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Perceptions and knowledge regarding the COVID-19 pandemic between U.S. and China: a mixed methods study.
Yutang Xiong1,2, Xingran Weng3, Bethany Snyder4
1Department of Research Methods and Statistics, Morgridge College of Education, University of Denver, 1999 E Evans Ave, Denver, CO, USA. yutang.xiong@du.edu.
Cross-national COVID-19 knowledge, attitudes, and practices (KAP) reveal cultural differences influencing pandemic response. Understanding these disparities is crucial for global health coordination and effective public health messaging.
Area of Science:
- Global Health
- Epidemiology
- Cross-cultural Psychology
Background:
- The emergence of SARS-CoV-2 (COVID-19) has created a global health crisis, necessitating an understanding of public knowledge, attitudes, and practices (KAP) for effective containment.
- Cross-national comparative studies are vital to elucidate how cultural differences impact pandemic response behaviors and strategies.
- This study focuses on comparing COVID-19 knowledge and perceptions between adult populations in China and the United States.
Purpose of the Study:
- To compare COVID-19 knowledge and perceptions between adult participants in China and the U.S.
- To identify culturally-driven differences in understanding and responding to the COVID-19 pandemic.
- To provide insights for coordinating international pandemic response efforts.
Main Methods:
- A convergent mixed-methods design was employed, utilizing a multinational online survey on COVID-19 KAP.
- The study involved matched cohorts from China (n=56) and the U.S. (n=57), with quantitative and qualitative data collection.
- Quantitative data were analyzed using T-tests and Fisher-Exact tests, while open-ended questions underwent inductive thematic analysis.
Main Results:
- Both Chinese and U.S. samples demonstrated high intentions to adhere to preventive behaviors, influenced by distinct cultural norms.
- Concerns regarding COVID-19 vaccine development varied, with Chinese respondents prioritizing safety and U.S. respondents focusing on efficacy.
- Significant differences were observed in perspectives on pandemic origins and perceived effectiveness of national responses.
Conclusions:
- Sociocultural differences significantly shape perceptions and knowledge of COVID-19 and related public health policies.
- Addressing culturally-specific perspectives is essential for effective global pandemic response coordination.
- High trust in health professionals and international health organizations was reported by participants in both countries.
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