The Attitude towards Preventive Measures and Knowledge of COVID-19 Inpatients with Severe Mental Illness in Economically
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The Attitude towards Preventive Measures and Knowledge of COVID-19 Inpatients with Severe Mental Illness in Economically Underdeveloped Areas of China Ju-Hong Zhu 1 & Wen Li 2 & Xiao-Ning Huo 3 & Hong-Min Jin 4 & Chun-Hu Zhang 5 & Jin-De Yun 6 & Li-Guo Gao 7 & Teris Cheung 8 & Brian J. Hall 9 & Bin Yang 1 & Yu-Tao Xiang 2
# Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract
Patients with severe mental illnesses (SMI) were at high risk of infection during Coronavirus Diseases 2019 (COVID-19) pandemic. This study examined hospitalized SMI patients’ attitude and knowledge towards the COVID-19 infection. A cross-sectional survey was conducted in five psychiatric hospitals located in Gansu province, the most economically underdeveloped area in China. Patients’ attitude towards preventive measures and knowledge of COVID-19 were measured by a self-report questionnaire. A total of 925 hospitalized patients with SMI were recruited. Of them, 84.8% (95%CI: 82.4%–87.1%) had positive attitudes towards preventive measures of the COVID-19 outbreak. Being married (OR: 1.55, 95%CI: 1.05–2.30) and a higher educational level (OR: 1.63, 95%CI: 1.12–2.38) were independently associated with positive attitudes towards COVID-19 preventive measures, whereas higher educational level was associated with better knowledge of the COVID-19 outbreak (β: 0.231, P < 0.001). Patients mainly received COVID-19 relevant knowledge from public media (58.9%), followed by their clinicians (33.2%). Most hospitalized SMI patients in economically underdeveloped areas in China showed positive attitudes towards COVID-19 preventive measures. However, public health education on COVID-19 relevant knowledge by mental health professionals was inadequate to reduce the risk of transmission and infection. Keywords Attitude . COVID-19 . Severe mental illness . Economically underdeveloped
Ju-Hong Zhu and Wen Li contributed equally to this work. Electronic supplementary material The online version of this article (https://doi.org/10.1007/s11126-02009835-1) contains supplementary material, which is available to authorized users.
* Bin Yang [email protected] * Yu-Tao Xiang [email protected] Extended author information available on the last page of the article
Psychiatric Quarterly
Introduction The Coronavirus Diseases 2019 (abbreviated COVID-19) was first found in Wuhan, China in late December 2019, and COVID-19 became a pandemic in early March, 2020, as declared by the World Health Organization (WHO) [1]. As of April 16, 2020, COVID-19 has affected 185 countries and caused over 136 thousands deaths out of more than 2 million confirmed cases [2]. During the COVID19 pandemic, patients with severe mental illnesses (SMI) were also affected. Compared to the general population, SMI patients are even more vulnerable to be infected due to lowered sensitivity to threats and limited self-protection awareness of the infection [3]. In addition, they are less likely to comply with the preventive measures for the COVID-19, such as wearing facemasks, freque
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