Knowledge, attitude, and practices toward COVID-19 among the international travelers in Thailand

Abstract Background International travel is among the leading impactful factors of COVID-19 transmission; thus, adequate knowledge, good attitude and good preventive practices toward COVID-19 for international travelers are particularly essential for successful pandemic control. Methods A cross-sect...

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Autores principales: Suttiporn Prapaso, Viravarn Luvira, Saranath Lawpoolsri, Archin Songthap, Watcharapong Piyaphanee, Wiwat Chancharoenthana, Sant Muangnoicharoen, Punnee Pitisuttithum, Pornthep Chanthavanich
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Publicado: BMC 2021
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spelling oai:doaj.org-article:3217f7fb80ee4eb3a9ebc917f46b49862021-11-21T12:15:09ZKnowledge, attitude, and practices toward COVID-19 among the international travelers in Thailand10.1186/s40794-021-00155-12055-0936https://doaj.org/article/3217f7fb80ee4eb3a9ebc917f46b49862021-11-01T00:00:00Zhttps://doi.org/10.1186/s40794-021-00155-1https://doaj.org/toc/2055-0936Abstract Background International travel is among the leading impactful factors of COVID-19 transmission; thus, adequate knowledge, good attitude and good preventive practices toward COVID-19 for international travelers are particularly essential for successful pandemic control. Methods A cross-sectional, questionnaire-based study was conducted to determine knowledge, attitude and practices (KAP) of international travelers (both Thai and non-Thai) and expatriates in Thailand. The data were collected at the Thai Travel Clinic, Bangkok, Thailand and via online platforms during May to October 2020. The independent T-test, Chi-square test and multiple regression analysis (MRA) were applied to determine factors influencing the KAP. Results Of 399 travelers, 46.6% were male, 72.1% had a Bachelor’s degree or higher, and the mean age was 35.6 ± 9.6 years. Due to unexpected travel restrictions and lock down, 77.9% of participants were Thai and the respective major purpose of travel was business/work. Travel cancellation/postponement was reported at 73.9%. While sufficient knowledge (≥ 60% correct answers) was reported in 77.9% of participants, a low percentage of correct answers was found in the questions regarding disease transmission. The travelers reported a neutral attitude and an overall moderate concern regarding the COVID-19 situation. Adequate preventive practices were determined by the average practice score 3.54 ± 0.38 (0 = never and 4 = always). The MRA revealed that the factors influencing good practices were travelers who: i) enrolled from outside the hospital (online platform); ii) received pretravel advice at hospital; iii) were female; iv) participated before the declaration of the end of the outbreak; v) were aged 40–49 years, and vi) visited friends and relatives. Conclusions The majority of travelers in this study had sufficient knowledge, a neutral attitude and adequate preventive practices toward COVID-19. The factors influencing good practices included pretravel advice, sex, age and the point in the timeline of the outbreak. In order to better control the COVID-19 pandemic situation, pretravel counselling and advice should be promoted as a means to improve knowledge, particularly in disease transmission, increase awareness and emphasize appropriate preventive measures toward COVID-19 among international travelers. Furthermore, preventive practices should be bolstered at all times regardless of the outbreak situation.Suttiporn PrapasoViravarn LuviraSaranath LawpoolsriArchin SongthapWatcharapong PiyaphaneeWiwat ChancharoenthanaSant MuangnoicharoenPunnee PitisuttithumPornthep ChanthavanichBMCarticleKnowledgeAttitudePracticesCoronavirus disease 2019TravelersArctic medicine. Tropical medicineRC955-962ENTropical Diseases, Travel Medicine and Vaccines, Vol 7, Iss 1, Pp 1-10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Knowledge
Attitude
Practices
Coronavirus disease 2019
Travelers
Arctic medicine. Tropical medicine
RC955-962
spellingShingle Knowledge
Attitude
Practices
Coronavirus disease 2019
Travelers
Arctic medicine. Tropical medicine
RC955-962
Suttiporn Prapaso
Viravarn Luvira
Saranath Lawpoolsri
Archin Songthap
Watcharapong Piyaphanee
Wiwat Chancharoenthana
Sant Muangnoicharoen
Punnee Pitisuttithum
Pornthep Chanthavanich
Knowledge, attitude, and practices toward COVID-19 among the international travelers in Thailand
description Abstract Background International travel is among the leading impactful factors of COVID-19 transmission; thus, adequate knowledge, good attitude and good preventive practices toward COVID-19 for international travelers are particularly essential for successful pandemic control. Methods A cross-sectional, questionnaire-based study was conducted to determine knowledge, attitude and practices (KAP) of international travelers (both Thai and non-Thai) and expatriates in Thailand. The data were collected at the Thai Travel Clinic, Bangkok, Thailand and via online platforms during May to October 2020. The independent T-test, Chi-square test and multiple regression analysis (MRA) were applied to determine factors influencing the KAP. Results Of 399 travelers, 46.6% were male, 72.1% had a Bachelor’s degree or higher, and the mean age was 35.6 ± 9.6 years. Due to unexpected travel restrictions and lock down, 77.9% of participants were Thai and the respective major purpose of travel was business/work. Travel cancellation/postponement was reported at 73.9%. While sufficient knowledge (≥ 60% correct answers) was reported in 77.9% of participants, a low percentage of correct answers was found in the questions regarding disease transmission. The travelers reported a neutral attitude and an overall moderate concern regarding the COVID-19 situation. Adequate preventive practices were determined by the average practice score 3.54 ± 0.38 (0 = never and 4 = always). The MRA revealed that the factors influencing good practices were travelers who: i) enrolled from outside the hospital (online platform); ii) received pretravel advice at hospital; iii) were female; iv) participated before the declaration of the end of the outbreak; v) were aged 40–49 years, and vi) visited friends and relatives. Conclusions The majority of travelers in this study had sufficient knowledge, a neutral attitude and adequate preventive practices toward COVID-19. The factors influencing good practices included pretravel advice, sex, age and the point in the timeline of the outbreak. In order to better control the COVID-19 pandemic situation, pretravel counselling and advice should be promoted as a means to improve knowledge, particularly in disease transmission, increase awareness and emphasize appropriate preventive measures toward COVID-19 among international travelers. Furthermore, preventive practices should be bolstered at all times regardless of the outbreak situation.
format article
author Suttiporn Prapaso
Viravarn Luvira
Saranath Lawpoolsri
Archin Songthap
Watcharapong Piyaphanee
Wiwat Chancharoenthana
Sant Muangnoicharoen
Punnee Pitisuttithum
Pornthep Chanthavanich
author_facet Suttiporn Prapaso
Viravarn Luvira
Saranath Lawpoolsri
Archin Songthap
Watcharapong Piyaphanee
Wiwat Chancharoenthana
Sant Muangnoicharoen
Punnee Pitisuttithum
Pornthep Chanthavanich
author_sort Suttiporn Prapaso
title Knowledge, attitude, and practices toward COVID-19 among the international travelers in Thailand
title_short Knowledge, attitude, and practices toward COVID-19 among the international travelers in Thailand
title_full Knowledge, attitude, and practices toward COVID-19 among the international travelers in Thailand
title_fullStr Knowledge, attitude, and practices toward COVID-19 among the international travelers in Thailand
title_full_unstemmed Knowledge, attitude, and practices toward COVID-19 among the international travelers in Thailand
title_sort knowledge, attitude, and practices toward covid-19 among the international travelers in thailand
publisher BMC
publishDate 2021
url https://doaj.org/article/3217f7fb80ee4eb3a9ebc917f46b4986
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