Document Type : Original Article

Authors

Department of Operation Theatre, Thomson Hospital Kota Damansara, Selangor, Malaysia

Abstract

BACKGROUND: Although older people are at a higher risk of COVID‑19 infection, there is a lack of
research that focuses on COVID‑19 in older people in Malaysia. Therefore, the aim of this study was
to assess the level of knowledge and attitudes related to COVID‑19, and to identify the association of
sociodemographic background with knowledge and attitudes towards COVID‑19 among older people.
MATERIALS AND METHODS: This is a cross‑sectional study involving 382 older people living
in the community in Malaysia. Data was collected using convenience sampling through an online
questionnaire that consisted of three parts: sociodemographic details, knowledge, and attitude
related to COVID‑19.
RESULTS: The overall correct rate of knowledge was 77.3%, indicating that participants had slightly
good knowledge related to COVID‑19. The participants showed a positive attitude with a mean
score of 26.0 (SD = 5.0). There were significant associations between knowledge and education
level (P = 0.00) and marital status (P = 0.02). Marital status was significantly associated with
attitude towards COVID‑19 (P = 0.03). A weak positive correlation was found between knowledge
and attitude (r = 0.17, P = 0.00) suggesting that an increase in knowledge will increase the positive
attitude among older people.
CONCLUSION: Older people reported good knowledge and positive attitudes towards COVID‑19.
The Malaysian government should provide relevant health education for those with lower education
levels and divorced or widowed to improve knowledge and attitudes towards COVID‑19.

Keywords

1. Hashim JH, Adman MA, Hashim Z, Radi MF, Kwan SC.
COVID‑19 epidemic in Malaysia: Epidemic progression,
challenges, and response. Front Public Health 2021;9:560592.
2. Palacios Cruz M, Santos E, Velázquez Cervantes MA,
León Juárez M. COVID‑19, a worldwide public health emergency.
Rev Clín Esp (Barc) 2021;221:55–61.
3. Rampal L, Liew BS. Malaysia’s third COVID‑19 wave‑A paradigm
shift required. Med J Malaysia 2021;76:1–4.
4. Liu K, Chen Y, Lin R, Han K. Clinical features of COVID‑19 in
elderly patients: A comparison with young and middle‑aged
patients. J Infect 2020;80:14–8.
5. MustaffaN, Lee S‑Y, NawiSN, RahimMJ, CheeYC, BesariAM, et al.
COVID‑19 in the elderly: A Malaysian perspective. J Glob Health
2020;10:1‑4.
6. Chung CF, Singau JB, Pazim KH, Mansur K. The repercussions of
Covid‑19 pandemic on the wellbeing of older people in Malaysia:
A literature review. Int J Stud Child Women Elderly Disabl
2020;11:17–23.
7. Azlan AA, Hamzah MR, Sern TJ, Ayub SH, Mohamad E. Public knowledge, attitudes and practices towards COVID‑19:
A cross‑sectional study in Malaysia. PLoS One 2020;15:e0233668.
doi: 10.1371/journal.pone. 0233668.
8. Mat Din H, Adnan RN, Akahbar SA, Minhat HS. Assessment of
Knowledge, attitudes and practices towards COVID‑19 among
Malaysian older adults during the pandemic. Asian J Behav Sci
2021;3:1–12.
9. Xie B, Charness N, Fingerman K, Kaye J, Kim MT, Khurshid A.
When going digital becomes a necessity: Ensuring older adults’
needs for information, services, and social inclusion during
COVID‑19. J Aging Soc Policy 2020;3:460–70.
10. Maracy MR, Rahimi M, Shahraki RA. A survey of knowledge,
attitude and practice of the older people about COVID‑19
pandemic in Isfahan, Iran. J Gerontol Geriatr 2020;68:204–11.
11. De Pue S, Gillebert C, Dierckx E, Vanderhasselt M‑A, De Raedt R,
Van den Bussche E. The impact of the COVID‑19 pandemic on
wellbeing and cognitive functioning of older adults. Sci Rep
2021;11:4636.
12. Chen Y, Zhou R, Chen B, Chen H, Li Y, Chen Z, et al. Knowledge,
perceived beliefs, and preventive behaviors related to covid‑19
among Chinese older adults: Cross‑sectional web‑based survey.
J Med Internet Res 2020;22:e23729. doi: 10.2196/23729.
13. Rosenstock IM. Historical origins of the health belief model.
Health Educ Monogr 1974;2:328–35.
14. Sarojini K, Somasundaram J, Girija AS. Knowledge, attitude and
perception of COVID infections among elders with respiratory
diseases. Int J Pharm Res 2020;12: 909‑920.
15. He L, Traphagan JW. A preliminary exploration of attitudes about
COVID‑19 among a group of older people in Iwate Prefecture,
Japan. J Cross Cult Gerontol 2021;36:1‑19.
16. Chee SY. COVID‑19 pandemic: The lived experiences of older
adults in aged care homes. Millenn Asia 2020;11:299–317.
17. Mueller AL, McNamara MS, Sinclair DA. Why does COVID‑19
disproportionately affect older people? Aging 2020;12:9959–81.
18. Amore S, Puppo E, Melara J, Terracciano E, Gentili S, Liotta G.
Impact of COVID‑19 on older adults and role of long‑term
care facilities during early stages of epidemic in Italy. Sci Rep
2021;11:12530.
19. Thiam CN, Hasmukharay K, Lim WC, Ng CC, Pang GH,
Abdullah A, et al. COVID‑19 infection among older people
admitted to hospital: A cross‑sectional analysis. Geriatrics (Basel)
2021;6:25.
20. Fitzpatrick JM, Rafferty AM, Hussein S, Ezhova I, Palmer S,
Adams R, et al. Protecting older people living in care homes
from COVID‑19: A protocol for a mixed‑methods study to
understand the challenges and solutions to implementing social
distancing and isolation. BMJ Open 2021;11:e050706. doi: 10.1136/
bmjopen‑2021‑050706.
21. Du P, Chen Y. Prevalence of elder abuse and victim‑related risk
factors during the COVID‑19 pandemic in China. BMC Public
Health 2021;21:1096.
22. Aini AM, Murni N, Abd Aziz WN. Housing aspirations of the
elderly in Malaysia: A comparison of urban and rural areas. J Des
Built Environ 2016;16 30‑43.
23. Al‑Hanawi MK, Angawi K, Alshareef N, Qattan AM, Helmy HZ,
Abudawood Y, et al. Knowledge, attitude and practice toward
COVID‑19 among the public in the Kingdom of Saudi Arabia:
A cross‑sectional study. Front Public Health 2020;8:217.
24. Maneesriwongul W, Dixon JK. Instrument translation process:
A methods review. J Adv Nurs 2004;48:175–86.
25. Ahmad N, Rahman AB, Jasman N, Zaman Salleh K, Harun SN,
Krishnan M. Usage of internet for health information seeking
among elderly in Malaysia. EPRA Int J Multidiscip Res
2020;6:187‑193.