Stacy Cooper Bailey|Marina Serper|Lauren Opsasnick|Stephen D. Persell|Rachel O’Conor|Laura M. Curtis|Julia Yoshino Benavente|Guisselle Wismer|Stephanie Batio|Morgan Eifler|Pauline Zheng|Andrea M. Russell|Marina Arvanitis|Daniela P. Ladner|Mary J. Kwasny|Theresa Rowe|Jeffrey A. Linder|Michael S. Wolf
Changes in COVID-19 Knowledge, Beliefs, Behaviors, and Preparedness Among High-Risk Adults from the Onset to the Acceleration Phase of the US Outbreak
Northwestern University|University of Pennsylvania|Northwestern University|Northwestern University|Northwestern University|Northwestern University|Northwestern University|Northwestern University|Northwestern University|Northwestern University|Northwestern University|Northwestern University|Northwestern University|Northwestern University|Northwestern University|Northwestern University|Northwestern University|Northwestern University
us outbreak coronavirus disease 2019 covid19 accelerated rapidly short time become public health crisisto assess highrisk adults covid19 knowledge beliefs behaviors sense preparedness changed onset us outbreak march 1320 2020 acceleration phase march 27april 7 2020longitudinal twowave telephone survey588 predominately older adults 1 chronic condition recruited 4 active federally funded studies chicagoselfreported knowledge covid19 symptoms prevention related beliefs behaviors sense preparednessfrom onset acceleration phase participants increasingly perceived covid19 serious public health threat reported changes daily routine plans reported greater preparedness proportion respondents believed likely get virus decreased slightly 249 224 p 004 significant change proportion unable accurately identify ways prevent infection 292 257 p 014 multivariable analyses black adults lower health literacy likely report less perceived susceptibility covid19 black adults relative risk rr 162 95 confidence interval ci 107244 p 002 marginal health literacy rr 196 95 ci 126307 p 001 individuals low health literacy remained likely feel unprepared outbreak rr 180 95 ci 111292 p 002 express confidence federal government response rr 211 95 ci 149300 p 0001 conclusions adults higher risk covid19 continue lack critical knowledge prevention participants reported greater changes daily routines plans disparities continued exist perceived susceptibility covid19 preparedness public health messaging date may effectively reaching vulnerable communities