@article{8b40fa073ac74e6f8b0451ee82f28382,
title = "Knowledge and Behaviors of Adults with Underlying Health Conditions During the Onset of the COVID-19 U.S. Outbreak: The Chicago COVID-19 Comorbidities Survey",
abstract = "Accurate understanding of COVID-19 safety recommendations early in the outbreak was complicated by inconsistencies in public health and media messages. We sought to characterize high-risk adults{\textquoteright} knowledge of COVID-19 symptoms, prevention strategies, and prevention behaviors. We used data from the Chicago COVID-19 Comorbidities (C3) survey collected between March 13 thru March 20, 2020. A total of 673 predominately older adults with ≥ 1 chronic condition completed the telephone interview. Knowledge was assessed by asking participants to name three symptoms of COVID-19 and three actions to prevent infection. Participants were then asked if and how they had changed plans due to coronavirus. Most participants could identify three symptoms (71.0%) and three preventive actions (69.2%). Commonly reported symptoms included: fever (78.5%), cough (70.6%), and shortness of breath (45.2%); preventive actions included: washing hands (86.5%) and social distancing (86.2%). More than a third of participants reported social distancing themselves (38.3%), and 28.8% reported obtaining prescription medication to prepare for the outbreak. In multivariable analyses, no participant characteristics were associated with COVID-19 knowledge. Women were more likely than men, and Black adults were less likely than White adults to report practicing social distancing. Individuals with low health literacy were less likely to report obtaining medication supplies. In conclusion, though most higher-risk individuals were aware of social distancing as a prevention strategy early in the outbreak, less than half reported enacting it, and racial disparities were apparent. Consistent messaging and the provision of tangible resources may improve future adherence to safety recommendations.",
keywords = "Behavior, COVID-19, Chicago, Disparities, Health literacy, Knowledge",
author = "Rachel O{\textquoteright}Conor and Lauren Opsasnick and Benavente, {Julia Yoshino} and Russell, {Andrea M.} and Guisselle Wismer and Morgan Eifler and Diana Marino and Curtis, {Laura M.} and Marina Arvanitis and Lee Lindquist and Persell, {Stephen D.} and Bailey, {Stacy C.} and Wolf, {Michael S.}",
note = "Funding Information: Sources of Support: This study was funded by grants from the National Institutes of Health (R01NR01544, R01AG030611, R01AG046352, R01DK110172, R01HL126508), with institutional support from UL1TR001422. The funding agency played no role in the study design, collection of data, analysis or interpretation of data. Funding Information: Dr. Persell reports Grants from Omron Healthcare and Pfizer outside the submitted work. Dr. Bailey reports Grants from the NIH during the conduct of the study; grants from Merck, the NIH, and Eli Lilly outside the submitted work; Grants and personal fees from the Gordon and Betty Moore Foundation outside the submitted work; and personal fees from Sanofi, Pfizer, and Luto outside the submitted work. Dr. Wolf reports Grants from the NIH during the conduct of the study; Grants from Merck, the Gordon and Betty Moore Foundation, the NIH, and Eli Lilly outside the submitted work; and personal fees from Sanofi, Pfizer, and Luto outside the submitted work. Funding Information: Sources of Support: This study was funded by grants from the National Institutes of Health (R01NR01544, R01AG030611, R01AG046352, R01DK110172, R01HL126508), with institutional support from UL1TR001422. The funding agency played no role in the study design, collection of data, analysis or interpretation of data. IRB Approval: This study was approved by the Institutional Review Board of Northwestern University under the following studies: STU00201640, STU00026255, STU00203777, STU00201639, STU00204465. Publisher Copyright: {\textcopyright} 2020, Springer Science+Business Media, LLC, part of Springer Nature.",
year = "2020",
month = dec,
day = "1",
doi = "10.1007/s10900-020-00906-9",
language = "English (US)",
volume = "45",
pages = "1149--1157",
journal = "Journal of Community Health",
issn = "0094-5145",
publisher = "Springer Netherlands",
number = "6",
}