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BMJ Open . Knowledge, attitude and practices towards SARS-CoV-2 genetic mutations and emerging variants among the population in Bangladesh: a cross-

tetano

Editor, Senior Moderator
BMJ Open


. 2023 Nov 29;13(11):e073091.
doi: 10.1136/bmjopen-2023-073091. Knowledge, attitude and practices towards SARS-CoV-2 genetic mutations and emerging variants among the population in Bangladesh: a cross-sectional study

Iftekhar Ahmed[SUP] 1 [/SUP], Sadia Afruz Ether[SUP] 2 [/SUP], Poushali Saha[SUP] 3 [/SUP], Nishat Jahan[SUP] 4 [/SUP], Fahad Imtiaz Rahman[SUP] 3 [/SUP], Md Rabiul Islam[SUP] 5 [/SUP]



Affiliations
Abstract

Objectives: The coronavirus is continuously mutating and creating new SARS-CoV-2 variants. Public awareness about SARS-CoV-2 mutation is essential for effective preventive measures. The present study aimed to assess the knowledge, attitude and practices (KAP) towards SARS-CoV-2 variants among the general population in Bangladesh.
Design: We conducted this online survey between 9 April 2021 and 10 May 2021 using structured questionnaires to collect the information.
Setting: We distributed the survey link among the participants from all 64 districts of Bangladesh using social media platforms.
Participants: A total of 1,090 respondents completed this survey. After careful evaluation, we excluded 18 responses due to partial or incomplete information, and 1,072 responses entered into the final analysis.
Primary outcome: The KAP of participants towards SARS-CoV-2 variants depends on their demographic backgrounds. Associations between demographic characteristics and the likelihood of having adequate KAP were estimated using adjusted logistic regressions.
Results: Among the participants, 42% had a poor knowledge level, 4% had a low attitude level and 14% had a poor practice score. The average knowledge, attitude and practice score were 2.65, 4.194 and 4.464 on a scale of 5, respectively. Only 51.8% of the participants knew about mutant strains, and only 47.6% knew about the effectiveness of vaccines against new variants. The key factors associated with poor knowledge levels were educational levels, area of residence, geographic location, and concern regarding COVID-19. Sociodemographic factors for poor attitude levels were geographic location, vaccination and concern regarding COVID-19. The pivotal factors in determining poor practice scores were the residence area of people and concern regarding COVID-19.
Conclusions: The knowledge level and positive attitude are associated with better preventive measures against SARS-CoV-2 variants. Based on these findings, we recommended several awareness programmes on SARS-CoV-2 mutations and variants for the rural population in Bangladesh to increase overall awareness levels.

Keywords: COVID-19; epidemiology; infectious diseases.

 
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