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Knowledge, Attitudes, and Practices Concerning COVID-19 in Nepal

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Abstract Background: Coronavirus disease-2019 (COVID-19) severely affects patients with chronic diseases. Adequate knowledge, attitudes, and practice related to COVID-19 is associated with decrease morbidity and mortality. Therefore, this aimed to assess knowledge, attitudes, and practice toward COVID-19 disease among chronic diseases patients visiting tertiary hospitals in Kathmandu. Methods: A cross-sectional study was conducted among chronic disease patients who visited Tribhuvan University Teaching Hospital and Manmohan Cardiothoracic Vascular and Transplant Center, Kathmandu. Structured questionnaire was used to collect patients’ socio-demographic data and perspectives on COVID-19. Results: Four hundred chronic disease patients participated in the study, with 53.2% female and 46.8% male, and 56.8% of age ?50 years. Overall, 55.5% of the participants had good knowledge, 56.2% had good practice, and 30.7% had positive attitude towards COVID-19. Younger patients, 18-34 years, were found to have higher odds of having good knowledge compared to other age groups (aOR: 2.5; 95% CI: 1.3-6.0). The patients with less than average family income and those unable to read and write had lower odds of having positive attitude towards COVID-19 (aOR: 0.6; 95% CI: 0.4-0.9 and aOR: 0.4; 95%CI: 0.2-0.9, respectively). A statistically significant correlation was found between the patients’ knowledge and practice, knowledge and attitude, and attitude and practice (p <0.001). Conclusions: Nearly half of the chronic disease patients in Nepal had poor knowledge and practice whereas more than two-third had negative attitude towards COVID-19 disease. Older age of the patient was significantly associated with poor knowledge and practice. Keywords: Attitudes; chronic diseases; COVID-19; knowledge; practice

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Anil Bhattarai Institute of Medicine, Tribhuvan University, Kathmandu, Nepal Kamal Ranabhat Ministry of Health and Population, Kathmandu, Nepal Bhuvan Saud Janamaitri Foundation Institute of Health Sciences, Lalitpur, Nepal Suraj Bhattarai Global Health Research and Medical Interventions for Development, Kathmandu, Nepal Kiran Paudel Institute of Medicine, Tribhuvan University, Kathmandu, Nepal Devaka Kumari Acharya Institute of Medicine, Tribhuvan University, Kathmandu, Nepal Sangita Tripathi Institute of Medicine, Tribhuvan University, Kathmandu, Nepal Sangam Shah Institute of Medicine, Tribhuvan University, Kathmandu, Nepal Nikita Bhatta Institute of Medicine, Tribhuvan University, Kathmandu, Nepal Santa Kumar Das Institute of Medicine, Tribhuvan University, Kathmandu, Nepal

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