Original Article
Knowledge of Teenagers and Young Adults about COVID-19 and Compliance with Social Distancing Guidelines
Abstract
Objectives: Understanding the coronavirus disease 2019 (COVID-19) knowledge and personal preventive behaviors of younger individuals is important as it can affect not only their own health but also the health of other potentially more vulnerable individuals. The aims of this study were to explore the knowledge of teenagers and young adults about COVID-19 and assess their personal preventive behavior.Methods: We developed a 14-item questionnaire to conduct a cross-sectional online survey. Survey responses with missing variables were excluded. SPSS was used to perform the analyses, including descriptive statistics.
Results: Thirty-five participants, 15 to 27 years of age, completed the survey between May 2020 and March 2021. Thirty-one (88.57%) reported feeling sufficiently informed to avoid the risk of COVID-19 transmission. The most frequent sources of COVID-19 information were social media (68.6%) and parents (68.6%), whereas the least were teachers (11.4%). Thirty-three (94.29%) participants reported practicing social distancing, citing the main reasons to keep oneself, family members, and others safe. Thirty-three (94.29%) identified taking classes online instead of going to school as an example of social distancing, 26 (74.29%) calling friends on the telephone, and 24 (68.57%) going on a walk alone. Twelve (34.29%) chose eating infected foods and 8 (22.86%) touching animals, including pets, as transmission means for COVID-19. When asked about COVID-19 prevention, 34 (97.14%) reported that COVID-19 can be prevented by avoiding close contact with people who are sick, 31 (88.57%) by covering coughs and sneezes with a tissue, and 8 (22.86%) by avoiding contact with animals, including pets.
Conclusions: We found high awareness of COVID-19, but also identified important knowledge gaps about COVID-19 and preventive measures. Digital platforms and social media campaigns can be important sources for providing evidence-based and age-appropriate information about COVID-19 and recommendations for safe activities to reduce social isolation during the pandemic and its negative mental health effects. This study also suggests that teachers may be an underused source of accurate information about COVID-19. These findings can be used to develop effective educational interventions to help combat the COVID-19 pandemic and its impact on young individuals.
Posted in: Infectious Disease143
Full Article
Having trouble viewing the article content below? Click here to open it directly.
Images
References
1. WHO Coronavirus (COVID-19) dashboard. https://covid19.who.int/. Accessed September 27, 2021.
2. Lu X, Zhang L, Du H, et al. SARS-CoV-2 infection in children. N Engl J Med 2020;382:1663–1665.
3. Centers for Disease Control and Prevention COVID-19 Response Team. Coronavirus disease 2019 in children - United States, February 12-April 2, 2020. MMWR Morb Mortal Wkly Rep 2020;69:422–426.
4. Zimmermann P, Curtis N. Coronavirus infections in children including COVID-19: an overview of the epidemiology, clinical features, diagnosis, treatment and prevention options in children. Pediatr Infect Dis J 2020;39: 355–368.
5. Leidman E, Duca LM, Omura JD, et al. COVID-19 trends smong persons sged 0-24 years - United States, March 1-December 12, 2020. MMWR Morb Mortal Wkly Rep 2021;70:88–94.
6. Bixler D, Miller AD, Mattison CP, et al. SARS-CoV-2-associated deaths among persons aged <21 years - United States, February 12-July 31, 2020. MMWR Morb Mortal Wkly Rep 2020;69:1324–1329.
7. Sisk B, Cull W, Harris JM, et al. National trends of cases of COVID-19 in children based on US state health department data. Pediatrics 2020;146: e2020027425.
8. Stokes EK, Zambrano LD, Anderson KN, et al. Coronavirus disease 2019 case surveillance - United States, January 22-May 30, 2020. MMWR Morb Mortal Wkly Rep 2020;69:759–765.
9. Liguoro I, Pilotto C, Bonanni M, et al. SARS-COV-2 infection in children and newborns: a systematic review. Eur J Pediatr 2020;179:1029–1046.
10. Mehta NS, Mytton OT, Mullins EWS, et al. SARS-CoV-2 (COVID-19): what do we know about children? A systematic review. Clin Infect Dis 2020;71:2469–2479.
11. Lee B, Raszka WV Jr. COVID-19 transmission and children: the child is not to blame. Pediatrics 2020;146:e2020004879.
12. Meyerowitz EA, Richterman A, Gandhi RT, et al. Transmission of SARS-CoV-2: a review of viral, host, and environmental factors. Ann Intern Med 2021;174:69–79.
13. Li X, Xu W, Dozier M, et al. The role of children in the transmission of SARS-CoV2: updated rapid review. J Glob Health 2020;10:021101.
14. Pan A, Liu L, Wang C, et al. Association of public health interventions with the epidemiology of the COVID-19 outbreak in Wuhan, China. JAMA 2020; 323:1915–1923.
15. Tian H, Liu Y, Li Y, et al. An investigation of transmission control measures during the first 50 days of the COVID-19 epidemic in China. Science 2020; 368:638–642.
16. Lyu W, Wehby GL. Comparison of estimated rates of coronavirus disease 2019 (COVID-19) in border counties in Iowa without a stay-at-home order and border counties in Illinois with a stay-at-home order. JAMA Netw Open 2020;3:e2011102.
17. Jüni P, Rothenbühler M, Bobos P, et al. Impact of climate and public health interventions on the COVID-19 pandemic: a prospective cohort study. CMAJ 2020;192:E566–E573.
18. Sen S, Karaca-Mandic P, Georgiou A. Association of stay-at-home orders with COVID-19 hospitalizations in 4 states. JAMA 2020;323:2522–2524.
19. Flaxman S, Mishra S, Gandy A, et al. Estimating the effects of non-pharmaceutical interventions on COVID-19 in Europe. Nature 2020;584:257–261.
20. Hsiang S, Allen D, Annan-Phan S, et al. The effect of large-scale anticontagion policies on the COVID-19 pandemic. Nature 2020;584:262–267.
21. Marriott D, Beresford R, Mirdad F, et al. Concomitant marked decline in prevalence of severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) and other respiratory viruses among symptomatic patients following public health interventions in Australia: Data from St Vincent’s Hospital and associated screening clinics, Sydney, NSW. Clin Infect Dis 2021;72: e649–e651.
22. Fuller JA, Hakim A, Victory KR, et al. Mitigation policies and COVID-19- associated mortality - 37 European countries, January 23-June 30, 2020. MMWR Morb Mortal Wkly Rep 2021;70:58–62.
23. Vasudev K, Singh H, Neumann AA, et al. Student-designed cross-sectional pandemic knowledge survey of 8th-12th grade students, Milwaukee, WI, April 2020. Front Pediatr 2021;9:622254.
24. Campbell K, Weingart R, Ashta J, et al. COVID-19 knowledge and behavior change among high school students in semi-rural Georgia. J Sch Health 2021;91:526–534.
25. Dardas LA, Khalaf I, Nabolsi M, et al. Developing an understanding of adolescents’ knowledge, attitudes, and practices toward COVID-19. J Sch Nurs 2020;36:430–441.
26. World Health Organization. Report of the WHO-China Joint Mission on Coronavirus Disease 2019 (COVID-2019). February 16-24, 2020. https://www.who.int/docs/default-source/coronaviruse/who-china-joint-mission-on-covid-19-final-report.pdf. Accessed September 17, 2021.
27. World Organization for Animal Health. Questions and answers on COVID-19. https://www.woah.org/app/uploads/2021/03/a-covid-22-01-2021.pdf. Accessed August 22, 2022.
28. Sit THC, Brackman CJ, Ip SM, et al. Infection of dogs with SARS-CoV-2. Nature 2020;586:776–778.
29. Newman A, Smith D, Ghai RR, et al. First reported cases of SARS-CoV-2 infection in companion animals - New York, March–April 2020. MMWR Morb Mortal Wkly Rep 2020;693:710–713.
30. Abbott A, Askelson N, Scherer AM, et al. Critical reflections on covid-19 communication efforts targeting adolescents and young adults. J Adolesc Health 2020;67:159–160.
31. Yang XY, Gong RN, Sassine S, et al. Risk perception of covid-19 infection and adherence to preventive measures among adolescents and young adults. Children (Basel) 2020;7:311.
32. Wang M, Scanlon CL, Hua M, et al. Safely social: promoting and sustaining adolescent engagement in social distancing during the COVID-19 pandemic. J Adolesc Health 2021;68:1059–1066.
33. Riiser K, Helseth S, Haraldstad K, et al. Adolescents’ health literacy, health protective measures, and health-related quality of life during the Covid-19 pandemic. PLoS One 2020;15:e0238161.
34. Kaiser S, Kyrrestad H, Martinussen M. Adolescents’ experiences of the information they received about the coronavirus (Covid-19) in Norway: a cross-sectional study. Child Adolesc Psychiatry Ment Health 2021;15:30.
35. Gazmararian J, Weingart R, Campbell K, et al. Impact of COVID-19 pandemic on the mental health of students from 2 semi-rural high schools in Georgia. J Sch Health 2021;91:356–369.