4YMhoC_-0QAvD_BwE#older-people
  52. Yousaf, M. A., Noreen, M., Saleem, T., & Yousaf, I. (2020). A cross-sectional survey of knowledge, attitude, and practices (KAP) toward pandemic COVID-19 among the general population of Jammu and Kashmir, India. Social Work in Public Health, 35(7), 569-578. https://doi.org/10.1080/19371918.2020.1806983
  53. Yu, X., & Yang, R. (2020). COVID-19 transmission through asymptomatic carriers is a challenge to containment. Influenza and other respiratory viruses, 14(4), 474-475. https://doi.org/10.1111/irv.12743
  54. Zhang, M., Zhou, M., Tang, F., Wang, Y., Nie, H., Zhang, L., & You, G. (2020). Knowledge, attitude, and practice regarding COVID-19 among healthcare workers in Henan, China. Journal of Hospital Infection, 105(2), 183-187. https://doi.org/10.1016/j.jhin.2020.04.012