Knowledge, Awareness, Attitude and Preventive Behaviour on the Transmission of the Pandemic Novel Coronavirus Among Malaysians

Malays J Med Sci. 2021 Apr;28(2):106-118. doi: 10.21315/mjms2021.28.2.10. Epub 2021 Apr 21.

Abstract

Background: Restricted movement and preventive actions have been introduced to break the chain of transmission of a new coronavirus. This study was conducted to determine the level of knowledge, awareness, attitude and preventive behaviour regarding the transmission of the COVID-19.

Methods: A cross-sectional study was conducted among Malaysians aged 20 years old and over, who had accessed the internet and used the WhatsApp application. The sampling method was a convenient snowball from 14 Malaysian states. This study was conducted online using questionnaires during the Movement Control Order due to the pandemic.

Results: Approximately 40.0%, 46.1% and 47.4% of 1,290 participants had a score above the median (good score) for preventive behaviour, attitude and knowledge, respectively. Age was significantly associated with poor knowledge (adjusted odds ratio [AOR] 0.98; 95% confidence interval [CI]: 0.97, 0.99; P = 0.026). Males (AOR 1.35; 95% CI: 1.05, 1.74; P = 0.021), Malays (AOR 1.41; 95% CI: 1.01, 1.98; P = 0.043) and Chinese (AOR 2.19; 95% CI: 1.17, 4.13; P = 0.015) were the associated factors for poor attitude. Chinese ethnicity was significantly associated with poor preventive behaviour (AOR 2.80; 95% CI: 1.39, 5.61; P = 0.004).

Conclusion: The level of knowledge, attitude and practices were high except for a few questions. The young, males and Malay and Chinese individuals need health education.

Keywords: COVID-19; coronavirus; infection control; pandemic.