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Title: COVID-19 awareness, knowledge and perception towards digital health in an urban multi-ethnic Asian population
Authors: Teo, Cong Ling
Chee, Miao Li
Koh, Kai Hui
Tseng, Rachel Marjorie Wei Wen
Majithia, Shivani
Thakur, Sahil
Gunasekeran, Dinesh Visva 
Nusinovici, Simon
Sabanayagam, Charumathi 
Wong, Tien Yin 
Tham, Yih-Chung 
Cheng, Ching-Yu 
Issue Date: 24-May-2021
Publisher: Nature Research
Citation: Teo, Cong Ling, Chee, Miao Li, Koh, Kai Hui, Tseng, Rachel Marjorie Wei Wen, Majithia, Shivani, Thakur, Sahil, Gunasekeran, Dinesh Visva, Nusinovici, Simon, Sabanayagam, Charumathi, Wong, Tien Yin, Tham, Yih-Chung, Cheng, Ching-Yu (2021-05-24). COVID-19 awareness, knowledge and perception towards digital health in an urban multi-ethnic Asian population. Scientific Reports 11 (1) : 10795. ScholarBank@NUS Repository.
Rights: Attribution 4.0 International
Abstract: This study aimed to determine COVID-19-related awareness, knowledge, impact and preparedness among elderly Asians; and to evaluate their acceptance towards digital health services amidst the pandemic. 523 participants (177 Malays, 171 Indians, 175 Chinese) were recruited and underwent standardised phone interview during Singapore’s lockdown period (07 April till 01 June 2020). Multivariable logistic regression models were performed to evaluate the associations between demographic, socio-economic, lifestyle, and systemic factors, with COVID-19 awareness, knowledge, preparedness, well-being and digital health service acceptance. The average perception score on the seriousness of COVID-19 was 7.6 ± 2.4 (out of 10). 75.5% of participants were aware that COVID-19 carriers can be asymptomatic. Nearly all (? 90%) were aware of major prevention methods for COVID-19 (i.e. wearing of mask, social distancing). 66.2% felt prepared for the pandemic, and 86.8% felt confident with government’s handling and measures. 78.4% felt their daily routine was impacted. 98.1% reported no prior experience in using digital health services, but 52.2% felt these services would be helpful to reduce non-essential contact. 77.8% were uncomfortable with artificial intelligence software interpreting their medical results. In multivariable analyses, Chinese participants felt less prepared, and more likely felt impacted by COVID-19. Older and lower income participants were less likely to use digital health services. In conclusion, we observed a high level of awareness and knowledge on COVID-19. However, acceptance towards digital health service was low. These findings are valuable for examining the effectiveness of COVID-19 communication in Singapore, and the remaining gaps in digital health adoption among elderly. © 2021, The Author(s).
Source Title: Scientific Reports
ISSN: 2045-2322
DOI: 10.1038/s41598-021-90098-6
Rights: Attribution 4.0 International
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