Please use this identifier to cite or link to this item:
Awareness, Attitudes, and Actions Related to COVID-19 Among Adults With Chronic Conditions at the Onset of the U.S. Outbreak: A Cross-sectional Survey.
MS Wolf.
M Serper.
L Opsasnick.
RM O'Conor.
LM Curtis.
JY Benavente.
G Wismer.
S Batio.
M Eifler.
P Zheng.
A Russell.
M Arvanitis.
D Ladner.
M Kwasny.
SD Persell.
T Rowe.
JA Linder.
SC Bailey.
Acceso Abierto
Background:The evolving outbreak of coronavirus disease 2019 (COVID-19) is requiring social distancing and other measures to protect public health. However, messaging has been inconsistent and unclear. Objective:To determine COVID-19 awareness, knowledge, attitudes, and related behaviors among U.S. adults who are more vulnerable to complications of infection because of age and comorbid conditions. Design:Cross-sectional survey linked to 3 active clinical trials and 1 cohort study. Setting:5 academic internal medicine practices and 2 federally qualified health centers. Patients:630 adults aged 23 to 88 years living with 1 or more chronic conditions. Measurements:Self-reported knowledge, attitudes, and behaviors related to COVID-19. Results:A fourth (24.6%) of participants were "very worried" about getting the coronavirus. Nearly a third could not correctly identify symptoms (28.3%) or ways to prevent infection (30.2%). One in 4 adults (24.6%) believed that they were "not at all likely" to get the virus, and 21.9% reported that COVID-19 had little or no effect on their daily routine. One in 10 respondents was very confident that the federal government could prevent a nationwide outbreak. In multivariable analyses, participants who were black, were living below the poverty level, and had low health literacy were more likely to be less worried about COVID-19, to not believe that they would become infected, and to feel less prepared for an outbreak. Those with low health literacy had greater confidence in the federal government response. Limitation:Cross-sectional study of adults with underlying health conditions in 1 city during the initial week of the COVID-19 U.S. outbreak. Conclusion:Many adults with comorbid conditions lacked critical knowledge about COVID-19 and, despite concern, were not changing routines or plans. Noted disparities suggest that greater public health efforts may be needed to mobilize the most vulnerable communities. Primary Funding Source:National Institutes of Health.
Annals of internal medicine
Appears in Collections:Artículos científicos

Upload archives

File SizeFormat 
1105720.pdf150.83 kBAdobe PDFView/Open