TY - JOUR
T1 - COVID-19 Knowledge, Beliefs, and Behavior Among Patients in a Safety-Net Health System
AU - Davis, Terry C.
AU - Curtis, Laura M.
AU - Wolf, Michael S.
AU - Vanchiere, John A.
AU - Bhuiyan, Mohammad A.Nobel
AU - Horswell, Ronald
AU - Batio, Stephanie
AU - Arnold, Connie L.
N1 - Funding Information:
Drs. Davis, Arnold, and Horswell are supported by 2 U54 GM10490, The National Institute of General Medical Sciences of the National Institutes of Health which funds the Louisiana Clinical and Translational Sciences Center. The content is solely the responsibility of the authors and does not necessarily represent the office views of the NIH. Dr. Wolf reports grants from the NIH, Merck, Gordon and Betty Moore Foundation, and Eli Lilly outside the submitted work. Dr. Vanchiere reports clinical research contracts with Merck, Pfizer, GSK, Enanta, and Biocryst.
Publisher Copyright:
© 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2022/6
Y1 - 2022/6
N2 - Examine COVID-19 knowledge, concerns, behaviors, stress, and sources of information among patients in a safety-net health system in Louisiana. Research assistants surveyed participants via structured telephone interviews from April to October 2020. The data presented in this study were obtained in the pre-vaccine availability period. Of 623 adult participants, 73.5% were female, 54.7% Black, and 44.8% lived in rural small towns; mean age was 48.69. Half (50.5%) had spoken to a healthcare provider about the virus, 25.8% had been tested for COVID-19; 11.4% tested positive. Small town residents were less likely to be tested than those in cities (21.1% vs 29.3%, p = 0.05). Knowledge of COVID-19 symptoms and ways to prevent the disease increased from (87.9% in the spring to 98.9% in the fall, p < 0.001). Participants indicating that the virus had ‘changed their daily routine a lot’ decreased from 56.9% to 39.3% (p < 0.001). The main source of COVID-19 information was TV, which increased over time, 66.1–83.6% (p < 0.001). Use of websites (34.2%) did not increase. Black adults were more likely than white adults (80.7% vs 65.6%, p < 0.001) to rely on TV for COVID-19 information. Participants under 30 were more likely to get COVID-19 information from websites and social media (58.2% and 35.8% respectively). This study provides information related to the understanding of COVID-19 in rural and underserved communities that can guide clinical and public health strategies.
AB - Examine COVID-19 knowledge, concerns, behaviors, stress, and sources of information among patients in a safety-net health system in Louisiana. Research assistants surveyed participants via structured telephone interviews from April to October 2020. The data presented in this study were obtained in the pre-vaccine availability period. Of 623 adult participants, 73.5% were female, 54.7% Black, and 44.8% lived in rural small towns; mean age was 48.69. Half (50.5%) had spoken to a healthcare provider about the virus, 25.8% had been tested for COVID-19; 11.4% tested positive. Small town residents were less likely to be tested than those in cities (21.1% vs 29.3%, p = 0.05). Knowledge of COVID-19 symptoms and ways to prevent the disease increased from (87.9% in the spring to 98.9% in the fall, p < 0.001). Participants indicating that the virus had ‘changed their daily routine a lot’ decreased from 56.9% to 39.3% (p < 0.001). The main source of COVID-19 information was TV, which increased over time, 66.1–83.6% (p < 0.001). Use of websites (34.2%) did not increase. Black adults were more likely than white adults (80.7% vs 65.6%, p < 0.001) to rely on TV for COVID-19 information. Participants under 30 were more likely to get COVID-19 information from websites and social media (58.2% and 35.8% respectively). This study provides information related to the understanding of COVID-19 in rural and underserved communities that can guide clinical and public health strategies.
KW - COVID-19 behavior
KW - COVID-19 knowledge
KW - Disparities
KW - Sources of information
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U2 - 10.1007/s10900-021-01059-z
DO - 10.1007/s10900-021-01059-z
M3 - Article
C2 - 35118553
AN - SCOPUS:85124197671
VL - 47
SP - 437
EP - 445
JO - Journal of Community Health
JF - Journal of Community Health
SN - 0094-5145
IS - 3
ER -
