Rural–urban disparities in knowledge, behaviors, and mental health during COVID-19 pandemic: A community-based cross-sectional survey

To examine the knowledge level, behaviors, and psychological status of the Chinese population during the COVID-19 pandemic, and to explore the differences between urban and rural areas.We carried out a cross-sectional survey of the knowledge, behaviors related to COVID-19, and mental health in a pro...

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Bibliographic Details
Published in:Medicine (Baltimore) 2021-04, Vol.100 (13), p.e25207-e25207
Main Authors: Zhang, Jianmei, Zhu, Liang, Li, Simin, Huang, Jing, Ye, Zhiyu, Wei, Quan, Du, Chunping
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age Factors
Aged
Anxiety - epidemiology
China - epidemiology
COVID-19 - epidemiology
COVID-19 - prevention & control
COVID-19 - psychology
Cross-Sectional Studies
Depression - epidemiology
Disinfection - methods
Female
Health Knowledge, Attitudes, Practice
Humans
Male
Mental Health - statistics & numerical data
Middle Aged
Observational Study
Pandemics
Rural Population - statistics & numerical data
Sex Factors
Socioeconomic Factors
Urban Population - statistics & numerical data
Young Adult
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Summary:To examine the knowledge level, behaviors, and psychological status of the Chinese population during the COVID-19 pandemic, and to explore the differences between urban and rural areas.We carried out a cross-sectional survey of the knowledge, behaviors related to COVID-19, and mental health in a probability sample of 3001 community residents in 30 provinces or districts across China from February 16-23, 2020. Convenience sampling and a snowball sampling were adopted. We used General Anxiety Disorder (GAD), the 9-item Patient Health Questionnaire (PHQ-9), and knowledge and behaviors questionnaire of community residents regarding COVID-19 designed by us to investigate the psychological status, disease-related knowledge, and the behavior of Chinese urban and rural residents during the pandemic.The average score of anxiety and depression among urban residents was 9.15 and 11.25, respectively, while the figures in rural areas were 8.69 and 10.57, respectively. There was a statistically significant difference in the levels of anxiety (P 
ISSN:0025-7974
1536-5964
DOI:10.1097/MD.0000000000025207