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Knowledge, attitudes, and practices towards COVID-19 among college students in China: A systematic review and meta-analysis

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  • Ling Li
  • Fang Wang
  • Xiaoling Shui
  • Qian Liang
  • Jingyi He

Abstract

Background: Since the outbreak of the respiratory infectious disease caused by the novel coronavirus in 2019, the COVID-19 epidemic has posed a serious threat to the life and safety of the public, and has also seriously affected the normal study and life of college students in China. Although a series of studies have been conducted on college students’ knowledge, attitudes and practices of COVID-19, the results vary widely. This study aimed to evaluate the pooled estimated level of knowledge, attitudes, and practices (KAP) about COVID-19 among college students in China. Methods: We conducted a comprehensive search on Scopus, ProQuest, PubMed, EMbase, Web of Science, the Cochrane Library, Chinese Biomedical Literature Database (CBM), China National Knowledge Infrastructure (CNKI), VIP Database and Wanfang Database up to 13 February 2022. We then assessed the quality of included studies using a checklist developed by the Joanna Briggs Institute (JBI) for cross-sectional studies and analyzed using STATA.15 after two researchers independently extracted relevant data and entered them into Microsoft Excel. Funnel plots and Egger’s regression tests were used to check for publication bias, and sensitivity analysis was performed to assess the robustness of the results. A random-effects model was used for the meta-analysis, on the basis of which subgroup analyses were performed by time of investigation (study period) and by gender and major of the subjects. Result: A total of 42 studies including 174,440 subjects were included in this review, and the quality of the included studies was mainly intermediate and advanced. The findings of the meta-analysis showed that the overall levels of Chinese college students’ knowledge, positive and negative attitudes, and practice of preventive measures towards COVID-19 were 74% (95%CI: 69%-79%), 84% (95%CI: 80%-88%), 31% (95%CI: 23%-38%) and 82% (95%CI: 77%-86%), respectively. The results of subgroup analysis showed that female and medical college students had higher levels of knowledge and practice on COVID-19. Conclusion: The study findings showed that the overall KAP level of college students in China included in the study was relatively optimistic. Influenced by gender, major and time, there were differences in the KAP level of college students. In order to promote the effective prophylaxis and control of pandemic, we recommend implementing targeted measures to improve the awareness rate of COVID-19-related knowledge among this group and the implementation rate of COVID-19 preventive measures among male and non-medical college students.

Suggested Citation

  • Ling Li & Fang Wang & Xiaoling Shui & Qian Liang & Jingyi He, 2022. "Knowledge, attitudes, and practices towards COVID-19 among college students in China: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 17(6), pages 1-17, June.
    • Handle: RePEc:plo:pone00:0270038
    DOI: 10.1371/journal.pone.0270038
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    References listed on IDEAS

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    1. Mesfin Tadese & Abebe Mihretie, 2021. "Attitude, preparedness, and perceived self-efficacy in controlling COVID-19 pandemics and associated factors among university students during school reopening," PLOS ONE, Public Library of Science, vol. 16(9), pages 1-15, September.
    2. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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    1. Naharin Sultana Anni & Nadia Rehman & Agatha Nyambi & Anthony Musiwa & Tatyana Graham & Roseline Dzekem Dine & Maya Stevens-Uninsky & Elizabeth Alvarez & Zain Chagla & Laura Banfield & Lawrence Mbuagb, 2024. "Knowledge, attitudes, and practices towards Human Papilloma Virus and uptake of HPV vaccine: A protocol for a systematic review," PLOS ONE, Public Library of Science, vol. 19(11), pages 1-10, November.

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