Document Type : Original Article
Authors
- . Surahalli J Naresh 1
- . Mahendra M Reddy 2
- . Ravishankar Suryanarayana 1
- . Ananta Bhattacharyya 3
- . Prasanna B T Kamath 1
1 Department of Community Medicine, Sri Devaraj Urs Medical College, Kolar, Karnataka, India
2 Indian Council of Medical Research - Regional Medical Research Centre, Gorakhpur
3 Department of Community Medicine, Sri Devaraj Urs Medical College, Kolar, Karnataka, India Media and Communication Centre, Sri Devaraj Urs Academy of Higher Education and Research, Kolar, Karnataka, India *Both authors contributed equally
Abstract
BACKGROUND: Capturing the baseline information on awareness, practices, and prevailing
myths related to the ongoing coronavirus disease‑19 (COVID‑19) pandemic in rural India will help
in planning interventions to improve the health literacy on COVID‑19. The aim of the study was to
assess the level of awareness, practices, and myths regarding COVID‑19 among rural population
of Kolar district in South India.
MATERIALS AND METHODS: A concurrent mixed‑methods study with a quantitative
community‑based cross‑sectional analytical design and a qualitative phenomenological design
was conducted in five randomly selected villages during June 2020. A prevalidated and pretested
semi‑structured questionnaire was administered to one adult in the households selected using
systematic random sampling to capture the sociodemographic details and their awareness, practices,
and myths related to COVID‑19. The supervisors additionally and concurrently used a nonparticipant
observation technique to record the real‑time behaviors and preventive practices adopted by the
villagers. Quantitative analysis was done using STATA and included multivariable regression
analysis, and the association was reported using prevalence rates along with their 95% confidence
intervals (CIs). Qualitative analysis was done manually as per discussion and concordance among
supervisors and reported as categories along with supporting statements.
RESULTS: Among the 298 respondents, “poor awareness” was seen in 128 (43.0%, 95%
CI: 37.5%–48.6%). Among the responders, 89 (29.9%) believed in the myth that “Corona disease is due
to God’s wrath or curse.” The field observations were categorized under three categories – “avoidance
of masks,” “nonexistent social distancing,” and “rampant spitting.”
CONCLUSION: About two in five villagers were found to have “poor awareness” to COVID, and
practices related to COVID were found to be largely unsatisfactory. Lower level of education and
belonging to nuclear family were associated with “poor awareness.” Various myths were identified
that has to be debunked on priority basis by the government, especially targeting the people having low level of education in rural India.
Keywords
covid19india.org/. [Last accessed on 2021 May 22].
2. Bhattacharyya I. Why India’s Lockdown Has Been a Spectacular
Failure. Wire; 2020. Available from: https://thewire.in/
government/india‑covid‑19‑lockdown‑failure. [Last accessed on
2020 Aug 05].
3. Saran B, Mohanty D, Kumar R. Covid‑19 Cases Surge in 4 States
after Returning Migrants Test Positive. Hindustan Times; 2020.
Available from: https://www.hindustantimes.com/india‑news/
cases‑surge‑in‑4‑states‑after‑returning‑migrants‑test‑ve/
story‑kF5P3sHciQWQmUZwpqsskK.html. [Last accessed on
2020 Aug 05].
4. Nair S, Verma D. Coronavirus response: A policy framework
for India’s Covid‑19 migration. The Quint; 2020. Available from:
https://www.bloombergquint.com/coronavirus‑outbreak/a‑po
licy‑framework‑for‑indias‑covid‑19‑migration. [Last accessed on
2020 Aug 05].s
5. 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.
6. Zhong BL, Luo W, Li HM, Zhang QQ, Liu XG, Li WT, et al.
Knowledge, attitudes, and practices towards COVID‑19 among
Chinese residents during the rapid rise period of the COVID‑19
outbreak: A quick online cross‑sectional survey. Int J Biol Sci
2020;16:1745‑52.
7. Alahdal H, Basingab F, Alotaibi R. An analytical study on
the awareness, attitude and practice during the COVID‑19
pandemic in Riyadh, Saudi Arabia. J Infect Public Health
2020;13:1446‑52.
8. Pandey S, Abhijeet G, Ruchita B, Simran B, Pooja K, Fernandes G.
Corona virus (COVID‑19) awareness assessment – A survey study
amongst the Indian population. J Clin Med Res 2020;2:1‑10.
9. Mirzaei A, Kazembeigi F, Kakaei H, Jalilian M, Mazloomi S,
Nourmoradi H. Application of health belief model to predict
COVID‑19‑preventive behaviors among a sample of Iranian adult
population. J Educ Health Promot 2021;10:69.
10. Jahanbakhsh M, Bagherian H, Tavakoli N, Ehteshami A, Sattari M,
Isfahani SSN, et al. The role of virtual social networks in shaping
people’s attitudes toward COVID‑19 in Iran. J Educ Health Promot
2021;10:90.
11. Zamanian M, Ahmadi D, Sindarreh S, Aleebrahim F,
Vardanjani HM, Faghihi SH, et al. Fear and rumor associated with COVID‑19 among Iranian adults, 2020. J Educ Health Promot
2020;9:355.
12. Dean AG, Sullivan KM, Soe MM. OpenEpi: Open Source
Epidemiologic Statistics for Public Health, Version 3.01.
2013. Available from: www.OpenEpi.com [Last accessed on
2020 Aug 01].
13. Han P, Ivanovski S. Saliva‑friend and Foe in the COVID‑19
outbreak. Diagnostics (Basel) 2020;10:290.
14. Baghizadeh Fini M. Oral saliva and COVID‑19. Oral Oncol
2020;108:104821.
15. Indian Council of Medical Research: Don’t Consume or Spit
Tobacco Products. NDTV Coronavirus; 2020. Available from:
https://www.ndtv.com/india‑news/indian‑council‑of‑medical‑
research‑don’t-consume‑or‑spit‑tobacco‑products‑2206258. [Last
accessed on 2020 Aug 01].
16. Thompson ML, Myers JE, Kriebel D. Prevalence odds ratio or
prevalence ratio in the analysis of cross sectional data: What is
to be done? Occup Environ Med 1998;55:272‑7.
17. Pouragha B, Keshtkar M, Abdolahi M, Sheikhbardsiri H. The
role of communication skills in the promotion of productivity of
health human resource in Iran: A cross‑sectional study. J Educ
Health Promot 2020;9:229.