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

Bao‐Liang Zhong, Wei Luo, Hai-Mei Li, Qian-Qian Zhang, Xiao-Ge Liu, Wen-Tian Li, Yi Li · International Journal of Biological Sciences · 2020 · health-psychology · 10.7150/ijbs.45221 · record zhong2020-knowledge-attitudes-and-practices
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Other fields define these differently the same word, defined another way in another discipline
logistic regression 3 fields

Tags on this paper

Every tag the record carries, each linking to every other paper in the corpus that carries it. A tag appears here whether or not its words occur in the article — the spans below are only the ones a sentence in this paper licenses. Of the 7 concept tags on this paper, all 7 are grounded in a quoted sentence. All carry the tagger's gloss of what the term means in this paper, which is not something the article can license.
knowledge questionnaire attitudes practices socioeconomic status KAP theory panic emotion case fatality rate knowledge score demographic variables logistic regression OR survey
Method, as described: self-developed online questionnaire - 12 knowledge items, and attitudes and practices measured with two questions - recruited through the authors' own networks and popular media in Hubei

Legend

relation to other workclaim_relationshow this paper stands to another: agrees, contradicts, extends, qualifies
claim typeclaim_typethe shape of the claim: existence, mechanism, method, critique, prediction, null
conceptconceptsan idea the paper works with, quoted where the paper uses it
content tagcontent_tagsa finding, definition, quantity, statistic or variable named in the paper
contributioncontributionwhat the paper claims to add
controlcontrolsan experiment run to eliminate a rival explanation
limitationlimitationswhat the paper says its evidence cannot support
mechanismmechanismshow the reported effect is said to come about
methodmethodhow the paper produced its evidence
object of studyobject_of_studywhat the paper is about — the thing it investigates
phenomenonphenomenonthe effect or regularity under study
research questionresearch_questionthe question the paper sets itself
sensesensesa distinct use of a term, quoted where the paper fixes it

The paper

The full text is not reproduced here. This article is not cleared for redistribution, so the page carries the tag layer only. Its evidence sentences are withheld; the grounding status remains with each tag, and the article itself is at https://doi.org/10.7150/ijbs.45221. The reading view exists for the papers whose licence permits it.

Every tag on this page

claim_relations 2 · claim_type 1 · concepts 7 · content_tags 23 · contribution 1 · controls 7 · limitations 7 · mechanisms 2 · method 1 · object_of_study 1 · phenomenon 1 · research_question 1 · senses 3

This record holds no relations between concepts. A layer is empty when the tagger recorded nothing in it — which is not the same as the paper having nothing to record.

facettagfieldconf.whose words
object_of_studyknowledge, attitudes and practices towards COVID-19 among Chinese residents during the rapid-rise period of the outbreak
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
object_of_studythe paper's words
research_questionwhat Chinese residents knew, felt and did about COVID-19 while the epidemic was accelerating, and whether knowledge predicted the other two
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research_questionthe paper's words
contributiona 6,910-respondent online KAP survey, reported with the DIRECTION of its own sampling bias on each headline figure
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contributionthe paper's words
claim_typeexistence
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claim_typethe paper's words
phenomenonhigh self-reported knowledge, optimism and mask-wearing in a self-selected online sample during an accelerating epidemic
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phenomenonthe paper's words
methodsurvey
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also in: survey
methodthe paper's words
mechanismsthe proposed pathway is knowledge -> attitude and practice: a higher COVID-19 knowledge score is associated with a LOWER likelihood of negative attitudes and of poor preventive practices, OR 0.75-0.90, P<0.001
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
mechanisms[0]0.95the tagger's words
mechanismsknowledge and attitudes act on transmission indirectly through panic, which the paper says can itself complicate prevention
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mechanisms[1]0.95the tagger's words
limitationsA SIGNED ERROR TERM, NOT A LIMITATIONS PARAGRAPH. The sample is over-representative of women, the well-educated and mental labourers, and the paper states the consequence per figure: `we may have OVERESTIMATED knowledge and rates of preventive practices and UNDERESTIMATED rates of positive attitudes`
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limitations[0]0.95the tagger's words
limitationsthe population the findings apply to is narrowed explicitly - `strictly speaking, our findings can only be generalized to Chinese populations of a relatively high socioeconomic status, particularly women`
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limitations[1]0.95the tagger's words
limitationsTHE MEASURE IS DECLARED INADEQUATE BY THE PEOPLE WHO USED IT: the assessment of attitudes and practices is `unstandardized and inadequate` and, for want of time, `both were measured with two simple questions only`
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limitations[2]0.95the tagger's words
limitationsand the paper names who is missing and why: vulnerable populations - older adults, rural people - have limited access to internet and online health information, which is the same channel the survey recruited through
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limitations[3]0.95the tagger's words
limitationscommunity-based national sampling was not feasible during the lockdown, so the survey is an online convenience sample and the paper says so
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limitations[4]0.95the tagger's words
limitationsrecruitment ran through the authors' own social networks and local media reposts, which decides who could see the poster at all
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limitations[5]0.95the tagger's words
limitationsattitudes rest on two questions and practices on two behaviours, against twelve for knowledge - the three KAP components are not measured at comparable depth
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limitations[6]0.95the tagger's words
controlsthe achieved sample is compared against the most recent NATIONAL POPULATION STATISTICS of China, rather than described on its own terms
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eliminates: a self-selected sample being read as a population sample - the comparison is what turns 'our respondents' into 'over-representative of women, well-educated people, and people engaging in mental labor' · outcome: failed
controls[0]0.95the tagger's words
controlsthe DIRECTION of the resulting bias is worked out per outcome, using the associations the study itself measured between the demographic variables and KAP
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eliminates: a caveat that says only 'may not generalise' - here the reader is told which numbers are too high and which are too low · outcome: held
controls[1]0.95the tagger's words
controlswhether attitudes and practices were measured adequately
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eliminates: nothing - the assessment is called 'unstandardized and inadequate' by the authors, who state that both should have been developed via focus group and interview and built as multi-dimensional measures · outcome: failed
controls[2]0.95the tagger's words
controlswhether the populations most likely to score poorly are in the sample at all
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eliminates: nothing - older adults and rural people have limited internet access, which is the channel the survey recruited through, and the paper says so · outcome: failed
controls[3]0.95the tagger's words
controlsexcluding the nine respondents who reported having been infected before analysing the sample
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eliminates: the possibility that people who already had the disease answer knowledge and practice items from experience rather than from public information · outcome: held
controls[4]0.95the tagger's words
controlsbackward stepwise selection in the regression models rather than entering all variables
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eliminates: associations that survive only because a correlated demographic is held in the model · outcome: held
controls[5]0.9the tagger's words
controlsa yes/no consent item that had to be answered before the questionnaire opened, under ethics approval
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eliminates: participation without informed consent in a survey distributed by social media reposting · outcome: held
controls[6]0.9the tagger's words
conceptsknowledge questionnaire
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
concepts[0]0.95the paper's words
conceptsattitudes
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
also in: attitudes
concepts[1]0.95the paper's words
conceptspractices
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
also in: practices
concepts[2]0.95the paper's words
conceptssocioeconomic status
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
concepts[3]0.95the paper's words
conceptsKAP theory
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
also in: KAP theory
concepts[4]0.95the paper's words
conceptspanic emotion
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
also in: panic emotion
concepts[5]0.9the paper's words
conceptscase fatality rate
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
concepts[6]0.95the paper's words
sensesKAP - AS OPERATIONALISED HERE, AND THE THREE ARE NOT EQUAL. Knowledge is 12 items with a correct answer. Attitudes and practices are ONE QUESTION EACH: confidence that China can win, and whether a mask was worn recently. A three-part construct measured 12 : 1 : 1
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
senses[0]0.95the tagger's words
sensesthe sample - `recruited via the authors' networks with residents and popular media in Hubei`. THE RECRUITMENT CHANNEL IS ALSO THE EXCLUSION CRITERION: it reaches people with internet access, and the paper says the populations most at risk are the ones without it
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
senses[1]0.95the tagger's words
senses`most Chinese residents` in the conclusion, WITH ITS QUALIFIER ATTACHED IN THE SAME sentence - `of a relatively high socioeconomic status, in particular women`. The qualifier is inside the claim rather than in a caveat afterwards, which is what makes it survive being quoted
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
senses[2]0.95the tagger's words
claim_relationssupports → health education programmes as a lever on attitudes and behaviour, on the strength of the knowledge-score association
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
claim_relations[0]0.95the tagger's words
claim_relationscritiques → generalising KAP findings from an online sample to the Chinese population, which the paper refuses to do for its own results
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
claim_relations[1]0.95the tagger's words
content_tagsA SIGNED ERROR TERM: the paper states that it MAY HAVE OVERESTIMATED knowledge and preventive practices and UNDERESTIMATED positive attitudes, deriving the direction from its own measured associations
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
content_tags.findings[0]0.95the tagger's words
content_tagsTHE MEASURE IS DECLARED INADEQUATE BY THE PEOPLE WHO USED IT - attitudes and practices were each measured with TWO SIMPLE QUESTIONS ONLY, for want of time
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
content_tags.findings[1]0.95the tagger's words
content_tagsthe overall correct rate on the knowledge questionnaire was 90%, 97.1% had confidence China would win, and 98.0% wore masks when going out
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content_tags.findings[2]0.95the tagger's words
content_tagsa higher knowledge score is associated with a LOWER likelihood of negative attitudes and poor practices, OR 0.75-0.90, P<0.001
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
content_tags.findings[3]0.95the tagger's words
content_tagsthe sample is over-representative of women, the well-educated and mental labourers against national population statistics
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
content_tags.findings[4]0.95the tagger's words
content_tagswith limited internet access, vulnerable groups such as older adults and rural people are more likely to have poor knowledge, negative attitudes and inappropriate practices
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
content_tags.findings[5]0.95the tagger's words
content_tagsCOVID-19's case fatality rate in China was far below SARS, MERS and H7N9, which is the comparison the paper opens with
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
content_tags.findings[6]0.95the tagger's words
content_tagsthe final sample was 65.7% women, 63.5% held a bachelor's degree or above, and 56.2% did mental labour
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
content_tags.findings[7]0.95the tagger's words
content_tagsthe knowledge instrument reached acceptable internal consistency, which the paper states with the coefficient
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
content_tags.findings[8]0.9the tagger's words
content_tags12 questions regarding the clinical characteristics and prevention of COVID-19
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content_tags.definitions[0]0.95the tagger's words
content_tagsthe knowledge instrument's construction - twelve items split across clinical presentation, transmission, and prevention, scored 0 to 12
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
content_tags.definitions[1]0.95the tagger's words
content_tagssurvey completers, of whom 65.7% women, 63.5% with a bachelor degree or above, 56.2% in mental labour
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content_tags.quantities[0]0.95the tagger's words
content_tagsitems in the knowledge questionnaire - against one question each for attitudes and for practices
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
content_tags.quantities[1]0.95the tagger's words
content_tagsper cent overall correct rate on the knowledge questionnaire
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
content_tags.quantities[2]0.95the tagger's words
content_tagscase fatality of COVID-19 against SARS, MERS and H7N9
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
content_tags.quantities[3]0.95the tagger's words
content_tagsthe share of Chinese COVID-19 patients progressing to the severe stage
Quotation withheld — this record is not cleared for redistribution. The sentence is in the paper at the link above.
content_tags.quantities[4]0.95the tagger's words
content_tagsthe analysed sample and its demographic composition
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content_tags.quantities[5]0.95the tagger's words
content_tagslogistic regression
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content_tags.statistics[0]0.95the tagger's words
content_tagsOR
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also in: OR
content_tags.statistics[1]0.95the tagger's words
content_tagsthe modelling strategy: linear regression for knowledge score, logistic for attitudes and practices, reported as beta and odds ratios with confidence intervals
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content_tags.statistics[2]0.95the tagger's words
content_tagssocioeconomic status
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content_tags.variables[0]0.95the tagger's words
content_tagsknowledge score
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content_tags.variables[1]0.95the tagger's words
content_tagsthe demographic variables entered as predictors, including place of residence as Hubei against other provinces
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content_tags.variables[2]0.95the tagger's words

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