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Study of knowledge, attitude, anxiety & perceived mental healthcare need in Indian population during COVID-19 pandemic
Open accessAbstract
Novel Corona Virus Disease (COVID-19) originating from China has rapidly crossed borders, infecting people throughout the whole world. This phenomenon has led to a massive public reaction; the media has been reporting continuously across borders to keep all informed about the pandemic situation. All these things are creating a lot of concern for people leading to heightened levels of anxiety. Pandemics can lead to heightened levels of stress; Anxiety is a common response to any stressful situation. This study attempted to assess the knowledge, attitude, anxiety experience, and perceived mental healthcare need among adult Indian population during the COVID-19 pandemic. An online survey was conducted using a semi-structured questionnaire using a non-probability snowball sampling technique. A total of 662 responses were received. The responders had a moderate level of knowledge about the COVID-19 infection and adequate knowledge about its preventive aspects. The attitude towards COVID-19 showed peoples' willingness to follow government guidelines on quarantine and social distancing. The anxiety levels identified in the study were high. More than 80 % of the people were preoccupied with the thoughts of COVID-19 and 72 % reported the need to use gloves, and sanitizers. In this study, sleep difficulties, paranoia about acquiring COVID-19 infection and distress related social media were reported in 12.5 %, 37.8 %, and 36.4 % participants respectively. The perceived mental healthcare need was seen in more than 80 % of participants. There is a need to intensify the awareness and address the mental health issues of people during this COVID-19 pandemic.
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“In the COVID-19 pandemic, as in other pandemics, fear, anxiety, and worries have been the major psychological consequences (Roy et al., 2020; Tandon, 2020a; Xiang et al., 2020).”
From Understanding coronaphobia (2020) · cites this paper as Roy et al., 2020
In the citing paper
“Moreover, because of COVID-19, organizations providing humanitarian services, like the WFP, are experiencing a severe financial crisis as well as difficulty in keeping their food distribution cycle intact [14].”
From The Role of Blockchain to Fight Against COVID-19 (2020) · cites this paper as [14]
In the citing paper
“Leveraging blockchain technology, international or national humanitarian organizations can remotely and securely help needy people buy free or subsidized food from local vendors [14].”
From The Role of Blockchain to Fight Against COVID-19 (2020) · cites this paper as [14]
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Citations
Cites
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The psychological impact of quarantine and how to reduce it: Rapid review of the evidence
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Feng, S., Shen, C., Xia, N., Song, W., Fan, M., & Cowling, B. J. (2020) · The Lancet Respiratory Medicine · doi:10.1016/s2213-2600(20)30134-x · Cited by 1,443 · cited 1×
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Baud, D., Qi, X., Nielsen‐Saines, K., Musso, D., Pomar, L., & Favre, G. (2020) · The Lancet Infectious Diseases · doi:10.1016/s1473-3099(20)30195-x · Cited by 1,284 · cited 1×
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“distancing, self-quarantine, restriction of travel and the ever-spreading rumors in social media are also likely to affect mental health adversely (Banerjee, 2020).”
BackgroundCovid-19 and community mitigation strategies in a pandemic
Ebrahim, S. H., Ahmed, Q. A. A., Gozzer, E., Schlagenhauf, P., & Memish, Z. A. (2020) · BMJ · doi:10.1136/bmj.m1066 · Cited by 562 · cited 1×
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BackgroundRethinking online mental health services in China during the COVID-19 epidemic
Yao, H., Chen, J.-H., & Xu, Y.-F. (2020) · Asian Journal of Psychiatry · doi:10.1016/j.ajp.2020.102015 · Cited by 208 · cited 1×
“In this situation considering online mental health consultation might be more beneficial and it can deliver the consultation at the doorstep (Yao et al., 2020).”
Background
Cited by
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Items 201–300 of 1,000
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COVID-19 and psychological distress: Lessons for India
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Necessidades pessoais de Enfermeiros durante a pandemia da COVID-19 em Mato Grosso
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“Além disso, a necessidade do rigor de estratégicas de segurança em meio a exposição constante ao vírus é uma grande preocupação(17).”
Kojan, L., Burbach, L., Ziefle, M., & Valdez, A. S. C. (2022) · Humanities and Social Sciences Communications · doi:10.1057/s41599-022-01098-4 · Cited by 48
“Knowledge questions were adapted from Abdelhafiz et al. (2020), Roy et al. (2020), Zickfeld et al. (2020) and derived from findings by Rawat et al. (2021), Robert Koch-Institut (2021), and Sohrabi et al. (2020).”
MethodAljaberi, M. A. A., Al-Sharafi, M. A., Uzir, M. U. H., Sabah, A., Ali, A. M., Lee, K., Alsalahi, A., Noman, S., & Lin, C. (2023) · Healthcare · doi:10.3390/healthcare11172418 · Cited by 48
“In India, anxiety levels among the population have reached alarmingly high rates, with over 80% of participants in one study expressing a need for mental health care [44].”
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Waterschoot, J., Morbée, S., Vermote, B., BRENNING, K. M., Flamant, N., Vansteenkiste, M., & Soenens, B. (2022) · Current Psychology · doi:10.1007/s12144-021-02623-5 · Cited by 62
Coronavirus Pandemic Anxiety Scale (CPAS-11): development and initial validation
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Uso da Passiflora incarnata L. no tratamento alternativo do transtorno de ansiedade generalizada
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“Os autores, contudo, enfatizam que, mesmo havendo menor impacto financeiro, o próprio contexto da doença é suficiente para ensejar problemas psicológicos (Roy et al., 2020).”
BackgroundPublic knowledge, attitudes, and practices towards COVID-19 in Pakistan: A cross-sectional study
Iqbal, M. A., & Younas, M. Z. (2020) · Children and Youth Services Review · doi:10.1016/j.childyouth.2020.105784 · Cited by 50
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Ahmed, S. K., Abdulqadir, S. O., Omar, R. M., Abdullah, A. J., Rahman, H. A., Hussein, S. H., Amin, H. I. M., Chandran, D., Sharma, A. K., Dhama, K., et al. (2023) · Vaccines · doi:10.3390/vaccines11030610 · Cited by 47
“This worry could be related to the recent COVID-19 pandemic and the experience of people associated with it [42,43].”
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“Many people expressed the need for mental health experts to help them improve their mood and other psychological problems [60].”
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“The degree of knowledge about COVID-19 reported in this study is higher to the Bangladeshis (33%) [30], comparable to the KAP studies on the Indian general population (50%) [23], Iraq (52.”
BackgroundResultGoyteom, M. H., Petrucka, P. M., Kiros, K. G., Hagezom, H. M., Gebru, T. T., Alemseged, E. A., Kahsay, H., & Gebremariam, A. (2020) · Infection and Drug Resistance · doi:10.2147/idr.s275744 · Cited by 54
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Bauza, V., Sclar, G. D., Bisoyi, A., Majorin, F., Ghugey, A., & Clasen, T. (2021) · American Journal of Tropical Medicine and Hygiene · doi:10.4269/ajtmh.21-0087 · Cited by 45
Impact of COVID-19 on Transgender Women and Hijra: Insights from Gujarat, India
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“In Mexico small businesses avoided closing down by transporting medical equipment [22], others started to sell face masks or produce furniture [27].”
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Jungari, S. B. (2020) · Public Health · doi:10.1016/j.puhe.2020.05.062 · Cited by 44
Mental Health Impact of COVID-19 on Quarantine Hotel Employees in China
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“Changes in sleep were one of the indicators of well-being that were most impacted, which is in line with the observations from studies with other populations [6,28].”
ResultRisk perception of COVID-19: A comparative analysis of China and South Korea
Chen, Y., Feng, J., Chen, A., Lee, J. E., & An, L. (2021) · International Journal of Disaster Risk Reduction · doi:10.1016/j.ijdrr.2021.102373 · Cited by 46
Psychological impact of the COVID-19 pandemic on healthcare workers in India: An observational study
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“On an individual level, working professionals should monitor the source of news they consume and share because information overload and fake news are the major causes of anxiety among individuals (Roy et al., 2020).”
BackgroundInfluentialMaternal mental health amidst the COVID-19 pandemic
Ali, N. A., & Feroz, A. S. (2020) · Asian Journal of Psychiatry · doi:10.1016/j.ajp.2020.102261 · Cited by 41
“Alongside, the deluge of imprecise and inaccurate information from different sources has induced anxiety and panic among pregnant women, affecting fetus growth (Roy et al., 2020).”
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“Feelings of anxiety are an expected response to stressful situations (Roy et al. 2020).”
BackgroundInfluence of computers in students’ academic achievement
Simões, S., Oliveira, T., & Nunes, C. (2022) · Heliyon · doi:10.1016/j.heliyon.2022.e09004 · Cited by 67
“However, self-isolation may affect people's mental health (Roy et al., 2020), primarily impacting adolescents, in fl uencing their behaviours and achievement in academic pursuits.”
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Bullwhip effect reduction map for COVID-19 vaccine supply chain
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“One study in China showed fear related to age concerning knowledge and occupation, while another study completed in India reported that 80% of people in need of mental health care for COVID19 experienced fear, anxiety, and depression (69, 70).”
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“Compared with another similar study conducted in India, the level of knowledge and awareness among the participants in our study is higher; most of the respondents in India were passably aware of the basic elements of the disease [13].”
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“The effect was compounded for rural institutions that did not ordinarily possess the capacity to provide alternative teaching and learning systems (Ebrahim et al., 2020; Hedding et al., 2020; Roy et al., 2020).”
BackgroundHossain, M. E., Islam, M. S., Rana, M. J., Amin, M. R., Rokonuzzaman, M., Chakrobortty, S., & Saha, S. M. (2022) · Human Vaccines & Immunotherapeutics · doi:10.1080/21645515.2021.2022920 · Cited by 38
“Like past pandemics, the COVID-19 pandemic is linked with anxiety, fear, and concerns about the everyday activities of the common people.(1) The pandemic situation is unique, because individuals were afraid of becoming infected or transferring disease, and governments’ efforts to control the pandemic and stop human tr…”
BackgroundVideo-based cognitive-behavioral intervention for COVID-19 anxiety: a randomized controlled trial
Shabahang, R., Aruguete, M. S., & McCutcheon, L. (2021) · Trends in Psychiatry and Psychotherapy · doi:10.47626/2237-6089-2020-0056 · Cited by 35
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“Three studies examined the psychological impact of the outbreak of coronavirus in the general population of China (Cao et al., 2020; Gao et al., 2020) and of India (Roy et al., 2020).”
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“Psychiatry 13:856202. doi: 10.3389/fpsyt.2022.856202 Knowledge, Attitudes, and Practices Toward Coronavirus and Associated Anxiety Symptoms Among University Students: A Cross-Sectional Study During the Early Stages of the COVID-19 Pandemic in Bangladesh Muhammad Mainuddin Patwary1,2* , Asma Safia Disha1,2, Mondira Bar…”
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“In China, the viral outbreak origin, early studies indicated that between 25 and 35% of the general population manifested anxiety symptoms (Huang & Zhao, 2020; Qiu et al., 2020; Wang et al., 2020; Wong et al., 2020), and similar trends are emerging in India as well (Roy et al., 2020).”
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“Based on Self‐Determination Theory (Ryan & Deci, 2017), one adaptive (i.e., emotional integration) and two more maladaptive (i.e., emotional dysregulation and suppressive regulation) emotion regulation styles were expected to play a role in the prediction of psychological adjustment during the…”
BackgroundMethodInfluentialDecision-making framework for identifying regions vulnerable to transmission of COVID-19 pandemic
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How the Distance Learning can be a Solution during the Covid-19 Pandemic
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“Anxiety is a common response to stressful conditions [23].”
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“[19] in their research evaluated the mental health of people in India during COVID 19 pandemic.”
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COVID ‐19: Assessment of knowledge and awareness in Indian society
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“The spread of SARS-CoV-2 virus, the etiological agent of COVID-19, is stressing the global healthcare [1] and economic systems [2].”
BackgroundAnxiety levels and sleep quality in nursing students during the COVID‐19 pandemic
Dalcalı, B. K., Durgun, H., & Taş, A. S. (2021) · Perspectives In Psychiatric Care · doi:10.1111/ppc.12839 · Cited by 34
“Roy et al.(21) reported that participants often use disinfectants, wash hands and use masks.”
BackgroundInfluentialCulture Related Factors May Shape Coping During Pandemics
Shekriladze, I., Javakhishvili, N., & Chkhaidze, N. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.634078 · Cited by 39
“Studies show that during collective crises people tend to apply behaviors that are within the realms of familiar and already available collective options (Ibanez and Sisodia, 2020; Roy, 2020).”
BackgroundMekonen, Y. K., & Adarkwah, M. A. (2021) · Journal of Social Service Research · doi:10.1080/01488376.2021.1980482 · Cited by 35
“Visibly, the intervention reduced the wave of new infection but also negatively impacted to; economy (Fernandes, 2020; Viner et al., 2020), education (Almanthari et al., 2020; Sintema, 2020) and led to some level of students’ stress (Roy et al., 2020).”
BackgroundThe Assessment of Fear of COVID-19 among the Elderly Population: A Cross-Sectional Study
Agrawal, S., Dróżdż, M., Makuch, S., Pietraszek, A., Sobieszczańska, M. I., & Mazur, G. J. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10235537 · Cited by 38
Rathakrishnan, B., Singh, S. S. B., Yahaya, A., Kamaluddin, M. R., & Aziz, S. F. A. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.815332 · Cited by 38
Lim, W. M., Sahoo, S., Agrawal, A., & Vijayvargy, L. (2023) · Journal of Travel & Tourism Marketing · doi:10.1080/10548408.2023.2276431 · Cited by 38
“…community mitigation strategies for survival and distress management (Brooks et al., 2020; Ebrahim et al., 2020), resulting in increased stress and poor mental health among people, including academics, entrepreneurs, industry professionals, and even students (Brooks et al., 2020; Roy et al., 2020).”
BackgroundWpływ kwarantanny na zdrowie psychiczne podczas pandemii COVID-19
Sokół-Szawłowska, M. (2020) · Psychiatria · doi:10.5603/psych.a2020.0046 · Cited by 34
Piltch-Loeb, R. N., Merdjanoff, A. A., & Meltzer, G. (2021) · Preventive Medicine · doi:10.1016/j.ypmed.2021.106441 · Cited by 35
Xiao, H., Zhang, Z., & Zhang, L. (2021) · Current Psychology · doi:10.1007/s12144-021-02253-x · Cited by 41
Isolamento social: um olhar a saúde mental de idosos durante a pandemia do COVID-19
Santos, S. D. S., Brandão, G. C. G., & Araújo, K. M. D. F. A. (2020) · Research Society and Development · doi:10.33448/rsd-v9i7.4244 · Cited by 39
Sultan, S., & Rapi, M. (2020) · GEMA Online Journal of Language Studies · doi:10.17576/gema-2020-2004-14 · Cited by 33
“Previous research shows that the pandemic has increased the intensity of anxiety of citizens through the publication of news in the mass media (Moghanibashi-Mansourieh, 2020; Roy et al., 2020).”
BackgroundResultImpact of simulation-based teamwork training on COVID-19 distress in healthcare professionals
Beneria, A., Arnedo, M., Contreras, S., Pérez-Carrasco, M., García-Ruiz, I., Rodríguez‐Carballeira, M., Raduà, J., & Bañeras, J. (2020) · BMC Medical Education · doi:10.1186/s12909-020-02427-4 · Cited by 34
Sultana, M., Khan, A., Hossain, S., Ansar, A., Sikder, M., & Hasan, M. (2020) · Children and youth services review · doi:10.1016/j.childyouth.2020.105880 · Cited by 34
Padovan‐Neto, F. E., Lee, S. A., Guimarães, R. P., Godoy, L. D., Costa, H. B., Zerbini, F. L. S., & Fukusima, S. S. (2021) · OMEGA - Journal of Death and Dying · doi:10.1177/0030222821991325 · Cited by 33
“For instance, more than 80% of the adults surveyed in India were worried about the coronavirus (Roy et al., 2020), while the rate was lower, but still high at 66.5% for American adults (Bycoffe et al., 2020).”
BackgroundInfluentialCOVID-19 Pandemic and Adaptive Shopping Patterns: An Insight from Indonesian Consumers
Hartono, A., Ishak, A., Abdurrahman, A., Astuti, B., Marsasi, E. G., Ridanasti, E., Roostika, R., & Muhammad, S. (2021) · Global Business Review · doi:10.1177/09721509211013512 · Cited by 38
“Questionnaires used in this study are taken from previous studies such as Cullen et al. (2020) and Roy et al. (2020).”
Martínez‐González, A. E., Moreno-Amador, B., & Piqueras, J. A. (2021) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2021.104038 · Cited by 33
“…have found a logical increase in mental health problems (e.g.: Ahmed et al., 2020; Cao et al., 2020; Liu et al., 2020; Pappa et al., 2020; Wang, Di, Ye, & Wei, 2020), and a greater need for medical and therapeutic intervention in the mental healthcare of the general population (Roy et al., 2020).”
BackgroundLived experiences of Indian Youth amid COVID-19 crisis: An interpretative phenomenological analysis
Suhail, A., Iqbal, N., & Smith, J. A. (2020) · International Journal of Social Psychiatry · doi:10.1177/0020764020966021 · Cited by 32
“In India, researches on the pandemic borne mental health crisis also suggest an increase in mental health morbidity, such as paranoia, anxiety, sleeping difficulties, panic behaviour, constant worrying and compulsive hoarding (Roy et al., 2020).”
COVID-19 Pandemic and Death Anxiety in Security Forces in Spain
Lázaro-Pérez, C., López, J. Á. M., Galán, J. G., & Martínez, M. D. M. F. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17217760 · Cited by 32
Bıkmazer, A., Kadak, M. T., Görmez, V., Doğan, U., Aslankaya, Z. D., Bakır, F., Tarakçıoğlu, M. C., Kaya, İ., Gumus, Y., Esin, İ. S., et al. (2020) · International Journal of Social Psychiatry · doi:10.1177/0020764020970240 · Cited by 32
“(Roy et al., 2020).”
Evaluation of Job Strain of Family Physicians in COVID-19 Pandemic Period- An Example from Turkey
Taş, B. G., Özceylan, G., Öztürk, G. Z., & Toprak, D. (2020) · Journal of Community Health · doi:10.1007/s10900-020-00950-5 · Cited by 32
Individuals’ conceptions of COVID-19 pandemic through metaphor analysis
Gök, A., & Kara, A. (2021) · Current Psychology · doi:10.1007/s12144-021-01506-z · Cited by 32
Effect of COVID-19 on mental health among the young population in Lebanon
Younes, S., Safwan, J., Rahal, M. K., Halat, D. H., Akiki, Z., & Akel, M. (2021) · L Encéphale · doi:10.1016/j.encep.2021.06.007 · Cited by 32
Sugawara, D., Masuyama, A., & Kubo, T. (2021) · International Journal of Mental Health and Addiction · doi:10.1007/s11469-020-00461-3 · Cited by 33
Glasdam, S., & Stjernswärd, S. (2020) · Social Sciences & Humanities Open · doi:10.1016/j.ssaho.2020.100090 · Cited by 31
“The pandemic affects people, both infected and non-infected, in different ways, i.e. physically, emotionally, cognitively and behaviourally (Rothan and Byrareddy, 2020; Roy et al., 2020; South et al., 2020).”
BackgroundPsychological impact of quarantine period on asymptomatic individuals with COVID-19
Upadhyay, R., Sweta, Singh, B., & Singh, U. P. (2020) · Social Sciences & Humanities Open · doi:10.1016/j.ssaho.2020.100061 · Cited by 31
DIMENSIÓN PSICOSOCIAL DE LA PANDEMIA: LA OTRA CARA DEL COVID-19
Leiva, A. M., Nazar, G., Sanguinetti, M. A. M., Petermann-Rocha, F. E., Ricchezza, J., & Morales, C. C. (2020) · Ciencia y enfermería/Ciencia y enfermería · doi:10.29393/ce26-3dpal60003 · Cited by 38
“Esta información es rati5cada por resultados incipientes de investigaciones que se están generando a partir de encuestas online, que evidencian que la pandemia afecta negativamente la salud mental de la población y aumenta el malestar psicológico(7-17).”
BackgroundInfluentialGupta, P., Gupta, A., Dixit, S., & Kumar, H. (2020) · Journal of Family Medicine and Primary Care · doi:10.4103/jfmpc.jfmpc_1206_20 · Cited by 31
Asmelash, D., Fasil, A., Tegegne, Y., Akalu, T. Y., Ferede, H. A., & Aynalem, G. L. (2020) · Risk Management and Healthcare Policy · doi:10.2147/rmhp.s277846 · Cited by 36
Nasirzadeh, M., & Aligol, M. (2020) · Qom Univ Med Sci J · doi:10.29252/qums.14.7.50 · Cited by 31
Examining the Relationship between Fear of COVID-19 and Spiritual Well-Being
KASAPOĞLU, F. (2020) · Spiritual Psychology and Counseling · doi:10.37898/spc.2020.5.3.121 · Cited by 31
Knowledge About COVID-19 in Brazil: Cross-Sectional Web-Based Study
Guimarães, V. H. A., de Oliveira-Leandro, M., Cassiano, C., Marques, A. L. P., Motta, C., Freitas-Silva, A. L., de Sousa, M. A. D., da Silveira, L. A. M., Pardi, T. C., Gazotto, F. C., et al. (2020) · JMIR Public Health and Surveillance · doi:10.2196/24756 · Cited by 31
Metadata
- Authors
- Roy, D., Tripathy, S., Kar, S. K., Sharma, N., Verma, S. K., & Kaushal, V.
- Affiliations
- King George's Medical University (IN)
- Government of Uttar Pradesh (IN)
- Corresponding author
- Kar, Sujita Kumar
- ORCID
- Venue
- Asian Journal of Psychiatry
- Publisher
- Elsevier BV
- Published
- 2020-06
- Volume
- 51
- Pages
- 102083
- ISSN
- 1876-2018 (ISSN-L)
- PMC
- PMC7139237
- OpenAlex
- W3014597060
- Cited by
- 1,759
- References
- 17
- Citations by year
- 2026: 17 · 2025: 48 · 2024: 106 · 2023: 218 · 2022: 393 · 2021: 607 · 2020: 368
- FWCI
- 158.73
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- Asian Journal of Psychiatry (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Social Sciences › Sociology and Political Science › COVID-19 Prevention and Impact
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Keywords
- COVID-19 pandemic, anxiety, knowledge and attitudes, quarantine compliance, social distancing, sleep disorders, paranoia, preventive behavior, Indian adults
- MeSH terms
- Psychological Distress, COVID-19, Adult, Anxiety, Female, Humans, India, Health Knowledge, Attitudes, Practice, Male, Mental Health Services, Paranoid Disorders, Pneumonia, Viral, Sleep Wake Disorders, Infection Control, Coronavirus Infections, Pandemics, Diagnostic Self Evaluation
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