Document Type : Original Article

Authors

Abstract

BACKGROUND: The rapid and widespread of COVID‑19 has caused distress and havoc among
people in all walks of life. Such impact has been more pronounced among HCWs. We sought to
examine how health care workers (HCWs) knowledge about COVID‑19 and perceived anxiety can
influence preventive practices.
MATERIALS AND METHODS: In this cross‑sectional study a multiple regression analysis was
applied to examine the relationship between knowledge, anxiety, and preventive practices among
267 participants work in different settings in a variety of health care organizations in different regions
in Saudi Arabia. To estimate potential associations, a multiple regression analysis was applied.
Standardized beta‑coefficients and their 95% confidence intervals were estimated to examine the
outcome variable and the predictors’ associations.
RESULTS: Our findings shows that HCWs had high levels of knowledge about COVID‑19, perceived
anxiety, and preventive practices. In examining the relation between HCWs characteristics and their
knowledge about COVID‑19, older HCWs have been shown to have higher knowledge compared
to younger HCWs. Finally, the model to estimate the impact of knowledge about COVID‑19 and
perceived anxiety on preventive practice showed that both have a significant impact.
CONCLUSIONS: HCWs tendency to adhere to preventive practices is related to their levels of
knowledge and perceived anxiety. Such a relationship can inform administrators and policymakers
in the health care field to design health promotion campaigns to ensure all HCWs are aware of the
nature of communicable diseases and the risk they might entail.

Keywords

1. Yang P, Wang X. COVID‑19: A new challenge for human beings.
Cell Mol Immunol 2020;17:555‑7.
2. Alshagrawi S. Knowledge about COVID‑19 during its initial
outbreak among university students and staff in Saudi Arabia.
Majmaah J Health Sci 2020;9:55‑64.
3. Shigemura J, Kurosawa M. Mental health impact of the COVID‑19
pandemic in Japan. Psychol Trauma 2020;12:478‑9.
4. Vahratian A, Blumberg SJ, Terlizzi EP, Schiller JS. Symptoms
of anxiety or depressive disorder and use of mental health
care among adults during the COVID‑19 pandemic—United
States, August 2020–February 2021. Morb Mortal Wkly Rep
2021;70:490‑4.
5. Badahdah A, Khamis F, Al Mahyijari N, Al BalushiM, Al Hatmi H,
Al Salmi I, et al. The mental health of health care workers in Oman
during the COVID‑19 pandemic. Int J Soc Psychiatry 2021;67:90‑5.
6. Greenberg N, Docherty M, Gnanapragasam S, Wessely S.
Managing mental health challenges faced by healthcare workers
during covid‑19 pandemic. BMJ 2020;368. doi: https://doi.
org/10.1136/bmj.m1211.
7. Ho CS, Chee CY, Ho RC. Mental health strategies to combat the
psychological impact of COVID‑19 beyond paranoia and panic.
Ann Acad Med Singapore 2020;49:1‑3.
8. Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E,
Katsaounou P. Prevalence of depression, anxiety, and insomnia
among healthcare workers during the COVID‑19 pandemic:
A systematic review and meta‑analysis. Brain Behav Immun
2020;88:901‑7.
9. Krammer S, Augstburger R, Haeck M, Maercker A. Adjustment
disorder, depression, stress symptoms, Corona related anxieties
and coping strategies during the Corona pandemic (COVID‑19)
in Swiss medical staff. Psychother Psychosom Med Psychol
2020;70:272‑82.
10. Maraqa B, Nazzal Z, Zink T. Palestinian health care workers’
stress and stressors during COVID‑19 pandemic: A cross‑sectional
study. J Prim Care Community Health 2020;11:2150132720955026.
doi: 10.1177/2150132720955026.
11. Alenazi TH, BinDhim NF, Alenazi MH, Tamim H, Almagrabi RS,
Aljohani SM, et al. Prevalence and predictors of anxiety among
healthcare workers in Saudi Arabia during the COVID‑19
pandemic. J Infect Public Health 2020;13:1645‑51.
12. Abdel WahedWY, HefzyEM, AhmedMI, Hamed NS. Assessment
of knowledge, attitudes, and perception of health care workers
regarding COVID‑19, a cross‑sectional study from Egypt.
J Community Health 2020;45:1242‑51.
13. Shanafelt T, Ripp J, Trockel M. Understanding and addressing
sources of anxiety among health care professionals during the
COVID‑19 pandemic. JAMA 2020;323:2133‑4.
14. Brondani M, Almeida F, Cua D, Maragha T, Mathu‑Muju K,
Shayanfar M, et al. Uncertainties around COVID‑19 from the
perspectives of oral health care workers during the first wave of
SARS‑CoV‑2 infections in British Columbia, Canada. PLoS One
2021;16:e0249186.
15. Deressa W, Worku A, Abebe W, Gizaw M, Amogne W. Risk
perceptions and preventive practices of COVID‑19 among
healthcare professionals in public hospitals in Addis Ababa,
Ethiopia. PLoS One 2021;16:e0242471.
16. Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated
with mental health outcomes among health care workers exposed
to coronavirus disease 2019. JAMA Netw Open 2020;3:e203976.
17. Cabarkapa S, Nadjidai SE, Murgier J, Ng CH. The psychological
impact of COVID‑19 and other viral epidemics on frontline
healthcare workers and ways to address it: A rapid systematic
review. Brain Behav Immun Health 2020;8:100144. doi: 10.1016/j.
bbih.2020.100144.
18. Alrubaiee GG, Al‑Qalah TA, Al‑Aawar MS. Knowledge, attitudes,
anxiety, and preventive behaviours towards COVID‑19 among
health care providers in Yemen: An online cross‑sectional survey.
BMC Public Health 2020;20:1541.
19. Lasheras, Isabel, et al. "Prevalence of anxiety in medical students
during the COVID-19 pandemic: a rapid systematic review with
meta-analysis." International journal of environmental research
and public health 17.18 (2020): 6603.