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BMC Public Health . Risk perception of COVID-19 among sub-Sahara Africans: a web-based comparative survey of local and diaspora residents

tetano

Editor, Senior Moderator
BMC Public Health


. 2021 Aug 18;21(1):1562.
doi: 10.1186/s12889-021-11600-3.
Risk perception of COVID-19 among sub-Sahara Africans: a web-based comparative survey of local and diaspora residents


Emmanuel Kwasi Abu[SUP] 1 [/SUP], Richard Oloruntoba[SUP] 2 [/SUP], Uchechukwu Levi Osuagwu[SUP] 3 4 [/SUP], Dipesh Bhattarai[SUP] 5 [/SUP], Chundung Asabe Miner[SUP] 6 [/SUP], Piwuna Christopher Goson[SUP] 7 [/SUP], Raymond Langsi[SUP] 8 [/SUP], Obinna Nwaeze[SUP] 9 [/SUP], Timothy G Chikasirimobi[SUP] 10 [/SUP], Godwin O Ovenseri-Ogbomo[SUP] 11 12 13 [/SUP], Bernadine N Ekpenyong[SUP] 11 14 [/SUP], Deborah Donald Charwe[SUP] 15 [/SUP], Khathutshelo Percy Mashige[SUP] 11 [/SUP], Tanko Ishaya[SUP] 16 [/SUP], Kingsley Emwinyore Agho[SUP] 11 17 [/SUP]



Affiliations

Abstract

Background: Perceived risk towards the coronavirus pandemic is key to improved compliance with public health measures to reduce the infection rates. This study investigated how Sub-Saharan Africans (SSA) living in their respective countries and those in the diaspora perceive their risk of getting infected by the COVID-19 virus as well as the associated factors.
Methods: A web-based cross-sectional survey on 1969 participants aged 18 years and above (55.1% male) was conducted between April 27th and May 17th 2020, corresponding to the mandatory lockdown in most SSA countries. The dependent variable was the perception of risk for contracting COVID-19 scores. Independent variables included demographic characteristics, and COVID-19 related knowledge and attitude scores. Univariate and multiple linear regression analyses identified the factors associated with risk perception towards COVID-19.
Results: Among the respondents, majority were living in SSA (n = 1855, 92.8%) and 143 (7.2%) in the diaspora. There was no significant difference in the mean risk perception scores between the two groups (p = 0.117), however, those aged 18-28 years had lower risk perception scores (p = 0.003) than the older respondents, while those who were employed (p = 0.040) and had higher levels of education (p < 0.001) had significantly higher risk perception scores than other respondents. After adjusting for covariates, multivariable analyses revealed that SSA residents aged 39-48 years (adjusted coefficient, β = 0.06, 95% CI [0.01, 1.19]) and health care sector workers (β = 0.61, 95% CI [0.09, 1.14]) reported a higher perceived risk of COVID-19. Knowledge and attitude scores increased as perceived risk for COVID-19 increased for both SSAs in Africa (β = 1.19, 95% CI [1.05, 1.34] for knowledge; β = 0.63, 95% CI [0.58, 0.69] for attitude) and in Diaspora (β = 1.97, 95% CI [1.16, 2.41] for knowledge; β = 0.30, 95% CI [0.02, 0.58] for attitude).
Conclusions: There is a need to promote preventive measures focusing on increasing people's knowledge about COVID-19 and encouraging positive attitudes towards the mitigation measures such as vaccines and education. Such interventions should target the younger population, less educated and non-healthcare workers.

Keywords: Africa; COVID-19; Diaspora; Knowledge; Lockdown; Pandemic; Risk perception; Sub-Sahara Africa.
 
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