Main Article Content
COVID-19; risk perception; knowledge; attitude; perception; population
Background and aim: On January 9, 2020, the World Health Organization (WHO) declared that Chinese health authorities had identified a new coronavirus strain never before isolated in humans, the 2019-nCoV later redefined SARS-CoV-2, that still today represent a public health problem. The present survey started on 10 February 2020 with the aim of a) assessing the risk perception in healthcare workers and young students, following the evolution of attitudes, perception and knowledge over time, b) provide useful information to the general population during survey.
Results: A study sample consisting of 4116 Italian individuals of both sexes was enrolled. High levels of risk perception, low perception of self-efficacy and low levels of knowledge scores (24.55 ± 5.76 SD) were obtained indicating the need for continuous population monitoring as well as further communication strategies carried out at institution levels.
Conclusion: The results of the present study could help public health authorities in carrying out informative campaigns for general population and could be an important tool in evaluating public knowledge and misperceptions during the management of the COVID-19. (www.actabiomedica.it)
2. Slovic, P. Risk, society, and policy series. The perception of risk. Earthscan Publications. (Ed.). (2000).
3. Sandman, Peter M. Hazard versus outrage in the public perception of risk . Book Chapter. 1989. Pagination 45–49. Publisher Springer.
4. Coronavirus disease (COVID-19) pandemic. Available on line on https://www.who.int/emergencies/diseases/novel-coronavirus-2019 Last access 12.10.2020
5. COVID-19 pandemic. Available on line on https://www.ecdc.europa.eu/en/novel-coronavirus-china last access 12.10.2020
6. ISS for COVID 19. Available on line on https://www.iss.it/?p=4919 last access 12.10.2020
7. S.Siegel, N. John Castellan (1992). Nonparametric Statistics for the Behavioral Sciences. McGraw-Hill
8. Agresti. (2007) An Introduction to Categorical Data Analysis. Wiley
9. The R Project for Statistical Computing (https://www.r-project.org/)
10. Glik DC. Risk communication for public health emergencies. Annu Rev Public Health. 2007;28(1):33-54. https://doi.org/10.1146/annurev.publhealth.28.021406.144123 PMID: 17222081
11. Infanti J, Sixsmith J, Barry MM, Núñez-Córdoba J, Oroviogoicoechea-Ortega C, Guillén-Grima F. A literature review on effective risk communication for the prevention and control of communicable diseases in Europe. Stockholm: ECDC; 2013. Available from: https://www.ecdc.europa.eu/sites/default/files/media/en/publications/Publications/risk-communication-literary-review-jan-2013.pdf
12. Murray SA, Manktelow K, Clifford C. The interplay between social and cultural context and perceptions of cardiovascular disease. J Adv Nurs. 2000;32(5):1224-33. https://doi.org/10.1046/j.1365-2648.2000.01593.x PMID: 11115008
13. Yeo J, Li H, Shin YA, Haupt B. Cultural approaches to crisis management. In: Farazmand A (ed). Global encyclopedia of public administration, public policy, and governance. Cham: Springer; 2017. Available from: https://doi.org/10.1007/978-3-319-31816-5_794-1
14. Murray SA, Manktelow K, Clifford C. The interplay between social and cultural context and perceptions of cardiovascular disease. J Adv Nurs. 2000;32(5):1224-33. https://doi.org/10.1046/j.1365-2648.2000.01593.x PMID: 11115008
15. Yeo J, Li H, Shin YA, Haupt B. Cultural approaches to crisis management. In: Farazmand A (ed). Global encyclopedia of public administration, public policy, and governance. Cham: Springer; 2017. Available from: https://doi.org/10.1007/978-3-319-31816-5_794-1
16. “Effective Communication in Outbreak Management: development of an evidence-based tool for Europe”. Available on http://ecomeu.info/ecom-project/. Last access on 9 November ,2020
17. Feng S, Shen C, Xia N, Song W, Fan M, Cowling BJ. Rational use of face masks in the COVID-19 pandemic [published online ahead of print, 2020 Mar 20]. Lancet Respir Med. 2020;8(5):434‐436. doi:10.1016/S2213-2600(20)30134-X
18. Cheng KK, Lam TH, Leung CC. Wearing face masks in the community during the COVID-19 pandemic: altruism and solidarity [published online ahead of print, 2020 Apr 16]. Lancet. 2020;S0140-6736(20)30918-1. doi:10.1016/S0140-6736(20)30918-1
19. Geldsetzer P. Use of Rapid Online Surveys to Assess People's Perceptions During Infectious Disease Outbreaks: A Cross-sectional Survey on COVID-19. J Med Internet Res. 2020;22(4):e18790. Published 2020 Apr 2. doi:10.2196/18790
20. Lohiniva Anna-Leena, Sane Jussi, Sibenberg Katja, Puumalainen Taneli, Salminen Mika. Understanding coronavirus disease (COVID-19) risk perceptions among the public to enhance risk communication efforts: a practical approach for outbreaks, Finland, February 2020. Euro Surveill. 2020;25(13):pii=2000317. https://doi.org/10.2807/1560-7917.ES.2020.25.13.2000317
21. Taghrir MH, Borazjani R, Shiraly R. COVID-19 and Iranian Medical Students; A Survey on Their Related-Knowledge, Preventive Behaviors and Risk Perception. Arch Iran Med. 2020;23(4):249‐254. Published 2020 Apr 1. doi:10.34172/aim.2020.06
22. McFadden SM, Malik AA, Aguolu OG, Willebrand KS, Omer SB. Perceptions of the adult US population regarding the novel coronavirus outbreak. PLoS One. 2020;15(4):e0231808. Published 2020 Apr 17. doi:10.1371/journal.pone.0231808
23. Losada-Baltar A, Jiménez-Gonzalo L, Gallego-Alberto L, Pedroso-Chaparro MDS, Fernandes-Pires J, Márquez-González M. "We're staying at home". Association of self-perceptions of aging, personal and family resources and loneliness with psychological distress during the lock-down period of COVID-19 [published online ahead of print, 2020 Apr 13]. J Gerontol B Psychol Sci Soc Sci. 2020;gbaa048. doi:10.1093/geronb/gbaa048
24. Khader Y, Al Nsour M, Al-Batayneh OB, et al. Dentists' Awareness, Perception, and Attitude Regarding COVID-19 and Infection Control: Cross-Sectional Study Among Jordanian Dentists. JMIR Public Health Surveill. 2020;6(2):e18798. Published 2020 Apr 9. doi:10.2196/18798
25. Moccia L, Janiri D, Pepe M, et al. Affective temperament, attachment style, and the psychological impact of the COVID-19 outbreak: an early report on the Italian general population [published online ahead of print, 2020 Apr 20]. Brain Behav Immun. 2020;S0889-1591(20)30586-9. doi:10.1016/j.bbi.2020.04.048
26. Wang C, Pan R, Wan X, et al. A longitudinal study on the mental health of general population during the COVID-19 epidemic in China [published online ahead of print, 2020 Apr 13]. Brain Behav Immun. 2020;S0889-1591(20)30511-0. doi:10.1016/j.bbi.2020.04.
27. Casanova M, Pagani Bagliacca E, Silva M, et al. How young patients with cancer perceive the COVID-19 (coronavirus) epidemic in Milan, Italy: Is there room for other fears? [published online ahead of print, 2020 Apr 2]. Pediatr Blood Cancer. 2020;e28318. doi:10.1002/pbc.28318
28. Michaud K, Wipfler K, Shaw Y, et al. Experiences of Patients with Rheumatic Diseases in the US During Early Days of the COVID-19 Pandemic [published online ahead of print, 2020 Apr 20]. ACR Open Rheumatol. 2020;10.1002/acr2.11148. doi:10.1002/acr2.11148
29. Vaccines and their impact on the control of disease Angela R McLean Institute for Animal Health, Newbury, Berkshire, UK and The Wellcome Trust Centre for the Eptdenttology of Infectious Disease, Department of Zoology, University of Oxford, Oxford, UK.
30. Schuster M, Duclos p, eds. Who Recommendation Regarding Vaccine Hesitancy. Vaccine. 2015;33(34):4155-4218.
31. Noni E.MacDonald and the SAGE Working Group on Vaccine Hesitancy. Vaccine hesitancy: Definition, scope and determinants. Vaccine. Volume 33, Issue 34, 14 August 2015, Pages 4161-4164
32. Gori D, Costantino C, Odone A, et al. The Impact of Mandatory Vaccination Law in Italy on MMR Coverage Rates in Two of the Largest Italian Regions (Emilia-Romagna and Sicily): An Effective Strategy to Contrast Vaccine Hesitancy. Vaccines (Basel). 2020;8(1):57. Published 2020 Jan 30. doi:10.3390/vaccines8010057
33. Ferrera G, Squeri R, Genovese C. The evolution of vaccines for early childhood: the MMRV. Ann Ig. 2018;30(4 Supple 1):33‐37. doi:10.7416/ai.2018.2232
34. Shazia Sheikh, Eliana Biundo, Soizic Courcier, Oliver Damm, Odile Launay, Edith Maes, Camelia Marcos, Sam Matthews, Catherina Meijer, Andrea Poscia, Maarten Postma, Omer Saka, Thomas Szucs, Norman Begg. Corrigendum to ‘A report on the status of vaccination in Europe’ [Vaccine 36 (2018) 4979–4992]Vaccine, Volume 37, Issue 10, 28 February 2019, Pages 1374-1376
35. Packnett E, Irwin DE, Novy P, et al. Meningococcal-group B (MenB) vaccine series completion and adherence to dosing schedule in the United States: A retrospective analysis by vaccine and payer type. Vaccine. 2019;37(39):5899‐5908. doi:10.1016/j.vaccine.2019.06.065
36. Bechini A, Paolini D, Pieralli F, et al. Do Tuscan people adhere to meningococcal C vaccination during an emergency campaign?. J Prev Med Hyg. 2018;59(3):E187‐E193. Published 2018 Sep 28. doi:10.15167/2421-4248/jpmh2018.59.3.952
37. Determann D, Korfage IJ, Lambooij MS, et al. Acceptance of vaccinations in pandemic outbreaks: a discrete choice experiment. PLoS One. 2014;9(7):e102505. Published 2014 Jul 24. doi:10.1371/journal.pone.0102505
38. Prematunge C, Corace K, McCarthy A, et al. Qualitative motivators and barriers to pandemic vs. seasonal influenza vaccination among healthcare workers: a content analysis. Vaccine. 2014;32(52):7128‐7134. doi:10.1016/j.vaccine.2014.10.023
39. Richardson S, Hirsch JS, Narasimhan M, et al. Presenting Characteristics, Comorbidities, and Outcomes Among 5700 Patients Hospitalized With COVID-19 in the New York City Area. JAMA. Published online April 22, 2020. doi:10.1001/jama.2020.6775
40. ISS. Characteristics of COVID-19 patients dying in Italy Report based on available data on March 20th, 2020.
41. Guan WJ, Liang WH, Zhao Y, et al. Comorbidity and its impact on 1590 patients with Covid-19 in China: A Nationwide Analysis [published online ahead of print, 2020 Mar 26]. Eur Respir J. 2020;2000547. doi:10.1183/13993003.00547-2020
42. Grimes DA, Schulz KF. Bias and causal associations in observational research. Lancet. 2002;359(9302):248‐252. doi:10.1016/S0140-6736(02)07451-2 https://irgc.org/risk-governance/emerging-risk/
43. Rosano A, Bella A, Gesualdo F, et al. Investigating the impact of influenza on excess mortality in all ages in Italy during recent seasons (2013/14-2016/17 seasons). Int J Infect Dis. 2019;88:127‐134. doi:10.1016/j.ijid.2019.08.003
44. LuptonDebirah. Risk and Sociocultural Theory: New Directions and Perspectives. 1999
45. Hunt GJ. Flight and fight: a comparative view of the neurophysiology and genetics of honey bee defensive behavior. J Insect Physiol. 2007;53(5):399‐410. doi:10.1016/j.jinsphys.2007.01.010.
46. Squeri R, Levita A, Intelisano R, Costa GB, Mancuso G, Grasso L, D'Amato S, Mazzitelli F, Squeri A, Midiri A, Biondo C, Alesci D, Bonaccorso V, Bitto A, Genovese C. Correct management and low rate of contagiousness of healthcare workers in a University Hospital in Southern Italy: from contact tracing to serological investigation. Acta Biomed. 2020 Jul 20;91(9-S):79-86. doi: 10.23750/abm.v91i9-S.10118. PMID: 32701920.