Knowledge, attitudes, and practices towards COVID-19 among Sri Lankan undergraduates studying in countries affected by COVID -19: A comparative study

Abstract

Background: University students are usually self-determined and willing to live independently; however, they have lack of life experience. Since they are living in a limited space and close proximity, they are at a high risk of getting infected with COVID-19. Hence, their perceptions and behaviors are presumably more affected by COVID-19 pandemic. Objectives: To assess knowledge, attitudes, and practices towards COVID-19 among Sri Lankan undergraduates studying in countries with COVID-19 Method: This was a cross sectional study conducted among Lankan undergraduates from 01st of July to 31st of December 2020. Snowball sampling technique was used. An online self-reported questionnaire was used for data collection. Knowledge was assessed by questions based on clinical presentation, transmission routes and prevention and control of COVID-19. Practices were assessed by questions on maintaining social distancing and personal hygiene. Attitudes towards COVID 19 were measured by questions based on agreement on the final control of COVID 19 and confidence in winning the battle against COVID-19. Data were analyzed with ANOVA & t-test using SPSS software version 21. Ethical clearance was obtained prior to commencing the study. Results: A total of 213 Sri Lankan undergraduates were enrolled from India (23.2%), Russia (39.8%) and Sri Lanka (36.5%). Out of them 62.1% were females. The total score for knowledge was ranged from 0 to 12, with a higher score denoting a better knowledge of COVID-19.The mean COVID-19 knowledge score was 8.36(±1.38). There was no statistically significant difference in knowledge among undergraduates with reference to gender, age, degree, marital status, status of living, or studying country. Total score for practice was ranged from 0 to 7.The mean COVID-19 practices score was 5.59(±1.21). Female undergraduates (5.86±0.94) had significantly higher score for practices compared to males (5.13±1.46, p=0.000).There was no statistically significant difference in practices among undergraduates with reference to other factors considered. The attitude of undergraduates towards COVID-19 was satisfactory. Conclusion: Though female undergraduates had better practices towards COVID-19, our findings suggest that all the study subjects had good knowledge, positive attitudes, and appropriate practices towards COVID-19.