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10.7326/M20-1239

http://scihub22266oqcxt.onion/10.7326/M20-1239
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32271861!7151355!32271861
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suck abstract from ncbi


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pmid32271861      Ann+Intern+Med 2020 ; 173 (2): 100-109
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  • Awareness, Attitudes, and Actions Related to COVID-19 Among Adults With Chronic Conditions at the Onset of the U S Outbreak: A Cross-sectional Survey #MMPMID32271861
  • Wolf MS; Serper M; Opsasnick L; O'Conor RM; Curtis L; Benavente JY; Wismer G; Batio S; Eifler M; Zheng P; Russell A; Arvanitis M; Ladner D; Kwasny M; Persell SD; Rowe T; Linder JA; Bailey SC
  • Ann Intern Med 2020[Jul]; 173 (2): 100-109 PMID32271861show ga
  • BACKGROUND: The evolving outbreak of coronavirus disease 2019 (COVID-19) is requiring social distancing and other measures to protect public health. However, messaging has been inconsistent and unclear. OBJECTIVE: To determine COVID-19 awareness, knowledge, attitudes, and related behaviors among U.S. adults who are more vulnerable to complications of infection because of age and comorbid conditions. DESIGN: Cross-sectional survey linked to 3 active clinical trials and 1 cohort study. SETTING: 5 academic internal medicine practices and 2 federally qualified health centers. PATIENTS: 630 adults aged 23 to 88 years living with 1 or more chronic conditions. MEASUREMENTS: Self-reported knowledge, attitudes, and behaviors related to COVID-19. RESULTS: A fourth (24.6%) of participants were "very worried" about getting the coronavirus. Nearly a third could not correctly identify symptoms (28.3%) or ways to prevent infection (30.2%). One in 4 adults (24.6%) believed that they were "not at all likely" to get the virus, and 21.9% reported that COVID-19 had little or no effect on their daily routine. One in 10 respondents was very confident that the federal government could prevent a nationwide outbreak. In multivariable analyses, participants who were black, were living below the poverty level, and had low health literacy were more likely to be less worried about COVID-19, to not believe that they would become infected, and to feel less prepared for an outbreak. Those with low health literacy had greater confidence in the federal government response. LIMITATION: Cross-sectional study of adults with underlying health conditions in 1 city during the initial week of the COVID-19 U.S. outbreak. CONCLUSION: Many adults with comorbid conditions lacked critical knowledge about COVID-19 and, despite concern, were not changing routines or plans. Noted disparities suggest that greater public health efforts may be needed to mobilize the most vulnerable communities. PRIMARY FUNDING SOURCE: National Institutes of Health.
  • |*Health Knowledge, Attitudes, Practice[MESH]
  • |*Vulnerable Populations[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Chronic Disease/*epidemiology[MESH]
  • |Coronavirus Infections/*epidemiology/*psychology[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*epidemiology/*psychology[MESH]
  • |SARS-CoV-2[MESH]
  • |Self Report[MESH]
  • |Surveys and Questionnaires[MESH]


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